HomeMy WebLinkAboutX2021-1612 - PermitsCity 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
IIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllllllllllllllll COMB Permit: X2021-1612
Project No: 1425-2021
Issued Date: 07/0212021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED B Y 07/02/2024 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 Sunda r idays
Job Address: 111 BAYPOINTE DR NB
Description: MFR -RUN FIBER FROM IDF THROUGH ATTIC, DOWN WALLS INTO EACH UNIT (21)
Legal Desc.: TR NO 14989 FOR OF LOTS 1 & 2 ®c
Owner: IRVINE COMPANY LLC THE Contractor: CORBEL COMMUNICATIONS Architect: CARNEY CECIL
Address: 550 NEWPORT CENTER DR Address: 875 EAST 145TH ST Address: 9841 S DARON DR
NEWPORT BEACH, CA 92660
$0.00
BRONX, NY 10455
Phone:
Phone:
917-939-6140
Applicant: FLORES PRINCES
Con State Lie:
1047975
Address: 19520 JAMBOREE AV
Lie Expire:
12/31/2022
IRVINE CA 92656
Bus Lic:
BT30071633
Phone: 714-552-9316
Lie Exp Date:
04130/2022
Code Edit : 2019
Worker's Compensation Insurance
Type of Construction: V -B
Carrier:
BERKSHIRE INSURANCE
Occupancy Group: R2
Policy No:
COWC141260
Added /New sq.ft. Bldg: 0
Expire:
06/25/2021
Added /New sq. ft. Garage: 0
$0.00
Electrical %:
No of Stories: 3 -
Building Setbacks
Rear: /
No of Units : 21
$0.00
Front: /
Bldg Height: 0
Plumbing %:
Left: /
Bldg Sprinklers:
$0.00
Right: /
Flood Zone:
Use Zone: Parkino Spaces: 0
Construction Valuation: $1.743.00
Building Permit Fee: $110.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$34.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $743.27
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
ORANGE CA 92861
Phone: 714-665-9500
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Inspection:
Additional Fee:
$483.37
Plan check Fee
Demolition Fee
Grading Bonds Fee:
$0.00
Fair Share
General Service
Grading PC Consultant :
$0.00
SJH Trans
Grading Bond:
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
o e
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
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0
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P/W Plan Check:
$0.00
Electrical %:
$15.40
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
$0.00
State Lic:C011980
State Lie,
Plan Check Fee: $577.12 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
pope
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
o c
oc
General Service
Refund Deposit
0
Grading Bond:
Plan Check Fee: $577.12 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
pope
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0 0
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0
0 0 0
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0 0
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0 0 0
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00
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0 00
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0
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000000
0 0 o
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0
oQ$0.00
$0.00
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$47.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$166.15
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).
111, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 -Builder will 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 legal
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.htm].
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 7000 of Divi iGq of the Business and Professio ode, a d my licen is in full fort
and effect. License Class License No Date - /� Contractor Signature -
WORKERS' @MRFNSATION DECLARATION
WARNING: FAILURE 4968CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS ND DOLLARS ($100,000), IN ADDITION TO H
D,Q.%T.0J2COMPEN•9A-riq%QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Fherebfaffirm %%ler penalty of perjury one of the following declarations:
0•1 h-vP and w4 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 tt
Ice of t6%wQrk for which this permit is issued. Policy No.
and will TlNdlntain workers' compensation insurance, as required by Section 3700 of the Labor Code,
carrier•and"Ilcy number are:
•••• : Policy Number
T,ol' Agent
certify that,.in the performanrt<of the work for which this permit
b11C
jf.l.should om2subjec70 t ,9 workers' compensation provi[
ire of AM;
for the performance of the work for which this permit is issued. My workers'
Date
I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
cti n 00 of the Labor Code, I shall forthwith comply with those provisions. � / �/ Z J
Date
IECLARATION REGA'FdDING CONSTRUCTION LENDING AGENQY
hereby affirm under penalty of p rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Enders 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 owners 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 relatin building construction.
I authorize representatives of this city or county to to the abov -k! tifiecl opert (`r ,I�spection purposes.
;^nnr,,. .,r or. n. ii n,.,ner nr AulhnrlvcH Anant / it n M��.C�� MUMl vF�rint ProDertv Owners or Authorized Agent's Name �Yr''r '�� �✓ w'I' ��
DATE BY I REtLARAITION ONS OF COMT 61OFTNTCE E 40 -ANDRE OF FEDEAQMD RUDERAL I FOR OFFICE USE ONLY
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT EXTENDED QMD
PERMITFINAL /j f�A ESTOS IJOTIFCATIOX IS NOT APPLICAE
CERTIFICATE OF J POSED LITTON ^ ^
OCCUPANCY ISSUED SIGNATURE:: V v
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