HomeMy WebLinkAboutF2023-0047 - PermitsEWrc)
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - MFP
Work Class - New
COMB Permit : F2023-0047
F 2 0 2 3 0 0 4 7��
Plan Check No: PC2023-0186
Issued Date : 02/01/2023
Inspection Area : 5
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 : 318 IRIS AVE Legal Desc : A TR CORONA DEL MAR BLK 236 LOT 20
Description: MFR FIRE SPRINKLERS - 40 HEADS (X2022-0770)
Owner: WILLIAM MCBRIDE
Address : 318IRIS AVE
CORONA DEL MAR, CA 92625
Phone: (949)675-7483
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: SECURITY NATIONAL INS CO
Policy No: SWC1373758
W. C. Expire : 2/15/2023
Code Edition : 2019
Fire Sprinklers : YES
Type of Construction : V-B
Fire Hazard Zone : NO
Occupancy Groups :
No of Units : 2
Bldg Height:
No of Stories :
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address r�.
Phone:
State Lie:
Engineer:
Address
Phone:
Designer: MONTY CASEY
Address: 1101 KINGSTON DR
LA HABRA, CA 90631
Phone: (714)476-5370
Construction Valuation : $4,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
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: Arty 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 lieensure 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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all 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 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).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the PrtIact(S—e1Tibni 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).
El 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 I must have resided for at toast one year prior to completion of the Improvements covered by this permit, I cannot legail,
sell a structure that I have built as an owner-buildor if It has not boon constructed in its entiroty by licensed contractors. I understand that a copy of the applicable law, Section 7C44 of the Business and
Professions Code, is available upon request when this application is submitted orat the following IA'eb site;http:l74rww.leginfo.ca.gov)calow.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 7000) of Division 3 of the Business and Lrssions d my license is In full force
and effect. License Class License No D e 1 L contractor Signat
NORKERS' COMPENSATION DECLARATION
NARNING: 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 (Sf00,000), IN ADDITION TD THE
:CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm underpenalty of perjuryone of the following declarations:
1 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, forth
>iNlmance 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 Expiration Date
of Agent
JI 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' compensationlaws of California, and agre
mat, if I should beco a subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignalure of Applica t
IECLARATION REGA G CO STRUOTION LENDING AGENCY "i`''Tl-- —7
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).
endes Name Lender's Address
y my Signature below, I certify to each of the following:
I am Ilia 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 laws relating to building construction.
I authorize representatives of this city or courrivy to enter the above -identified property for inspection purposes. /
"V.uwwn ui nu. eta vwner or numonzec Print Property Owner's or Authorized Ac
ACTION DATE Lify DECLARATION. OF COMPLIANCE wITHCODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQM D RULE
1403
PERMIT EXPIRED 1 SUBMITTED. ASBESTOS NOTIFICATION TO
PERMITCANCELLED
PERN7T EXTENDED II4Q�6
PERMIT FINAL V. r",Z 1'Ii� ASBESTOS NOT I FICATION I5 NOT APPLICABLE TO
CERTIFICATE OF J PROPOSED DEMOLITION
OCCUPANCrI55UED SIGNATURE: