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Home My WebLink AboutX2022-0819 - Permitse"I n City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone(949)644-3288 -o ar Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2022-0819 x 2 9 2 2 0 8 1 9 Project No: 0744-2022 Issued Date: 03/21/2022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312112025 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7.00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays r Job Address: 2411 BAMBOO ST NB Description: DEMO DETACHED GARAGE " ° " - Legal Desc.: N TR 4B93 LOT 48 Owner: TJH HOME BUILDERS Address: 26880 ALISO VIEJO PKWY STE100 ALISO VIEJO, CA 92656 Phone: Applicant: MONTEJANO NELLIE Address: 26880 ALSO VIEJO PKWY STE 100 ALISO VIEJO CA 92656 Phone Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $110.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $111.00 PROCESSED BY: ZONING APPROVAL: Contractor: T J C HOME BUILDERS LLC Address: 26940 ALISO VIEJO PKWY #100 ALISO VIEJO, CA 92656 Phone: (949) 481-7026 Con State Lic: 1025507 Lic Expire: 0413012023 Bus Lic: BT30059037 Lic Exp Date: 05/3112022 Worker's Compensation Insurance Carrier: NATIONAL FIRE & MARINE INS CO Policy No: 42HB615046601 Expire: 12/3112023 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: / Right: I king Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 StSt" CC" State Lic: Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $111.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 item(s) (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 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, a%BWFre°rsof the property, or my employees with wages as their sole compensation, will do C_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Businessra,A'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 i:nprovenientsl.�ja 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 improveu fdith� pi.pose of sale). I, cs owner of tha 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 ov'r?e 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 am €Xeol t :rom licensure under the Contractors' State License Law for the following reason: - �By rny signature halcv' 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 legalll call a struCarE_rFft, 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 Pru`.:sions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. innature of P*cp?.-!, Owner or Authorized Agent Date -:LICCNSED CONTRACTOR'S DECLARATION 11 herebv affirri Wunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 y 3�f the Business and Prof ons d , a my Icense is in full force .lo, 'pffcct. Lce 96,3,ass License No Da - /i` Contractor Signature VV3RIKERS'liaJAPENSATION DECLARATION VARNINC. FAILURE r0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE CAST OF COMPENSATON, "AMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 'ormance 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 matte carrier and policy number are: me of Agent I certify that, in the perf rmancr i, if I should beco bject to (nature of Applicant— Policy Number Expiration Date Phone # which this permit :reby affirm under penalty of perjury that there is a construction lending a� n Ider's Name VV 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 cou ty 0 Ina as d st a la I authorize representatives of this city or couriy7 enFyf, Iab -id tiff signature of Property Owner or AL ACTION DATE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL �. CERTIFICATE OF OCCUPANCY ISSUED fl not employ any person in any manner so as to become subject to the workers,compensation laws of California, and agree 1 3700 of the Labor Code, I shall forthwith comply with those provisions. zZ D�e_3'Zt ( for the performance of the work for which this permit is issued (Section 3097, ivil Code). Lenders Address g to building construction. 't' for inspection purposes. y 'ry „ylJ I U M , I , `Q ZI.�� Print Property Owners or Authorized Agents Name/\ ryY/� l J Vt'�+'�— aft t U I CODE OF FEDERAL I FOR OFFICE USE ONLY 7 \ REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 EPA