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Home My WebLink AboutX2021-2964 - PermitsCity of Newport Beach - Building Division 4 �+� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u 2 inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC GRAD I PLUM Ili iiiiii iiiii iiiii iiiii iiii iiiii iiiii iiiii 4 II COMB Permit: X2021-2964 Project No : 2570-2021 Issued Date : 04/07/2022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/07/2025 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: NEW SFR W J ADU 2548/495 SF. 436 SF ATTACHED GARAGE. Legal Desc.: CORONA DEL MAR BLK 529 LOT 6 Owner: TJC HOME BUILDER LLC Address: 26940 ALISO VIEJO PKWY STE 100 ALSO VIEJO CA 92656 Phone: 949-481-7026 Applicant: ROSENE MARK Address: 26940 ALSO VIEJO PKWY STE 100 ALSO VIEJO CA 92656 Phone: 949-894-8034 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: Added /New sq.ft. Bldg: 3043 Added /New sq. ft. Garage: 436 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Valuation: $600, Building Permit Fee: $5,855.00 Plan Check Fee: $3,297.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $118.00 Energy Compliance: $303.00 CA Seismic Safety: $78.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $24.00 TOTAL FEE: $18,420.89 PROCESSED BY: ZONING APPROVAL: Contractor: T J C HOME BUILDERS LLC Address: 26880 ALSO VIEJO PKWY #100 ALSO VIEJO, CA 92656 Phone: (949)481.7026 Con State Lic: 1025507 Lic Expire: 04/30/2023 Bus Lic: BT30059037 Lic Exp Date: 05/31/2022 Worker's Compensation Insurance Carrier: NATIONAL FIRE & MARINE INS CO Policy No: 42HB615046601 Expire: 12/31/2023 Building Setbacks ►41MM.4 a Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: 5' Front: 15' Left: 3' Right: 3' Parking Spac $730.59 $0.00 $0.00 $0.00 $1,046.00 $910.02 $152.00 $409.85 $234.20 $526.95 Architect: NIEMERSKI KENNETH Address: 2031 ORCHARD DR #100 NEWPORT BEACH CA 92660 Phone: 949.553-9100 State Lic:CO23971 oaa Engineer: NGUYEN HUAN ,,,, Address: 15STUDEBAKER ; IRVINE CA 92618 a a Phone: 949-752-1612 State Lic:C-064238 "" a Designer: a Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $406.00 San Dist: $1,035.56 NMUSD Fee: $2,774.72 Fire Department $520.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $5,030.02 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $13,390.87 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 Ciaision 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 `) all of or (_) 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 1t 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 legal 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://�.leginfo.ca.gov/calaw.html. Signature of Pronerty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION �" C hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7tA of�l is ;IV the Business and P ssio D d li n fo e and effect. License Class License No Dat !� Contractor Sig natur COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREq THOUSAND DOLLARS ($100,000), IN :OMPENSM LJUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm m,cer penalty of perjury one of the following declarations: lave and wi'! 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 -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' carrirr and policy number are: .r:a. Policy Number r,a of Agent I certify that, in the performance of the ork for wynon Is permit' it, if I should become Jiuk�ject to the rs' co provimature of Applicant I /Y\ Heby affirm under penalty of perjury that there is a construction lending agep Ider's Name �// 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 rect. I agree to comply with all applicable city and county ordi antes a d to a I authorize representatives of this city or coun(y'to enterpi agbv da iec Signature of Property Owner or Authorized Age ACTION I DATE I BY Date all not employ any person in any manner so as to become subject to the workers' compensate n laws of California, and agre �0 of the Labor Code, I shall forthwith comply with those provisions. v l -7 /Z� Date for the performance of the work for which this permit is issued (Section 309 , C' it Code). Lender's Address DECLARATION OF COMPLIANCE WITH C( REGULATIONS PART 61 OF TITLE 40 AND ng construction ;tion purposes. i��p (, /) //I,l Property Owner's or Authorized Agent's Name l (� IV ( of FEDERAL FOR OFFICE USE ONLY RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AOMD PERMITFINAL Jv >SESTPSIhOTIFICATIC)ry IS NOTI A LIC T CERTIFICATE OF PROPOSED MOLITION Y� OCCUPANCYISSUED SIGNATUR