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Home My WebLink AboutF2022-0457 - PermitsEWPOR�. City of Newport Beach I I I I II I II II III II II 04 Community Development Department- Building Division COMB Permit: F2022-0457 � Fn 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PCZI)Z2-Z142 U Permit Counter Phone: (949) 644-3288 Issued Date : 08/2412022 x Inspection Requests Phone: (949) 644-3255 Inspection Area : 3 C,G/pppN�r' newportbeachca.gov/inspections t q„� �., Combination Type - ' WorkClass- Addition/Alteration 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 : 1806 BERYL LN Legal Desc : N TR 1806 BLK LOT 24 Description: SFR FIRE SPRINKLER SYSTEM W/ (25) HEADS, (X2021-1385) Owner: BERNICE DEVRIES Contractor: MONTY CASEY Architect Address : 1806 BERYL LN NEWPORT BEACH, CA 92660 Address : 1101 KINGSTON DR LA HABRA, CA Address 90631 Phone: Phone: (714)476-5370 Phone: Con State Lie : 876004 State Lie Applicant : MONTY CASEY Lie Expire : 04/30/2024 Address : 1101 KINGSTON DR LA HABRA, CA 90631 Bus Lie : BT30040107 Engineer Phone: (714) 476-5370 Bus Lie Expire : 07/31/2022 Address Workers' Compensation Insurance Phone: Owner/Builder: Carrier: SECURITY NATIONAL INSURANCE COMPANY Address : Policy No : SWC1373758 Designer Phone: W. C. Expire : 2/15/2023 Address: Phone: MONTY CASEY 1101 KINGSTON DR LA HABRA, CA (714)476-5370 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $2,500.00 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 : 1 Added/New sq. ft. Garage : 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) 3 PROCESSED BY: SPECIAL CONDITIONS: DECLARATION. I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 70315. 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 No 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 Improvements are not Intended or offered for sale. If, however, the building of Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who bullds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). ❑ I am exempt from iicensure under the Contractors' State License Law for the following reason: 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 legall, sell a structure that I have built as an owner-huilder 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:liw w.leginfo.ca.govlcalaw.html. Signature, of Property Owner or Authorized Agent _ ❑ale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 a Division 3 of the Business and Profession Cog, ode, and my� a is In full force and effect. License Class License No Date Contractor Signature f/Y� 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 HUNDRED THOUSAND DOLLARS (SI00,00111, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 070E OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations, 111 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 th performance 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 Date JI 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 Califomla, and agre fat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant _ � Date / \ DECLARATION REGAING CONSTRUC'I70N LENDING AGENCYT_ hereby affirm under penalty of perjury that there Is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name _ Lenders Address y my signature below. I certify to each of the following: I am the nroDeny owner or authorized to act on the property owner's behalf. I have 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 x l authorizi representatives of this city or county to enter the above -Identified property for inspection purposes. / \ ignature of Property Owner or Authorized Anent X i Print Property Owner's or Authorized Agent's Name Date V 1l a P— ACTION PERMIT EXP,Af J I CFRTIFTCATL OF j 0_CUPANCI15SC5J DATE i BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL j REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE 13h0A I,0 UASBEST05 NOTIFICATION IS NOT APPLICABLE TO &A5 I PROPOSED DEMOLITION FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.