HomeMy WebLinkAboutXR2022-2867 - PermitsCity of Newport Beach 11IIIIII111111111111111111111111111111111111111111111111I 11COMB Permit: XR.A 022-2867
Community Development Department - Building Division X R 2 0 2 2 2 8 6 7
n100 Civic Center Drive, Newport Beach, CA 92660 Plan Check Na : PG2(,22-2717
Permit Counter Phone: (949) 644-3288 Issued Date : ds/2412023
c P Inspection Requests Phone: (949) 644-3255 Inspection Area : 6
9C�pppN newpo rtbeach ca. gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Addition
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
Description:
SFR NEW DETACHED ADU 303 SF
Owner:
PAUL DI GIROLAMO
Address :
1112 SANDCASTLE DR
CORONA DEL MAR, CA 92625
Phone:
(310)713-3700
Applicant: EVERETT SMITH DESIGNS, INC
Address : 3437 POTOMAC CT
PERRIS, CA 92570
Phone: (951)323-2187
Owner/Builder : PAUL DI GIROLAMO
Address : 1112 SANDCASTLE DR
CORONA DEL MAR, CA 92625
Phone : (310) 713-3700
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
Legal Desc : N TR 6634 BILK LOT 9
Contractor
Address :
Phone :
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
2019 Fire Sprinklers :
V-B Fire Hazard Zone
R-3 No of Units :
No of Stories
Architect
Address
Phone:
State Lic
Engineer: MOKSUDUR RAHMAN
Address : 13611 12TH ST, STE B
CHINO, CA 91710
Phone: (213)400-8078
Designer: EVERETT SMITH DESIGNS, INC
Address : 3437 POTOMAC CT
PERRIS, CA 92570
Phone: (951)323-2187
NO Construction Valuation :
YES Added/New/TI sq. ft. Bldg
1 Alteration sq. ft. Bldg :
1 Added/New sq. ft. Garage
TOTAL sq. ft. :
Front: 12, Side: 6, Side: 6, Rear: 6
X
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
SPECIAL CONDITIONS:
Air
$75,000.00
303
303
OWNER -BUILDER DECI.AR-6TION - -
I hereby affirm under penalty of perrry 1ha' I art exer.vpt (teen the Contractors' State License Law for the reasan(s) indicated below by the checkmark(s) I have placed next to theapplicable items)
iection 7031.5, Business and.Professirms Code Any r�ity or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
m permit to file a signed staten.cat ;t,a, he ur she is licehseo 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
of more than five hundred dollars ($500).
1 1, as owner of the properht, or my employee-. w'th .vagec as their sole compensation, will do (_) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Concra':lo- s' 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
nprovereents are not intended cr offerad for sale. If, ;iowever,-Ihy 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
nproved for the purpose of sale).
11, 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
y 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),
am exempt from Iicensureunder the Contractors' State License Law for the following reason
ly rl y signature below I acknowledge that, except for my personal residence to which I must have resided for at least one year prior to completion of the improvements covered by this permit 1 cannot legail,
structure that I have built as an owner=builder if it has not been constructed in its orArot by licensed Contractors. I understand that a copy of the applicable law, Section 7044 oft o Busl oss and
'rofessions Code, is available upon request when t is app' is sub Ittetl rat th Ito ing Web site:http:/lwww.leginfo.ca.go\dcalaw.htmi. ,,�
.ignature of Property Owner or Authorized Agent s,f-Sfi Y yam z c 23. .
.ICENSED CONTRACTOR'S DECLARATIO V
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
Ind effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
ARNING; 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 ($100,000). IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjuryone of the following declarations:
I I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
Grformance of the work for which this permit is issued. Policy No.
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'
ranee carrier and policy number are:
Policy Number
Dale
IaA of Agent Phone #
�I ce ify ths'' in the performance of the work for which this pa It is issued. I shall not employ any person in any manner so as to become subject tD the warko s' compensation laws of CDlifomia, and agra
tat, if I should become st(Iy�Ne-�vprkers' r,ampgnsalion pr vkons of Seelion 3700 of the Labor Code, I shall forthwith comply w4lh Ihoso provisions.
gnaWre of Applicant Jj'
'ECLARATION REGA tNG C NSTRUCTIGN LENDING A ENCY
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, C. it COdeJ.
enders Name Lender's Address
y 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 andthe information I have provided is correct.
I agree to comply with all applicable city end county o�'�Da ices an late la relating to building construction.
I authorize representatives of this city or county, to nt abov -id ntifie prop rty for inspection purposes. d I '�1 / I L L L
InnaLaa of Prnnarty Owner or Authorized AaenL� I /� ) Print Prooertv Owner's or Authorized Aaents Name ry F i? t- !/i f-SI r LL�/%^�ate /
ACTION
DATE
BY U \
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY V \
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
_
PERMITCANCELLED�
EPA
PERYNT EXTENDED
_
QMD
PERVIITFINAL
CEPTIFfCATEOF
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ASBESTOS NOTIFICATION IS NOTAPPLICABU TO
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OCCUPANCY 65UED
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