HomeMy WebLinkAboutX2021-0100 - Permit ApplicationPrint Form
F Comm'I r Residential
FEulIdIngFGrading
t Address (Not
Sandcastle Dr.
;sheet for Building Combo Permit Application
City of Newport Beach - Building Division y,&02,1_0100 &0L1_O100
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
ige r Elec r Mech r plum Cu
—
CuYdCut l Cu Yd Fill F
791 addrEsa1
New/Add SFF —
OWNER'S NAME
sinks at
Floor Suite No
Use
# Storiesf 7 # Units (if Res)[
Remodel SF 75 Garage/New/Add 1 - Valuation $
Material/Labor 8798.00
Las. rKinn
Owner's Address
979 Sandcastle Dr.
CityCorona — -
del Mar
APPLICANT'S N
Last IMills
Applicant's Address
6611 Longfellow Drive
City Buena Park
State CA
State CA
ARCHITECT/DESIGNER'S NAME 1-�
Lastl
Architect/Designer's Address
City �—
State F�
ENGINEER'S NAME
Last
Engineer's Address
City F,
CONTRACTOR'S NAME/COMPANY
First I Jerry & Sharon
Owner's E-mail Address
Zip 92625 Telephone (949) 677-2714
First Mike
Applicant's E-mail Address
mmills2c0nsu ltmg@gmail. com
Zip 90620 Telephone 714-336-5519
First 1
Lic. No.
ArchitectlDesigner's E-mail Address
Zip F� Telephoned____
First i Lic. No.F -
Engineer's E-mail Address
i
State Zip Telephoned
AMERICAN HOME REMODELING INC C. No. 807029 Class B, C 36
Contractor's Address
4375 PRADO RD SUITE 108 Contractor's E-mail Address
daniel@goahr.com
City Corona Zip 92880
State CA � Telephone (951) 520-0654
ENERGY P/C FEE $ �- FIRE P/C FEE $
GRADING P/C FEE $ PERMIT NO.
------- PLANNING P/C FEE $ —_ PLAN CHECK N
ELEC/PLUM/MECH P/C FEE $ -
DEVELOPMENT # PLAN CHECK FEE $
TOTAL FEES PAID $
California License #807029
December 11, 2020
To Whom It May Concern,
Please allow this letter to serve as authorization for the following indiAduals to serve on
our behalf, as a duly authorized agent for above mentioned company. And as such, the
following individuals may obtain building/trade permits and obtain business licenses on
our behalf. Please contact this office if you have any questions or comments.
Aldo Mantellassi
Austin Cabral
Doug Randall
Eugene Jones
Jennifer Cole
Judy Hallock
Lital Cohen
Michael Mills
Randy Cole
Rylinde Cole
Victor Luna
Alma Vinita
Marilyn Warren
Robert Ramsey
Katherine Nebrida
Sincerely,
F r�
1.
James Darling'`
Owner/President
CSLB# 807029;
4375 Prado Road, Suite io8 Corona, CA 92878 Tel# (951) 520-0654 Fax# (951) 520-0770
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
A notary public or other officer completing this certificate
verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.
STATE OF California )SS
COUNTY OF � 1 Ju::-) (7
On before me, \ Notary Public, personally appeared
who proved to me on the basis of satiaactory,vidence to be the person(,,) whose nam e(Sf is/ re subscribed to the within
instrum nt and acknowl dged to me that he/ e/the e ecuted the same in his/f6/tt�r authorized capacity(ies), and that by
his!hZ signature(S`�on the instrument the person(x, or the entity upon behalf of which the person(S) acted, executed the
instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official
�) ».
Signature 61,
`'�'� S. PERRY
e, ) COMM #2266153 NOTARY PUBLIC -CALIFORNIA z
RIVERSIDE COUNTY
SS....°+« by My Comm65lon Expires Dec. 6, 2022
This area for official notarial seal.
OPTIONAL SECTION - NOT PART OF NOTARY ACKNOWLEDGEMENT
CAPACITY CLAIMED BY SIGNER
Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the
documents.
[] INDIVIDUAL
C] CORPORATE OFFICERS) TITLE(S)
PARTNER(S) ❑ LIMITED ❑ GENERAL
ATTORNEY-IN-FACT
TRUSTEE(S)
C GUAP.DIAN/CONSERVATOR
C] OTHER
SIGNER IS REPRESENTING:
Name of Person or Entity Name of Person or Entity
OPTIONAL SECTION - NOT PART OF NOTARY ACKNOWLEDGEMENT
Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form.
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW
TITLE OR TYPE OF DOCUMENT:
NUMBER OF PAGES
SIGNER(S) OTHER THAN NAMED ABOVE
DATE OF DOCUMENT
ReprWucW by First American Tftle Company 11/2002