HomeMy WebLinkAboutX2021-1170 - PermitsCity of Newport Beach - Building Division
t - 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
1 Inspection Requests Phone (949)644-3255
eat3rasa"1'' Combination Type - MFP ELEC
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : X2021-1170
Project No : 1029-2021
Issued Date : 0511812021
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:
2512 SALERNO NB
714-552-9315
Description:
MFR RUN FIBER FROM IDF ROOM THROUGH THE ATTIC DOWN WALLS INTO UNITS (UNITS 2512-2522)
Legal Desc.:
TR 12309 LOT 3 POR OF LOT
r
�n s13Y
$0.00
Building Green Fee :
$1.00
ta�:
Owner:
IAC AT JAMBOREE LLC
Contractor: CORBEL COMMUNICATIONS Architect: CARNEY CECIL-yt
$0.00
Address:
PO BOX 2450
Address: 875 EAST 145TH ST Address: 9841 S DAFON D(
g
NEWPORT BEACH, CA 92658
BRONX, NY 10455 ORANGE CA 92861 999
Phone:
$0.00
Phone: 917-939-6140 Phone: 714-665-9500 State Lic:C011980
Applicant:
FLORES PRINCESS
Address:
19520 JAMBOREE
Record Management:
IRVINE CA 92656
Phone:
714-552-9315
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 : 12
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
$664.00
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: 06/25/2021
Building Setbacks
Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
parking 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 Zone : N
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
PfW 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: �-r"
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: �-r"
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).
❑ 1, 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).
❑ 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.govlcalaw.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 700M of Divj; op � of the Busines and Pr f s ion Code, an lice se is in f fo e
and effect. License Class License No tTaiP' D (. ContractoSJ ignature , 'V f
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 ($'166,066), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
ZI 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,
"imance 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
of Agent
Date
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 b1 ct to the workers' compens 'on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of A, cant i�/�w " f IN t%L/ p• � I
IECLARATIO GAR NG CONSTRUCTION LENDI ,q AGENCY
hereby affirm under penally 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
y 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,,i;mgty3to enter the gt,_ove-i0entified property for inspection purposes.
iignature of Property Owner
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL %
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DECLARATION OF 6OMPLIANCE WITH CODE OF FEDEF
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
NOTIFICATION 15 NOTAPPLICABLE
Owner's or Authorized AD
I FOR OFFICE USE ONLY
02
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