HomeMy WebLinkAboutXR2023-0643 - Permits�gWPO�T City of Newport Beach
Dk @ Community Development Department- Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660
r1 Permit Counter Phone: (949) 644-3288
tee. Inspection Requests Phone: (949) 644-3255
cy�rFORT��P newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
jji11111111111111111111111111111111111111111111111111111111 COMB Permit : XR2023-0643
Plan Check No:
Issued Date : 0310812023
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 AREAS AND NO. WORK,ON SUNDAY AND HOLIDAYS IN,AI L AREAS
Job Address : 6 CAPE ANDOVER
Description: SFR - KITCHEN AND
Owner: JAMES EVATT
Address : 6 CAPE ANDOVER
NEWPORT BEACH, CA
Phone:
Applicant: THE FALBO COMPANY
Address : 5000 BIRCH STE 3000
NEWPORT BEACH, CA
Phone: (949)794-9534
Owner/Builder :
Address :
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups : R-3
Bldg Height :
EDMO:
2-3
Legal Desc : N TR 15012 BILK LOT 5
BA�ODEL 400.SF (CITY STD)
Contractor `. THE FALBO COMPANY 1:
Address :' 5000 BIRCH STE 3000
NEWPORT BEACH, CA 92660
'-
Phone : (949) 794 9534
{�)
Con State Lie: 811059 3
i t
Lic Expire : 07/31/2024 t.
LAO
Bus tic ,- BT0304�97@�
Bus Lie Expire : 03131/2024
Note:
I JIJ IJtot.u...�fl':.
❑ :80% or 0 100i'o roiLllid
to tit
v
Tess':"
Phone:
State Lie
Engineer:
Address
Workers Compensation Insurance Phone
Carrier-: e " k p
'�_• Policy No ��EXE�AAf' � D I r3er
yr c p ewd) (no wAldffl ted)
Phone:
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone: PC - Upper Castaways
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
TOTAL sq. ft. :
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)
cllon 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
permit to file a signed statement that he or she is liccnscd pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and
fessions Code) or that he or she is exempt from lieemsure 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
more than five hundred dollars (5500).
J I, as owner of the property, or my employ
Business and Professions Code: The Contra(
improvements are not Intended or offered for
'mprovad for the purpose of sale).
El I, as owner of the property, am exclusivel
apply to an owner of property who builds or it
1 am exempt from licensure under the Co
By my signature below I acknowledge that, m
sell a structure that I have built as an owri
Professions Code, is available upon request
Signature of Property Owner or Authorized A�,
LICENSED CONTRACTOR'S DECLAR.
i hereby affirm under penalty of perjury that I
and effect. License Class
WORKERS' COM:PFNSATION DECLAE
NARNING: FAILURE TO SECUSE WORKERS COMPEN:
CCSTOFCf.MPENSATiON DAMAGES ASPROVIDED FI
I f ereby S firm un ter penalty of perjury one o
El I haw' and will maintain a certificate of
perforrnence of the work for which this permit
Ell rave and will FrB4,Wn workers' compen
insurance carrier and policy number are
Carrier
Name of Agent _
uenif✓ that, in :he pa'ormarice of the
, if I should be^rme Subject tojhcvve
of Applicant:_
Esersrp eFlsn wilt or-U portions of. the .wock, and.ttaestructure is. not intended or offered for sale (Section 7044,
State License Law do t a owner of property who, through employees' or personal effort, builds or improves the property, provided that the
LFnhQveer, the builds or rov a 's504 within one year of completion., thgzOwner-Builder will have the burden of proving that it was not built or
Erecting with licensed Co tractors it construct the project (Section 7044, Business and. Professions Code: The Contractors' StateLicenseLaw does not
nd who An
rojects with a ' ed Contractor pursuan® I" t�trsL$tate License Law)
s' ense j4'w fo g reason, ' f al re enc Iu,st have ro ed f at (east one year prior to -completion of the improvements covered by this permit, I cannot lef
r eon '��"htoty by;lipe liractors. I undo ndNht'4at�@pYtQht#to applicable law, Section 70441pf the Business and
_..__ . ....._. .._........ Date
c sed under provisions of Chapter g (commencing with Section 7000) of DI ;'on 3 of the Business and Profes ' ns Caan de, d ,y license is to full force
License No Dale 3 Contractor Signature
Iia �. �i . _-,3A,
fifi
N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 10g000), IN ADDITION TO T
SECTION 3105 OF THE LABOR COOP, INT EREST, AND ATTORNEV'S FEES.
lu—re'll,
guafherr cor(rtpg 11pt Led by the Irecoof iif3stnal-Relaflops.a ,tErq +dad SArfby SeQ9IT 3700 f the Labor Code, for
x E s7.e a re uir d by�Secti8n43\700 of the Labor Code. for ;he performance of the work for which this permit is Issued, y workers" compares:
v�fbrt sirtec�l ,I; I work started)
Policy Number Expiration Date
provisions of Section 3700 of the Labor Cade, I shall forthwith comply with I oseee
Phs
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the workfor which this permit is issued (Section 3097, Civil Code).
enders 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 county ordinances laws relating to building construction. —
1 authorize representatives of this city or county to amoirlie, above -identified property for inspection purposes.
of Prooeriv Owner or
BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE I
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED �TTC--IttCPA
P€RYtiT EXT€NDED— __ — LJAQMD
PCR 471T FINAL ^� ILeAsmslros NOTIFICATION 15 NOT APPLICABLE TO
CERTIF?CArE OF i PROPOSED 'D OLITIOPf
OCCUPANCY ISSUED I SIGNATURE: L
of California, and