HomeMy WebLinkAboutF2022-0601 - Permits�gwvo"T'
City of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
11111111111111ill 1111111111111111111111111111111111111111IIIJillCOMB Permit : F2022-0601
Plan Check No : PC2022-2941
Issued Date : 11/22/2022
-7 Inspection Area : 2
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: 2585 CRESTVIEW DR Legal Desc : N TR 1102 BLK LOT 66
Description: SFR FIRE SPRINKLER SYSTEM ALT W/ (2) HEADS. (XR2022-2112)
Owner: ANTHONY PHAM
Address : 2585 CRESTVIEW DR
NEWPORT BEACH, CA 92663
Phone
Applicant: MONTY CASEY
Address : 1101 KINGSTON DR
LA HABRA, CA 90631
Phone: (714)476-5370
Owner/Builder
Address :
Phone
Contractor; MONTY CASEY
Address : 1101 KINGSTON DR
LA HABRA, CA 90631
Phone: (714)476-5370
Con State Lic :
876004
Lic Expire :
04/30/2024
Bus Lic:
BT30040107
Bus Lic Expire :
07/31/2023
Workers' Compensation Insurance
Carrier: SECURITY NATIONAL INS CO
Policy No : SWC1373758
W. C. Expire: 2/15/2023
Architect
Address:
Phone:
State Lic:
Engineer:
Address :
Phone
Designer: MONTY CASEY
Address: 1101 KINGSTON DR
LA HABRA, CA 90631
Phone : (714) 476-5370
Code Edition :
2019
Fire Sprinklers : YES
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
R3/U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks :
Front: 10, Front: 10, Side: 3, Side: 3
Flood Zone:
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY: 613
SPECIAL CONDITIONS: HIGH DENSITY ZONE
$1,000.00
0
0
0
NO CONSTRUCTION NO+I:SE-,
ON THE WEEKEND
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)
Section 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
ie permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) at that he or she is exempt from Iicensure andthe basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ply to an owner of property who builds or improves thereon, and wrtla contracts for the projectswith a. licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from ]!censure under the Contractors' Slate License Law for the following reason:
ly 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
all a structure that I have built as an owner -builder 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
rofessions Code, is available upon request when this application is submitted or at the following'Web site:http:llw .leginfo.ca.govlcalaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divi ion 3 of the Business and Professions Code, and my license is In full force
nd effect. License Class License No Date \L 1l Contractor Signature A-----/
PORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self- insure for workers' campensaton, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
erformance of the work for which 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
of Agent
Dale
certify that, in the performance of the work for which this permit Is issued, 1 shall not employ any person in any manner so as to become subject t0 the workers' compensation laws of California, and agree
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1
lature of Applicant _ Date 412 �iL �_�---
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
ender's Name Lenders Address
y my signature ;eluw, I certify to each of the following:
I �m the property owner or authorized to act on the property owner's behalf.
I I:ave read 1:i„ application and the information I have provided is correct.
! agree to comply with all applicable city and county ordinances and state laws relating to bullding construction,
authorize r��''r��esemavves of this city or county to )enter the a'bove-identifled property for inspection purposes.
Ignature of Proplsrint 7}�J4errer or Authorized Agent r.� PProperty Ovmer's or11horized 4lmint Name /�
ACT'ON
DATE
BY
PERMIT EXPIREO
TERrN.T CANCEL. E�7 '
PERMIT EXTENOLL
CERTIFICATE OF
OCCUPANCY ISSUED
•J
Fb r-"
MS
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40AND AQMD RULE
1403
L1 i 5URMPT7ED ASRESTO5 NOTIFICATION TO
NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITRON