HomeMy WebLinkAboutF2022-0488 - PermitsaEwaoRr
City of Newport Beach
Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP
Work Class - New
II I I I II I II I II II III II I II COMB Permit: F2022-0488
Plan Check No : 0931-2022
Issued Date : 09/1512022
Inspection Area : 2
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 : 1900 SEADRIFT DR
Description: DELTA 1 - ADD 10 HEADS
Owner: TNG SZ LLC
Address : 11720 EL CAMINO REAL STE250
SAN DIEGO, CA 92130
Phone
Applicant: MONTY CASEY
Address : 1101 KINGSTON DR
LA HABRA, CA 90631
Phone: (714)476-5370
Owner/Builder:
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
Legal Desc : N TR 2813 BILK LOT 8
Contractor:
MONTY CASEY
Architect
Address :
1101 KINGSTON DR
Address
LA HABRA, CA 90631
Phone:
(714)476-5370
Phone:
Con State Lic
: 876004
State Lic
Lic Expire :
04/30/2024
Bus Lic:
BT30040107
Engineer:
Bus Lic Expire : 07/31/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: SECURITY NATIONAL INS CO
Policy No:
SWC1373758
Designer:
W. C. Expire:
2/15/2023
Address
Phone:
Fire Sprinklers :
V-B Fire Hazard Zone:
No of Units :
No of Stories
Front: 10, Side: 4, Side: 4, Rear: 10
X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS:
YES Construction Valuation : $3,600.00
NO Added/New/TI sq. ft.-Bldg : 0
1 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(s)
Section 7031.5. Business and Professions Cade: 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
1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure Is not intended cr offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law Aces not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
uprovements are not intended or offered for sale. If, however, the building or improvement is said within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
pply 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).
7 I am exempt from licensure under the Contractors State License Law for the following reason
ly my signalum 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
oil a structure that I have built as 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:tlwww.leginfo.ca.gov;calaw.htmi,
ignature 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 7000) 4 Divisjo 3 of the Business and Prof ssj sc>p Code, and my license is in full force
nd effect. License Class License No Date S Tt Contractor Signafur `t
VORKERS' COMPENSATION DECLARATION
FANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIRES UP TO ONE HUNDRED THOUSAND DOLLARS (E1 W,00B.IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND AT70RNEY-S FEES.
hereby affirm under penalty of perjury one 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, for Ira
i[rformance of the work for which this permit is issued. Policy No.
have 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'
Fence 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' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
Of
Dates ail C�tt.
weby 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)
Wars Name Lender's Address
my signature below, I certify to each of the following:
I am the properly 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 slate laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
nature of Pmoertv Owner or Authorized Ausnl Print Property Owner's or Authorized Agent's Nanigv M
ACTION DATE BY " I)ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED LJ ISUBMITTED ASBESTOS NOTI FIC.ATION TO
PERMIT CANCELLED E ! QEPA
PERNBTFINAL LJ ASBESTOS AOPKAIION 15 NOTAPPLICRBLE 10
CERTIFICATEOF say A- PROPOSED DEMOLITION
OCCUPANCY15SUED I SIGNATURE:
Date
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