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HomeMy WebLinkAboutXR2022-3027 - Permits�EwaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II o� J' Community Development Department- Building Division X R 2 m 2 2 3 0 2 7 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 S Inspection Requests Phone: (949) 644-3255 C,Glpp 0.N�P newportbeachca.gov/inspections Combination Type - Work Class - Other COMB Permit : XR2U22-3027 Plan Check No : 0242-2022 Issued Date : 11/1612022 Inspection Area : 6 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 F Job Address : 717 POINSETTIA AVE Legal Desc : A TR CORONA DEL MAR BLK 742 LOT 17_' Description: BLOCK WALL 55 LF X 42" HI (INSIDE P/L) DETAIL 3A Owner: LA21 G LLC Contractor: T J C HOME BUILDERS Architect : ' '' �-W�-.'' Address : 26880 ALISO VIEJO PKWY STE100 Address : 26880 ALISO VIEJO PKWY #100 Address : .• ALSO VIEJO, CA 92656 ALISO VIEJO, CA 92656 Phone: Phone: Phone: .... Con State Lic : 1025507 State Lic Lic Expire : 04/30/2023 ... Applicant: T J C HOME BUILDERS Bus Lic: BT30059037 Engineer Address : 26880 ALSO VIEJO PKWY #100 Bus Lic Expire : 05/31/2023 Address ALISO VIEJO, CA 92656 "" , Phone: Workers' Compensation Insurance Phone: ..' . Carrier: TECH NOLOGY+INSURANCE+COMPANY+INC .. Owner/Builder: Policy No: TWC4081048 Designer: .�.�. Address : W. C. Expire : 3/8/2023 Address a Phone: Phone: .. Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $10,000.00' Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-2 - Two -Unit Residential PROCESSED BY SPECIAL CONDITIONS: SURVEY ON SITE I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law fof the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 3ectlon 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 ie 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 rofessidns Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031,5by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, .usiness 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 III at 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 nproved for the purpose of sale), 11, 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). I I am exempt from licensure under the Contractors' State License Law for the following reason: _ �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 legallt ell a structure that I have built as an ownor-builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code,, is available upon request when this application is submitted or at the following Web siterhttp:/Iw ,w.leginfo.ca.gov/calaw.html. Ignature of Property Owner or Authorized Agent _ Date __ .._.. .10ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70DO gr{sjp..3-pi lyre Business and Professio. d (a y teen i. In II fol e nd effect. License Class License No Date l Iry �6ontractor Signature PORKERS' COMPENSATION DECLARATION ARMING: FAILURE TJ 5=CL RS WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDDICH TO THE OST OF C0MPEN5ATION, DAMAGES AS PROVIDED FOR IN SECTION ]i05. OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. h•meoy a,firm under penalty of perjuryone of the following declarations: hays and will malnlam 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 ,m€nce of the work for which this permit is issued. Policy No. and will, r.W.Itain 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' carrier and policy number are: ,c J Agent cnmry that, in the pHrrormanCee , if I should bsccrna subject t lature of Applicant // Policy Number Date this permit 1 use. I hap t employ any person In any manner so as to become subject to the workers' compensation laws of California, and agre atlon prow[ s of Sect 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Y' 3reby affirm underpenalty of perjury that there is a construction lending agen4 for the performance. of the work for which this permit is issued (Sectlon 3097, Civil Code). ider's Name Lender's Address 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 applicationand the information I have provide is correct. I agree to comply with all applicable city and county ordinanc id state{aw a Fig to building. construction. h� I authorize representatives of this city or county to f�er the c e-Identi. b prop ,} for inspection purposes. nature of Property Owner or Authorized Agent Pont Property Owner's or Authorized Agent's Name ACTION DATE BY 'DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY s' REGULATIONS PART 61 OF TITLE AO AND AQMD RULE 1403 PEnmir EXPIRED LJ i SUBMI ASBESTOS NOTIFICATION TO PERIWITEXTENDED I I L4I JJAQMD PCRiLf7T FYNAL ASBESTOS NOTIFiCA'll N IS N01�' APPLICABLE TO CERTiRCATE OF PROPOSED DEMOLITION OCCUPANCYISSUED �� r SIGNATURE; Date I//Iy l Z