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Home My WebLink AboutXR2023-0678 - Permitso��EWPoR, City of Newport Beach @m Community Development Department- Building Division y 100. Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone: (949) 644-3288 m.Inspection Requests Phone: (949) 644-3255 °gcrFoa"�r newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 111111111111111111111111 �� jj COMB Permit : XR2O23-os7s Plan Check No : Issued Date : 03/14/2023 Inspection Area : 8 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 : 6 CAPE ANDOVER Legal Desc : N TR 15012 BILK LOT 5 Description: SFR - DOOR (11) & WINDOW (13) C/O *RENEW EXPIRED PERMIT* Owner: JAMES EVATT Contractor: THE FALBO COMPANY Architect Address : 6 CAPE ANDOVER Address : 5000 BIRCH STE 3000 Address NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660 Phone : Phone : (949) 794-9534 Phone Con State Lic : 811059 State Lic: Lic Expire : 07/31/2024 Applicant: THE FALBO COMPANY Bus Lic: BT03042976 Engineer Address : 5000 BIRCH STE 3000 Bus Lic Expire : 03/31/8632- Address NEWPORT BEACH, CA 92660 WZ3 Phone: (949) 794-9534 Workers' Compensation Insurance Phone: Carrier : Owner/Builder : Policy No : EXEMPT Designer: Address : W. C. Expire: Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $339.50 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 � Occupancy Groups : R-3 No of Units : 1 Alterations q. ft. Bldg : --:;v Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 P�y A-# Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Upper Castaways 1 PROCESSED BY: .d=� SPECIAL CONDITIONS: _ --OWNER-BUILDER DECLARATION I hereby affi.nn under penalty of perjury that 1. am exempt from the Contractors' State License Law for the reason(s) indicated below by the oheckmark(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 the permit to file a signed statement that lie 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 exemptfrom licensure 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 Tot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, 3usiness and Professions Corse: 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 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 mprovod 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' Stale License Law does not appty to an owner of property who builds or improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). i am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below l 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 ;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 applicable 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:/Iwww.leginfo.ca,gov/calaw.html. Signature of Property Owner or Authorized Agent __ Date 'JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section of Division 3 of the Business and Or Sion o e, and my license is In full force and effect. License Class License. No Date 4 -Z3 ConVactor Signatur z NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNOREO T OUSAND DOLLARS (S100,000), IN ADDrnON TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declaratlons: I have and wilt 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 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` ranee carrier and policy number are: Policy Number Expiration Date of Agent I c�rlifiLthal, inthe performance of the work fn ich this permit is Issued. I shall not employ any person in any manner so as to become subject to the workers' o pensation laws of California, and agree at, if I should become s4bject to th rs compensaton provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ Date DECLARATION REGA. DIN UCTION 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 3097, Civil Code). Lender's Name Lender's 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 ordmaricaa l relating to building construction. I authorize representatives of this city or county t er t tifled property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ate 3 - It ACTION 4 DATE BY DECL-ARA=N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY OM REGULATIONS PART fit OF TITLE 40 AND AQMD RULE 1403 PERM,TEXPIRED _ISUBMITTEDASRFSTOSP�OTIFICFT:ONTO c / PERMIT CANCEL LED - �L�EFA _ _.—_—__ Lw 5v PERMIT EXTENDED PERMIT FINAL CERTINCATE OF OCCUPANCYISSUED ,St y N IHCAIION - " PLICABLE 10 RO EO D SIGNATURE-