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Home My WebLink AboutF2023-0241 - PermitsEwPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0241 Community Development Department -Building Division F 2 0 2 3 0 2 4 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1234 Permit Counter Phone: (949) 718-1888 Issued Date : 05/24/2023 .a. newportheachca.gov/civic Inspection Area : 3 cA�rFO P��P Combination Type - SFP Work Class - 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 : 1736 ANTIGUA WAY Legal Desc : N TR 4224 BLK LOT 284 Description : SFR FIRE SPRINKLER SYSTEM WITH 28 HEADS (X2022-1487) Owner: JASON DOWNING Address : 1736 ANTIGUA WAY NEWPORT BEACH, CA 9266D 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 Lie: 876004 Lie Expire : 04/30/2024 Bus Lie: BT30040107 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: NATIONAL CASUALTY COMPANY Policy No : SWC1373758 W. C. Expire : 2/15/2024 Architect Address Phone: State Lie Engineer: Address Phone Designer: MONTY CASEY Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $2,800.00 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 TOTAL sq. ft. : 0 Building Setbacks : Front: 6, Front: 12, Side: 6, Rear: 6 .. Flood Zone : X Use Zone: R-1-6000-,nSingle-Unit Residential (6000 indicates minimum lot area) PROCESSED BY. SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that f 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, altar, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for ie permit to fife 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 Irofessions 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 of more than five hundred dollars ($500). D I, as owner of the property, or my employees with wages as their sole compensation,will do U 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 yearof completion, Ilia 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 property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not poly to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). I I am exempt from licensure 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 legal, ell a structure that I have built as an owner -builder If it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, Is available upon requestwhen this application is submitted or at the following Web site:http://www.leginfo.ca.govicalaw.ihtml. �Ignature of Property Owner or Authorized Agent Data _ ___ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70D0 of O'visioIT 3 of the Business and Profess i np s Code, and my license is in full force nd effect License Class License No Date _.i� LS Contractor Signature f"v--_ VORKERS' COMPENSATION DECLARATION ,ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AMC SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS If100,0001,1N ADOC ION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby off Irm under penalty Of perjury one of the following declarations: 7 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 th erfcrmance 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 certify that. in the performance of the work for Which this permit is issued, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre I. if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant,_ y r�� Dale _ CLARATION REGARDING CONSTRUCTION LENDING AGENCY SL4._._--,�i 1�� Ireby affirm under penalty of perjury that there is a construction lending agency for the performanceof the work for which this permit is issued (Section 3097, Civil Code). iders Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to actan the property owner's behalf. I have read this application and the information I have provided is correct. I ag,@e to co a,? v with all applicable city and county ordinances and state laws relating to building construction. I authorize represi,Aall of this city or county to enter the above -identified property for inspection purposes. L nature of Property Owner or Authorized Agent /%',, ___— Print Prooertv Owner's or Authorized Agent's Name Date J 11 r / , ACTION DATE BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY {f REGULATIONS PART 6I. OF TITLE 40 AND AQMD RULE _ 1403 PERMYT F;:VIRED 1 sOBMITTED ASBESTOS NOTIFICATION TO PERMITCANC&t-O EPA PERt/IlT f+ri[rYDEn 'A� Q� M.p P`PTT r'NAL T NOFICATION IS NOT APPLICABLE TO CERTIFICniEOF PROPOSED DEMOLITION OCCUPANCY ISSU.L SIGNATIIRF- zz ❑❑`❑❑ ❑❑ ❑ O.C7❑ ❑ ❑❑ m z y ® Ott m .0 Ra- ;I a Ur Q U � U 0 1 L M fJ � N � 0. a � II11II p F U 4 O W. a Y) 00' M 1. •- VO .� CL U. z � s CL WWN m iF m MM U (off � U nl m Cl p y u� d A2a ® � C U U o c 04R� ♦� '4M rrOm}j V ZI❑❑❑❑❑❑❑❑❑ 4 ui h 06 :19 n