HomeMy WebLinkAboutF2022-0551 - Permits�gWPORr
City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP
Work Class - New
F 2 0 2 2 0 5 5 1II COMB Permit : F2022-0551
Plan Check No : PC2022-2682
Issued Date :
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 : 314 EVENING CANYON RD Legal Desc : N TR 1116 BLK LOT 66
Description : SFR FIRE SPRINKLERS - (X2021-1909) 52 HEADS
Owner: BLUEWATER ESTATES LLC
Address: 15391 CHERBOURG AVE
IRVINE, CA 92604
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
Can 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
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone :
Designer: MONTY CASEY
Address: 1101 KINGSTON DR
LA HABRA, CA 90631
Phone: (714)476-5370
Code Edition :
2019
Fire Sprinklers :
YES
Construction Valuation : $5,200.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
AddedlNew/TI sq. ft. Bldg
Occupancy Groups :
No of Units:
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. Bldg : 0
Building Setbacks :
Front: 25, 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
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 4tem(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 he or she is licensed pursuant to the provisions of tiro 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 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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. IT 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
'unproved for the purpose of sale)_
I. as owner of the property, are 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 improvesthereon; 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 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 legally
sell a structure that I have built as an ownor-buildar if it has not been constructed in its entirety by licensed contractors, I understand that a copy of theapplicable law, Section 7044 of the Business and
Professions 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 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 Divjpion 3 of the Business and Professions Code, and my license is In full force
and effect. License Class License No Date U ) i ) % Contractor Signature ��-�---
INORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO THOUSAND DOLLARS tSID0,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LADOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 nave and wll 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
perfar ante of the work for which this permit Is issued. Policy No.
hav and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatior
insuran 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 mannor sous to become subject to the workers' compensation laws of Califomia, and
, if I should become subject to the workers compensation provisions of Section 3700of the Labor Code, I shall forthwith comply Win those provisions.
Iature of Applicant r 11 L
" •n wr,.}u nr_n wnn,uA nniu+maliFrrnu r ec�mm� wn_oury / _ f
I hereby affirm under pen!�/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).
Lender's Name Lenders Address
By 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 I have provided is correct.
I agree to comply with all applicable city and county ordinances and state caws relating to building construction.
I authorize representatives of this City or county to enter the above -identified property for Inspection purposes.
Signature of Property Owner or Authorized Agent n, Print Property Owner's or Authorized Agent's Name Date
ACTION I DATE i RY DECLARATiONOF COMPLIANCE W17H CODEOF FEDERAL FOR OFFICE USE ONLY
i� REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I 1 1403
PERMIT EXPIRED I i I I...I I SURMITTED ASBESTOS NOTIFICATION TO.
PERMIT EXTENDED
PERMIT FINAL �6-JCf_1t( I )2 1UASBESTOS NOTIFICATION IS NOT APPLICABLE 10
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED I SIGNATURE;