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Home My WebLink AboutXR2023-0003 - PermitsO�aEWPORT City of Newport Beach Community Development Department- Building Division 100 Civic Cer"ter Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 u 2 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC PLUM Work Class - Alteration 11IIIIIIIII111111111111111111111111111111111111IIIIIIIIII jjCOMB Permit : XR2023-0003 Plan Check No : PC2023-0002 Issued Date : 0110312023 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 BLK LOT 11 Description : SFR - MASTER BATHROOM REMODEL 140 SF Owner: DUNCAN KEENER Contractor: C FAULK INTERIORS Architect Address : 2406 WINDWARD LN Address : 7037 E EL CEDRAL ST Address NEWPORT BEACH, CA LONG BEACH, CA 90815 Phone : Phone : (562) 552-5269 Phone Con State Lic : 1091845 State Lic Lic Expire : 05/31/2024 Applicant : C FAULK INTERIORS Bus Lic : BT30080337 Engineer Address : 7037 E EL CEDRAL ST Bus Lic Expire : 01/02/2024 Address LONG BEACH, CA 90815 Phone: (562) 552-5269 Workers' Compensation Insurance Phone: Carrier : Owner/Builder: Policy No: EXEMPT Designer: Address : W. C. Expire: Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $14,000.06 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : 140 Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks: Front: 20, Side: 6, Side: 6, Rear: 10 Flood Zone : X Use Zone : PROCESSED BY: n l S P r- iT� �"°► SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(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 fife 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 Business 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). El 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 of improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or hnprovod for the purpose of sale). �El I, 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 Ira�,ply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law). LI i am exempt from licensure under the Contractors' State License Law for the following By my signature below I acknowledge that, except for my personal residence in which i must have resided forat least one year prior to completion of the Improvements covered by this permit, I cannot legally (!sell a structure Ihat I have built as an owner -builder if it has not Coen constructed in its entirety by licensed contractors. I understandthat 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:liwww.leginfo.ca.gov/calow.html. 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 70 ) o Ivys jT 3 of the Business and Professions ` nd I license is In full force and effect. License Class License. No _4B G i Contractor Signature IWORICERS' COMPENSATION DECLARATION (WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ( 00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a cerlifeate 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 ormance 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' compensa Iranre carrier sort policy number are: Policy Number of Agent Date ce III that, n the performaa we forff ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre, 3 should become subject Co_provisions of Section 3700 or the Labor Code, I shall forthwith comply With those provisions, ? Blur of Applfca,t Date 3o_� I r_ckIry .`,a, cby affirm under penalty of perjury that them is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097, Cie it Code). enders Name Lender's Address y my =!mature below, I certify to each of the following: I Art the proned.y ov;ner or authorized to act on the property owner's behalf. I have read inls application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances d slate laws relating to building construction, I authorize representatives of this city or county to enter theme eve -Identified property for inspection purposes. ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FIPlAL CERTIRCATE OF OCCUPANCYISSUEO DATE I BY I q-23 �LIANCE WITH CODE OE FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AONID RULE 2403 SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION@,NOT APPLICABLE TO