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Home My WebLink AboutX2021-1496 - Permits�N,tr>r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1496 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 4 9 6 Project No: Permit Counter Phone (949)644-3288 S Inspection Requests Phone (949)644-3255 Issued Date:06/11I2021 Combination Type - SFP Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE -COMPLETED BY 06/1112024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p. datardayfrom 8:00 a.m, to 6:00 p m. No.wprk on Sundays or Holidays Job Address: 6 CAPE ANDOVER NB ,,,A Description: SFR -DOOR (11) & WINDOW (13) C/O -_ ^=�` "'�- - v - Legal Desc.: N TR 15012 LOT 5 -- 0 of ❑ r' Owner: EVATTARIC [)ate'. _--Bon ac or T E FALBO COMPANY rt-�-rf>� ��. Architect: Address: 6 CAPE ANDOVER ��` Address 6000 BIRCH STE 3000 Addre�s Wh0M'. RECTOR NEWPORT BEACH, CA 9266 .. NEWPORT BEACH CA 92660 td Phone: Phone 949-794-9534 .;r% Phone: State Lic: Applicant: FALBO TOM i Con State Lic 811059 _ near: • . 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 rY:ia �,h State Lic: ' Code Edit : 2019 r Worker's Compensation Insurance Designer: Type of Construction: VB Carrier CALIFORNIA INS CO Address: `q • , , Occupancy Group: R3/U Bolic No 460114110201 Y q Added /New sq.ft. Bldg: 0 expire: 09/01/2021 h e: ard Added /New sq. ft. Garage: No of Stories: 2 Building Setbacks Rear: pecial Conditjq[4s �gar�ed} No of Units: 1 $-�o-��j1. �, l�Q VV IJr� " , Bldg Height: 0*?� L \ Bldg Sprinklers: !t.�.. R '�t��) Flood Zone: Use Zone: 6r aces: 0 Fire Hazard __ _ ' Construction Valuation: $40,000.00 Insp. tit Building Permit Fee: $679.00 else T x: �.-� Planning Department---�ment Plan Check Fee: $0.00 ��e r--� $0.00 Plan -Fee' Fire Inspection: $0.00 Overtime Plan Ck: $0.00 ading Bonds Fee. $0.00 air Sh $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 G ding PC Consu t -�$ .00 rans : $0.00 Demolition Fee Record Management: $0.00 G di rmit Fee: _ In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Gr ip.4.L?RF'>'"` $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : 2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Tii FEE : $681.0 Plan Check Fee : $0.00 Fee Due ermit Issuance : $681.00 PROCESSED BY: PUBLIC WOR(JUPE ROVAL: ZONING APPROVAL: PLAN CHECKY. GRADING APPROVAL: APPROVAL TO: 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, impro%;demolish, or repair any structure, prior to its issuance, also requires the-:`pplicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' ate'ticense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemptie -violation of S@con 7031.5 by any applicant fqr a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). _ �y}��``G� ❑ I, as owner of the property, or my employees with wages as their sole com a n, will do L) all yt�lpodions of t wp�rhe structure is \he ended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law d apply to an owner of prof�� rty who, tl)ropy�O S; pldyees' or personal effort,s or improves the property, provided that the improvements are not intended or offered for sale. If, however I di g or improvement sold withingle�Q ctdmpletion, the Owner -Bur I the burden of proving that it was not built or roved for the purpose of sale),I, as owner of the property am exclusiv ra in th en 'tors to construct the project (Section 700��qq B ss and Professions Che Contractors' State License Law does not apply to an owner of property who bu rim vas ere n n contracts for the projects with a licegsgdvra�tor pursuant to the Contractors' Stat License Law). ❑ I am exempt from lip "under the Co tra e Li ense Law -for the following reason:'CCVV By my signature be acknowledge that, e o my personab:residence in which I must have resided for at least one year prior to completion of the impro menu covered by this permit, I cannot legally sell a structure that ave�IIt asatl, r-builder if i[ has not been constructed In Its entirety'hy licensed contractors. I understand that a copy of the applicabl law, Section 7044 of the Business and Professions Code, is vaila�le upon request whemAWapplication is submitted or at -the following Web %titp://www.leginfo.ca.gov/calaw.htmi. ttp://www.leginfo.ca.gov/calaw.htmi. Signature of Property wrier or Authorized Agent = Date LICENSED CO.NTp CTOR':S_DECLARATION Es"', q•. I hereby affirm Ilnd=.r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Division 3 of the BusinProfess ns and my license is in full force 'end effect License Class License No - Date It-2 Contract I n Ore WORKERS' COMPENIAATI[�}t DECLARATION WARNINU: FAILURE TO SECUR ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU NO DOLLARS ($'100,000), IN ADDITION TO THE COST 7F COMPENSATION, DAMAGES ES AS PROVIDeUFOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES I`hf=-r`e6y affirm under penal[ of pe ona o'21e following. declarations: �.. u.L.L t�ve and will maintain cart Cate' of sent 'to self -Insure for workers' compensation Iss.tiy, the Pe�rtof�ridustrial Relations as r or Se on 3700 of the Labor Code, for th pe."U ante of ff v: cl: for w ch th sued. Policy No. \\\, LEI ne and will maintain wo ers' co�pensation insurance, as lgquiovan 3700 of the Labor Code, for the pertor, of the,��v�rqif s it is issued. My workers' compensatiol i„su,),qa carrier and policy nu er are: r ..m ..�,. C"`f 7, — \ lk is ut Agent _ '1 certify that, In the performance if I should become ectCtto II lature of Applicant v biTinit is issued, I shall n oy any provisions of Se 00 of the Labc areby affirm under �enalty of perjuryVd�We'i5'a construction Is agen Ider's Name 06 my signature below, I certify to each the follow' I am the property owner or authorize o on any owner's behalf. I have read this application and the in rma n I have provided is correct. I agree to comply with all applicable city and county ordinances an a I authorize representatives of this city or county t ter th v tifiec nature of Property Owner or Authorized Agent 6 �as to become subject to the workers' compensation laws of California, and comply with those provisions. Date G e performance of the work for which this permit is issued (Section 309 Civil Code). Lender's Address is relating to building construction. property for inspection purposes. ACTION DATE BY DECLARATION OF IREGULATIONS PPA T0610 TIITLE 40 AND AQMD RULECE WITH CODE OF PERMIT EXPIRED L_I I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED UAQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED L3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURFe FOR OFFICE USE ONLY