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Home My WebLink AboutXR2022-2048 - Permits,EwaoRr City of Newport Beach Community Development Department -Building Division x R 2 0 2 2 2 a a s COMB Permit: XR2022-2048 i y.. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1879 U a $ Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Issued Date cq<irona�P newportbeachca.gov/inspections Inspection Area : 3 Combination Type - SFP ELEC MECH PLUM Work Class - New 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 BLK LOT 28 NEWPORT HEIGHTS LOT 28 SELY 80 FT NWLY 130 FT Description: NEW SFR W/ ATTACHED GARAGE 4916 SF & 699 SF Owner: LA21G LLC Address: 26880 ALISO VIEJO PKWY STE100 ALISO VIEJO, CA 92656 Phone: Applicant: PAM PULLEN Address : 26880 ALISO VIEJO PKWY, Ste 100 ALISO VIEJO, CA 92656 Phone : (949) 669-3796 Owner/Builder : Address : Phone: Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U,R-4 Bldg Height: Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITION Contractor: TJC HOME BUILDERS LLC Address : 26880 ALISO VIEJO PKWY #100 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Con State Lic : 1025507 Lic Expire : 04/30/2023 Bus Lic : BT30059037 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: TECHNOLOGY INS CO INC Policy No: TWC4081048 W. C. Expire: 3/8/2023 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect: NIEMERSKI KENNETH Address: 2031 ORCHARD DR #100 NEWPORT BEACH, CA 92660 Phone: (949)553-9100 State Lic : Engineer: NGUYEN HUAN Address : 15 STUDEBAKER IRVINE, CA 92618 Phone: (949) 752-1612 Designer: Address Phone: YES Construction Valuation : $945,000.00 NO Added/New/Ti sq. ft. Bldg: 4,916 1 Alteration sq. ft. Bldg : 2 - Added/New sq. ft. Garage : 699 TOTAL sq. ft. : 5,615 VYPtPlnR�6VIM.V a..i� V,�V a.rt, uz*,u,. t hereby affirm under penalty of perjury that I am exempt from the Contractors' State License taw for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 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 s permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State License Low (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 permit subjects the applicant to a civil penalty of at 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, usmass 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 iprovements are not intended or offered for sale. It, howaver, 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 imoved for the purpose of sale). 11, 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 p ly 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). TI am exempt from licensure under the Contractors' State License Law 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 legal all a structure that 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 rofesslons Code, is available upon request whan this application is submitted orat the following Web site,httpytvmw.leginfo.ca.govfcaiaw,htmi. ignature of Property Owner or Aothodzed Agent _ Om en- .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 b t Business and Pro s C d my s i n full farce: nd effect. License Class License No Date ntractor Signal OORKERS' COMPENSATION DECLARATION `'- N 'ARNING: 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 FS100,000), t DDRION TO THE DST OF COMPENSATION; DAMAGES AS PROVIDED FORA SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and wilt 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 ormance of the work for which this Darnall is issued. Policy No. ave 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 ranee carrier and policy number are: :amiar Policy Number Expiration Date lame of Agent Phone # �I certify that, in the perfo ante o t ork for hich this it is issued. I shall not employ any person in any mannor so as to become subject to the workers' compensation laws Qf CaiffDmie, and ogre iat, if I should become an t at ers' Be it visions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. dgnature of Applt:sn D� )ECLARATiON REG NG CONSTR TIC LENDING G NCY. hereby affirm under penalty of Calory that there is a construe on lending agency for the performance of the work for Which this permit is issued (Section 3097, Civil Code), .enders Name Lender's Address iy 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 pro.' edfs con ct. I agree to comply with all applicable city and Co my ordin ce and Ia re Ing to building Construction. q �" taukhodza representatives of this city or co ty er ova pia rry for inspection purposes. 11' it patois of Property Owner or Authorized A e Pnnl Pro e Clwnar'S orAuthorizetl A ent's Name% Data ACTION DATE BY DECLARATION OF COMPLIANC ITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS. PART 61 OF TITLE 40 AND AQMD RULE 1403 _ PERMa EXPIRED 13 11 5J,,MIT � FD ASR"STOS 140TIFICATION TO P£RMITCANCELLEO ? El-0A PERMIT E�'iENDED �-❑uOMO PERMIT F(NAt F�i�l ASEESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OE .PROPOSED DEMOLITION OCCUPANCY 15SLED SIONATA.RE: