HomeMy WebLinkAboutXR2022-3026 - Permits�EWPORT City of Newport Beach II IIIII I IIIIIIIII III II IIIIIIII IIIII IIIII II COMB Permit : XR2022-3026
Community Development Department -Building Division X R 2 0 2 2 3 0 2 6
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 644-3288 Issued Date : 1111612022
u S Inspection Requests Phone: (949) 644-3255 Inspection Area : 5
og4coaN�P newportbeachca.gov/inspections
Combination Type -
Work Class - Demolition
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 : 603 ACACIA AVE
Description : DEMO SFR 964 SF 2 BEDROOMS
Owner: LA21 G LLC
Address : 26880 ALISO VIEJO PKWY STE100
ALISO VIEJO, CA 92656
Phone :
Applicant: T J C HOME BUILDERS
Address: 26880 ALISO VIEJO PKWY #100
ALISO VIEJO, CA 92656
Phone:
Owner/Builder:
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Legal Desc : N TR 682 BLK LOT 64
Contractor: T J C HOME BUILDERS
Address : 26880 ALISO VIEJO PKWY #100
ALISO VIEJO, CA 92656
Phone:
Con State Lie :
1025507
Lie Expire :
04/3012023
Bus Lie:
BT30059037
Bus Lie Expire :
05/31/2023
Architect
Address
Phone:
State Lie:
.0 .
Engineer:
Address
Workers' Compensation Insurance
Carrier: TECH NOLOGY+INSURANCE+COMPANY+INC
Policy No: TWC4081048
W. C. Expire : 3/8/2023
2019 Fire Sprinklers :
V-B Fire Hazard Zone:
R-3 No of Units :
No of Stories:
Phone:
Designer:
Address
Phone :
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
1 Alteration sq. ft. Bldg :
1 Added/New sq, ft. Garage
TOTAL sq. ft. :
Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: JD DEMO TO HAU EBRIS CERTIFIED RECEIPTS ATT TO PERMIT
$0.00
0
I
f hereby aHimt under penalty of perjury that I art exempt from the Contractors' Slate Lice nsa Law for the Toason (s) indicated below by the checkmark(s) I have placed next to the applicable Items) '
Beckon 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'ds issuance, also requires the applicant for
to permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter B (commencing with Section 7000)of Division 3 of the Business and
Yofessrons Dade) or that he or she is exempt from Fcensure and the bans for the alleged exemption. Any violation of Section 7031a5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than fire hundred dollars ($500).
1 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,
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 that 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).
1 1, 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
poly 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 I am exempt from ficensure under the Contractors' State License Law for the, following reason;
;y arty signature nalovt t acknowledge That, except for my personal residence in which I must have resided for at (east one year prior to completion of the Improvements covered by this permit, i cannot legaR)
oil astructure that I have built as an owner -builder If it has not been constructed in its entirety by Irconsed contractors. I undorstand that a copy of the applicable law. Section 7044 of the Business and
Irofessions Code„ is available upon request when this application is submitted or at the following Web site;tittp'(iwvnv.leginfo.ca.gavicalaw.html.
signature of Property Owner OF Authorized Agent _ Date _
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001F the Business and Professa a my Ito •rlsE.rB full fo e
ad effect. License Class License No Data Contractor Signature V L
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TC SECUP= WORKERS` COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS iSI D"0), dN ADDITION TO THE
DST OF COMPENSA:.,T4, r.AAAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, ANO ATTORNEV'S FEES_
hereby affirm under penalty of perjury one of the following declarations: -
J 1 have and will reel s-ain a certificate of consent to self -insure for workers' compensator, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th,
k-Itomtance of the work for which this permit Is issued. Policy No,
Ind will atromvtn workers' Compensation `assurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier facia pdINcy number are:
Policy Number Expiration Date
of :gent
it that in the performance of the wo or which this permit is Issued. I shall not employ any person in any manner so as to become subject to the workers' compensation fawn of alifomia, and Egret
lot, ,f I s,culd become, Subject to t ' work mpeAINOAG
`provi-" ris of Section 3700 of the Labor Code, I shallforthwith comply with chose provisions. I
iat. c of Applicant __ m,m, _______ Date 1
,'. Ar2A710N ReG DING COW ION LEN : Cy
hereby affirm unoe pel.�alty, of perjury that there Is a constructs lending agency for the performance of the work for 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 ant 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 rdina 4d d state la re ting to building construction. r
I authori> representatives of this city orcounty to/q/�9{��F th a -Id If
party for inspection purposes. /n �,f)J O rrr/��t /�� yA �j/ �%
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byname, or to the addressee's authorized agent
with Certified Mail service. However, the purchase
(not available at retail.
of Certified Mail sernce does not change the
• To ensure that your Certified Mail receipt is
insurance coverage automatically included with
accepted as legal prof of mailing, it should bear
certain Pdonty Mail items.
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