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Home My WebLink AboutX2022-0361 - PermitsCity of Newport Beach ��gWPOaT p, m Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c"�drGORN`P newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - New 11111111111111111111111111111111111111111111111111111111111111 JillCOMB Permit: X2022-0361 Plan Check No: 0322-2022 Issued Date : 11/22/2022 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 Job Address: 512 MARGUERITE AVE Legal Desc : A TR CORONA DEL MAR BLK 539 LOT 14 Description: NEW DUPLEX/GARAGES (1650/193 SF & 1263/231 SF) TOTALS 2913/424 SF Owner: LA21 G LLC Contractor: TJC HOME BUILDERS LLC Address : 26880 ALISO VIEJO PKWY, STE100 Address : 26880 ALISO VIEJO PKWY #100 ALSO VIEJO, CA 92656 ALISO VIEJO, CA 92656 Phone: (949)894-8034 Phone: (949)481-7026 Can State Lic : 1025507 Lic Expire: 04/30/2023 Applicant: TJC HOME BUILDERS LLC Bus Lic: BT30059037 Address : 26880 ALISO VIEJO PKWY #100 Bus Lic Expire : 05/31/2023 ALISO VIEJO, CA 92656 Phone: (949) 481-7026 Workers' Compensation Insurance Carrier: TECHNOLOGY INS CO INC Owner/Builder : 41, Policy No : TWC4081048 Address : -11! W. C. Expire : 3/8/2023 Phone: Code Edition : Type of Construction Occupancy Groups Bldg Height : Building SetbacksV Flood Zone Use Zone : PROCESSED BY: V 1�� i Front: 24ee: Side: 3, Rear: 5 X R-2 - Two -Unit Residential SPECIAL CONDITIONS: Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect : FALESE DEBRA S Address : 2943 PULLMAN ST STE A SANTA ANA, CA 92705 Phone: (949)553-B919 State Lic : Engineer Address Phone: Designer: Address Phone: NGUYEN HUAN 15STUDEBAKER IRVINE, CA 92618 (949)752-1612 YES Construction Valuation : NO Added/New/TI sq. ft. Bldg 2 Alteration sq. ft. Bldg : 3 Added/New sq. ft. Garage: TOTAL sq. ft. $773,000.00 2,913 424 3,337 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 checkrnark(s) I have placed next to the applicable items) jSeclion 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 the permit to filn 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 Bu2lness 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 fora permit subjects the applicant to a civil penalty of not more than five hundred doliars ($500). 1 I, 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, 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 improvod for the purpose of sale). ❑ 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 owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell a structure that I have built as an ovvnor-builder if It has not been constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginio.ca.gov/calaw.fitml. Signature of Property Owner or Authorized Agent I Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 a j org37f the Business and Profess n o �, an my li , n I full force and effect. License Class License No Date C /J [/ Contractor Signatures aI/ORKERS' COMPENSATION DECLARATION V, NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS700,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have 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 In mgfformance of the Work for which this permit is issued. Policy No. eve 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' compensation s once carrier and policy number are: :enter Policy Number Expiration Date Jame of Agent Phone S 31 certify that, in the performance of the rk f which IN permit i ' sued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should become subject the won ers' ompensa prov' ion action 3700 of the Labor Code, I shall forthwith comply With those provisions. 'itinature of Applican _ _ Dataj� �1'�Z )ECLARATION REG ING CONSTR TION LENDING AGENCY f hereby affirm udder penalty of perjury that there is a construction len HIT agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). .ander 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 1 have provided is correct, I agree to comply with all applicable city and count ordinanc d state I cos r acing building construction. 5 / I authorize representatives of this city or county to n r he o e-identifi r pe or nspectlon purposes. q�;�'f I`F-� 3i nature of Property Owner or Authorized A enL Print Property Owner's or Authorized Agent's Nam f V I lL� I Date i ACTION DATE BY DECLARATION F COMPLIANCE OOE OF FEDERAL FOR OFFICE USE ONLY RFGULATION5 PART 61 OF TITLE 40 AND AQMD RULE __-may__ 1403 ____ PERMITEXPIRED / 1 SURMITTF.D AGSESTOS NOTIFICATION TO PERMIT EXTENDED p PERMIT FINAL 0 ASBESTOS NOT iFICA1[ON 15 NOT APPLICABLE TO CERTIFICATE OF PRCPOSFC PEMOUTION OCCUPANCY ISSUED i SI',iNHTURE: