HomeMy WebLinkAboutX2020-0599 - Permitsmow, City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
h Permit Counter Phone (949)644-3288
4 Inspection Requests Phone (949)844-3255
taxa ks`a Combination Type - MFP ELEC
*X20200599* COMB Permit: X2020-0599
Project No: 0469-2020
Issued Date: 09/1612020
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: 2128 LOGGIA NB
Description: MFR (UNITS 2128-2135) INSTALL FIBER FROM IDF ROOM THROUGH THE ATTIC DOWN THE WALLS INTO EACH UNIT
Legal Desc.: N TR 15584 LOT 6 . ,.
TOTAL FEE: $235.50
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$103.15 Fee Due at Permit Issuance : $132.35
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: J
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Owner: NEWPORT BLUFFS LLC
Contractor:
CORBEL COMMUNICATIONS INDUSTRIES
Architect:
Address: PO BOX 2460
Address:
875 EAST 145TH ST
Address:
NEWPORT BEACH, CA 92658
BRONX, NY 10455
'
Phone:
Phone:
917-939-6140
Phone:
State Lie:
a e, e
Applicant: FLORES PRINCESS
Con State Lie:
1047976
Engineer:
OSULLIVAN SEAN
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Address: 19520 JAMBOREE
Lie Expire:
1213112020
Address:
25663 VIEW POINTE
IRVINE CA 92612
Bus Lie:
ST30071633
LAKE FOREST CA 92630
Phone:
Lie Exp Date:
0413012021
Phone:
State LIc:C-084392
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-A- SPR
Carrier:
BERKSHIRE INSURANCE
Address:
°
Occupancy Group: R21U
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: /
Special Conditions:
No of Units : 8
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers: Y
Right: I
Flood Zone:
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $664.00
Building Permit Fee: $110.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $95.70
Additional Fee:
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans:
$0.00
Demolition Fee
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication:
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$28.80
San Dist:
$0.00
Building Green Fee: $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $235.50
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$103.15 Fee Due at Permit Issuance : $132.35
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: J
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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
he 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
rrofessions 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 appfcant to a civil penalty of
iot more than rive hundred dollars ($500).
7 1, as owner of the property, or my employees with wages as their sole Compensation, will do L j all of or U portions of the work, and the structure is not Intended or offered for siile (Section 7044,
lusiness 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
n roved 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
,pply to an owner of property who builds or improves thereon, and who contracts forthe 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:
sy 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 haveibuilt 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 OWO,-Is available upon request when this application is submitted or at the following Web site:hftp:l/www.leginfo.m.gov/mlaw.htmi-
signature oiFilrepar{y Owner or Authorized Agent Date _
,IMNSED CDNIRACTOWS DECLARATION
hereby SION voldf penalty of pe rdhat 'am
licensed under provisions of Cho ter 9 (commencing with Section 7000) of Division 3 of the Busines and Pr ss' s �0 � ense is in full force
nd effect. License Class CC B r A License No 1 U 4 7 9 7 5 x 9/22/2020 Contract tignat
YORKERS COMPENSATION DECLARATION /� I�
'ARNING: FAINURE Ira SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S 100,0001, IN ADDITION TO THE
OSTOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR Coca, INTEREST, AND ATTORNEY'S FEES.
Frereby aiFmn ander penalty of perjury one of the following declarations:
Xl'have e d Alt maintain 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 the
ormance of the work for which this permit is issued. policy No.
Kiave arWl II& %intaln 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' compensabol
nce carAlfi and policy number are:
Vkr MfAKSHIRE HATHAWAY Policy Number COWC141260 Expiration Date 6/25/2021
ame of Agent... Phone # 00-488-2930
UI certify that, in the perfoUttho"
wo fo ch it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
that, if I should become surk m a I of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.,ppr�ramie 9/22/2020
DECLARATION REEK NG CO STR N AGENCY -
I hereby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 infa]�#ffilAIZfA
tlae provided is cor 1.
I agree to comply with all applicable citd cces d ate I 'n construction.
I authorize representatives of this city oa d pec Ion' es.
IS i nature of Property Owner or Authorized Print Property 0 or Authorized A enfs 4e ABDULLAH NOOR
ACTION DATE BY rDA T10N OFC UA E WITH CODE OF FEDERAL FOR ICE USE ONLY
SPART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED 1 crAMrrTFM ACRPcrnc mnanrnT nm Tn
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CERTIFICATE OF
OCCUPANCYISSUED ! -
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