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HomeMy WebLinkAboutXR2023-1537 - PermitsaEx NORT City of Newport Beach IIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-1537 D� Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 0181-2022 Permit Counter Phone: (949) 718-1888 Issued Date : 06/27/2023 U µr T o.+ newportbeachca.govlcivic Inspection Area : 4 Combination Type - Work Class - Other 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 BILK LOT 35 Description: SFR RETAINING WALL 3'9" HIGH X 40 LF INSIDE P/L Owner: LA21 G LLC Contractor: T J C HOME BUILDERS LLC Address: 26880 ALISO VIEJO PKWY, 200 Address : 26880 ALISO VIEJO PKWY, 200 ALISO VIEJO, CA 92656 ALSO VIEJO, CA 92656 Phone: (949)463-1328 Phone: (949)481-7026 Con State Lie : 1025507 Applicant: NELLIE MONTEJANO Address: 26880 ALSO VIEJO PKWY, 200 ALISO VIEJO, CA 92656 Phone : (949) 669-5118 Owner/Builder: Address: Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U Bldg Height: Building Setbacks : Front: 30, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone: PC - Harbor ViewHills LUG/ PROCESSED BY: ,"- SPECIAL CONDITIONS: Lie Expire : 04/30/2025 Bus Lie: BT30059037 Bus Lie Expire : 05/31/2024 Workers' Compensation Insurance Carrier: TECHNOLOGY INSURANCE CO INC Policy No: TWC4227597 W. C. Expire : 3/1/2024 Architect Address Phone: State Lie: Engineer: Address Phone: Designer: Address Phone: WALTERSJONATHAN 2999 OVERLAND AVE L A, CA 90064 (310)550-7902 NGUYEN HUAN 15STUDEBAKER IRVINE, CA 92618 (949)752-1612 Fire Sprinklers : NO Construction Valuation : Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg No of Units : 0 Alteration sq. ft. Bldg : No of Stories : 0 Added/New sq. ft. Garage TOTAL sq. ft. : pf � s �-•, � r° ,ems @. ggam. $20,000.00 0 0 0 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 ftem(s) 3eclion 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for m permit to file a aigned 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 rofessions Code) or that he or she is exempt from licansurs 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 of more than five hundred dollars ($500), 3 1, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, =usiness 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 nprovements are not intended or offered for sole. if, however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that d was not built or n roved for the purpose of sale). L 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 or 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 exempt from Bcensure under the Contractors' State License Low for the following reason: y my signature below 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 iegall oil a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed Contractors4 I understand that a copy of the applicable law, Section 7044 of the Business and mfessions Code, is available upon request when this application is submitted or at the foliowing Web slte:http:flw".Ieginto.ce.00vicalaw .htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under p—maltyof polury that I am licensed under provisions of Chapter 0 (commencing with Sectionl0q the Business and Profs e, y I Inkfforce nd effect License';-ess License No Data Contractor Signatu VO'2XEF'.S' COMPENSATION DECLARATION 1� 'ARNING: FAILURE T') BECVIE WORKERS' COMPENSATION COVERAGE Ili UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTRS AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS p I00,000T IN AD V ION TO THE OSl OF G.7MPENSATItN„DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hcreb} -ffirm under penalty of perjury am of the following declarations: �. I have and Mir Teminin a certificate of consent to satf.insure, for workers'. compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th et,r�;ermaoce of the work for which this permit Is issued. Policy No. tli]iave end will :T,alntsin 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' eompensetiol Dance carrier and policy number are: :arrre• Policy Number Expiration Date lame of Agent Phone Is 'I eertifv ,hat, in-,na OerfnrmanCe cf a work which is permit is issued, I shall not employ any person in any manner sous to become subject to the workers' comperam .on la=rnia,iat, if I should beeccLuo cttothbike mpen la pr ` ions of Section 3700. of the Labor Code, I shall forthwith comply with those provisions.Ignature of Applicant Datk� Wtl ARATION RF'GAR NG CON R N LENDING ACIENICY i— usby affirm under penalty of perjury that there is a eonstructiori lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). radar's Name Lender's Address my signature below, ICertify 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 provid is car of I agree to comply with all applicable city and county ordmon nd at la relating to building construction. t w� /� /t I authorize representatives of this city fir count to fe �ia c e ified roperty for inspection purposes. / - ll (� ►Igy�YL� PERAvrFINAL CERYINCATLC Of OCCUPANCYISSU€0 BY ( DECLARAT)ON OFCOMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE TO I