HomeMy WebLinkAboutX2021-1121 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone(949)644-3288
Inspection Requests Phon(949)644-3255
Combination Type - MFP ELEC
COMB Permit: X2021-1121
IIIIIIIIII0IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No: 1029-2021
Issued Date : 05/18/2021
Inspection Area : 4
Applicant:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511812024 OR PERMIT WILL BE INVALID
Address:
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:
112 LAURENT NB
714-552.9316
Description:
MFR RUN FIBER FROM OF ROOM THROUGH THE ATTIC DOWN WALLS INTO UNITS (UNITS 112-119)
Legal Desc.:
TR 12309 LOT 7 POR OF LOT"
Hazardous Mat
Owner:
IAC AT JAMBOREE LLC Contractor:
CORBEL COMMUNICATIONS Architect CARNEY CECIL 1 f v '
Address:
PO BOX 2450 Address:
875 EAST 145TH ST Address: 9841 S DARON DR z '',�„
Refund Deposit
NEWPORT BEACH, CA 92658
BRONX, NY 10455 ORANGE CA 92661
Phone:
Phone:
917-939-6140 Phone: 714-665-9500 State Lic:C011980
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/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 8
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:
12131/2022
Bus Lic:
BT30071633
Lic Exp Date:
04/30/2022
Worker's Compensation Insurance
Carrier: BERKSHIRE INSURANCE
Policy No: COWC141260
Expire: 06125/2021
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: /
Parkino Soaces
$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:
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:
$102.40 Fee Due at Permit Issuance : $118.70
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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:
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)
ction 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
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
fessions 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
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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iiness 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
�rovements 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
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
,ly 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).
J I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 thi.
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION /
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SPISQ 700p�af i '�a1'er�/(the Bueiness and Profs ions Code, a d my tc se is in fyil rce
nd effect. License Class License No Dat �`� D 1 `tel Cr_rvrrrlaJ
-tor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP! - ONE HUNDRED T OUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST 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:
and
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 of the Labor Code, for
'000rmance of the work for which this permit is issued. Policy No.
mpve 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' compensa
Ira ce carrier and policy number are:
Policy Number
of Agent
Date
certify that, 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 agre,
I, if I should ecome s e t to thf;worers,' compensat' revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of pplicant rVilJ�y\ pVBf/�
CLARATION REGARDI G CONSTRUCTION LENDIN AGENCY
:reby affirm under penalt 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).
Ider'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.
I authorize representatives of this cityyP ounty t nt��e abov -i ntifi o erty for inspection purposes.) �71C `\ (G,t -t-{� �/) g)Z)
nature of Prooertv Owner or Authoriz gent �/ Print Prooertv Owner's or Authorized Aqen Name .�/ /
DATE BY IDECLARATION � TIONS POA T0616 TIITLE 40 AND AQMD RUCE WITH CODE OF LE
1403�L FOR OFFICE USE ONLY
SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED UAQMD
PERMITFINAL /y lk T ASBESTOS NOTIFICATION IS NOT APPLICA LF`TO
CERTIFICATE OF PROPOSED,L}EM. 0 r, 6
OCCUPANCVISSUED SIGN ll' `" 1 ���I IjN
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