HomeMy WebLinkAboutX2021-1171 - Permits"err City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1171
�'$' � 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 1 7 1 Project No: 1029-2021
- M -'_ " Permit Counter Phone (949)644-3288
c] Inspection Requests Phone (949)644-3255
5u ` Combination Type - MFP ELEC Issued Date : 05/18/2021
9
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/18/2024 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: 2600 SAN MARCO NB
0
Fire Hazard Zone : N
GRADING APPROVAL:
-
Description: MFR RUN FIBER FROM OF ROOM THROUGH THE ATTIC DOWN WALLS INTO UNITS (UNITS 2600-2610)
$830.00
Legal Desc.: N TR 12309 LOT 3
Building Permit Fee:
$110.00
n ti MW
Owner: IAC AT JAMBOREE LLC
Contractor:
CORBEL COMMUNICATIONS
Architect: CARNEY CECIL
Fire Department
Address: PO BOX 2450
Address:
875 EAST 145TH ST
Address: 9841 S DARON DR
CTO,?,
NEWPORT BEACH, CA 92658
BRONX, NY 10455
ORANGE CA 92861
"'
Phone:
Phone:
917-939-6140
Phone: 714-665-9500
State Lic.0011980
Applicant: FLORES PRINCESS
Con State Lic:
1047975
Engineer:
Investigation Fee:
Address: 19520 JAMBOREE
Lic Expire:
12131/2022
Address:
IRVINE CA 92656
Bus Lic:
BT30071633
Record Management :
$0.00
Phone: 714-552-9316
Lic Exp Date:
04/30/2022
Phone:
State Lic:
Code Edit : 2019
Worker's Compensation Insurance
Designer:
$0.00
Type of Construction: VB
Carrier:
BERKSHIRE INSURANCE
Address:
General Service
Occupancy Group: R2/U
Policy No:
COWC141260
WQ Insp. Fee:
$0.00
Added /New sq.ft. Bldg: 0
Expire:
06/2512021
Phone:
$0.00
Added /New sq. ft. Garage: 0
$0.00
PAN Plan Check:
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
Hazardous Mat
No of Units : 10
Electrical %:
Front: /
San Dist:
$0.00
Bldg Height: 0
Left: /
Building Green Fee :
$1.00
Bldg Sprinklers:
$0.00
Right: /
$0.00
Flood Zone:
X
Use Zone:
ParKing Spaces:
0
Fire Hazard Zone : N
GRADING APPROVAL:
APPROVAL TO ISSUE:
Construction Valuation:
$830.00
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: W�.'Y�_r'
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
a,
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
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
lot 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,
3usiness 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).
1, 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
Ipply 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).
1 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
lrofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature 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 70p4), f D' i n of the Business and Profess�'yga Cod4, an d in iccense full force
and effect. License Class License No �1 O � E' C ntractor Signature 1/'V�\' W✓ Y l
VORKERS' COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP! Q 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:
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
'mance of the work for which this permit is issued. Policy No.
ave 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' compensa
Ince carrier and policy number are:
Policy Number
Date
ie of Agent Phone #
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
, if I should become sAject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / I
of
L_/IBiz
areby 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
By 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 count ordinances and state relating to building construction.
I authorize representatives of this ci'ry orr nto a r�t1a above-identifi d roperty for inspection purposes. �� C C i r - ' ry
Signature of PropertyOwner or Authoril Agent Print Property Owner's or Authorized Agent's NdMe i� JJ l � ate D /
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED I 1 4 1 1 1 LIAQMD
PERMITFINAL 7 ? Z ASBESTOS NOTIFICATION IS NOTAPPLICA
CERTIFICATE OF PROPOSED DEM
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