HomeMy WebLinkAboutX2022-1812 - PermitsCity of Newport Beach - Building Division "X2022-1812'
0'100 Civic Center Drive, Newport Beach, CA 92660
7 ! Permit Counter Phone (949)644-3288 -
' Inspection Requests Phone (949)644-3255
Combination Type - SFP
COMB Permit: X2022-181
Project No : 1660-2021
Issued Date : 06/30/2022
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0911012024 OR PERMIT WILE: V
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 HFO
Job Address: 1914 ALTURA DR NB
Description: SFR INTERIOR MASTER SUITE REMODEL 260 SF (CHANGE OF CONTRACTOR) REPLACES X2021-1911
Legal Desc.: N TR 2813 LOT 66
Owner: BOMMARITO MATTED Contractor: OWNER/BLDR Architect: DAVIS SCOTT JOHN
Address: 1914 ALTURA DR Address: BOMMARITO MATTED Address: 5233 HERSHOLD AV
NEWPORT BEACH, CA 92625 O/B AUTH ATT LAKEWOOD CA 90712
Phone: 3101528-4530 Phone: Phone: State Lic:C035902
Applicant: DAVIS JANE
Address: 5233 HERSHOLT AVE
LAKEWOOD, CA 90712
Phone: 562-301-9026
Code Edit :
2019
Type of Construction:
V-B
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
1
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Con State Lic: CIS
Lic Expire:
Bus Lic:
Lic Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use Zone: Parking Spa
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Construction Valuation:
$0.00
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee: $0.00
Additional Fee :
$38.00
Plan check Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans
Record Management :
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety :
$0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$0.00
PIW Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist : ,
$0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $38.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
State Lic:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $38.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: /
APPROVAL TO ISSUE: l
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, improves, demolish, or repair any structure, prior to its issuance, also requires the applicant for
1e 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).
7 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,
lusiness 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).
D 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below 1 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
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 thIwtpplicati n is �Qbmi d he following Web site:http://www.leginfo.ca.gov/calaw.htm1.
;ignature of Property Owner or Authorized Agent I IMF-�� `-� Date,!n- L
.ICENSED CONTRACTOR'S DECLARATI N
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
IIORKERS' 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 THOUSAND DOLLARS I8100,0001, 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
'ormance 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' compensa
Trance carder and policy number are:
Policy Number Expiration Date
of Agent
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date_
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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 county to ante gtheab above -identified property for inspection purposes. 1�
1?1 ti/� -:_. ---- .. ,,...- -- �...�--'---' " --- — ., 1' 1M rM\ t O 1/1 ✓�
ACTION I DATE
PERMIT EXPIRED
P€RMITCANCELLED
PERMIT FINAL p ,L,.
CERTIFICATE OF it ((O ,2S P"
OCCUPANCY ISSUED sy,
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION IS NOTAPPLICABLE TO
E-
W
>
xz
Lo
m
Z
v
a
W
�M
W m�
O
LL
E,
Azrto
Z
C) 0 m
Z
Ojz]S�mV
iC F-I z
A m
O C7 � °
Z
W
W
�J
WAm°m
m
w
p7
O��mm
F ? c
o
~
Z
m
Q
vo
w
Ci U
o
0
0
amLm macO p'uS7 wuN °°v.cEOJ n>mm TcE°= Is 1o 1 m
a m cm m -°m oo°w w o
O' C_ Z = N CAUL m y N C y C l6C U N w 3 a) N N N
ms
N_ mooc o� N
�
1w a >ccUo E
O �? ET
m m m .N
�� c o� •mp m Q aci a!� °aci
° m d. - c °
OLL o aamaEiorn ° ° 3m� 3E- m(D
° E� 7� Z a m=� �� -e om '°o �`� �Qcv QO=� 3
__ 3ma� m a)w c o me o Cr)'
C w0 >, A N m w .�.0. .. 0- -= 0 0 O N >` C 0-0
a l0 n 3 N ` w w e
n
y C a 2 '° O i > r N°O �- �O CO L a N -6 O W Y N 3 L m
ma° Z m mm.cmmor L o. c vi m m° 3 Uo
a)N C C m a O_ G r 0_ n N ca .n O >. a) = C m w_ t6 J p N ..0 N
w E m' :_'0 3 o ova m mn ° y= a) m 3 w
Z T C = D_ _>= m Ii n Y m m t w m Y . a) "' m 0 L 7
0 aa)E 00 V N mc°ic >c �'`o> cLE° ou
O o E_ �T LL Eom> NU aR >wm �a3o �'3=m �c
o o'rai o -tea m'�mca m� J =� mas
N R� ru
C m Y m O co-
W m .. a °' ` O n N m {� 3 n O N y V N „m' m 3 O n=
00 W N 0 'G 0° fl. > $ D_ O N O. N O N .L.. �' O y0 N N N 3 O- L m +. m O. a
rn -o o v m
a0 m Z 3 N ❑m c c_E �_ E m E 3 c w' t v af0i w N E° O @
U n Qm 'oo" Q ° mcET _° mco -0 a c° >,XLL o°m't -yE
fn a N' do >'°� H 2 0�3cEy me -6-6 � � o-=°��0 ��'Oa �u°io
= O c -°°- y..o Z =0= w _ °.2) -0 20 E -oc ERCw _-0CL
H m m m G y 'L E• O c m T= d = O -o 2'; 7 m a) C °- G T m = O m 0 0 m? y
w nE m wv c
U ti � w ="" a) U' w m 2 mn � m d o =gym o off? m °-c ur U � Co
F Y = a) E y c G S d_--° =w' m ,2 o? „_ E U L) a 'D o. ° m c n E
p 3_ `yr ° W s ro c m 0 m e ma o E m °c E.o E cmi Nrm m e
J m o
Z Ea
mOc fl-.o m ny �'m m Ec 3 �� m TQ a� a°i m °yew N 3
a� m o E` o Q m e c c c nc p Er a}N am m 3 cg 6 c 3 o-ID
=
man°-O_'voc Z mE�w ca rn� ca°io °E E'N c°acmm Ucmm Opc
c� =gdn `S ;c a��wa) c° mod ma`) m>c miE d2=o
�w3Lm� V mao•cma ay c a- o EEo° aNT ��v
°�=LL a Q wrn-oE. a °c oc mac) mEam
n O M. C m m m C (C 'C L 3 C ro T._ () O O m E 7 -O m m C m
E> T a7 ui CO O O m N 6 -> m O a T m N
�LOm� 3� ° d. a a. mTT� a° cE� a� cyT crn>> �0E`m co
3 c `oa EO H e o Z Na,E m� co w3 w y E �a E N R o m N o , m mo
L DoEomNo�jj o� vi ma`)��'CO mo -moL� �c vmui Lm�Q?w n.m -mom2
o-- a) cmo O O Imo=°No ' °cs cc �od -DO
°- of 00c 1_ -fin 0-
0 _y -�° -m c -cm -mY -ao
d m 2 IO T m �i .N L ... U m om' T m T N CO V� U LO R E (D m U N I� d 0= aD °
c°"my3moa) 3=REcE Cv> c-o °=ay rn3tc -oa)
�a�E0 3d 3cc�c " cm mm 0 9I
>.�coa O�o:c.omo�=.c ZI:Uminm.°'Nm3U SI��
� � cc
0
u
N Z
O
N 0
c'<
CD 0
O S
N
CD 0
N
N N
a
S
N
_
CD
CD
T
O
m
•<
O
_
CD
U)
_
v
c
fD
m
m
'°-
C
CSD N CD a
a
v
3
l0
O-0
CD foil x
:
��
S O
a�o�
v
'N
CD
-Oo°-oc
m o= a
N
.
v= m
(D
N
O
r
O m
p' �I
o� c
o
o
m
nm =
D
03
c
m
ti 3
w
°���
c
(Q'CD
N' o m
c
O
O
.N.. N— CD
N
Z O
O
N
O
Cl C .0
N
CD
" COD
N
O•
(Np'
°
aS
CO°
om
My vso°
D '
°=
0
CO Err
o
CD
`c'
° v
O
a CD
o�o�
m
v=�a.
"n
C N
CDCD
co
v
;.pao
(�
m
0 �o-
So
'o0
Z
b O
o m
CDm
l
m =.m
'0
CD
CL
O
a
0
CA 00
CD
O D CD
0 C
CL
m
�a-
v
,Kzo vm
-u - m
�.
1 N N
O
Z
m Q
CD
o m a
<
M
3° o
a
o°
8
CDc0
m=
o.°-o
a
m CD
O
N
O
O
(p G CD
��
O
=r
1 N
CD m
R 3
N-
OCD
m m
c o a
1 'Op
m
N=
m
Z
c
a
Z
0
m
co
CX CD
°
O m
A
CD
O N
p 0 N
0 m
m
0a
m N
O =
,� a
a
C°D
�-0 0_
m
m
m
CD Cr
? K
�D o
C9
a C1CD
m N
CD
��
CD
?�
T
O
CD
v
•G
O
_
a zo W ° o ao n � r m m y o c 3 =
v ° m o=S� = 3�. _ °WCP
-°CL
ML
v 3 CD
N o_ v o3
Coca °:.co-vino=o �.v o.°-w 3Q <_
=-0 �v3tOCR oco °�3 mo3v�
F O N =
.. z N m N a) CD ^" __ C 4!
•r. A SK C G° m Q N N— m m N N m
�. N S 6 N m O 0 w m m 0 O m =a
0 = -v -o ° o c- a2 -
m .. N < <K COD S .-"v, K m CD — Cn 3 COD
3
l a S•y O= O, _N :3mK m N -O m m D m CD `<
ovo <omc°cN v� =mC��o
ti 00
m 3 m0 C N N fC O m 0 'G a O CD r m CD Q
Co m
G O ti' N m N 3 (n N 0 6 CD C� v_'G 7 ? v O.
y�m� o�v vvgK oo vm vm m 0cnm
3 m m = m = o< m
CN 'c c 3 c �• (vn o (fin N m a v o
fD �. m W aaQ 3 2 CL ti.
n a ? 6 C p— N CD O m m v o Cn 3
`c Co N n i �o �N o 3 no 2.* Cf)
m ?= �v � 3 = m N r3-o
N 0) (D m m o m m 0 3 Dco W� co
C C! W 0 0-0.< O O O CD
'0M -oixo3M,-o -°°-
(D E 0 CD y= C "O N 3 N O CD '� m N d
vac Q �o m- W m �� ca- onCD
Y°
•� Z 0 CD �; K d m -n � N a � 0 3 3
N 0 C 0 C N 0 d CD j N j O (O m P. O
1 N..o CD N 3 .0 K N '0 0• N O"
0 3 3 M a 0 7 p l<< LO—S Q. O CD O N r m v CO
= o (D
3 p'j " m ao :1 wCD Ei`<N 3 N v N C 7
m c
! 0N1 N Ca CD _n K" 0 0 50
N S a'O N N v fmn
_ N O
N 0= CC m 0 0 G ''a< N O m CD -p d O p�j
.r C3D N 0 W'OO C' CL O. ° CD
Q O o CS CD m N 4! m_ CD O
W m = N y .== 0 O CCDD O_ = 3 N p
C S N CD N d p S O N O n `< a- 0 .v0 CD
0 0 o m= 5 3 m < m o v 3 0
N CD O N m 0 N ^ m
N
o• a. 2:OOv== mo S= m a o m 0
m �< CD a K m O N= ti, (D