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Home My WebLink AboutXR2023-0679 - PermitsCity of Newport Beach �aEWPORr o Community Development Department- Building Division 4"y 100 Civic Center Drive, Newport Beach, CA 92660 N? ? Permit Counter Phone: (949) 644-3288 .�. Inspection Requests Phone: (949) 644-3255 C9C/FppN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 111I��III��III 111111111111111111111111111111111111111111111 COMB Permit : XR2023-0679 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 BLK LOT 5 Description: SFR T/O (E) 55 SQ, INSTALL COMP. SHINGLE, CLASS'B', REMOVE SIDING INSTALL HARDIE SIDING *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 Lie : 811059 State Lie Lie Expire : 07/31/2024 Applicant : THE FALBO COMPANY Bus Lie: BT03042976 Engineer Address : 5000 BIRCH STE 3000 Bus Lie Expire : 03/31/2822 Address NEWPORT BEACH, CA 92660 1AZn) 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 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 : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10. Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Upper Castaways % PROCESSED BY: , SPECIAL CONDITIONS: DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasori indicated below by the checkmark(s) I have placed next to the applicable jtem(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 appircant for Ic 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 Business and rrofessions 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 of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovements 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 1roved 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 pply to an owner of property who builds or improveathereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I i am exempt from licensure under the Contractors' State License Law for the following reason. _T _ y my signature below I 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 oil a structure that I have built as an owner-buildor if it has notbeen constructed in its entirety by licensed contractors. I understand that a copy of the applicable. law, Section 70" of the Business and 'rofess ons Code„ is available upon request when this application is submitted or at the following Web site:http:llwww.ieginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 of Division 3 of the Business and Pr nd my license is In full force rid effect. License Class License No Date \� -Z.� Contractor SignatuI VORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE M UNLAWFUL, Me SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSMO DOLLARS ($100,D0C), IN AUCTION TO THE CST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: I have and wit€ maintain a certificate of consent to selhinsure, 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 trance carrier and policy number are: Policy Number Date this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' Compensation laws of California, and agree alion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of Applicant i & Date t2t IECLARATION REGA DINT NSTRUCTION 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, Ci�rc.a). antler's Name Lender's Address y 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 c unty ordinanc a -state laws relating to building construction. I authorize representatives of this city or count -identified property for Inspection purposes. _ ionature, of ProDertV Owner or Authorized Agent �� 7 Print. Prooeriv Owner's or Authorized Aaeot's Name 1 _f OI"l 'i"7aL�L+ to _�:-14 -� k of Agent �tlfy that. in the parfgrmance of the if I sfTould becoma�I/biact to th FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED AS BFpTOS NOT1 FIC 1:IJN TO PERMIT CANCELLED _ PERMIT EXTENDED---a�/-- PER+nrT FINAL CERTIFICATE OF OCCUPANCYISSUED l �Q�5`BE y� J�AQMD — i NOT1Ft OTAPPLICABLE TO PROPOSE EMO SIGNATU