HomeMy WebLinkAboutX2021-1174 - PermitsY'1Y0? City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�I II COMB Permit: X2021-1174
�. �,�, 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 1 7 4 Project No : 1029-2021
-`.' rr Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
.a-yrc,n. a Combination Type - MFP ELEC
Issued Date : 05/18/2021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511812024 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: 2700 AMALFI NB 2 A,
Description: MFR RUN FIBER FROM OF ROOM THROUGH THE ATTIC DOWN WALLS INTO UNITS (UNITS 2700.2710) LegalDesc.: NTR12309LOT3 ' zh�. MORI
Owner:
IAC AT JAMBOREE LLC
Address:
PO BOX 2450
COWC141260
NEWPORT BEACH, CA 92658
Phone:
917-939-6140
Applicant:
FLORES PRINCESS
Address:
19520 JAMBOREE
Bus Lic:
IRVINE CA 92656
Phone:
714-552-9316
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 10
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor:
CORBEL COMMUNICATIONS
Address:
875 EAST 145TH ST
COWC141260
BRONX, NY 10455
Phone:
917-939-6140
Con State Lic:
1047975
Lic Expire:
12/31/2022
Bus Lic:
BT30071633
Lic Exp Date:
04/30/2022
2019 Worker's Compensation Insurance
VB Carrier:
BERKSHIRE INSURANCE
R2/U Policy No:
COWC141260
0 Expire:
06/25/2021
0
CA Seismic Safety:
Building Setbacks
Rear: /
$0.00
Front: /
$0.00
Left: /
$1.00
Right: /
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:
Architect:
CARNEY CECIL
Address:
9841 S DARON DR
Additional Fee :
ORANGE CA 92861
Phone:
714-665.9500
Engineer:
$0.00
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone
Excise Tax:
$0.00
Planning Department -
$0.00
Additional Fee :
$0.00
Plan check Fee
Fire Plan Rev
Grading Bonds Fee:
$0.00
Fair Share:
Grading PC Consultant :
$0.00
SJH Trans :
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Refund Deposit
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee :
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
Electrical %:
$14.40
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
State Lic:C011980 •*
State Lic:
$102.40 Fee Due at Permit Issuance : $118.70
PUBLIC WORKS APPROVAL: ALl
PLAN CHECK BY:
APPROVAL TO ISSUE: /t
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: ALl
PLAN CHECK BY:
APPROVAL TO ISSUE: /t
OWNER -BUILDER DECLARATION
1 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 (_) all of or U 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).
❑ I 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 legalll
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.html.
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 700._gof Divis of the Business and Pr f s ions Code, and , lice se is in fu fo e
and effect. License Class License No p✓\ D C. Contracto'.�'CClgnature — 't/E J
WORKERS' COMPENSATION DECLARATION
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:
J 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 th
rmance of the work for which this permit is issued. Policy No.
ave 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' compensatio
nsurance carrier and policy number are:
carrier Policy Number Expiration Date
Name of Agent Phone #
L71 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 agre
:hat, if I should become bj ct to the/wrorke/rrs cCo)mpens 'on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of A� Cant jy�� " J�
DECLARATION REGARD G CONSTRUCTION LENDI NG AGENCY
hereby affirm under penal y 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).
-ender's Name Lender's Address
3y 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 city or our to enter the ove-i r,tified property for inspection purposes. t, 'L��p p`
Signature of Property Owner or Authorized/A�ent Print Property Owner's or Authorized Agent's Nary f I V Few D e ✓ /
ACTION DATE BY DECLARATION OF. 6OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTI FICATI0N TO
PERMITFINAL Tg17-/ /WV5 LkSBESTOS NOTIFICATION IS NOT APPLICABLE
CERTIOCCUPANCYISF PROPOSED DF L'IT�O/I
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