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HomeMy WebLinkAboutX2021-1159 - Permits0r«� City of Newport Beach - Building Division �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1159 e5 ,4 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 1 5 9 Project No : 1029-2021 rN. Permit Counter Phone (949)644-3288 u #i Inspection Requests Phone (949)644-3255 «.< Issued Date : 0511812021 t ty Combination Type - MFP ELEC Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/18/2024 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 worir on Sundays or Holidays Job Address: 2216 BRINDISI NB Description: MFR RUN FIBER FROM IDF ROOM THROUGH THE ATTIC DOWN WALLS INTO UNITS (UNITS 100.111) < Legal Desc.: TR 12309 LOT 2 POR OF LOT Owner: IAC AT JAMBOREE LLC Contractor: CORBEL COMMUNICATIONS Address: PO BOX 2450 Address: 875 EAST 145TH ST CA Seismic Safety: NEWPORT BEACH, CA 92658 Disabled Access: BRONX, NY 10455 Phone: $0.00 Phone: 917.939-6140 Applicant: FLORES PRINCESS Con State Lic: 1047975 Address: 19520 JAMBOREE Lic Expire: 12/31/2022 Address: IRVINE CA 92656 Bus Lic: BT30071633 Phone: 714-552-9316 Lic Exp Date: 04/30/2022 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 : 10 Bldg Height: 0 Bldg Sprinklers: none: Construction Valuation: $830.00 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 ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: BERKSHIRE INSURANCE Policy No: COWC141260 Expire: 06/25/2021 - Building Setbacks Rear: / Front: / Left: / Right: / use zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $14.40 $0.00 $0.00 Plan Check Fee Architect: CARNEY CECIL E-"1 -3s Address: 9841 SDARON DRQ $0.00 Phone: ORANGE CA 92861 [ i*crCO1198p $0.00 714.665-9500to Park Dedication : Engineer: P/W Plan Check: $0.00 Address: $0.00 NMUSD Fee: Phone: Refund Deposit State Lic: Designer: Grading Bond: $0.00 Address: $0.00 Phone: Special Conditions: rare nazaro cone : 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 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $102.40 Fee Due at Permit Issuance : $118.70 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 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) lection 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 ie 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 'rofessions 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 of 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 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 that it was not built or nproved 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 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: y 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 Iegalh 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 the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi. ignature 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 Section 700 f p�v,'l ion 3 of the Busl�ess and Profes 'ons Code, I my 'cense in f Igorce nd effect. License Class License No Da4e 1 D Z Conil�ijtor Signature d YORKERS' COMPENSATION DECLARATION ✓� ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED LUSAND 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: 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 erformance of the work for which this permit is issued. Policy No. have 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' compensatiol isurance carrier and policy number are: Policy Number of Agent Date ❑I certify that, in the performance of the work forwhich 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 that, if I should P ecomevsu jec(to the workgrs' cg _ n Ill visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of A Iicant A\ ��) h'y DECLARATI REGAR ING CONSTRUCTIO ENDING AGENCY I hereby affirm under pen Ity 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). 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 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 re r.e..s. e..n.t.a._t_iv.e_s. of this �r c_o_u�IY7 o a ter the atibvQQi\dent! I inspection purposes. ACTION DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E TITLE 40 AN D AQMD RULE 1403 LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED ISNOTAPPLICABLE TO CERTIFICATE OF OCCUPANCY ISSUED