HomeMy WebLinkAboutF2022-0455 - PermitsVFW �T City of Newport Beach II II I I II I II I II II IIII II II COMB Permit : F2022-0455
o� e Community Development Department - Building Division
;y. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2126
i� Permit Counter Phone: (949) 644-3288 Issued Date : 08131/2022
o- Inspection Requests Phone: (949) 644-3255 Inspection Area : 1
newportbeachca.gov/inspections
Combination Type -
Work Class - New
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 : 1740 OCEAN FRONT E Legal Desc : N TR 518 BILK C LOT 9 TR 518 BLK C LOT 9 SELY 1/2 AND THE NWL Y 30 FT
Description
: SFR FIRE SPRINKLERS- 41 HEADS (X2021-1900)
Owner:
CEFALIA JAMES JOHN II TR
Contractor:
MONTY CASEY
Architect
Address :
224 KNOX ST COSTA MESA, CA 92627
Address :
1101 KINGSTON DR LA HABRA, CA
Address
90631
Phone:
Phone:
(714)476-5370
Phone:
Con State Lic
: 876004
State Lic :
,
Applicant :
MONTY CASEY
Lic Expire :
04/30/2024
Address :
1101 KINGSTON DR LA HABRA, CA 90631
Bus Lic :
BT30040107
Engineer
Phone:
(714) 476-5370
Bus Lic Expire : 07/31/2023 'n t Ldddress
Owner/Builder :
Address
Phone:
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
2019 Fire Sprinklers :
V-B Fire Hazard Zone
R3/U No of Units :
No of Stories
Front: 10, Side: 4, Side: 4, Rear: 0
X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS:
Workers' Compensation Insurance
Carrier: SECURITY NATIONQI�FpBI��,v"
Policy No : Swta CC'"'����''
W. C. ExpirejQ@
\N�EEs�
YES
NE)N
Designer: MONTY CASEY
Address: 1101 KINGSTON DR LA HABRA, CA 90631
Phone: (714)476-5370
Construction Valuation : $4,100.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors Slate License Law for the reason(s) indicated below by the eheckmark(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
he permit to file a signed statement that he Or she is licensed pursuant to Ilia provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
)rofess ons Code) or that he or she is exempt from licensors 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
lot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usinass 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
mprovements arenot 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
rn roved 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
Ippiy 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 densure under the Contractors' Slate License Law for the following reason:
3y 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 legallt
.ell 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 appticable law, Section 7044 of the Business and
)rofesslons Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.html.
Signature of Properly Owner or Authorized Agent _w Date
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 o Division 3 of the Business and Profes Ions Code, and my license is In full force
Intl effect, License Class License No Data IItL Contractor Signatur
PORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS 1$100.000)• IN AOIDTIDN TO THE
`DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3700. OF THE LABOR CODE„ INTEREST, Me ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
I 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,
Normance 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
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' compensation laws of California, and agre
Tat If I should become subje t o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those proviaicns.
lignalure of Applicant__ �_ D el 1
IECLARATION REGARDING CO111ddJ3TRUCTION 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 08 , Civil Code).
Radar's Name Lenders Address _
:y nay 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 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 countytoenter the above -identified property for inspection purposes.
ignature of Property Owner or Authorized Agent , y —, Print Procertv Owner's or Authnri>ed Ananl'c Nnn- V r,^
ACTION DATE j BY V1,DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY vTJ
3 REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE
PERMIT EXPIRED
PERMIT CANCEUED
PERAV EXTENDED
PERMIT FINAL �r
CERTIFICATE OF G•ti0•�,�
OCCUPANCYISSUEO
TO
LJ ASBESTOS NOT'I FICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
0 recuired alzrms, latches Dates c.nd fences which serve as part of a pool/spa barrier, shall
he in -,lace prier to epprovnl tc P'l pool/spa & shall remain in place & be maintained for the
_I life of the pool.
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