HomeMy WebLinkAboutXR2023-2166 - Permits (3)�eWP� . City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIN\nsD
B Permit : XR2O23-2166
o� !,e Community Development Department - Building Division X R 2 0 2 3 2 1
100 Civic Center Drive, Newport Beach, CA 92660 Check No : 1660-2021
J Permit Counter Phone: (949) 718-1888 Date : 08/0712023
H y T
newportbeachea.gov/civic ate:
Combination Type - SFP ELEC Status: Issued
Work Class - Other tion Area : 2
aa o0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VA INSPEN, B LATER T N 3\SUNDAY
RIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SU AY IN I-4�tF,4T'DE EAS A NO WOAND HOLIDAYS IN ALL AREAS
\Iklo'oJob Address : 1914 ALTURA DR Legal Desc : N T 13 BLK� T 66
Description: DELTA 8 - (ADD'L SCOPE-REV2023- 4) RET W 24" X 108- @ FIR OF HOUSE/NEW DRIVEWA
Owner: MATTED BOMMARITO Contra' or ID MASONRY Aract : DA S SCOTT JOHN
Address : 1914 ALTURA DR Address 18 01 E PEARL AVE APT A( ss : 5233 ERSHOLD AV LAKEWOOD, CA
NEWPORT BEACH, CA 9 5 n- ORAN CA 92869 90712
Phone: Y 1 Phone (714v}' 66 Phone :
€Q " Con State Lic 16-.999t. ®®® State Lic
eq ' Lic Expire 0/ 4 y al
Applicant : IDEAL MA RY 'Bus Lic : B 81938 �°e'�++' a.�Z Engine
Address : 18801 EARL AV PTA ';� , Bus Lic Expire :0/3/0/2024 ° cad Ad ss
OR GE, CA �9 9"' -.� `N
Phone: 4)709- '+r`Woikers',Compensatio ur Phgt�9
Q Carrier: CLEARSP G PEIr2 ly) •��
Owner/Builder. .-j'Policy No: CWC()0 1 ` �'�•De ner:
Address :^'� ..,,'W. C. Expire: 2/22/2024 dress
Phone Phone: - F
Code Edition
Type of ConstructionV-
Occupancy Groups : -"M
Bldg Height : '1�"
Building Setbacks : Fro
Flood Zone: X
Use Zone : R-1
PROCESSED BY:
SPECIAL CONDITIONS
F14 nklers
Ne g` Zone
a S o Oro
V
inNle- 't ORedentiall
NO .Construction Valuation : $15,000.00
N Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg:
0 Added/New sq. ft. Garage : 0
TOTAL sq, ft. : 0
OWNER -BUILDER DECLARATION
I ereb affirm under e a I o perjury that am exempt tort the C ntractors St l teen a th r. i ' h y n r p n i y f p., I �' I p l r o a e L. s La a eason(s) ndl
(Section 7031-5, Business and Professions Gode: Any city or county that requires a pemtlt to co tict, at
prove, d I
the permit to file a signed statement that he Or she Is licensed pursuant to the provisions of L ootreato �(8 ate LI
Professions Code) or that he or she is exempt from lieensure and the basis for the allog xempho v(y viordli n�o c
not more than five hundred dollars ($500), `f� .n�
❑ I, as owner of the property, or my employees with wages as their sole com. sation; will qO �) all Rfr�q parion
Business and professions Code: The Contmclorti State License Law does apply to an Du•ner O p�plD ly who, throw
Improvements are net intended or offered for sale. It, however, file bal g or improvement Is s d I In one yea O com
improved for the purpose of sale). l�
❑ I. as owner of the properly, am exclusivaly contracting Wit rinsed Conlr ors to c tract the
apply to an owner of properly who builds or Improvesther and who o reels to p ctswit
❑ I am exempt from Iicoun;ure, under [he Confmclor tale Licens aw for it . o r
8y my signature below acknowladye that, except nr m persp reside! +m I m t , vo rr
sell a structure [hat I have built as an owner-beTdor if it s been con actscl In 'sty by lie
Professions Code Is available upon raquesi when I ?W (nation I h led o t I - followingy
Signature of Property Conner or AulhgffiPd A v _
LICENSED CONTRACTOR 5`OEGL�I IN
I hereby Rffam under penally df perjury I m Ileense er p 15i Of Chap 'cnc'
and effect. License Class _ '„ci
s o
OST OF COMPEN&A"I N, OAIMGES AS PR O FC
hereby affirm undo malty of ry of
have and will ma lain - Orlllfoae.
I mane. of tlta "vrork r,N his
eve and will maintain orko ..ompom
Ica race carrier and policy I littler ar.:�
is of Agent _
certify that. In the performance
If I should become subject to
of Applicant.
3reby iffrm underpenalty of perjury thal�ierE
ides Name �
my signature below, I certify to each of the IN
I ant the property Owner or authonzed to act
I have read fllis application and the In(ormmi
I agree to Comply milt all applicable city and
I authorize represenlalives of this oily or call
ACriON I DATE.
PERh1tT EXPIRED
PF.R,YrIi CANCEL! ED
PERlvfli EXTENDED
PERNNT F1NAi
CERTIFICATE OF
OCCUPANCY ISSUED
v
fv I.klallppllplu,
ark s) I have placed next to the applicable -Item s �bY heO p c n x l eO
repair are• prior to Its issuance, also requires the applicant for
for - :Omanh vn[h Saciion 7000 of Dlvfsian 3 of the Business and
9 )Ica t l C '1 e I
t Iitr.a ormit aub'ecls the a In o a Iw na t of
�P J pP P y
. -
k, and the structure ISM
ees' or personal Effort.
the Ownar-Builder will
llon 7044, Business and Professions Leone: I
Contractor pursuant to the Contractors' Stele
for at least one year prior to car
contractors. I understand that a
SetAkin
la UNLAW Y.IECT AN EMPLOYER G. IN VEIIAL'
OF'r L R E. C SY, AN
O ATTORN q
ar on
in5t ers' c mpenSaliOn, Iealle J the Director Of
IT ins! e 'required by Sf She Labor Code, for
Policy Number
which this er d, - -ol. employ a ersan-in
npansalr vi;/ s uf.3! on 3700 of Ih abet Cod a
and
CIVIL FINES
Vits CV,
e
work for which this permit is issued. My Workers'
Ided or offered for sale (Section 7044,
IT improves the property, provided that the
i burden of proving that It was not built or
.p
Contractors' State License Law does not
tense Law).
7044 of the Business and
my license-ii full force
DOLLARS i$100,0001, IN ADOITION TO THE
for by Section .3700 of the Labor Code, for
Date
so. as to become subject to the workers' compensation laws of California. and
I comply with those provisions-
DatX
the p rn a of the wwk for which this permit Is issued (Section 3097, Civil Code).
the proper ovy.PrOr's beh I
ha�c�Fled Is corr -
u Inancos a st - aws foaling m building construction.
to ter the ve- .ntfffed properlyfor inspection purposes.
Print Property Owner's or Authorized ,4 a
DK - ION OF COMPLIANCE WITH CODE OF PrOERAL FOR OFFICE USE ONLY -
R EG ULATIONS PART 61 OFT IILE 40 AND AQPAO RLI LF
1,103 _
.� pI�sURPAl1T D SRJSIOS NO [IF A. -ION TO _.._
i L EPA
i.,,.I F�tiRE5145 NOTIFICAI ION IS NO'f APPLICABLE '1'0
PROPOSED DEMOLIK&I
SIGNATURE;
7,