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HomeMy WebLinkAboutXR2023-0151 - PermitsSEW P" City of Newport Beach II II IIIII II IIIII IIIIII IIII IIII II IIII III jj COMB Permit : XR2023-0151 C� s' 11 Community Development Department- Building Division X R 2 0 2 3 0 1 5 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1660-2021 Permit Counter Phone: (949) 644-3288 Issued Date : 01/25/2023 U coo.. r Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 5�/F00.N` newportbeachca.gov/inspections Combination Type - SFP Work Class - Other PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1914 ALTURA DR Legal Desc : N TR 2813 BLK LOT 66 Description: SFR REROOF T/O TILE AND REPLACE W/ METAL ROOFING 168 SQS AND 2 NEW INDOOR FIREPLACES (REV2023-0144) Owner: MATTEO BOMMARITO MATTED Contractor: DILLON MORGAN SILVER Architect Address : 1914 ALTURA DR Address : 5819 WEST 74TH STREET Address NEWPORT BEACH, CA LOS ANGELES, CA 90045 Phone: Phone: (424)312-4737 Phone: Con State Lic : 1091235 State Lic Lic Expire : 05/31/2024 Applicant: DAVIS SCOTT JOHN Bus Lic: BT30080546 Engineer: Address : 5233 HERSHOLD AV Bus Lic Expire : 01/31/2024 Address : «►: LAKEWOOD, CA 90712 �,+�� i Phone: Workers' Compensation Insurance Phone: y Carrier :� Owner/Builder : Policy No: EXEMPT Designer Address : W. C. Expire: Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X a Use Zone : R-1 - Single -Unit Residential,,�, PROCESSED BY: SPECIAL CONDITIONS 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 items) (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).. 13 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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. II, 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 a p€y to an owner of property who builds or improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). I am exempt from Ilcensure 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 forat least one year prior to completion of the improvements covered by this permit, I. cannot legal sell a structure that I have built as an owner -builder if it has not been constructed in its amiroty 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;htip:/IWWW.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent __ Cift LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Septic, 0 0 off ' ision 3 of the fiusj less and Pro sions area and effect. License Class License No Date tab for Signature WORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THbUSANO DOLLARS IS100,000), IN ADDITION TO THE lOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: -1 1 have and will maintain a Certificate of Consent to calf -insure for Workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth nSrformance of the work for which this permit Is issued. Policy No. —1I 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' compensatior nsurance carrier and policy number are: ,arrler Policy Number Expiration Date J of Agent Phone # ify that, in the performa co f the work r whi [s permit is issued: shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre al, if I should beep subjec to he worker pens on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those' provisions. _ Signature of Applics _ Dat r�� �2 )ECLARATION REG DI T Ti ll G AGENCY hereby affirm under ralty of perjury It ere is a construction lending agency for the performance ofthe workforwhlch this permit is issued (Section 309 Civil Code). _endei s Name Lender's' Address Sy my signature below, I certify to each of the following: I am the property owner or authorized to act jnl,,,hA8'ep ty owner's bahalf. I have read this application and the informativided' come 4q I agree to comply with all applicable city andan we ar r„t to buildi„g construction.I authorize representatives of this city or wuNentified property for inspectlon purposes.Signature of Property Owner cr Authored AgenPont Property Owner's or Authorized Agent's Name ACTION DATE B, gFCLACA T^'J OF tnlvl P LIANCE. WITH CODE OF FEDE RAL FOR OFFICE USE ONLY RFGULATONS PART 61 OF TITLE 40 AND AONID RULE _ 149A PERMITEXPIRED IfUBIVU 'ED ASPESTOS NOTIFICATION TO PERMIT CANCELLED MEP PM -MIT -EXTENDED I MD PERMIT FlNAL 'aESTOS N N I5 NOTAPPLICAELE TO CERTIFICATE OF (a j PROP E TO QCCUPANCVISSUED 111 �Ii bluNAIUK