HomeMy WebLinkAboutF2023-0280 - Permits�EWPOR� City of Newport Beach
p� Community Development Department- Building Division F 2 m 2 3 0 2 8 e COMB Permit: F2023-0280
100 Civic Center Drive, Newport Beach, CA 92660 1 : Plan Check No 299-2021
Permit Counter Phone: (949) 718-1888 Issued Date : 07 23
e.newportbeachca.gov/civic
C9(/FOPN�P Combination Type - Final Date:
Permit Status: Reissued
Work Class -Other Inspection Area : FIRE
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 : 1112 SANDCASTLE DR Legal Desc : N TR 6634 BILK LOT 9
Description : SFR FUEL MODIFICATION (XR2023-1576) CHANGE OF CONTRACTOR & REPLACE EXPIRED F2021-0598
Owner: PAUL DI GIROLAMO
Address : 1112 SANDCASTLE DR
CORONA DEL MAR, CA 92625
Phone : (310) 713-3700
Applicant: PAUL DI GIROLAMO
Address : 1112 SANDCASTLE DR
CORONA DEL MAR, CA 92625
Phone : (310) 713-3700
Owner/Builder :
Address :
Phone
Contractor: OWNER/BUILDER
Address :
Phone:
Con State Lic : OWNER/BUILDER
Lic Expire:
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No: 0000
W. C. Expire :
Code Edition : 2019
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
YES
Occupancy Groups :
No of Units :
1
Bldg Height :
No of Stories :
2
Building Setbacks : Front: 12, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS: PERMIT REISSUED 01/21/2025
Architect: MA JONATHON
Address : 265 WICKER IRVINE, CA 92618
Phone :
(949) 294-1988
State Lic :
Engineer:
DEVMANI
Address :
3130 E WILLOW ST
LONG BEACH, CA 90803
Phone :
(562) 597-8883
Designer
Address
Phone :
Construction Valuation :
$0.00
Added/New/TI sq. ft. Bldg :
0
Alteration sq. ft. Bldg :
0
Add/New sq. ft. Garage :
0
TOTAL sq. ft. :
0
OWNER -BUILDER DECLARATION
I thereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(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
Prefettslons Code) or that he or she is exempt from licensors 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
of m hundred dollars ($500).
, a o er of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
sine s 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. If, 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
Ia--ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
5LJ 1 am exempt from licensors under the Contractors' Stale License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements cove ed by this permit, I cannot legally
sell a structure that I have built as an own build if it has not been c0 trotted in its a irely by licensed contractors. I understand that a copy of the applicable law, i n 7044 of th Bust ass and
Professions Code, is available upon request n ' app ation is bm' ed or at I f Ilowing Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized nl > to —�-
LICENSED CONTRACTOR'S DEC RA 10
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing With Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,0001, IN ADOMON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and Will maintain a certificate of consent to self -insure for workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih
performance of the work for which this permit is issued. Policy No.
❑I 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' compensatiol
irsu�pnce carrier and policy number are:
Policy Number
Date
Jr Agent _ Phone q
L�rtify at. ..i the performance of the work for which this Omit Is issued, I shall not employ any person in any manner so as to become subject to the work s' compensatio laws f California, and agrE
'shoo rREGt.ARDINGCCNST1RU
subs the workeULIE10112iGENCY
mpensapr visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
,13orture of ��OC
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code).
.cnde-'s Name _ Lender's Address
3y my signature bblow, I certify to each of the following:
I am the pmpertv, owner or authorized to act on the property owner's behalf.
I have read Lois application and the information I have provided Is correct.
I agree to comply with all applicable city and ri inances and stale I relating to building construction.
I authorize representatives of this c' or un t ter the ve- entifi property for inspection purposes. 11
i nature of Property Owner or Authoriz A en c, � i v Print Property Owner's or Authorized Age s me U l i iI-V ate L 1 L'
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
13EPA
PERMIT EXTENDED
0AQMD
PERMIT FINAL
CERTIFICATE OF
C
'�j 1 I
f��:V
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE: