HomeMy WebLinkAboutF2022-0351 - PermitsO� E 1PoRr City of Newport Beach
@ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
D s Inspection Requests Phone: (949) 644-3255
°scrvoa`'�P newportbeachca.gov/inspections
II IIII II I I II COMB Permit : F2022-0351
Plan C heck
'
k No : PC2022-1716
Comb
pe
Work Class: New
Issued Date : 07/1312022
Inspection Area :4
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: 25 BURNING TREE CIR Legal Desc : N TR 7638 BLK LOT 50
Description: NEW FIRE SPRINKLERS 67 HEADS
Owner:
BRIAN STERN
Contractor: FIREPROOF FIRE PROTECTION
Address :
1956 CARDIFF PL NEWPORT BEACH, CA
Address : 1101 KINGSTON DR LA HABRA, CA
92660
90631
Phone:
Phone: (714)476-5370
Con State Lie: 876004
Applicant:
MONTY CASEY
Lie Expire : 04/30/2024
Address :
1101 KINGSTON DR LA HABRA, CA 90631
Bus Lie : BT30040107
Phone:
(714) 476-5370
Bus Lie Expire : 07/31/2022
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Code Edition : 2019 Fire Sprinklers : NO
Type of Construction : Fire Hazard Zone : Y
Occupancy Groups : No of Units : 1
Bldg Height: No of Stories
Building Setbacks: Front: 10, Side: 5, Side: 5, Rear: 15
Flood Zone : X
Use Zone : PC - Big Canyon
Processed By: �94 Public Works Approval
Zoning Approval: Plan Che. k By:
Grading Approval: Approval To Issue:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie:
Engineer:
Address
Phone:
Designer: MONTYCASEY
Address: 1101 KINGSTON DR LA HABRA, CA 90631
Phone: (714)476-5370
Construction Valuation : $6,700.00
Added/New sq. ft. Bldg : 0
Added/New sq. ft. Garage: 0
�[®t� L�j"Tti.jj i
OWNER -BUILDER DECLARATION
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
to permit to file a signed statement that he or she is licensed pursuant o 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 lioensure 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).
1, as owner of the property, or my employees with wages 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,
easiness 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
uproved for the purpose of sale).
I, 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
P,pIV 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).
J I am exempt from licensors under the Contractors' State 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 legalh
ell a structure that I have built as an owner-buitdor if it has not been constructed In its entirety by licensed contractors. I understand that copy of the. applicable law. Section 7044 of the Business and
Tofessions Code, Is available upon request when this application Is submitted or at the following Web site:httpaiwww,leginfo.ca.gov/calaw.html.
Iignature 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 70001, f Ivision 3 of the Business and Fes ioA ns Code, and my license is in full force
nd effect License Class License No Date t 'I U Contractor S gn4A P ^
PORKERS' COMPENSATION DECLARATION
�ARNNG: 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 C6/00,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDE➢FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th,
ca Orman ce of the Work far W'hdIn this permit is issued. Policy No.
I ava and wilt 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' compensatoor
1 nee carrier and policy number are:
ter Policy Number Expiration Date
of Agent
I 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 taws of California, and agre
L. if I should become subject to the workers' Compensation provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions.
nature of Applicantw _�— _ Dal �3 Z
CLARATION REGAR. CONSTRUCTION LENDING AGENCY W
areby affirm under penalty of perjury thatthere is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name _ Lender's Address _
my signature below, I certify to each of the following: v^
I am the property 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 lawsrelating to building construction.
I authorize representatives of this city Or count to enter the above -identified property for Inspection purposes. 1A,-
nature of Propene Owner or Authorized AD4 Print Pnhoerty Ownar'c or Anthnri7r,rf Ar,ent'z Na,na,.&A
ACTION
DATE B4- I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
1 REGULATIONS PART 51 OFTITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
I ISl1PMITTED FSRFSTpS_"IOTIFI,^,^T'.Or"C
PERMIT CANCELLED
EPA
PERMIT EXTENDED
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L_lAQMJ
€ ❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PERMITFINAL
CERTIFICATE OF -
OCCUPANCY ISSUED
l I PROPOSED DEMOLITION
J 1j
I SIG NATI APE:
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spabarrier, shall
be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.