HomeMy WebLinkAboutX2021-1175 - Permitsnoir City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v.,.,;".•} Inspection Requests Phone (949)644-3255
e'��o7tk`x, Combination Type - MFP ELEC
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2021-1175
x 2 0 2 1 1 1 7 5 Project No: 1029-2021
Issued Date: 05118/2021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511812024 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: 2712 AMALFI NB
Description: MFR RUN FIBER FROM IDF ROOM THROUGH THE ATTIC DOWN WALLS INTO UNITS (UNITS 2712-2727)
Legal Desc.: N TR 12309 LOT 3 1A
I A AP"� r , DD
Owner: IAC AT JAMBOREE LLC
Contractor:
CORBEL COMMUNICATIONS Architect:
St, A
CARNEY CECIL
Address: PO BOX 2450
Address:
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:
12/31/2022
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:
0612512021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
No of Units : 16
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $1,328.00
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:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
y
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
1e 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
'rofessions 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
ot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
rlprovements 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
nproved for the purpose of sale).
7 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Qgof` Div' 'op of the Business and Pr f s)ion Code, an �xlice is in fu fo e
nd effect. License Class License No �L Contracto'd"Cvdignature J
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C
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:
RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($100,000), IN ADDITION TO THE
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
yrmance 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:
Policy Number
of Agent
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 agre
t, if I shouldbecome bl canto the
(workers'
c�o�'on)mpens provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature offs� pK6 nt
CLARATIO�j AGAR NG CONSTRUCTION LENDING AGENCY
:reby 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).
Ider's Name Lender's Address
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��°°u �t/o enter the above -i ttlfied property for inspection purposes.
nature of ProOertv Owner or Authorized�Attentt Ili ,V1( QA ) I" r )R%'—� Print ProDedv Owner's or Authorized Aoent's Nares\l Y mC 5 f I `
DATE BY DECLARATION OF IREGULATIONS PART0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND AQMD RULE RAL FOR OFFICE USE ONLY
PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED I I I I I WAQMD
PERMITFINAL 7 Z S ASBESTOS NOTIFICATION IS NOTAPPLICABLE
CERTIFICATE OF PROPOSEDD ON
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