HomeMy WebLinkAboutXR2023-0003 - Permits (3)aE.wvoRr
City of Newport Beach
Building Division
D4
Community Development Department-
too Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP ELEC PLUM
Work Class - Alteration
lillI��III��1111111111111111111111111111111111111111111111 JillCOMB Permit : XR2023-0003
Plan Check No : PC2023-0002
Issued Date : 01/03/2023
Inspection Area : 3
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: 2406 WINDWARD LN Legal Desc : N TR 5178 BILK LOT 11
Description: SFR - MASTER BATHROOM REMODEL 140 SF
Owner: DUNCAN KEENER
Address : 2406 WINDWARD LN
NEWPORT BEACH, CA
Phone
Applicant: C FAULK INTERIORS
Address: 7037 E EL CEDRAL ST
LONG BEACH, CA 90815
Phone : (562) 552-5269
owner/Builder:
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
2022
V-B
R-3
Front: 20. Side: 6, Side: 6, Rear: 10
X
PROCESSED BY: DF
SPECIAL CONDITIONS:
Contractor : C FAULK INTERIORS
Architect
Address : 7037 E EL CEDRAL ST
Address
LONG BEACH, CA 90815
Phone: (562)552-5269
Phone:
Con State Lic : 1091845
State Lic
Lic Expire : 05/31/2024
Bus Lic: BT30080337
Engineer:
Bus Lic Expire : 01/02/2024
Address
Workers' Compensation Insurance
Phone:
Carrier:
Policy No: EXEMPT
Designer:
W. C. Expire:
Address
Phone:
Fire Sprinklers : NO
Construction Valuation :
$14,000.0d ,
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
No of Units : 1
Alteration sq. ft. Bldg :
140 , • .
No of Stories : 1
Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
D
i SPIECT
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasen(s) indicated below by the checkmark(s) I have placed next to the applicable item(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 the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division ir of the ausiant and
Professions Code) or that he she is exempt from Ifcansure 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
nss
not 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 L) 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 project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
,21 ly 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),
hI I am exempt from hcensure under the Contractors' State License Law for the following reason:
-- -----
y my signature below t acknowledge that, except for my personal residence in which I must have resided for ai least ono year prior to completion of the improvements covered by this permit, I cannot legail+
sell a structure that I have built as an ownar-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 Businoss and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/1wv .leginfo.ca.govfcalaw:htmi.
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 700 ) 0Tivysi!P 3 of the Business and Professions Ind license is In full force
and effect. License Class License No Date G i Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORED THOUSAND DOLLARS ( 6,ODp}, 1N ADDITION TO THE
AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'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 thI
)erformance of tire 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'
ranre carrier an'f policy number are:
of Agent
certify that, ,n tho performance of
,'f' should become subject to V
Policy Number
Date
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 Califomia, and
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
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Date��`Z
affirm under penalty of pegury that the Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By my 0)nature below, I certify to each of the following:
I am the pro�er.y owner or authorized to act on the property owner's behalf,
I have read tnls application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances d state laws relating to building construction.
I authorize representatives of this city or county to enter the ove-i Dirt led property for inspection purposes.
Signature of Property Owner or.AUthorized Ag ent Pri I Pro art. Owner's or Authorized A aria Name
ACTION DATE BY I,i ECLARATIO OFC PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
{ Nf.GULATIONS PART 51 OFTITLE40 AND AQMD RULE
403
PERMIT EXPIRED I Su BMiTTED A5BEST05 NOTIFICATION TO
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PERMf7 EXiENDEO 33 OAQMD
......__�—__
FINA
PERMIT ATE I ASBESTOS NOTIFICATION IS NOT APPLICABLE' TO
OCCCERUPANCYISF �f PROPOSED DEMOIyFICN
OCCUPANCY155UE0 I �• / I RIr.MAn mP. �