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Home My WebLink AboutX2022-0338 - Permits,,H•rok City of Newport Beach - Building Division .* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 fi Inspection Requests Phone (949)644-3255 e:,r,r•.�u;+` Combination Type - SFPELECMECHPLUM GRAD IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0338 x 2 8 2 2 0 3 3 8 Project No : 0304-2022 Issued Date : 06/24/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: NEW SFR & GARAGE 4049/713 SF Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 21 LOT 6 Owner: TJC HOME BUILDERS LLC Contractor: T J C HOME BUILDERS LLC Architect: NIEMERSKI KENNETH Address: 26940 ALISO VIEJO PKWY STE 100 Address: 26880 ALSO VIEJO PKWY #100 Address: 2031 ORCHARD DR #100 ALSO VIEJO CA 92656 ALSO VIEJO, CA 92656 NEWPORT BEACH CA 92660 ' Phone: Phone: (949) 481-7026 Phone: 949-553-9100 State Lic:CO23971 Applicant: ROSENE MARK Address: 26940 ALISO VIEJO PKWY STE 100 ALSO VIEJO CA 92656 Phone Code Edit : 2019 Type of Construction: V-BSPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 4049 Added /New sq. ft. Garage: 713 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $6,431.00 Plan Check Fee: $4,416.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $150.00 Energy Compliance: $303.00 CA Seismic Safety: $102.16 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $32.00 TOTAL FEE: $26,011.72 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 1025507 Engineer: Lic Expire: 04/30/2023 Address: Bus Lic: BT30059037 Lic Exp Date: 0513112023 Phone: Worker's Compensation Insurance Carrier: TECH INS CO Policy No: TWC4081048 Expire: 0310812023 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: 5' Front: 20' Left: 4' Right: 4' Parkino Spaces $1,000.02 $0.00 $0.00 $0.00 $1,734.00 $1,508.58 $1,220.00 $450.17 $257.24 $578.79 Plan Check Fee 0 NGUYEN HUAN , 15STUDEBAKER IRVINE CA 92618 949-752-1612 State Lic:C-064238 ' Designer: Address: Phone: Special Conditions: Fire Hazard Zone Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $609.00 San Dist: $1,016.00 NMUSD Fee: $5,683.76 Fire Department $520.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $6,085.51 Fee Due at Permit Issuance : $19,926.21 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 the applicant for :he 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 Drofessions 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 Tot 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 C_) 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 mprovements 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 'mproved 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. b=low 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 legally sell a structun; that I Nave 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. 3goature of Property Owner or Authorized Agent Date LICENSED GONI RACTOR'S DECLARATION I heret-y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SeCtIor 7 0 Divi n 3 of the Business and Pr si s Code, nd my ' rise is in full force and effect. License Glass License No Date Contractor Signature k0AVERS' cBMPENSATION DECLARATION NARNING: FAILU.E I O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COa, OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ;wi eoy affirm under penalty of perjury one of the fallowing declarations: I have and will rfiBintain 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 the cerformance of t'Tc woik for which this permit is issued. Policy No. hava and will maictain 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' lance carrier and policy number are: Policy Number Date SITE of Agent rnone x I certify that, in the performance o e work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree Iat, if I should become su ect tot a orkers' cPmpenspt,on pgggrj/ sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n/ / // ECLAre of Applicant I�CTION L. f �.1 AGENCY � Da i' iECLARATION REGA IN N T UCTION LEND AGENCY hereby 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, vil 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. agree to comply with all applicable city and county rdinances and state laws relating to building construction. / /I I authorize representatives of this city or county t�' nt r the abpve-i ,tifi?d/property for inspection purposes. of PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY V h6[�RATION OF COMPLIANCE WITH CODE OF FEOEI REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE V I SUBMITTED ASBESTOS NOTIFICATION TO EPA ASBESTOS NOTIFICATION IS NOT AEPUCABLE TO FOR OFFICE USE ONLY Name