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