HomeMy WebLinkAboutX2020-0604 - Permits"aOx City of Newport Beach - Building Division
�3 h 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
F -
- Inspection Requests Phone (949)644-3255
a ,eaSupx� Combination Type - MFP ELEC
'X2020-0604" COMB Permit: X2020-0604
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 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: 9110 RESIDENCIA NB _
Description: MFR (UNITS 9110-9238) INSTALL FIBER FROM IDF ROOM THROUGH THE ATTIC DOWN THE WALLS INTO EACH UNIT
Legal Desc.: N TR 15584 LOT 9
Owner: NEWPORT BLUFFS LLC
Address:
PO BOX 2450
NEWPORT BEACH, CA 92658
Phone:
Applicant:
FLORES PRINCESS
Address:
19520 JAMBOREE
IRVINE CA 92612
Phone:
Contractor: CORBEL COMMUNICATIONS INDUSTRIES
Address:
875 EAST 146TH ST
Address:
BRONX, NY 10465
Phone:
917-939-6140
Phone:
Con State Lie:
1047975
Engineer:
Lie Expire:
12131/2020
Address:
Bus Lie:
BT30071633
Lie Exp Date:
0413012021
Phone:
v
Architect: k`
State Lie:
OSULLIVAN SEAN
25663 VIEW POINTE
LAKE FOREST CA 92630
Stale Lic:C-084392
Code Edit: -- --2019
- ---- Worker's Compensation Insurance
Designer
YprrotConstruction: - - -sPR
Occupancy Group: R21U
- Carrier:
BERKSHIRE INSURANCE
Address:
Policy No:
COWC141260
Added /New sq.ft. Bldg: 0
Expire:
0612512021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 57
Building Setbacks
Rear: I
Special Conditions:
Bldg Height: 0
Front: I
Left: /
Bldg Sprinklers: Y
Right: /
Flood Zone:
Use Zone:
Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $4 730 00
Building Permit Fee:
Plan Check Fee: $140.07
$161.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Overtime Plan Ck: $0.00
Additional Fee :
Grading Bonds Fee:
$0.00
$0.00
Plan check Fee :
$0.00
Fire Inspection:
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
Fair Share :
SJH Trans :
$0.00
$0.00
Fire Plan Rev
Demolition Fee
Record Management:
Energy Compliance:
$0.00
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
CA Seismic Safety:
$0.00
Grading PC Fee:
WQ Insp. Fee:
$0.00
$0.00
Public Works Department -
General Service
Disabled Access :
$0.00
Park Dedication :
$0.00
Refund Deposit
Hazardous Mat
$0.00
Electrical %:
$42.15
PIW Plan Check:
San Dist:
$0.00
$0.00
Grading Bond:
Building Green Fee:
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
II TOTAL FEE: $344.22 I Plan Check Fee:
n
PROCESSED BY:
ZONING APPROVAL:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$150.75 Fee Due at Permit Issuance : $193.47
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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)
>ection 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 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
3t 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 sale (Section 7044,
usiness 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 propirty, 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
nJ�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).
I am exempt from licensure 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 this permit, I cannot legally
all 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
rofessions Cor'E, is available upon request when this application is submitted or at the following Web site:http:/Mmw.leginfo.ca.gov/calaw.html.
ignature of PioperN Owner or Authorized Agent Date,
.ICENSED CONTRACTOR'S DECLARATION
herety affirm, under penalty of perurythat I am licensed under provisions of Chegter 9 commencing with Section 7000) of Division 3 of the Susines and Pr as' I s P Yjieense is in full force
nd Affect. License Class 810 r B r A License No 10 4 7 9 7 5 19pte 9/ 2 2/ 2 0 2 0 Contract)COEt %
wORKERS' COMPENSATION DECLARATION
I�
'AWNS: FAIW eF TO FErURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS(! 100,000), IN ADDITION TO THE
/ ST O° COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm v idnr penalty of perjury one of the following declarations:
I have am wilt r.mintain 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 Code, for thi
5ormance of the work for which this permit is issued. Policy No.
haje and w.11 mai,Itain 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 compensation
Is rance carrie-:nd Follcy number are:
e. RRRRSHIRE HATHAWAY Pon,., Number COWC141260 ExpiiationDate 6/25/2021
is of Agent '"�/,,G,
certify that, in the perforpia of
, if I should become su to thg
Phone# 00-488-2930
is issued, I shall not employ any person In any manner so as to become subject to the workers' Compensation lobes of California, and agre
of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
4,0 9/22/2020
;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 I a e provided is Corr t.
I agree to comply with all applicable city and c ordin cos d ate la 0 'n construction.
1 authorize representatives of this city or cow eyt i Vr pection as. J T r TT— r r i7
a
or
DATE 8Y J D AfTON GULATIONS PARTFMIrUANEE WITH CODE OFT lE 40 AND QMF RULE AL I FOR ONCE USE ONLY
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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