The URL can be used to link to this page

Home My WebLink AboutX2022-1165 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1165 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 1 6 5 Project No : 1072-2022 E; Permit Counter Phone (949)644-3288 ., Inspection Requests Phone (949)644-3255 ' - P Issued Date : 04/21/2022 Combination Type - BLDG PLUM Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412112025 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 454 CATALINA DR NB Description: DEMO SFR 960 SF (3 BEDROOMS) Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 21 LOT 6 Owner: TJC HOME BUILDERS LLC Contractor: TJ C HOME BUILDERS LLC Architect: Address: 26940 ALSO VIEJO PKWY STE 100 Address: 26880 ALSO VIEJO PKWY #100 Address: ALSO VIEJO CA 92656 ALISO VIEJO, CA 92656 Phone: Phone: (949) 481-7026 Phone:teic Applicant: ROSENE MARK - Con State Lic: 1025507 Engineer: Address: 26940 ALSO VIEJO PKWY STE 100 Lic Expire: 04/3012023 Address: - - - ALSO VIEJO CA 92656 Bus Lic: BT30059037 Phone: Lic Exp Date: 0513112022 Phone: State Lic: , Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: NATIONAL FIRE 8: MARINE INS CO Address: Occupancy Group: R3 Policy No: 42HB615046601 , Added /New sq.ft. Bldg: 0 Expire: 12/31/2023 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units: 1 Front: I Bldg Height: 0 Left: I - - - Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $122.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $223.00 Additional Fee : $0.00 Plan check Fee : $104.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety: $0.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.98 $0.00 TOTAL FEE : $2,450.98 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,450.98 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: ��- J �� ) PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 item(s) (Section 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 ale applicant for the 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 Professions 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 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 L) 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' or 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). 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). 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 at 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 -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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Prcp,T,: Owner or Authorized Agent Date LICENSED CC[Y-ZACTOR'S DECLARATION h^.rh:• affirmJ-Ic'.cr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of D isio 3 of the Business and Prof sion od and my li ense is in full force and effect. Licence Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE.TO S70URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AND CIVIL FINES UP TO ONE HUNDRED T OUSANO DOLLARS I$100,0001, IN ADDITION TO THE COST CF COMPEN3ATILN,'JAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heroLy affirm under penalty of perjury one of the following declarations: I have and will ma'ntain 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 per.onnance of the work for which this permit is issued. Policy No. f hav3 and wil' ma:r.tain 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' ante rrier and policy number are: :arri'or Policy Number Expiration Date tame of Agent Phone # I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the work' compensation laws of California, and agre lat, if I should becomebjec t •the workers' coo7gbnsati�on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicanty 6y,, Da IECLARATION REG G C UCTION LENDING AGENCY hereby affirm under enalty o penury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y 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 with all applicable city and coun y ordinances and state laws relating to building construction. I authorize representatives of this city or count�tienter/thgyaboo/e-ident property for inspection purposes. , �� e 71 ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE I BY _6-2 OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQM D RULE 1403 1 SUBMITTED ASBESTOS NOTIFICATION TO IS NOTAPPLICABLE TO Owner's or Authorized AD I FOR OFFICE USE ONLY