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Home My WebLink AboutXR2022-2409 - Permits�EWPp�T City of Newport Beach II IIII I I III II I I I I II II Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U tea. i Inspection Requests Phone: (949) 644-3255 Cq(IFUpN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Demolition COMB Permit : XR2022-2409 Plan Check No : PC2022-2251 Issued Date : Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO N SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 310 NARCISSUS AVE Description: DEMO DETACHED GARAGE Owner: LA21G LLC Address : 2688D ALISO VIEJO PKWY STE100 ALISO VIEJO, CA 92656 Phone: Applicant : Nellie Montejano Address : 26880 Aliso Viejo Parkway, 100 Aliso Viejo, CA 92656 Phone: (949)669-5118 Owner/Builder : Address : Legal Desc : A TR CORONA DEL MAR BLK 2, ,i *, Contractor: TJC HOME BUILDERS LLC Arc . Address : 26880 ALISO VIEJO PKWY #100 AddresssN� ALISO VIEJO, CA 92656 Phone: (949)481-7026 Con State Lie : 1025507 Lie Expire : 04/30/2023 Bus Lie: BT30059037 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: TECHNOLOGY INS CO INC Policy No : TWC4081048 W. C. Expire: 3/8/2023 Phone : State Lie Engineer: Address : PhoneIN Designer: i Address Phone: Phone Code Edition : Fire Sprinklers : NO Construction Valuation : $0.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-11 - Single -Unit Residential PROCESSED BY: � A - - - _ SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally 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 Lem(s) Section 7031.5. Business and Professions Code: Any city or curly that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for to 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 for a. permit subjects the applicant to a coil penalty of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 'Usioess 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 buitt or nproved for the purpose of sale). 1 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 poly 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 Lew). I I am exempt from licensure under the Contractors' State License Law for the following reason: -y my signature below I. acknowledge that, exceptfor 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 lagall� oil a structure that I have built as an owner-bulldnr if it has not been constructed in its entirety by licensed contractors. I understand that a copy of tho applicable law, Section 7044 of the Business and 'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.govlcataw.html. signature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7 D of the Business and Profess i o e. d m r i� is I gull force no effect License Class License No Dl%{ CanUactor Signal r VORKERS' COMPENSATION DECLARATION J IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS1 aDA50J. IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37g5 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEE& hereby affirm under penalty of perjury one of the fallowing 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 th e/fo ance of the work for which this permit is issued. Policy No. KIT a 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' compensatiol ,But ce carrier and policy number are'. r Policy Number Expiration Date Jame of Agent Phone 9 :1I certify that, in the performance o the ^nor for which this permit' issued', I Shall not employ any person in any manner so as to become subject to the workers' Compensation laws of California, and agree hat, 0 1 should become subject to t work ' mpensa n pr tsi s of Section 3700 of the Labor Code, I shall forthwith complywith those provisions. 3gnature of Applicant� XCLARATION REGARDINtfI-0 STRUCTION LENDt GE. C (/ It hereby affirm under penalty of perjury that there is a constructio W nding agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code). .Order's Name Lenders 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 provided is correct. I agree to comply withall applicable city and count or nances n tat a I re I building construction. I authorize representatives of this city or count t ent th a antif art r inspection purposes. - p�� 3i nature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized A eri Name K ate I ACTION DATE BY I ECLAPATION OF COMPLIANCE WI. CODE OF FEDERAL I FOR OFFICE USE ONLY d REGULATIONS PART 61 OF TITLE 40 AND AOMD ftl1LF FICATION TO PERMITEXTENDEO E _ PERMIT FINAL — ��( '7� Y�' PROPOSsirl MOUT OANf0 SN10T CERT7fICATE Of ( OCCUPANCYISSUED SiGNATU