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Home My WebLink AboutX2020-0649 - Permitsa City of Newport Beach - Building Division `X2020-0649* COMB Permit: X2020-0649 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0469-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 0911712020 Combination Type - MFP ELEC Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/18/2023 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: 1118 CAMPANILE NB Description: MFR (UNITS 1118-1121) INSTALL FIBER FROM IDF ROOM THROUGH THE ATTIC DOWN THE WALLS INTO EACH UNIT Legal Desc.: N TR 15584 LOT 5 Owner: NEWPORT BLUFFS LLC Contractor: CORBEL COMMUNICATIONS INDUSTRIES Architect: Address: PO BOX 2450 Address: 875 EAST 145TH ST Address: NEWPORT BEACH, CA 92658 BRONX, NY 10455 Phone: Phone: 917-939-6140 Phone: State Lic: Applicant: FLORES PRINCESS Con State Lic: 1047975 Engineer: OSULLIVAN SEAN Address: 19520 JAMBOREE Lic Expire: 12/31/2020 Address: 25663 VIEW POINTE IRVINE CA 92612 Bus Lic: BT30071633 LAKE FOREST CA 92630 Phone: Lic Exp Date: 0413012021 Phone: State Lic:C-084392 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: 3 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: Y Construction Valuation: 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: $235.50 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: BERKSHIRE INSURANCE Policy No: COWC141260 Expire: 0612512021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: / �arkina Snares $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $28.80 $0.00 $0.00 Plan Check Fee 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 PM Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 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 $103.15 Fee Due at Permit Issuance $132.35 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 apPl-Cant 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 (J all of or U portions of the work, and the structure is not Intended or offered for sole (Section 7044, Business and Professions Code: The Contractors' State License Low 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 !hat it was not built or mproved 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' icense 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 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 Irofessions Code, is available upon request when this application is submitted or at the following Web sfe:htip:/Iwww.leginfo.m.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of pe 'ury that I am licensed under provisions of Chapter 9 ((commencing with Section 7000) of Division 3 of the Busines and Pr ss' I s '� ense is In full force and effect. License Class M, Br A License No 1047975 tote 9/22/2020 Contract ignat % NORKERS' LOAPENSATION DECLARATION /� YARNING: FAILLAc ry SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS it 100,000), IN ADDITION TO THE :OT, OF COMPFNSATION, DAMAGES As PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. het eby affirm 111,der 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 C the Labor Cade, for th ormance of the work for which this permit is issued. Policy No. Save 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. fdy workers' cwmpensatiol Dsurance carder and policy number are: ,arrer BER!,SHIRE HATHAWAY Policy Number COWC141260 Expiration Date 6/25/2021 vame of Agent Phone # 0-488-2930 JI :ertify ME , in :h� perfo a e of t wo fo hichglF !.itssued, I shall not employ any person In any manner so as to became subject to the workers' compensation laws of California, and sore hat, if I should hecome su I to th ork m e of Section 3700 of the Labor Code, I shall forthwflh comply with those provisions. >IaGature of App:iLar� �e 9/22/2020 lCr1 AeAminp. n^&X 1vr rn CTOI M n111 w w nn_eury !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). Iders Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information 1 a e provided is con t. I agree to comply With all applicable city and c t ordi es d ate IF 'n in construction. I authorize representatives of this city or cou e a d pecti es. �/ nature of Property Owner or Authorized A print Prooertv O or Authorized Aoent's tdt/1ie ABDULLAH NOOR ACTION DATE BY I D ATION OF C011VI00ANICE WITH CODE OF FEDERAL I FORD ICE USE ONLY JOOREGULATIONS PART 61 OFTITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED TO