HomeMy WebLinkAboutX2021-2189 - PermitsCity of Newport Beach - Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
- Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC
*X2021-2189*
ck
Yi� tl �. 1 u
COMB Permit: X2021-2189
Project No : 1891-2021
Issued Date: 08/18/2021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811812024 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: 4101 COLONY PLZ NB
••e•
Description: MFR (4101 -4425) RUN FIBER FROM IDF ROOM THROUGH THE ATTIC DOWN WALLS INTO UNITS •e e m m ®em °
Legal Desc.: N TR 15178 LOT 1 • e . . o
eo .
Owner:
IRVINE CO
Address:
550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone:
Applicant:
FLORES PRINCESS
Address:
19520 JAMBOREE
IRVINE CA 92656
Phone:
714-552-9316
Code Edit: 2019
Type of Construction: V-A- SPR
Occupancy Group: R2/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 4
No of Units : 92
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $4,316.00
Building Permit Fee: $161.00
Plan Check Fee: $140.07
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: $344.22
PROCESSED BY:
ZONING APPROVAL:
Contractor:
CORBEL COMMUNICATIONS
Address:
875 EAST 145TH ST
BRONX, NY 10455
Phone:
917-939-6140
Con State Lic:
1047975
Lic Expire:
12/31/2022
Bus Lic:
BT30071633
Lic Exp Date:
04/30/2022
Worker's Compensation Insurance
Carrier: BERKSHIRE INSURANCE
Policy No: COWC247974
Expire: 06/25/2022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee :
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
Parkina Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$42.15
$0.00
$0.00
Plan Check Fee
Architect:
CARNEY CECIL
Address:
9841 S DARON DR
ORANGE CA 92861
Phone:
714-665-9500
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PNV Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
e e
eeeoom
m
State Lic:C011980 ••
o e a
•o e
State Lic:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
0 0
ooem®.
0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$344.22
ee•ee
e
eeeee
eeeeme
o m o
e m
omeooe
e o
ee.o
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
Inot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements a"r" intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the{wcpose of sale).
••F, es owner of tNeproperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner o! property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
• • and exempt foom Iicensure under the Contractors' State License Law for the fallowing reason:
'$y my signaturebelovpl 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
%aSYucture4tMMI1h;ve 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.
gneture of Poopony Owner or Authorized Agent Date
CEI&ED CONTRACTOR'S DECLARATION
�lerpby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Section ) ¢�%`�ISI of the Business and Pr ssion od n my license is in full force
nl9 efflct. Lic@hsg Class License No Date. `S(�- �-/Contractor Signatur
/Ill CUM PENSATION DECLARATION
41WC: FAILUrWTp.4ilURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($I . IN ADDITION TO THE
COST OF COMPENSATION,AAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 thI
performance of the work forwhich this permit is issued. Policy No.
have 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
surance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the performanc 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 agree
that, if I should beco a ubject t t e wor rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J/,V
Signature of Applicant
DECLARATION REGA DING C NS TION L DING AGENCY 1
I hereby affirm under penalty of rjury that the Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender'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 hav rovided is correct.
I agree to comply with all applicable city and county nces an ate laws relating to building construction.
I authorize representatives of this city or co t o ent the Tied property for inspection purposes.
Signature of Property Owner or Authorized Age t 7__ Print Property Owners or Authorized Agent's Name
ACTION DATE BY "RATION OF C WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED AQM D
PERMIT FINAL Q% /12 S SBESTOS NOT FI TION OT APPLICABLE TO
CERTIFICATE OF PROPOSEBT L
OCCUPANCVISSUED SIGNATUR . „