HomeMy WebLinkAboutX2020-0651 - PermitsVill, City of Newport Beach - Building Division *X2020-0651` COMB Permit: X2020-0651
o 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0469-2020
Permit Counter Phone (949)644-3288
.y Inspection Requests Phone (949)644-3255
r:,,i. A�r� Combination Type - MFP ELEC Issued pate : 091171z020
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: 1128 CAMPANILE NB ..
Description: MFR (UNITS 1128-1141) INSTALL FIBER FROM IDF ROOM THROUGH THE ATTIC DOWN THE WALLS INTO EACH UNIT
Least Desc.:
Owner: NEWPORT BLUFFS LLC
Address:
PO BOX 2450
NEWPORT BEACH, CA 92658
Phone:
Applicant:
FLORES PRINCESS
Address:
19520 JAMBOREE
IRVINE CA 92612
Phone:
Code Edit : 2019
Type of Construction: V-A- SPR
Occupancy Group: R21U
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
Flood Zone:
11 Construction Valuation: -. $5
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:
Contractor: CORBEL COMMUNICATIONS INDUSTRIES
Address:
875 EAST 145TH ST
Address:
BRONX, NY 10455
Phone:
917-939-6140
Phone:
Con State Lic:
1047976
Engineer:
Lic Expire:
1213112020
Address:
Bus Lic:
BT30071633
Lic Exp Date:
0413012021
Phone:
Workers Compensation Insurance
Designer:
Carrier:
BERKSHIRE INSURANCE
Address:
Policy No:
COWC141260
Expire:
0612512021
Phone:
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: I
Front: /
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$28.80
$0.00
$0.00
Architect: (� 5
I S ECTTO
State Lic:
OSULLIVAN SEAN
25663 VIEW POINTE -
LAKE FOREST CA 92630
State Lic:C-084392
Special Conditions:
Planning Department -
Plan check Fee:
Fair Share :
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
ParkDedication:
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
I.I
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:
Plan Check Fee: $103.15 Fee Due at Permit Issuance :
PUBLIC WORKS APPROVAL:
M41-
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$132.35
c�.
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 items)
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
is permit to file a signed statement that he cr she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing With Section 7000) of Divisinn 3 of the Business and
hofessions Code) or that he or she is exempt from Iioensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the Spat cant to a civil penalty of
of 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 U portions of the work, and the structure is not intended or offered for s:lle (Section 7044,
lusiness 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 propirty, 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-Builderwill have the burden of proving !hat it was not built or
nproved for the purpose of sale).
1 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
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 legalll
ell a structure that I have built as an owner -builder if it has not been constructed in is 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 she:http://www.leginfa.ca.govic law.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjurry0that II am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Susines and Pr ss' I s „1 ense is In full force
ad effect. License Class C r A License No 10 4 7 9 7 5 4pYe 9/ 2 2/ 2 02 0 ContraA gnat _
VORKERS' COMFENSATION DECLARATION /� I1
•egrlMG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1! 100,0001, IN ADDITION TO THE
DST nF COMPFNSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES.
he-eby affirm u,,66r penalty of perjury one of the fallowing 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 0 the Labor Code, for th
'ormance o, the Work for which 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 compensatioi
Dance ce,ner a, id policy number are:
Tier BErKSHIRE HATHAWAY Policy Number COWC141260 Expiration Date 6/25/2021
re of Agent Phone #
00-488-2220
certify that, i:: the perfo a of
if I should become III to th
lature o, Applic,.r�T �
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lalvs of California, and
of Section 3700 of the Labor Code, I shall forthwith comply with those provislons.
4,e9/22/2020
Ireby 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
Ider's Name Lender's Address
my signature below, I certify to each of the fallowing:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I ha a provided is car t.
I agree to comply with all applicable city and C t ordin ces d ate la in construction,
I authorize representatives of this ci or cou a a�,,!a/d d section es.
nature of Prooertv Owner cr Authorized A -1 Print Property 0 or Authorized Anent's 4,a _ABDU.
OF COMPLIANCE WITH CODE OF FEDERAL FOR OItFICE USE ONLY
PART 61 OFTITLE 40 AND AQMD RULE V
NOTIFICATION TO
CERTIFICATE OF
OCCUPANCYISSUEO
Civil Code).
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