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Home My WebLink AboutX2022-0705 - PermitsCity of Newport Beach - Building Division *X2022-0705` COMB Permit: X2022-0705 � ` A 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0622-2022 Permit Counter Phone (949)644-3288 v fi Inspection Requests Phone (949)644-3255 6 - T- � Issued Date : 03/09/2022 Combination Type - BLDG PLUM { I S � S' - Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/09/2025 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: 504 ACACIA AVE NB Description: DEMO (E) 1535 SF DUPLEX (1-BEDROOM/1-BATH EACH UNIT) W/ 924 SF GARAGE. CAP (E) SEWER - " - Legal Desc.: CORONA DEL MAR BLK 529 LOT 6 ' ' ' ' •Z ; Owner: TJC HOME BUILDER LLC Contractor: T J C HOME BUILDERS LLC Architect: Address: 26940 ALISO VIEJO PKWY STE 100 Address: 26940 ALISO VIEJO PKWY #100 Address: ALISO VIEJO CA 92656 ALISO VIEJO, CA 92656 Phone: 949-481-7026 Phone: (949) 481-7026 Phone: State Lic: ' Applicant: ROSENE MARK/ KELLY Con State Lic: 1025507 Engineer: STREETER NICHOLAS ARIAS T �^ n Address: 26880 ALISO VIEJO PKWY #100 Lic Expire: 04/30/2023 Address: 16755 VON KARMAN AVE #150 m , ALISO VIEJO, CA 92656 Bus Lic: BT30059037 IRVINE CA 92606 . Phone: 949-481-8034 Lic Exp Date: 05/31/2021 Phone: 949-474-2330 State Lic:C-70862 > } �' " Code Edit: 2019 Worker's Compensation Insurance Designer: M , • Type of Construction: V-B Carrier: TECHNOLOGY INSURANCE COMPANY Address: %r'l, • - f� v Occupancy Group: R3/U Policy No: EIG247508701 M Added /New sq.ft. Bldg: 0 Expire: 0310812022 Phone: Z Added /New sq. ft. Garage: 924 73 No of Stories: 2 Building Setbacks Rear: 5 Special Conditions: HIGH DENSITY ZONE No of Units : 2 Front: 15 HAULER: TIGHT QUARTERS Bldg Height: 0 Left: 3 NSFRBADU: X2021-2964 W Blda Sprinklers: Right: 3 M Flood Zane: X Use Zone: Parking Spaces: 0 Fire Hazard [one : N Construction Valuation: $25,000.00 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: $8.00 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 WO 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 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $10.98 $0.00 TOTAL FEE : $2,452.98 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,452.98 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: C C 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 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 im roved 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 aonly to do 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 exemp� from liuensure under the Contractors' State License Law for the following reason: Ry 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 Carle, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. �ignathfa of Propa.t; Owner or Authorized Agent Date IJCENSED CO\TRACTOR'S DECLARATION I hereby affirm urea- ienalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Di Isi n 3 of the Business and Professions tgode, and m icense is in full force and effect. License Class License No Date AC T ontractor Signature WORKERS' COMPENSATION DECLARATION ✓DARNING: FAILURE Tr1 SEdURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE ,Ubl GF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I ilerdoy affirm -Jnde, p,3nalty of perjury one of the following 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 Rerfol.mance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: of Agent h Policy Number Date 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 workers' compensation laws of California, and agree if I should become subject tot wor/kers' cam ensation or visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature^of Applicant /� r r^ c ,2T ^ ��„�- Date 3j� / % 2 �— 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, Civil Code). -ender's Name Lender's 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 with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter t ' abov-identifie roperty r inspection purposes. +^/ 3 signature of Property Owner or Authorized Agent rint Property Owner's or Authorized Agent's Name )f ate _ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED pA PERMIT EMENDED qM D PERMITFINALC ,5+_Z ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF J ` PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: X