HomeMy WebLinkAboutX2022-0190 - Permits�EWPoRT City of Newport Beach ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ��
d Community Development Department- Building Division X 2 e 2 2 0 1 9 0
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
S Inspection Requests Phone: (949) 644-3255
C9G/Fn 0.N�P newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - New
COMB Permit : x2o22-0� 90
Plan Check No : 0181-2022
Issued Date : 1011812022
Inspection Area : 4
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 : 1747 PORT ABBEY PL
Legal Desc : N TR 6621 BLK LOT 35
Description: NEW SFR W/ ATTACHED GARAGE 5175 SF & 390 SF
Owner: LA21A LLC
Contractor: T J C HOME BUILDERS LLC
Architect : WALTERS JONATHAN
Address : 26880 ALISO VIEJO PKWY STE100
Address : 26880 ALISO VIEJO PKWY #100
Address : 2999 OVERLAND AVE LA, CA 90064
ALISO VIEJO, CA 92656
ALISO VIEJO, CA 92656
'
Phone :
Phone : (949) 481-7026
Phone : (310) 550-7902
Con State Lic : 1025507
State Lic
Lic Expire: 04/30/2023
-
Applicant: T J C HOME BUILDERS LLC
Bus Lic : BT30059037
Engineer : NGUYEN HUAN
Address : 26880 ALISO VIEJO PKWY #100
Bus Lic Expire : 05/31/2023
Address : 15 STUDEBAKER • • > _ - : -
ALISO VIEJO, CA 92656
IRVINE, CA 92618
Phone: (949) 481-7026
Workers' Compensation Insurance
Phone: (949) 752-1612 • ->.
Carrier: TECHNOLOGY INSURANCE COMPANY
Owner/Builder :
Policy No: TWC4081048
Designer
Address :
W. C. Expire : 3/8/2023
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $840,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage: 390
TOTAL sq. ft. Bldg : 5,175
Building Setbacks : Front: 32, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Harbor View Hills
CO
PROCESSED BY: /K
SPECIAL CONDITIONS:
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 items)
(Section 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 file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business 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 for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ 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 safe, if, however, the building or improvement is sold within one year of completion, the Owner-Suifder will have the burden of proving that It was not built or
Improved for the purpose of sale).
El 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 vhth a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' Slate License Law for the following reason:
By my signature botow 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 legait)
sell a structure that I have built as an owner -builder if it has not been constructed in its entiroty by liconsod contractors. I understand that a copy of the applicable low, Section 7044 of the Business and
Professions Coda, iF ^vailable upon request when this application is submitted or at the following'Neb site:http:iiwvnv.leginfo.ca.govfcalavr.htmi.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perl'ury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000�of to Business and Professions d li n In full f ice
Chide"fect. License Class License No Date I��� Contractor Signature
NORKERS' COMPENSATION DECLARATION
N'.RNINaf FAILURE TO SEC_1RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES OP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AOOm TO THE
_OSr Or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION I706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES
herebv affirm uncl r penalty of perjury, one of the following declarations:
^ )i ve 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
er rlrance of the work for which this permit is issued. Policy No.
eve and will TamI 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' compensatior
it carrier and pnl'cy number are:
.ar-ior Policy Number Expiration Date
lame of Agent Phone ti
�I certify that, in the performance of the work for hick this permit sued'.. I shall net employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
rat, if I should become suu�Sbc�jee^ct to the orkers' c pe lion provl Se Ion 3700 of the Labor Code, I shall forthwith comply with those provisions. yy ,p ��
,ignalure of Applicant ✓_IV_ _ Date,%`(/ iJ
IECLARATION REGARDING CON RU _ NG AG CY ___.__
hereby affirm under penalty of perjury that there is a construction landi agency for the performance of the work for which this permit is issued(Sectlon3097, Civil Code).
tinder's Name Lender's Address
ly 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 Down ordinanc a. late la s r tin t building construction. (�t�,�I�/�q_r�
I authorize representatives of this city or county to er the bo - ntif e r erty r inspection purposes. ���Ti"RJd lJAL /�r
rigoalure of Property Owner or Authorized A2 enl. Print Prope y Owner's or Authorized Agent's Name %� Date
ACTION DATE BY DECLARATION OF COMPLIANCE WI CODE OF FEDERAL FOR OFFICE USE ONLY
ULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCF-L1
PERMIT FINAL II0/rl5/7 /�l�j�' / LJ ASBE5T05 NOT3 FICA LION 15 NOT APPLICABLE TO
CERTIFICATE OF 'Y_ I PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE-