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Home My WebLink AboutE2022-0619 - Permits�EwaoRr City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-32B8 T Inspection Requests Phone: (949) 644-3255 C94/pppN�P newportbeachca.gov/inspections III I I II I II II I I II II Electrical Permit : E2,022-0619 Plan Check No : 1143-2022 Work Class : Other Issued Date : 09/0812022 Inspection Area : 2 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 : 213 VIA ITHACA Legal Desc : N TR 907 BLK LOT 768 TR 907 LOT 768 ALL -EX SWLY 5 FT- THERE OF(AND Description: ELEC - TEMP POWER POLE (XR2022-2421) Owner: TJC HOME BUILDERS LLC Contractor : TJC HOME BUILDERS LLC Address : Phone : 26880 ALSO VIEJO PKWY #100 ALISO VIEJO, CA 92656 (949) 481-7026 Address • jaV26880 ALISO VIEJO PKWY #100 ALISO VIEJO, CA 92656 nww�o,•7 949) 481-7026 State Lic : 1025507 Applicant: Expire TJC 04/30/2023 A� `�� BUILDERS LLCALIISO AddrOME Address : 26880VIEJO PKWY #100 ALISO VIEJO, CA886 '®t�1� BusLic BT30059037 Phone: (949)481-7026 Bus ire:05/31/2023 mpensation Insurance Owner/Builder: f ��Prrier: TECHNOLOGY INS CO INC Address : Ae +� Policy No : TWC4081048 Phone: vAA W. C. Expire : 3/8/2023 Code Edition: 2019 Type of Construction : Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 4 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: 6 Fire Hazard Zone: N Occupancy Groups: U 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 checkmarkjs) I have placed next to the applicable item($) iection 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 is 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 rofessions 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 fora permit subjects the applicant to a civil penalty of Dt more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, useess 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 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 nproved for the purpose of sale). 1 1, 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 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason -- .y my signature below 1 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 legail� oil a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of Ih0 applicable taw, Section 7044 of the Business and 'rofessions Code, isavailable upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ea.govlcalaw,html, signature of Property Owner or Authorized Agent _ _��. Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Profegsions CvOQ,¢. and myfF'IUen'a iy§ In full force no effect. License Class License No Date,"Contractor SignaturIf A/)'?')�/�r,= VORKERS' COMPENSATION DECLARATION DARNING: 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 tSlee.0001. IN AODRION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and will maintain a certificate of consent to self -Ensure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th 14�Eormance 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: Policy Number Date re of Agent —i-norm rf certify that.. in the performance of the work for which this permit Is Issued, I shall not employ any person in any mariner so as to become subject 10 the workers' compensation laws of California, and agrE if I should become subject to the�,'w/prk�erssl' comp Y¢/+/ ation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. nature of Applicant F' I/V �_! t•'� DVP CLARATION REGARDING CONSTRUCTION LENDING AGEN Y Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 Owner's behalf. I have read this application and the information I have provided is correct. agree to comply with all applicable city and county ordinances and state laws relating to building construction I authorize representatives of this city or county to i th Do idea ified property for inspection purposes. yy�/ I 4% //�/'.. .__,. ,-___--I A..--I%f ��I�,,\ /1C.LIlm ar[„ronorh,71-n—'e nr n,rhnrloaH A.,onr'� h Aa ,V / G✓✓/� T f�{Il'Lr Daly � `r L ACTION DATE BY • `! DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY r REGULATIONS PART6I OFTITLF. 40 AND AQMD RULE i 1403 PERMIT EXPTED _ I I SUBMITTED ASBESTOS NOTIFICATIO1' TO v Ct-�-II'PA PERMIT CANCELLED PERMIT EXTENDED ( MD _..__ ._..AR __... ..____.__. PERMIT FINAi _� ........i... O_S_ � CAB€�I U5 NO`IFICA4IUN IS NOT APPLICABLE TO DK''l �-' CERTIFICATE OF I}'27 I PROPOSED DEMOLITION Sa,t. = OCCUPANCYISSUED SIGNATUREI