HomeMy WebLinkAboutX2021-1128 - Permits�t City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
�,. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC
III IXIII ILII VIII IIIDII IIIIIIIII IIID IIII III II
COMB Permit: X2021-1128
Project No: 1029-2021
Issued Dafe*05/18/2P21
Inspection. Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0511812024 Of
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
Job Address: 240 MARSALA DR NS
Description: MFR RUN FIBER FROM OF ROOM THROUGH THE ATTIC DOWN WALLS INTO UNITS (UNITS 240 .255)
Legal Desc.: TR 12309 LOT 5 POR OF LOT
Owner: IAC AT JAMBOREE LLC Contractor: CORBEL COMMUNICATIONS Architect: CARNEY CECIL
Address: PO BOX 2450 Address: 875 EAST 145TH ST Address: 9841 S DARON DR
NEWPORT BEACH, CA 92658 BRONX, NY 10455 ORANGE CA 92861
Phone: Phone: 917-939-6140 Phone: 714-665-9500
Applicant:
FLORES PRINCESS
Address:
19520 JAMBOREE
Record Management:
IRVINE CA 92656
Phone:
714-552-9316
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R2/1.1
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 16
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
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: $221.10
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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: COWC141260
Expire: 0612512021
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: /
3arking Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$14.40
$0.00
$0.00
Plan Check Fee
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard
Planning Department -
Fire Department
Plan check Fee:
$0.00
Fair Share:
$0.00
SJH Trans :
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lic:C011980
State Lic:
$102.40 Fee Due at Permit Issuance : $118.70
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: JW.�
APPROVAL TO ISSUE:
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
$102.40 Fee Due at Permit Issuance : $118.70
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: JW.�
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 applicant 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 L) 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 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 that it was not built or
improved 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 License 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 legally
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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Oq ,of Div' 'op of the Busines and Pr f s ions Code, an lice is in f fo e
and effect. License Class License No t7bip' , l�L ContractolJS� ignature , ._�
NORKERS' COMPENSATION DECLARATION f \
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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 th,
keOrmance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of the 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
if I should become sub"ibct to the workers' compensation Drovisions of Section 3700 of the Labor Code. I shall forthwith comniv with those Drovisions.
of
D� C5 11 gIz
:reby affirm under penalty of perjury that there is a construction lending agency far the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder's Name Lender's Address
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 have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction. f
I authorize representatives of this city oryounOtt/o� enter the ,hOOve-i thfie�d property for inspection purposes. r V�1 �� DSS r I l
nature of ProDertv Owner or Authorized A ent 1 IA V 11 /' r % )X�—�`' Print Pronertv Owners nr Authori7nd AnwnYa Na - .
DATE BY r UE DECLARATION
PART 61 OFTIT40ANDAQMD RULE AL FOR OFFICE USE ONLY
REG
rcnrvii 1 cAVIJILu I I LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED QMD
PERMITFINAI l� 1 ASBESTOS NOTIFICATION IS NOT APPLICABLE
CERTIFICATE OF 1I% 0"' �ly PROPOSEDDjF14��L"IT�ON
OCCUPANCY ISSUED cIrMATI`IRrF Y //\/i a A rN— N-
9) 2
O d ID
CD
0
.Z1. CS
{D W � (—� O O � n 0 51 N
c mp1a "\ o• r/iQ3 m 07
cn
p, CD (p :p1 {per N O fD W0 CD CL . CL
63, fD �`G 5.6
j CL y f�D M LA OR
a 9 �n M �S .
CD
s� nDaM cocxD ��o k 'AQ= CL0
=o ��_= wCDM z�
p• tD W O O. O• 'a. C• (] a C: v
a;. wc v:. � � .v � c°a. ro �s CD 09a c.
O tD CD j 'w0 N tD y W CA � � co C
_ �e
= 7 C ID N Cf' rw+• ID CL y N
N aON
<p CD50 0
N@ N
nO. mtD N iO
D7 0
Q - O CL
O OD.Er O
° C?O ac
G N(O O
D R rfOyOTD Z
CrO' O A O. O n -,
CDS 7,=—F' y 0 0
oma ' C �� Q �7
A 0 O N f0 @ S CDD 3 N CD
K (IO 6p 'O a' O y cx
W N cq � O O i tDd . 0 N
p1 O tD to Q^
CD 2 0 CL
0 O N m O C FII CD d
Dl CL N 15-w
m mv'm m m
CD
Z > i
O C O.
E a C. I;
cr
ANS
( o
s' ® 5
12
? N zca m N
C7 �
4mC+9
y O
W
ID � w o C)
goo W71
Izz
O`
z o
y
�' m Ut