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Home My WebLink AboutX2022-1241 - PermitsW o City of Newport Beach P Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r n Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - New COMB Permit : X2O22-1241 Plan Check No: 1142-2022 Issued Date �09122/2022 Inspection A ea : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YE. NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK Job Address : 1423 MARINERS DR Description: NEW SFR W/ATT GAR 4345 & 668 SF Owner: LA21G LLC Address : 26880 ALSO VIEJO PKWY STE100 ALSO VIEJO, CA 92656 Phone: Applicant: LA21G LLC Address: 26880 ALISO VIEJO PKWY STE100 ALISO VIEJO, CA 92656 Phone: Owner/Builder Address : Phone Legal Desc : N TR 3004 BLK LOT 35 Contractor : TJC HOME BUILDERS LLC Address : 26880 ALISO VIEJO PKWY #100 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Con State Lie : 1025507 Lie Expire : 04/30/2023 Bus Lie : BT30059037 Bus Lie Expire : 05/31/2023 Workers' Compensation Insurance Carrier; TECHNOLOGY INS CO INC Policy No: TWC4081048 W. C. Expire : 3/8/2023 S FROM ORIGINAL ISSUANCE DATE SUNDAY AND HOLIDAYS IN ALL AREAS WALTERS JONATHAN 2999 OVERLAND AVE LA, CA 90064 : (310) 550-7902 Lie: neer: NGUYEN HUAN ess: 15STUDEBAKER IRVINE, CA 92618 to : (949) 752-1612 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 3 Alteration Added/New sq. ft. Bldg : sq. ft. Garage: Bldg Height : No of Stories : Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: - -' SPECIAL CONDITIONS: $840,000,00 4,345 ME 4 C =�;��R OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ftem(s) Ilion 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernolah, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and foss+ons 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 more than five hundred dollars ($500). 1,, as owner of the property, or my employees with wegas as their sole compensation, will do L) all of or U portions of the work, and the structure is notintended or offered for sale (Section 7044, ,iness 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 rovemene 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 roved for the purpose of sale). 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 ly 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). L l I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below; 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 legall, sell a structure that I have built as an owner -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 Professions Code, is available upon request when this application is submitted or at the following Wed site:http:liwww.leginfo.ca.govfcalaw.htmt. Signature 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 7 0 0 Business and Professi ad a y is In f 'I force and effect. License Class License No Da Contractor Signal WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALOES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS i5100,D001,1 ADOr1ON TO THE COST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA80R CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 th ormance of the work for which this permit is issued. Policy No. ve 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' compensatoor nsur nce carrier and policy number are: tar Policy Number Expiration Date Vama of Agent Phone M :11 certify that, in the performanctNSTRUC f the we o hich this par it is issu s dl not employ any person in any manner so as to become Subject to the workers' compensFal on laws of California, and Agra, hat, if I should bec0ma ubject tork pensabIEN ' r Secti f or the Labor Code, I shall forthwith comply wdlh those previsions. signature of Applccan _ D DECLARATIQN REGNG C N LENDINC herebyaffirm under penalty of perjury that there is a construction lending ag cy f the performance of the work for which this permit is issued (Section 317, Civil Code). _ender s Name Lender's 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 applicable city and county Drdi ancas U ate laws r atin building construction. I authorize representatives of this city or county to ente e a Lied r rt f inspection purposes. )l 31nature of Property Owner or Authorized Agent e- en Print Property Owner's or Authorized Agent's Nam LLq✓/J��f�/'LiDate ACTION DATE BY E i.ARATtONOFCOMPLIANCEWIT ODEOF FEDERAL I FOR OFFICE USE ONLY l i REGULATIONS PART 61 OF TETLE 40 AND AQMD RULE PERMITEXPIRED __ ISUBMIIT.DASPESTOSNOTIF'CATIONTO PERMIT CAM10ELLED ___ _ —®Cpq PER1vNT EXTENDED _ PERMIT FINAL { T-7M LJAOI' __..._. _._�.- _._._. / {1 ♦K/yp� S NO IS N01"APPLICABLE 'r0 CER7Y9CATE dE iii `V PROPOSED DEMOLITION PROPOSED D DEMOLITION OCCUPANCY f53UED SIGNATURE: