HomeMy WebLinkAboutF2021-0598 - Permits04"""4'�Jll
City of Newport Beach - Building Division
75100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 1112 SANDCASTLE DR NB
Inspector Area;
i1
Owner: DIGIROLAMO PAUL
Address: 1112 SANDCASTLE DR
CORONA DEL MAR, CA 92625
Phone:
Applicant: MA JONATHON
Address: 265 WICKER
IRVINE CA 92618 -`
Phone: 949-294-198
^'
Code Edit : 2019
�ar(•e1-
Type of Construction:
Occupancy Group:
U
Added /New sq.ft. Bldg:
Added/New sq. ft. Garage:
No of Stories:
0
No of Units:
0
Flood Zone:
Bldg Sprinklers:
N
Construction Valuation
Building PC Fee :
Building Overtime PC Fee:
Building Extention Fee :
Building Investigation Fee
Fire Plan Check Fee:
Fire Permit Fee:
Building Permit Fee
*F2021-0598`
1FPEECTO�
I
Description: SFR FUEL MOD (X202171485)
FIRE Permit: F2021-0598
Project No : 1299-2021 1
Inspection Requests Phone
, ,
Legal Description: N TR 6634 LOT 9 -- -: %" f r-Lt6O�i
Contractor: VOG ARLESM �:�''iw•\'= "!�,%'Architect: MA
Address: MANZANITA LANE OC �t, Address:
:A,
MANHATTAN!�EACH CA 9CIU( ON IRVINE *92618 '' 1
310-613--Ve \j one: 949-294- 88 State Lic: C031039
00 W 41011
Engineer: MANI DEV ` '
Address: 3130 E WILLOW ST '
LONG BEACH CA 90803
Phone: 562-597-8883 State Lic: C-0627 iA
Designer: .. ,
Address:
Pho
Sped 1 0�
(� �i_P�a�edl
111111111110011 OaX ` FEES
$0.00
0$ �.h �tesidential Alarm PC Fe nning Counter Re
$0.0 Q(K Planni on Fee:
1$0.0 '
$0.00 _ " is Works PC
$0.00 V CA '. Public Wo affi heck Fee;
11 TOTAL FEE : `;\~�$491.00 i� .tn Check Fee:
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
VNSP•
$0.00
$0.00
Records Management
$0.00 Fee Due at Permit Issuance
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
$0.00
$0.00
$0.00
$491.00
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forth a reason(s) indir
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demi
1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sectil
of 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 (_) portions of tt
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year ofcompl
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, 1
pply to an owner of groperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor
I am exempt from licensure under the Contractors' State License Law for the following reason:
.y r ry signature; below I acknowledge that, except for my personal residence in which I must have resided for at least one yl
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unr
'rrfessions Code, is available upon request when this application is submitted or at the following Web site: http://w .leginf
'ignawre of Property Owner or Authorized Agent
.iCEASED CONTRACTOR'S DECLARATION
helaoy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
id :;f`.ect. 21
irq�se Class License No Date
COMPENSATION DECLARATION
IARNINC_ FAILURC TO JECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENAL'
DST OF COMPENS.1,ON, UAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under ni-nalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self4nsure for workers' compensation, issued by the. Director of
erformance of the work for which this permit is issued. Policy No.
//shave and will maintain workers' compensation insurance, as required by Section 376o, of the Labor Code, for the pe
Isufance carrier and policy number are:
me of Agent
I certify that, in the pl
It. if I should become
Policy Number
ed below by the checkmark(s) I have placed next to the applicable item(s)
h, or repair any structure, prior to its issuance, also requires the applicant for
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
work, and the structure is not intended or offered for sale (Section 7044,
Dloyees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
'calaw.html.
Date
rision 3 of the Business and Professio6 s Code y license is in full force
(Contractor Signature
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
work fo h' h this permit is issued, I shall not employ any person in any manners as to become subjec to the workers' compensation laws of California, and
lkers' c m2r sation provisions of Section 3700 of the Labor Code, I shall forthwith qomply with thosepi o Isions.
signature of Applicant
IECLARATION REG DI NST CAN L N GENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
Ender's Name Lender's Address
Iy 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 Inancesn nd state laws relating to building construction.
authorize representatives of this city or cougty;Co ejltr tpy ab ntified property for inspection purposes.
of Property Owner or
permit is issued (Section 3097, Civil Code).
0 Vq S� h
ACTION
DATE
BY
DECLARATION OF COMPUANCE MTHICOOE OF
FOROFFICEUS€ONLY
FEDERAL REGULATIONS PART 61 OFT TLE40 AND
AQMD RULE 1403,
PERMIT EXPIRED
❑ I SUBMITTEDASBEST05 NOT7FICATION TO:
❑ EPA
PERMITCANCELtED
❑ AQMD
PERMIT EXTENDED
❑ ASBESTOS NORFICARONIS NOTAPPL.ICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATEOF
SIGNATURE:
OCCUPANCYISSUED