The URL can be used to link to this page

Home My WebLink AboutF2022-0647 - PermitsR, WIPo City of Newport Beach .. I Community Development Department- Building Division n. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u T; Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration F 2 0 2 2 0 6 4 7� II COMB Permit: F2022-0647 Plan Check No : PC2022-3216 Issued Date : 12/22/2022 T-1 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON. SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 222 CEDAR ST Legal Desc : N TR 772 ELK 3 LOT 25 Description : SFR FIRE SPRINKLER SYSTEM W/ (26) HEADS. (X2022-1477) Owner: DOS JEFES PROPERTIES LLC Contractor: MONTY CASEY Architect Address : 222 CEDAR ST Address : 1101 KINGSTON DR Address NEWPORT BEACH, CA 92663 LA HABRA, CA 90631 Phone : (714) 883-7873 Phone : (714) 476-5370 Phone Con State Lie : 876004 State Lie Lie Expire: 04/30/2024 Applicant : MONTY CASEY Bus Lie : BT30040107 Engineer Address : 1101 KINGSTON DR Bus Lie Expire : 07/31/2023 Address LA HABRA, CA 90631 Phone: (714) 476-5370 Workers' Compensation Insurance Phone: Carrier: SECURITY NATIONAL INS CO Owner/Builder : Policy No: SWC1373758 Designer: MONTY CASEY Address : W. C. Expire : 2/15/2023 Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: Phone: (714) 476-5370 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $2,600.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R3/U No of Units : 1 Alteration sq. ft. Bldg : , Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 • - . , TOTAL sq. ft.: 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone; X " Use Zone : R-1 - Single -Unit Residential PROCESSED BY:� �L - ' SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Secllon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to f le a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the Work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the �limprovements are not Intended or offered for sale. If. however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or I�improved forthe purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to constructible project (Section 7044. Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' Stale License Law for the following By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements Covered by this permit, I cannot legally sell a structure that I have built as an owner-huiltler if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:llw .leginfo.ca.govlcalaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes 'osJ ns Code, and my license is in full force and effect. License Class License No Date 11_/�j11 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS„ COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HVNDRED THOUSANU DOLLARS ($100,000).IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN performance of the work forwhich this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Date 1e of Agent Poona # certify that, in the performance of the work for which this permit Is issued„ I Shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 31 Date L 11 11 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the prop6.ty owner or authorized to act on the property owner's behalf. I :lave read this application and the information I have provided is Correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. ' authorize representatives of this city or county to enter the above -identified property for inspection purposes. L.n2,,,ra r,r Frnnanv nwnar nr Aumnd>ed Anent �.._l Print Property Owner's or Authorized Agent's Name DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40AND AQMD RULE PfRM1JTEXPIRE✓ ! EIISLIBMITTEDASBESTCSNOTIFICATIONTO PERMIT FINAL' - I `_ z �/J U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERT,RCATE OF Cj� PROPOSED DEMOLITION OCCUPANCYISS'J50 SIGNATURE: T�_i