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Home My WebLink AboutX2021-1125 - PermitsM'r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 $� n Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC IIIII�I�IIIII�IIIIIIII�IIIIIIIIIIII�II II COMB Permit: X2021-1125 x 2 0 2 1 1 1 2 5 Project No : 1029-2021 Issued Date : 05/18/2021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 05/1812024 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: 200 MARSALA DR NB Description: MFR RUN FIBER FROM OF ROOM THROUGH THE ATTIC DOWN WALLS INTO UNITS (UNITS 200-215) Legal Desc.: TR 12309 LOTS POR OF LOT ) Owner: IAC AT JAMBOREE LLC Contractor: CORBEL COMMUNICATIONS Architect: CARNEY CECIL Address: PO BOX 2450Address: 875 EAST 145TH ST Address: 9841 S DARON DR - NEWPORT BEACH, CA 92658 BRONX, NY 10455 ORANGE CA 92861 Phone: Phone: 917.939-6140 Phone: 714-665-9500 State Lic:C011980 Applicant: FLORES PRINCESS Con State Lic: 1047975 Engineer: Address: 19520 JAMBOREE Lic Expire: 12131/2022 Address: IRVINE CA 92656 Bus Lic: BT30071633 Phone: 714.552.9316 Lic Exp Date: 04/30/2022 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: BERKSHIRE INSURANCE Address: Occupancy Group: R2/U Policy No: COWC141260 Added /New sq.ft. Bldg: 0 Expire: 06/25/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 12 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $996.00 Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $95.70 Additional Fee : $0.00 Plan check Fee : $0.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $14.40 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $221.10 Plan Check Fee : $102.40 Fee Due at Permit Issuance : $118.70 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: AA � PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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) ction 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 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 fessions 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 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, iness 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 rovements 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 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 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Of�{,iSM of the Business)and Professi ns Co e, and my lice is in full rca and effect. License Class License No G Con acto ignature NORKERS' COMPENSATION DECLARATION YARNING: 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 ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 )erformance of the work for which this permit is issued. Policy No. ;14yave 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' compensatiol nsurance carrier and policy number are: carrier Policy Number Expiration Date Jame of Agent Phone # :11 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 agre hat, if I should become ssvb act to the workers' compe(gs�ation'pr1oviisiions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r� signatureo Icant 3�/\/��yn�( A" 1M""' -.Q to—J��' )ECLA0 EGAR�+NG CONUSTRUCTION LENPING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency forthe 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 o u ty o \nt�r�th/e abp e-identifie pro ert for inspection purposes. ,{� �/J �n (r \ t I Signature of Property Owner or Authorized Age `r v-"-� Print Property Owner's or Authorized A ent's me` - I`-"� r flow to ACTION DATE BY DECLARATION OF COMPLI NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 CATTLE 40 AND AQMD RULE 1403 PERMITEXPIREDI SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITFINAL OCCU ANCY SSUED GNATURE: IFI S NOTAPPLI ABS LE TO CERTIFIC4TEOF �•1 �.� �� PROPOSEDD 1 (/�� T oEs�2 � cc$ c�CO y. C1 ao A �r baa ;r LID N t Aim m ro u> � g. o a p� N Z: 1+jB �Q SFn m� Oi ti t�Jii O m. cis (5 •@ O 0) = CD O O 0 CD �. d A - nca Et Q =C ~� a� roi ❑ N ❑ k aM. c b"i m a :r a m o' i fl'e N C O 0 0. 0 �1 ��J 7 01 'C 3 SN 1 45 fN0. 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