HomeMy WebLinkAboutE2023-0060 - Permits�EWPOQT City of Newport Beach
0� ecn Community Development Department- Building Division E 2 0 2 3 9 0 6 0 Electrical Permit: E2023-0060
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2rIZZ•'�t�
Permit Counter Phone: (949) 644-3288 Work Class : Other
CgC�FORN`P Inspection Requests Phone: (949) 644-3255 Issued Date : 01I30/2023
newportbeachca.gov/inspections Inspection Area : 2
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 : 2007 SEADRIFT DR Legal Dose : N TR 2813 BLK LOT 16
Description : ELEC FOR BBQ (XR2022-3070)
Owner: SPOTTED DOG TRUST (Jt Contractor': AKINS HOMES
Address : 2007 SEADRIFT DR NE T E Address : 3185 AIRWAY AVE STE D2 COSTA MESA, CA 92626
Phone : (949) 933-1685 1 V Phone : (949) 715-5445
+Ir Con State Lie : 801814
Applicant: AKINS HOMES ,„ .Lie Expire: 12/31/2023
Address : 3185 AIRWAY AVE-STE D2 COSTA MESA CA-92626 �t k r �&pus Lie : BT30008749
Phone: (949) 715-5445 - '� t.,y'; ,r '!Bus Lie Expire: 01 /31/2023 ,
Workers' Compensation Insurance
Owner/Builder : 3'Carrier : STATE COMP
Address : °'� ,�;*, 1A Policy No : 9042529
Phone: i '' W. C. Expire : 2/1/2023
Code Edition : 2019 Fire Hazard Zone N �>>
Type of Construction
Building Setbacks : Front: 10, Sid : 4,-Side: 4, Rear: 10
Flood Zone : X
Use Zone: R-1 - Singl - ni. Residential
,
PROCESSED BY: j
SPECIAL CONDITIONS:
Occupancy Groups:
i
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the Checkmark(s) I have placed next to the applicable item(s)
'action 7031.5, Business and Professions Code: Any city or county that requires a permil to Construct, after, improve, demolish, or repair any structure, prior to its Issuance, also requires life applicant for
IS, 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
rofessions 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).
11, as owner of the property, or my employees with wages as their sole compensation, will do t_) all of or (_) portlons of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal _fIffort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the,Owuar•1361fder will have the burden of proving that it was not built or
nproved for the purpose of sale).
property, y g - p f { 'g - , Gf ` t Contractors State License Law does not
I, as owner of the am exGlusivel contracting min licensed Contractors to construct the project 5actTon 7044, Business and, Pr essvns Code: The C
poly to an owner of property who builds or improves thereon, and who contracts far the profectswith a licensed Contraci r p4muant to. the��Ltintraetors StateLicenseLaw).
1 am exempt from licensure under the Contractors' State License Layy;t#wfheYblfotimng reason.
Iy my signature below I acknowledge that, except for my,p ante which I must have residgd-feral least one year pnc r„lo 99M Ion trtf a improvements Covered by this permit, I cannot legalli
ell a structure that I have built as an owner-bullpf#�fi lrKvas not b in its aniir ey-IYc`onsod Contractors. I ulid rstamd"theta copy of the applicable law, Section 7044 of the Businessand
'rofesslons Coda, is available upon r�gste5't'w7tan this app c s t ad- t't a fallowing Web site http 1Nvrw +.legin`fo.ca.govlcalaw,fitml,.
signature of Property Owner or Adinorized Agent -, _:._ ' r D• Oat
.ICENSED CONTRACTOR'S 4ECLATr A,-ttO r�l. {'
hereby affirm under penalty of penury th4T'� am licensed under pro,,_sions of Chapter S (commeni,IHg wdh SecUop fbiv io 3 of the Business and Pro fe ions n icanse is In full force
rid effect. License Class License No _ '"Date / O 2-3 Contractor Signatprei
PORKERS" COMPENSATION D,ECLLARA'NON �—
iARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE le UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO cRuAINIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 00L RS (S1DG.UGG), IN ADDITION TO THE
OSTOF COMPENSATION, DMM GESAS PROVIDED hYRINSECTION 3706 05THELA60R CODE. INTEREST, ANQATTOFMYS FEES.
hereby affirm under penalty of perjury,pne ofitt sfolTowlRg declarations s'
o-.
I have and wk11 ^en'-I'.alo e cerlifeca of consent o self Inset ` M�O'CRers compensation,iissued_spy a Orrector of Industrial Relations as provided for by Section 37 of the Labor Code, for In
eronmarre of the work for which this p rmit is issue ° ~Airy No-
11 have and will maintain, workers cortipensala ura e ae (e I y Section 3700 of the Labor Cade, for the pedorgiance nCtlfo w rimltais issue My workers' compensatiol
ist'rarce carrier and nalloy number are
;amer Number a-^ J 4€ xpps�Eiration '
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L
lar.te if Aunt _
'1I certVfy that, in the perrormance of the work for which this permit iS, isst�'�halT not p ' a person in any manners as
to became subject to the war ion Ia s of California, and agre
iat. if I should beco,r,a,satsnject/t�F�fle w c mpansation provisions-8'f chon 4700 of the Labor Code,. I shall forthwith comply with those provisia
Vic. r.Idia of ADD licant Yam/ K ( �^.�'ed ..—:si
herphy affirm undei penalty of perjury that th&B is a construction`iend ng agency for the
tinder's Name " JLent
ly my signature bcirw, I certify to each of the flowing:
I am the property owner or authorized to act,-n14 — ,b,�erty-awffer's behalf.
I have read this application and the informati n `have provided is correct
I agree to comply with all applicable city and unty 'n nc to layv.raiatift
I authorize representatives of this city or coup t {vs`adCNt(Ified property
Signature of Provedv Owner or Authorized AII80t
JCo building construction.
far inspection purposes.
which this
ACTION DATE If BY) ' BECCARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY '
REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE
r 1403
PERA9lTEXF7REO Jn Qi n IIM I SUBMITTED ASBESTOS NOTI FICATION TO
PERMITFIINAL _ �� ASBESTOS
PERMITFINAL ASBES'f05 NO'I'IfICATtON IS NOT ApPLi{ABLE. TO
CERTVFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: