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Home My WebLink AboutX2021-1911 - PermitsOwner: BOMMARITO MATTED Address: 1914 ALTURA DR NEWPORT BEACH, CA 92625 Phone: Applicant: DAVIS JANE Address: 5233 AVE LAKEWOOD,WOODCAA 90712 Phone: 562-301-9026 Code Edit 2019 Type of Construc/Bldg'o Occupancy Grou Added /New sq.ftAdded /New sq. ftNo of Stories:No of Units: Bldg Height: a N Bldg Sprinkle, City of Newport Beach - Building Division ,Fl 2 IIIIIII IIIIIII IIIIIIIIII IIIIII II COMB Permit: X2021-191 100 Civic Center Drive, Newport Beach, CA 92660 II II' '( Permit Counter Phone (949)644-3288 Project No : 1660-2021 5. ?C Inspection Requests Phone (949)644-3255 3, Combination Type - SFP ELEC MECH PLUM ��V Issued Date : 09/10/2021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR Construction Hours: Monday - Friday 7:00 Job Address: 1914 ALTURA DR NB Description: SFR INTERIOR MASTER SUITE REMODEL 260 S Legal Desc.: N TR 2813 LOT fib Contractor Address: Con State Lic Lic Expire: Bus Lic Lic Exp Date: to JST BE C( 8:00 a.m. q,O�o <tdFANTE STRUCTION OKER Architect: 1046 S'` AVE SAIJ.,PEDRO, CA 90731 31 98-1391 Address P �1°056207 07/31/2023 n ®eer: A ass• BT,2OOM6$51 ,{ \ 09/30/2022. ,i �0` Worker's Compensation Insurance Q Carrier STATE COMP Policy No: 9298427 D a Expire 05718/2022 Building Setbacks,, Rear. 1 SpraPCc itions: Front M-, Left. / (L Right' / / n do e u-.,.a 7,...e - u ED BY 09/10/2024 OR PERMIT WILL BE INVALID p,m. No work on Sundays or Holidays 5233 Building Permit a 416.0 lax, 0.00 Plan Check Fee: $,361.9 �a��Y tonal Fee : $0.00 Overtime Plan Ck gtg00 , G ading Bonds F A 0.00 /-D Investigation Fee: $0.00 'PGrading PC C I t : ��V 0.00�. Record Management 20.00 �' s Grading Per i i, $0.00 9 9 Energy Compliance .00 Gradin PF .5�a $0.0 CA Seismic Safety $0. WO� �� $ 0 Disabled Access : ;$0.00 Q Hazardous Mat $d;00 4mbing cal %:�� $29.1 Building Green Fee : $1.00 - nical %: \ $16 4 %: 7. TOTAL FEE : $984.87 �Q. n Check Fee Ill CAZ9*Y.9=IamZYA ZONING APPROVAL: GRADING APPROVAL: ® x0esigner: ®O� �cJ Address �G.' yJPh e: (% / I eu Housing Fee : P Ire Works Department - Park Dedication : $0.00 PAN Plan Check: $50.75 San Dist: $0.00 NMUSD Fee: $0.00 N V 712 ;";State Lic: C035902(D State Lic: } Pei Pia ' i Fire Department $52.00 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 $413.92 Fee Due at Permit Issufa�nce : $570.95 PUBLIC WORKS APPROVAL: PLAN CHECK BY: AL {/ APPROVAL TO ISSUE: V OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law f he reasons) indii ction 7031.5, Business and Professions Code: Any city or county that requires a perm/exption. t, alter, improve, permit to file a signed statement that he or she is licensed pursuant to the provisions ractors' State Li fessions Code) or that he or she is exempt from licensure and the basis for the allegeAny violation Sec more than five hundred dollars ($500). O`O I, as owner of the property, or my employees with wages as their sole compensa iness and Professions Code: The Contractors' State License Law does not appl rovements are not intended or offered for sale. If, however, the building or im roved forthe purpose of sale). I, as owner of the property, am exclusively contracting with licensed C ractors, ly to an owner of property who builds or improves thereon, and who ntracts for ❑ 1 am exempt from licensure under the Contractors' State By my signature below I acknowledge that, except for my pel sell a structure that I have built as an owner -builder if it has r Professions Code, is available upon request when this appl Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm Hinder penalty of perjury that I am I' nsed un and effect Li-ense Class �WORKERS' COMRENSATION DEC 'WARNIN'G: FAILURE TO SECURE WORKERS' CO IICOST OF COMPENSATION, DAMAGES AS PR ��I hereby affirm under penalty of p ry o IIo have and .YII maintain car ifi �-nFrPkmance of the work f hich this FORON for the followi ce I which I IF led in, its a Itted or of the Il of orf(�4portions of 1f pro ejiy Id wit I�r one O� ho, throw ' year o orr below by the checkmark(s) I have placed next to the applicable item(s) or repair any structure, prior to its issuance, also requires the appiicant for .. pter 9 (commencing with Section 7000) of Division 3 of the Business and 731. by any applicant for a permit subjects the applicant to a civil penalty of work, andTXstructure is not intended or offered for sale (Section 7044, cloyees' or pdkonal effort, builds or improves the property, provided that the on, the Owner- ilder will have the burden of proving that it was not built or (� project (S tion 7044, Business and P with a lips ed Contractor pursuant to the for at least one year prior to a contractors. I understand that Code: The Contractors' State License Law does not :to ' State License Law). Df the im ovements covered by this permit, I cannot legal the applicaNe law, Section 7044 of the Business and Date rovisions,of Chapter 9 (commencing with Section 7000 of Div' 3 �i the business apse No Date -\Contractor Si UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE`N:A S AplL,11C�IVIL FIN/UIOZNETHE LABOR CODE, INTEREST, AND ATTORNEV'E FEES =9co consent to self -insure for workers' compensation, issuedby the I is issued. Policy No. )a)re and will mq' in worker compensation insurance, as regaired by Section 3700 of thAabor. Code, Lope carrier a policy I er are: ;Er _ �� Policy Number ne of Agerir _ C certify that, l.i the orm*, e of the work forwhlch this permit is issued, I shall not employ any person IT I should becom' ject he workers' compensatio ;provisions of Section 3700 of the Labor Code I nature of AODlicanta'�. hereby affirm under pen6lNof p 'ur Ender's Name Iy my signature below, I cerI oac 1 am the property owner or autl*r I have read this application and tIr I agree to comply with all applicat I authorize representatives of this immature of Prooertv Owner or Autho ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY155UED act on the 7lation I I construction. IMPLIA CODE OF "1" 61C IT OANDAQMD RULE NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE and my Iipenseys in full force DOLLARS ($100,000), IN ADDITION TO THE for by Section 3700 of the Labor Code, for for which this permit is issued. My workers' Date become subject to the workers' compensation laws of California, and agre, with those provisions. Date which this permit is issued (Section 3097, Civil Code). or Authorized Aq OFFICE USE ONLY