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HomeMy WebLinkAboutF2022-0601 - Permits�gwvo"T' City of Newport Beach 04 d 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 c9t+coaN`T 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