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Home My WebLink AboutXR2022-2110 - PermitsCity on yDevwpmoentt Beach Department - Building Division II IIII I I III II I III II II I II II mnn100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cp[iFOp�`P newportbeachca.gov/inspections Combination Type - SFP PLUM Work Class - Demolition COMB Permit : XR2022-2110 Plan Check No: PC2022-1941 Issued Date : 08108/2022 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 : 2322 MARGARET DR Legal Desc : A TR NEWPORT HEIGHTS ELK LOT 28 NEWPORT HEIGHTS LOT 28 SELY 80 FT NWLY 130 FT Description : DEMO SFR 1062 SF (3 BEDROOMS) Owner: LA21G LLC Contractor: T J C HOME BUILDERS LLC Architect Address : 26880 ALISO VIEJO PKWY STE100 ALISO Address : 26880 ALISO VIEJO PKWY #100 ALISO Address VIEJO, CA 92656 VIEJO, CA 92656 , Phone: Phone: (949)481-7026 Phone: , Con State Lie : 1025507 State Lie: Applicant: Nellie Montejano Lie Expire: 04/30/2023 Address : 26880 Aliso Viejo Parkway, 100 Aliso Viejo, CA Bus Lie: BT30059037 Engineer 92656 Phone: (949) 669-5118 Bus Lie Expire : 05/31/2023 Address Workers' Compensation Insurance Phone: Owner/Builder: Carrier: Address : Policy No : TWC4081048 Designer Phone: W. C. Expire; 3/8/2023 Address : - • - Phone: Code Edition : 2019 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 : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-4SIn e-Unit Residential PROCESSED BY:j�— SPECIAL CONDITIONS: 0NSFiZCTOR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, after, improve, demolish, or repair any structure, prior to its issuance, also requres the 6pplicant for the permit to file a signed statement that he or she is licensed pursuant o 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 ficensure and the basis for the alleged exemption, Any violation or 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, as owner of the property, or my employees with wages as their sole compensation,will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who,. through employees' ar 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 one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). 71 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 apply 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 Law). Q I am exempt from licensure 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 for al least one year prior to completion of the improvements covered by this permit, I cannot legall, sell a structure that I have built as an owner huildor if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site,http:Uwww.:leglnfo.ca.gov/calew.html. Signature of Property Owner or Authorized Agent I Date LICENSED CON I RACTOR'S DECLARATION I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Sect 7 I i f the Business and Prof i , a license is In full force at^..'fect. Lican..,L Class License No Date Contactor Signet r WORKERS' LOMPENSATION DECLARATION 1. W.IRNII FAILURE !0 SEOURA WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS LS100,000t, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TIM OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. i hereby affirm nrci penalty of perjury one of the following declarations: 0 I have and .vil:.naintain 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 mmormsnce of 'he 1^ork for which [his permit is issued. Policy No. I(I`lhave 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' compensation Inrurarce Carrie: anr: poltcy number are: Carrier Policy Number Expiration Date r+N--a�1me .,f Agent _ _ Phone # DI certify that, in the performance of the w rk which thi permit is' ue , I shall not employ any person in any manner so as to become subject to the workers' compens tt n aws of California, and ogre that. If I should become subject t e won r ompensa' mv' Ion Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (� ^ � Signature of Appbcant_ p DECLARATION REGNG ONSTR LENAN ENc I hereby affirm under penalty of perjury that there Is a construction len ' g agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lender's Name Lender's Address _ By my signature below, i certify to each of the following; I am the property owner or authorized to acton the property owner's behalf. I have read this application and the information I hak1r1rRoh6e vide is correct. I agree to comply with all applicable city and county,an a slat vs f 0 building construction. /(X') I authorize representatives of this city or coup to o -iden Beoy r Inspection purposes. (°rl r LDa �l �v Signature of Property Owner or Authorized Agent Print PropertyOwners or Authorized Agent s Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART Fl OF TITLE. 40 AND AQMD RULE 1403 PERMIT EXPIREO I i I SUBMITTED ASBESTOS NOTIFICATION TO PERM1TCkNCEL1 ED EPA. All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT EXTENDED MD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the PERMIT FINAL, life of the pool. OCCUPANCY ISSUED i" i/ S A SI1OPO11O TIEI ATI N IjrlVO P I 70 CERTIFICATE OF PROPOSED OLIT U § �\ ¥ ktD § \ do )0 § ; ()/ \ k:\ : no ) )§) % E \ \ / _ / 0m $ z - \\\( $)§ I - § }/ _ : ! § § w03: ) j$¢/ ( .� u ! ¥ /47) § \\\ f k