HomeMy WebLinkAboutX2021-1138 - Permits (2)#wr�r City of Newport Beach - Building Division
p 100 Civic Center Drive, Newport Beach, CA 92660
'. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC
COMB Permit: X2021-1138
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II
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 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: 1200 ALICANTE NB
Description: MFR RUN FIBER FROM IDF ROOM THROUGH THE ATTIC DOWN WALLS INTO UNITS (UNITS 1200-1207)
Legal Desc.: N TR 12309 LOT 4
Owner:
IAC AT JAMBOREE LLC
Address:
PO BOX 2450
COWC141260
NEWPORT BEACH, CA 92658
Phone:
917-939-6140
Applicant:
FLORES PRINCESS
Address:
19520 JAMBOREE
Bus Lie:
IRVINE CA 92656
Phone:
714-552-9316
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 8
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor:
CORBEL COMMUNICATIONS
Address:
875 EAST 145TH ST
COWC141260
BRONX, NY 10455
Phone:
917-939-6140
Con State Lie:
1047975
Lie Expire:
1213112022
Bus Lie:
BT30071633
Lie Exp Date:
04/3012022
2019 Worker's Compensation Insurance
VB Carrier:
BERKSHIRE INSURANCE
R2/U Policy No:
COWC141260
0 Expire:
06/25/2021
0
CA Seismic Safety:
Building Setbacks
Rear: /
$0.00
Front: I
$0.00
Left: I
$1.00
Right: /
Building Permit Fee: $110.00
Plan Check Fee: $95.70
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $221.10
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
CARNEY CECIL
Address:
9841 S DARON DR
Additional Fee :
ORANGE CA 92861
Phone:
714-665-9500 State Lic:C011980
Engineer:
.
Address:
Phone:
t
eAc.,„v
Designer:
Additional Fee :
$0.00
Address:
Fire Plan Rev
t, i` .?
$0.00
Fair Share:
Phone:
$0.00
SJH Trans :
Special Conditions
Excise Tax:
$0.00
Planning Department -
$0.00
Additional Fee :
$0.00
Plan check Fee
Fire Plan Rev
Grading Bonds Fee:
$0.00
Fair Share:
Grading PC Consultant :
$0.00
SJH Trans :
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Refund Deposit
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
Electrical %:
$14.40
San Dist;
' $0.00
Mechanical W
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee: $102.40 Fee Due at Permit Issuance : $118.70
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $102.40 Fee Due at Permit Issuance : $118.70
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 (_) 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
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).
❑ 1 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 legally
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.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 700M 'vV i q 3 of the Busine nd Profs ns C e a d my e s i i full force
and effect. License Class License No ate L Contracto nature -
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST 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:
❑ 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,
Zormance 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' compensatior
nsurance carrier and policy number are:
Policy Number
Date
is of Agent rnune e
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 b�eeccomef,`��-�J{�-ject tiz he workers' corn gyer,�,sa�tioon�proovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ate(�
)ECLARATION REGA ING CONSTRUCTION L DING AGENCY
hereby affirm under. en ty of perjury that there is construction lending agency for the performance of the work for which this permit is issued (Section 7, 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 thi or c ntytnn_terk(ie abo Id tified pr rty for insp coon purposes. tin �/1 ('�C�-I
Signature of Property Owner or Aut Agent '1/ 1N` r Property Owner's or Authorized A. t Namel" l'��t' I (255 ' lC
ACTION
DATE
BYDECLARATION
OF COMPLIAN%VJITH CODE OF FEDERAL
FOR OFFICE USE ONLY
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PERMITEXPIRED
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PERMITCANCELLED
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PERMIT EXTENDED
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PERMIT FINAL
CERTIFICATEOF
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