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Home My WebLink AboutX2022-1635 - PermitsEW�o?T, City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288' u ' S Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - New COMB Permit : X2O22-1635 Plan Check No; 1492-2022 Issued Date : 12/16/2022 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 : 1405 PRISCILLA LN Legal Desc : N TR 1763 BILK LOT 19 Description: NEW SFR 3928 SF W/ 457 SF ATTACHED GARAGE. TRELLIS 276 SF Owner: TJC HOME BUILDERS LLC Address: 26880 ALISO VIEJO PKWY #100 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Applicant: TJC HOME BUILDERS LLC Address : 26880 ALISO VIEJO PKWY #100 ALSO VIEJO, CA 92656 Phone: (949)481-7026 Owner/Builder: Address : Contractor: TJC HOME BUILDERS LLC Address : 26880 ALISO VIEJO PKWY #100 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Con State Lic : 1025507 Lic Expire : 04/30/2023 Bus Lic : BT30059037 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: TECHNOLOGY INS CO INC Policy No: TWC4081048 W. C. Expire : 3/8/2023 Architect: NIEM'E NIKENNETH Address : 2031 ORCHARD DR #100 NEWPORT BEACH, CA 92660 Phone: (949)553-9100 State Lic: Engineer: NGUYEN HUAN Address : 15 STUDEBAKER IRVINE, CA 92618 Phone: (949) 752-1612 Designer Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation Added/New/TI sq. ft. Bldg Type of Construction : V-B Fire Hazard Zone : No of Units : NO 1 Alteration sq. ft. Bldg : Occupancy Groups : U,R-3 No of Stories : 0 Added/New sq. ft. Garage Bldg Height: TOTAL sq. ft. Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : Use Zone: X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY SPECIAL CONDITIONS: COSTA ME ANITATION DISTRICT $710,000.00 3,928 457 4,385 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 end Professions Code; Any city or county That requires a permit i0 construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the previsions 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). 171 I, 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 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). 0 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 apply to an outer of property who builds or improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). 11 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below l 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 iegall, sell a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. I understand that a copy of tho applicable law, Section 7044 of the Business and Professions Code, is available upon request When this application is submitted or at the following %Nab site:http://www.leginfo.ca.gov/calaw.htmi. 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 7000 v ip�t,2,dt��g, slness and Pr f ss' s b ar my lice 6 ' In f II ce and effect. License Class License. No Date `C t for Signatu€ a� ✓PORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORED THOUSAND DOLLARS (5100,000). IN AO ION TO THE cOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STOS OF THE LABOR CODE, INTEREST, AND ATTORNEY 'S FEES. hlllereby affirm under penally of perjury one of the following declarations: phave 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 3700 of the Labor Code, for th enance of the Work for which this permit is issued. Policy No. L,bl`�rava 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' compensatioi ,lice carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone N 01 certify that. in. the perform nce of h wor, or whiVv t is s - , I shall not employ any person in any' in So as to become subject to the workers' Comper ilon laws f California., and agre That, if I should became subj to the rke. compesin ofSection 3700 of the Labor Code, I shall forthwith comply with those provisions.iSignature of Applicant DECLARATION REGA. G CO' STRCT LEN hereby affirm under penalty of perjury that there is a construction IS in agency for the performance of the work for Which this permit is issued (Section 3097, Civil Code). _ender's Name Lenders Address 3y 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 applicablecity and county roma. as state ws r to. uilding construction. I authorize representatives of this city or county to e r h bo a danti I r erty f nspectlon purposes. 3d nature of Propertyy Owner or Authorized Ag. Print Property Owner's or Authorized Agent's Name ACTION DATE BY ECLARATION OM LIANCE WI COD4 OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART S1 OF TITLE 40. pA MD RULE 1403 PERMIT EXPIRED 1715UBIAITTEI, ASRFSTOS NOTIFICATION TO PERMIT CANCEItEO TTt"EP A PERMITFXEENDED -�ry`MQMD _--------- PERiNITFINgL 2 7G r,,,t pyHk5TO5 NOTIFICATION 15 NOT APPUCABLE TO CERTIFICATE OF `mot PCOPC7C OFMCLITION OCCUPANCY ISSUED ! �tG^IA*URE �EwPo`/r City of Newport Beach II III I II I II I III IIIII II II Permit: X2022-1635 r m 0 100 Civic Center Drive Plan Check: 1492-2022 a u , i Newport Beach, CA 92660 Cq<I FORN`P Certificate of Occupancy THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE. Owner: TJC HOME BUILDERS LLC Address: 1405 PRISCILLA LN, NEWPORT BEACH, CA Tenant: Code Year Edition: 2019 Number of Stories: 0 Construction Type: V-B Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) Occupancy: U,R-3 Description of Work: NEW SFR 3928 SF W/ 457 SF ATTACHED GARAGE. TRELLIS Total Occupant Load: 0 276 SF Special Conditions: Fire Sprinklered: YES Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: %era¢ _/Zw Date: 4/1/2024