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Home My WebLink AboutF2022-0580 - Permits��Q`r✓PORT City of Newport Beach p Community Development Department- Building Division r 100 Civic Center Drive, Newport Beach, CA 02660 U S Permit Counter Phone: (949) 644-3288 ** Inspection Requests Phone: (949) 644-3255 °qc/pogN�r newportbeachca.gov/inspections Combination Type - SFP Work Class - New F 2 0 2 2 0 5 a 0II COMB Permit : F2O22-0580 Plan Check No: PC2022-2822 Issued Date : 11/09/2022 Inspection Area : 3 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 : 1942 GALAXY DR Legal Desc : N TR. 4224 BLK LOT 18 Description: SFR FIRE SPRINKLERS - 36 HEADS (X2022-0095) Owner: MANOUCH MOSHAYEDI Address : 255 W COAST HWY 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 Lid: BT30040107 Bus Lic Expire : 07/31/2023 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INS CO Policy No: SWC1373758 W. C. Expire: 2/1512023 Architect Address Phone: State Lic Engineer: Address : nar- Phone: � � L: 9 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: 1 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY SPECIAL CONDITIONS: $3,600.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I ant exempt from the Contractors' State License Law for the resson(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 the permit to file a signed statement that Ile or she is licensed pursuant to the provisions of the Contractors' State Licenso Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from ficensure, 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). 1, as owner of the property, or my employees with waglas as their sole compensation, will do (_) all of or U 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 or 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). El 1, 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 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). LI i am exempt from licensure under the Contractors' State License Law for the following reason:By my signature below I acknowledge that. except for my personal residence in which 1 must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legal) sell 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 Professions Code„ is available upon request when this application is submitted or at the following Vyeb site:http:fiwwvc,leginfo.ca.govlcalaw.html. ..Signature of 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 70 0) of Division 3 of the Business and Professio s Code, and. my license is In full force land effect. License Class License No Date G t4- Contractor Signatu€ `_� � WORKERS' COMPENSATION DECLARATION J( 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 1510p00I, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DE OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure tot workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN rformance of the work for which this permit is issued. Policy No. have 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` compensation Ins ance carrier and policy number are: Policy Number Date ame of Agent """ ]I certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' componsaiion laws of California, and Eger at, if I should become subject to the workers compeneallon provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. 1 fmalure of Applicant _� Datg�t' ECLARATION RE, ING CONSTRUCTION LENDING AGENCY 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). enplane Name Lenders Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and.. the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building. construction. I authorize representatives of this city or county toienter the above -identified property for inspection purposes. •�� In . r r �� d N nature of Property Owner or Authorized Agent r- i l nm rro eny owner s ur rruu lvncau ng ACTION DATE BY Lf, VECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 40 AND AQMID RULE 1403 PEiMiTEXPIRE6 -� U I SUBMITTED ASBESTOS NOTIFICATION TO --------Mr PA PERMIT CANCFL,-ED PERMIT EXTENDED I I raQMD PER,YHTEINAi �9�Z'1 ASBESTOSNOIIFICA1tON IS NOT APPLICABLE TO �1 CERTIFICATE Of PROPOSED DEMOLITION OCCUPANCYISSUED y _._ SIGNATURE: °z1 ❑❑❑❑ ❑❑ ❑ ❑❑❑ ❑ ❑❑ 9 N O U N .y U > a a Z C' a�mA= nt d d a a a [d .n (Ni n) m a� �] N r--i rt n ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0 0 ❑ IO