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HomeMy WebLinkAboutXR2023-0409 - PermitsCity of Newport Beach �aEWPoRr CommGnity Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 tea.. Inspection Requests Phone: (949) 644-3255 CqC/FppN�P newportbeachca.gov/inspections Combination, Type - SFP PLUM Work Class - Demolition 111�1 111111111111111111111111111111111111111111111111111 11111COMB Permit : XR2023-0409 Plan Check No : PC2023-0323 Issued Date : 02/13/2023 Inspection Area : 3 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: 2012 TUSTIN AVE Legal Desc : A TR NEWPORT HEIGHTS BLK LOT 297 NEWPORT HEIGHTS LOT 297 ALL -EX SELY 520 FT & Description: DEMO SFR 1620 SF (3 BEDROOMS) Owner: LA21G LLC Contractor: T J C HOME BUILDERS LLC Architect Address : 26880 ALSO VIEJO PKWY STE100 Address : 26880 ALISO VIEJO PKWY #100 Address ALISO VIEJO, CA 92656 ALISO VIEJO, CA 92656 Phone: Phone: (949)481-7026 Phone: Con State Lic : 1025507 State Lic Lic Expire : 04/30/2023 Applicant: T J C HOME BUILDERS LLC Bus Lic: BT30059037 Engineer Address Address : 26880 ALISO VIEJO PKWY #100 Bus Lic Expire : 05/31/2023 ALISO VIEJO, CA 92656 y ' Phone: (949) 481-7026 Workers' Compensation Insurance Phone: Carrier: TECHNOLOGY INSURANCE COMPANY Owner/Builder: Policy No: TWC4081048 Designer: Address : W. C. Expire : 3/8/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $25,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: (yyyl SPECIAL CONDITIONS: CERT MAIL RECEIPTS ATTACHED 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 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' Stale 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 licensum 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 ($500). 11 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not Intended or offereG for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement Is sold within oneyear of completion., the Owner -Builder will have the burden of proving that itwas not builtor improved for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). © I am exempt from Ilcensure under the Contractors' State License Law for the following reason _ By my signature below I acknowledge that, except for my personal residence in which I must have resided far at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted Drat the following Web site:http:liwww.leginfo.ca.gov)calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION s I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secho 0 i$ R the Business and Profe to r e, y Ii rise fs In fp4cme and effect. License Class License No DEL 14 Conractor Signature r WORKERS' COMPENSATION DECLARATION NARNING`. FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Si00,000), INII TO THE COST OF COMPENSATION, DAMAGEBAS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORII FEES. hereby affirm under penalty of perjury one of the following declarations: 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 �rmance of the work for which this permit is issued. Policy No. have 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' compensa. farce carrier and policy number are: Policy Number To of Agent Date JI certify that, in the perfo ante of the k or which this pa it is Issued, 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 su ect o th ork pens I n vi ns action 3700 of the Labor Code, I shall forthwith comply with those provisions. 31gnature of Applican4 )ECLARATION II G O ST ENDIN AG NCy' hereby affirm under p natty perjury that there is a construction lend agoody for the performance of the work for which this permit Is issued (Section 3097, Civil Code). _onders 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 provi d Is correct. I agree to comply with all applicable city and co ty rdina. c Ind st € s re 'ing to building construction. I authorize representatives of this city or cou to r th ve-1da. rty for inspectlon purposes. i Si nature of Property Owner or Authorized AgarPrint Property Owner's or Authorized A eri Nam I ACTION DATE BY , DECLARATION. OF COMPLIAN6641TH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE AO AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT FINAL CERTIFICATE Of OCCUPANCY155UED _ N ..0 fU ru m ry ry gAi ,a a i y G z E C a L C c 0 oLn t Ir O d T !U m Z O co ry N a $ g z "a �oaa 00 178 130 m S RJ rU V' �� ry =oa o o 0 LO N o =r e o LO N O n 'n M O ON t P7 m 2 (L O 4 � IN z a N