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Home My WebLink AboutX2021-1391 - Permits,�gwr'okr City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 V ws,V a Inspection Requests Phone (949)644-3255 -J�)Y Jrw�Y Combination Type - SFP 1111111111111111111111111111111111111111111111 it JillCOMB Permit: X2021-1391 x 2 0 2 1 1 3 9 1 Project No : Issued Date : 0610212021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/02/2024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 6 CAPE ANDOVER NB Description: SFR T/O (E) 65 SO, INSTALL COMP. SHINGLE, CLAPS W, REM VE SIDING INSTALL HARDIE SIDING Legal Desc.: N TR 15012 LOT 5"'�"" �liE Owner: EVATT JAMES ;date: o rac r: OMPANY Address: 6 CAPE ANDOVER 5009H3RGI I ST€5000 NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92660 Phone: Phone: - 949-794-9534 won 11 Applicant: THE FALBO COMPANY ' Con State Lic 811059 Address: 5000 BIRCH STE 3000 ': - . Lic Expire: 07/31/2022 - NEWPORT BEACH CA 92660 %' ... --Bus Lic BT03042976- Phone: 949-794-9534 Lic Exp Date: 03/31/2022 Code Edit : S 2019 - Worker's Compensation Insurance Type of Construction: VB - Carrier:' P I� N CALIFORNIA INS CO 460114110201 Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: 11f Building Permit Fee: $1,480.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $5.00 PROCESSED BY: o Icy o. Expire: 09/01/2021 - - rchitect: df plicable- EP60% or ❑ 100% refit b" �� Engineer: MdWhOrn. Phone: State Lic: Designer: Address: Phone: Building Setbacks Rear: I Special Conditions: Front: I Left:. /Right: L .LJ ' p�^�1 6yy, a -�' I Ice 7nne: ParkincSnaces: 0 o N 19 (worK started) (no work started) Excise Tax: $0.00 Planning Department - Fire Department Note- Additional Fea $0.00 Plan check Fee : $0.00 Fire Inspection: Sham : Q0.00Fi Grading PC Consultant : $0.00 SJH Trans : $0.00 De I" " Fee ". Grading Pel 't FP �0.00 In -lieu Housing Fee : IrispP.m Itials: /g(d( ept Adm nn c..... en nn Gu61i, W-r . nomrrmcnf _ .P.n a Pnl" TOTAL FEE: $1,485.00 ZONING APPROVAL: GRADING APPROVAL: I PAN Plan Check. $0.00 Grading Bond: Electrical %: $0.00 San Dist : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee VJ a ^M i 0 Do $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,485.00 PUPLIC WORKS APPROVAL: PLAN CHECK BY:� APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 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 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 theapplicant 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 3 of the Businesb and Professions Code) or that he or she is exempt from 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 not more than five hundred dollars ($500). �i❑ 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, '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). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the y to an owner of property who builds or improves thereon and �•�_ntracls_4or�t4e-projects-wit{ J 1 am exempt from licensure under tl a Contra, y my signature below I acknowledge that, axe ell a structure that I have built as an owner-b 11 'rofessions Code, is available upon request whet ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATII hereby affirm under penalty of perjury that I am nd effect. License Class - State for my person re d ce 16f m s have resided for at least one j)d 'Sas no -bytirerrsed�� of n racTors. I L this application submitted or at the following Web site:http://w .leg! der provisions of Chapter 9 (commencing with Section License No - Date State License Law). IRwf the improvements cove of the applicable law, Sectio ::1 100% refur date and VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D( OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION.3�06 OF THE LABOR CODE,=INTEREST, AND'ATTOkNEV'S FEES. hereby affirm under penalty of perjury one of the following declarations; 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 elfyrmance of the work for which this permit is issued Policy No. - -� t"' ` have and will m ntai workers' compensation InsuraFee, asrequiredby Section 3700 of the Labor Code, for the performance of the work for which this permit is ie Isurance carrier and olicv'number Ie of Agent certify that, in the performance of the if I should become spbjnkf'plf _ Iature of Applicant _ employ any person in any math g a��or syl� the workers' I m the Labor Code, I shall forth 66 Ith tNds'� 1 I ns. )ECLARATION REGARDING CONSTRU TION LENDING AGENCY hereby affirm under penalty of perjury tha thot&onstruction ten II�Cf6fWFcFI-ffiis pe�ml -ender's Name Lender's Address 3y my signature below, I certify to each of a following: -_ I am the property owner or authorized aet-a y owner s ehalf. I have read this application and the Infomaatiiaa=prBaid€d I agree to comply with all applicable city and county ordinances a aws relating to building construction. I authorize representatives of this city or count -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 610E TITLE 40 AND AOMD RULE PERMIT EXPIRED �. S V I EMITTED ASBESTOS NOTIFICATI ON TO CANCELLED E PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED TO TT_tP,0 State License Law does not his permit, I cannot of the Business and is in full force ($100,000), IN ADDITION TO THE of the Labor Code, for My workers' laws of California, and