HomeMy WebLinkAboutX2021-1148 - Permits'tr'$
City of Newport Beach - Building Division
CORBEL COMMUNICATIONS
100 Civic Center Drive, Newport Beach, CA 92660
Address: PO BOX 2450
Permit Counter Phone (949)644-3288
875 EAST 145TH ST
Inspection Requests Phone (949)644-3255
NEWPORT BEACH, CA 92658
Combination Type - MIFF ELEC
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1148
x 2 0 2 1 1 1 4 6 Project No : 1029-2021
Issued Date: 05/18/2021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE 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: 1412 POSADA NB
Description: MFR RUN FIBER FROM IDF ROOM THROUGH THE ATTIC DOWN WALLS INTO UNITS (UNITS 1412-1423)
Legal Desc.: N TR 12309 LOT 4
Owner: IAC AT JAMBOREE LLC
Contractor:
CORBEL COMMUNICATIONS
Architect: CARNEY CECIL
Address: PO BOX 2450
Address:
875 EAST 145TH ST
Address: 9841 S DARON DR
NEWPORT BEACH, CA 92658
$0.00
BRONX, NY 10455
ORANGE CA 92861
Phone:
Phone:
917-939.6140
Phone: 714.665.9500
Applicant: FLORES PRINCESS
Con State Lic:
1047975
Engineer:
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
Phone:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
BERKSHIRE INSURANCE
Address:
Occupancy Group: R2IU
Policy No:
COWC141260
Added /New sq.ft. Bldg: 0
Expire:
06/25/2021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
No of Units : 10
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone: X
Use Zone: Parkinq Spaces: 0
Fire Hazard Zone : N
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:
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
P/W Plan Check :
$0.00
Electrical %:
$14.40
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
$102.40 Fee Due at Permit Issuance : $118.70
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
(l J
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:
(l J
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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 itwas 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.gov/calaw.htmi.
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 Se t' EN. o Di os - of the Business and Prof ions,Code, an my le@ Is in f force
and effect. License Class License No V (,e ( L C ractor Signature y/t�) �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 THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 the
aarformance 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
Date
ne of Agent '"1110 n
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
, if I should bec rt�a ubject to the workers' comm tions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iature ofA cant ,U..�W� l
compensation laws of California, and agre
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hereby affirm under penalty 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 c��un to enter the' a/b�ove-Idre—ratifie�d�p�rolg arty for inspection purposes. rr� c
ionature of Procertv Owner or Authorized; ent ��i e%�iW u S T � a3 Print Property Owner's or Authorized Agent's Nam ) I I c
ACTION
DATE
BY (
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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