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HomeMy WebLinkAboutF2022-0646 - Permits�gWPORT City of Newport Beach II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II D� Community Development Department - Building Division F 2 0 2 2 m s 4 6 100 Civic Center Drive, Newport Beach, CA 92660 t Permit Counter Phone: (949) 644-3288 m., Inspection Requests Phone: (949) 644-3255 C9Clpp0.N�P newportbeachca.gov/inspections Combination Type - SFP d Work Class - New COMB Permit : FZUZZ-0646 Plan Check No : PC2022-3215 Issued Date : 12/22/2022 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 : 4 PINEHURST LN Legal Desc : N TR 7223 BILK LOT 66 Description: SFR FIRE SPRINKLER SYSTEM W/ (75) HEADS. (X2021-2607) Owner: ROGER JEWKES Contractor: MONTY CASEY Architect Address : 3750 LAS VEGAS BLVD S UNIT4701 Address : 1101 KINGSTON DR Address LAS VEGAS, NV 89158 LA HABRA, CA 90631 Phone : Phone : (714) 476-5370 Phone Con State Lie : 876004 State Lie Lie Expire : 04/30/2024 Applicant : MONTY CASEY Bus Lie: BT300401 D7 Engineer: Address : 1101 KINGSTON DR Bus Lie Expire : 07/31/2023 Address LA HABRA, CA 90631 Phone: (714) 476-5370 Workers' Compensation Insurance Phone: Carrier: SECURITY NATIONAL INS CO Owner/Builder : Policy No : SWC1373758 Designer: MONTY CASEY Address : W. C. Expire : 2/15/2023 Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714) 476-5370 Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $7,800.00 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 : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 10, Front: 20, Side: 5, Side: 5 Flood Zone : X Use Zone: PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: 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 items) (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 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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' ar 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). 0 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 builds or improves thereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: By my signature below P. acknowledge that, except for my personal residence In which I must have residedfor at coast one year pdor to completion of the improvements covered by this permit, I cannot legalll '.sell a structure that I have builtas 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hltp:llw .leginfo.ca.govleafaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Di ision 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Data t 1 t Contractor Signature &,-)--L WORKERS' COMPENSATION DECLARATION WARNING: FAILOfiE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), M ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LAEOR CODE. INTEREST, "a ATTORNBY'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 for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN 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 workfor whichthis 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 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become subject to the workers' co�jpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date_ t 11 1 !reby 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). ider's Name Lender's Address my sli a t a:cx, I certify to each of the following: Pam the property owner or authorized to act on the property owner's behalf. I have read lc•s rpplication 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. I authorize I epresentatives of this city or county to enter the above -identified property for inspection purposes. Mature of Proee, tv Owner or Authorized Aaent ro___ Print Prnnerry owners nr AutHnrlood Anani urn A M­'* . 1r . . DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j REGULATIONS PART 61 OF TITLE40AND AQMD RULE PERMITEXPIREG EU ISUBMITTF.DASRESTOS NOTIFICATION TO PER,di7 CANCLLZEC_ I EPA. PERMIT EXTEAEZO AQMD PFR,NIT FINAL CERTIFICATE Cf OCCUPANCYISSUED __..1'�\� rro 1 b ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOUTION C SIGNATURE: L, I NO ME N m R