HomeMy WebLinkAboutX2020-0606 - Permits (3)a`�Io City of Newport Beach - Building Division
�+ 100 Civic Center Drive, Newport Beach, CA 92660
H Permit Counter Phone (949)644-3288
v ; Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC
*X2020-0606' COMB Permit: X2020-0606
Project No: 0469-2020
Issued Date: 09/16/2020
Inspection Area: 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0911712023 OR PERMIT IMLL 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: 7110 RESIDENCIA NB
Description: MFR (UNITS 7110-7238) INSTALL FIBER FROM IDF ROOM THROUGH THE ATTIC DOWN THE WALLS INTO EACH UNIT
Legal Desc.: N TR 15584 LOT 8
� Y r
Owner: NEWPORT BLUFFS LLC Contractor: CORBEL COMMUNICATIONS INDUSTRIES Architect: i ° 4 r .°
Address:
PO BOX 2450
Address:
875 EAST 146TH ST
NEWPORT BEACH, CA 92658
BRONX, NY 10455
Phone:
Phone:
917-939-6140
Applicant:
FLORES PRINCESS
Can State Lic:
1047975
Address:
19520 JAMBOREE
Lie Expire:
1213112020
IRVINE CA 92612
Bus Lie:
ST30071633
Phone:
Lie Exp Date:
04/30/2021
Address:
Phone: State Lie:
Engineer: OSULLIVAN SEAN
Address: 25663 VIEW POINTE
LAKE FOREST CA 92630
Phone: State Li¢C-084392
Code- Edit:019-----
- --Worker's-Compensation Insurance- - - --
- -Designer:. - - - --- -
Ty -Address:
- - -
Occupancy Group: R2IU
Policy No: COWC141260
Added /New sq.ft. Bldg: 0
Expire: 06125/2021
Phone: _
Added /New sq. ft. Garage: 0
-
No of Stories: 3
Building Setbacks Rear: I
Special Conditions:
No of Units : 57
Front: /
Bldg Height: 0
Left: /
..
Bldg Sprinklers: Y
Right: /
Valuation:
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:
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee:
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans,
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PNV Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$42.15
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee
: $150.75
Fee Due at Permit Issuance :
$193.47
PUBLIC WORKS
APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER
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
me 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
'rofessions 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
of more than five hundred dollars ($500)_
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for s;ile (Section 7044,
Business and Professions Code: The Contractors' State LicenseLawdoes not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements 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
roved for the purpose of sale).
J 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).
1 am exempt from licensors under the Contractors' State License Law for the following reason:
;y 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 tills permit, I cannot legally
ell a stweture 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
profession; Code, Is available upon request when this application is submitted or at the following Web site:http:Nwww.leginfo.ca.govicalaw.html.
'gnature cf Property Owner or Authorized Agent Date _
.ICENSE'J CONTRACTOR'S DECLARATION
hereby affirm under penalty of perury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines and Pr SS, s u Y�isense is in full force
ndeffect. LicenseG.--- C10, B, A License No 1U97975 �pte 9722/2020 Contract�ignat _ + %
IIORKEZ3 COMPENSATION DECLARATION /t
'ARNING: 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 (_,100,0001, IN ADDITION TO THE
DST OF COMPHNSATIDN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LARGE, COOS, INTEREST, AND ATTORNEY'S FEES.
hereby aSrirm under penalty of perjury one of the following declarations:
J 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 the Labor Code, for IN
gjormance of 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' compensatini
rance carrier and policy number are:
ter DERKSHIRE HATHAWAY Policy Number COWC141260 ExpiralonDate 6 / 2 5 / 2 0 2 1
is of Agent Phone# 00-488-2930
certify that, in the p(
, if I should become
ialure of Applical /
is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agre
of Section 3700 of the Labor Code, 1 shall forthwith comply With those provisions.
&% 9/22/2020
hereby 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
Ender's Name Lender's Address
y 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 ]pays provided l.
I agree to comply with all applicable tiny and c t ordin ces d ate la '15 'n construction.
I authorize representatives of this city or cou11 a �a d pection es. _ r
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY I D ATION OF COMPLIANCE WITH CODE OF FEDERAL
GULATIONS PART 61 OF TITLE 40 AND AQMD RULE
C,
1403
Ll I SUBMITTED ASBESTOS NOTIFICATION TO
FOR OVICE USE ONLY
Civil Code).