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Home My WebLink AboutXR2022-2408 - Permits�WPOR. City of Newport Beach III I I I I I II I III I II III I II COMB Permit :XR2U22-24U8 A p D� @ Community Development Department -Building Division n100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2251 Permit Counter Phone: (949) 644-3288 Issued Date : 0910712022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 5 cb<icoa��' newportbeachca.gov/inspections Combination Type - SFP PLUM 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 : 310 NARCISSUS AVE Legal Desc : A TR CORONA DEL MAR MNSTRUCTION NOISE Description : DEMO SFR 1255 SF. 3 BEDROOMS. SEWER CAP INCLUDED liV Owner: LA21 G LLC Address : 26880 ALISO VIEJO PKWY STE100 ALISO VIEJO, CA 92656 Phone: Applicant : Nellie Montejano Address : 26880 Also Viejo Parkway, 100 Aliso Viejo, CA 92656 Phone : (949) 669-5118 Owner/Builder Address : Phone Contractor: TJC HOME BUILDERS LLC Address : 26880 ALISO VIEJO PKWY #100 ALSO VIEJO, CA 92656 Phone: (949)481-7026 Con State Lic : 1025507 Lic Expire : 04/30/2023 Bus Lic: BT30059037 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: TECHNOLOGY INS CO INC Policy No : TWC4081048 W. C. Expire: 3/8/2023 Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R-3 No of Units : Bldg Height: No of Stories Building Setbacks: Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect ON THEress WEEKEND Phone: State Lic Engineer: Address Phone: Designer : � t -k rr r- Address: lis Phone: NO Construction Valuation : $0.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 1 Added/New sq. ft. Garage : 0 I hereby affirm under penalty of perfury, that 1 am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) ;Secliun 7031.5. Business and Professions Code; Any city or county that requires a permit to construct, alter, improve, denial is 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 provisionsof the Contractors' State License Law (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 fore 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 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 Improved for the purpose of sale). 71 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). ❑ 1 am exempt from tleensure 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 Toslded for at least one year prior to completion of the Improvements covered by this permit, 1 cannot legal sell a structure Ihal I have builtas an owner -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:tlw .leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION � v I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectiopn 7 ) vc n�df the Business and Professio o ad e e i i full force and effect. License Class _._License No pa`tp Cantraclar Signatdte� COMPENSATION DECLARATION ING: 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 IS100,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTTORNEY'S FEES. hereby affirm underpenaity of perjury one aline fallowing declarations have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Rotations as provided for by Section 3700 of the Labor Code, for rmance of the work for which this permit is issued Policy No. 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' carrier and policy number are: is of Agent _ certify that, in the performance of f e work if I should become subject to the rk rs iature of Applicant Policy Number Date This pe it. is spNd. I shall not employ any person in any manner so as to become subject to the workers` compensation aws f California, and agre ation— ` io of cfion 3700 of the Labor Code,I sshallforthwith comply with those provisions. Date NG AGENCY t✓iYl areby affirm under penalty M pe?jur�that there is a construction lendin agencyfar the performance of the work for which this permit is issued (Section 3097, Div Cade). 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 owners behalf. I have read this application and the information I have provide s correct, I agree to comply with all applicable city and county ordinan a slat s mg to building construction. j I authorize representatives of this city or county tq rt+a,th O denJ qU rop for inspection purposes. _ A I /) J, �(/)/}� ACTION DATE RY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 1 FOR OFFICE USE ONLY 's REGULATIONS PART 61 OF TITLE 40 AND ACLMD RULE PERMIT BxPIRED I SU MITT PEANIT CANCEClED A ... ......_. —._.0 ._... __... PERMIT &(TENDED _ V��fOMD PERL ✓runwiI 5�u-z3 f� pg -CASBESTOS CERR'fCATE OF C.J E PROPOSED DI OCCUPANCYISSUED I urNATLIr 7021 0950 0000 1779 1968 n VY fON yw O o ❑o oo o� y� (A n m m d2 Li •�Oi T 9 n � mp,9 T 0 2 o s jos 8 �i �w Y 7021 0950 0000 1779 1975