HomeMy WebLinkAboutF2022-0432 - Permits�EWPORT City of Newport Beach II II I I II I II I II II IIII I I II
0 Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
U } S Permit Counter Phone: (949) 644-3288
.�. Inspection Requests Phone: (949) 644-3255
Cq!/FOPN�P newportbeachca.gov/inspections
Combination Type -
Work Class - New
COMB Permit : F2022-0432
Plan Check No : PC2022-2033
Issued Date:
Inspection Area : 2Z
0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YE S FROM C
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK$SUNDAY
Job Address : 411 BAY FRONT N Legal Desc
Description : SFR FIRE SPRINKLERS (X2021-1740) 30 HEADS
Owner: LYMAN FAMILY PARTNERSHP Contractor
Address: 411 N BAY FRONT NEWPORT BEACH, CA Address
92662
aTI ."M
Applicant: MONTY CASEY
Address : 1101 KINGSTON
Phone : (714) 476-5370
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups:
Bldg Height :
A TR BALBOA ISLAND RESUB SEC 1 BLK 8 LOT
FIREPROOF FIRE PROTECTION
1101 KINGSTON DR LA HABRA, CA
90631
Phone: (714)476-5370
Con State Lic : 876004
Lic Expire : 04/30/2024
DR LA HABRA, CA 90631 Bus Lic : BT30040107
Bus Lic Expire : 07/31/2022
Workers' Compensation Insurance
Carrier: SECURITY NATIONAL
COMPANY
Policy No: SWC1373758
W. C. Expire : 2/15/2023
Fire Sprinklers : YES
Fire Hazard Zone : No
No of Units : 1
No of Stories : 3
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone : X; AO 1
Use Zone: R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY:
SPECIAL CONDITIONS:
INSURANCE
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone :
NAL ISSUANCE DATE
HOLIDAYS IN ALL AREAS
Z%
Designer: MONTY CASEY
Address : 1101 KINGSTON DR LA HABRA, CA 90631
Phone: (714)476-5370
Construction Valuation : $3,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
�rvv-%T—r-%®
OWNER -BUILDER DECLARATION
f hereby affirm under penalty of perjury that I. am exempt from the Contractors State License Law for the reason(s) indicated below by the checkrnark(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, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file 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
'rofessions 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 (a500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) ail 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 arenot 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
'unproved for the purpose of sale).
I, as owner of the property, am exclusively contractingwith 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 builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law).
1 am exempt from licensure under the Contractors' Slate 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 -builder 1f it has not been constructed in Its entirely by licensed contractors- I understand that a copy of the applicable law, Section 7044 of theBusiness and
Professions Code, is available upon request when this application Is submitted or at the following Web site: httprllwwhw.legmfo.ca.gOwCalaw.html.
Signature or 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 7 of Division 3 of the Business and Pro son Cade, and my license is in full force
and effect. License Class License No Date I Contractor Signatur.
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUai AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS fS100,000). IN ADDITION TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'$ 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 workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
crmance 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
11 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
at, If I should become subject to th,e} �workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provislons. �j J
I,ynature of Apphcanl
ECLARATION REGARDINSTRUCTION LENOfN.G AGENCY TT
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, 61vil Code).
ander's Name Lender's Address _
y my signature below, I Certify to each of the following:
I am the property owner or alltkioriZOd'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 slate laws relating to building construction.
I authorize representatives of this city or county to*nter the above -identified property for inspection purposes. \,4
of
vner's or Authorized AD
ACTION DATE i BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART Et OF TEI 40 AND AQMD RULE
1403
PERMIT EXPI&Eb
CERTIFICATE OF
C7CCUPANCYISSUED
t_I 15UHNIITTFD ASBESTOS NOTIFICATION TO
Date
E v,,, All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
p� QMp be In place prior to approval tc tip poc l/spa & shall remain In place & be maintained for the
❑.ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life Of the pool.
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