HomeMy WebLinkAboutE2023-0436 - Permits�gWPpRT
City of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-188B
Cgtp0.N�P
newportbeachca.govlcivic
11111111111111111111111111111111111111111111111111 jjElectrical Permit : E2023-0436
Plan Check No : 1195-2022
Work Class : Other
Issued Date : 05/12/2023
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 Desc : N TR 2813 BLK LOT 16
Description: ELEC INSTALL 200A PIGGYBACK METER (XR2022-2586)
Owner: SPOTTED DOG TRUST
Address : 2007 SEADRIFT DR NEWPORT BEACH, CA 92660
Phone : (949) 933-1685
Applicant: AKINS HOMES
Address : 3185 AIRWAY AVE STE D2 COSTA MESA, CA 92626
Phone: (949)715-5445
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Contractor : AKINS HOMES
Address : 3185 AIRWAY AVE STE D2 COSTA MESA, CA 92626
Phone :
(949) 715-5445
Con State Lid
: 801814
Lic Expire :
12/31/2023
Bus Lic :
BT30008749
Bus Lic Expire:01/31/2024
Workers' Compensation
Insurance
Carrier :
STATE COMPENSATION INSURANCE FUND
Policy No :
9042529
W. C. Expire:
2/1/2024
Fire Hazard Zone : NO
Occupancy Groups :
OWNER -BUILDER DECLARATION
I hereby affirm under gavelty of perjury that I am exempt from the Can tractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item is)
(Section 7031.5, Business and Professions Code: Any city or county that requires a perm It 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
Professions Code) or that he or she is exempt from ilcensure 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages 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 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).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an ownerof property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from licensure under the Contractors' State 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 feast one year prior to completion of the improvements covered by this permit, Icannot legally
sell a structure that I have built asan owner -builder if it has not been constructed In itsentirely by Ilconscd contractors, I understand that a copy of the applicable law. Section 7044 of the Business and
Professions Code, isavailable upon request when this application Is submitted or at the following Web site:http:/,'"M1 .leginfo.ce.gov/calaw,ntml.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D'u Ision 3 of the Business and Profesgns Co a,. a� my f ense is In full force
and effect. License Class License No Date Contractor Signature !/il/Nw..
WORKERS' COMPENSATION DECLARATION'
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVfL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000I, IN AdomoN TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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 the
performance of the workfor which this permit is issued. Policy No.Egeh
eve 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' compensatior
' surance, carrier and policy number are:
Policy Number Expiration Date
of Agent
11 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre
tat, if I should become subject to the workers' mpensatlon provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions.
dgnature of Applicant __`� _(./,� Date /
IECLARATION REGAR ING CON5T UCT N LENDING AGENCY
It r .•G.`..�
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).
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 and the information I have provided is correct.
I Same to comply with all applicable city and county ordinances and state laws relating to building construction.
„Jthonze representatives of this city or county is ter the bo -de tied property for inspection purposes. '/
dgnature of Property Owner or Authorized Agent l/�� � _ _ Print Property Owner's or Authorized Agent's Name ROP1dii � Date
DATE BY E DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT gACELLFU
®EPA
PERMIT FXTENDED
IIAQMO
r-EAI✓IT FINAL
_
❑ASBt5105 NQT'IFICATl0N15 NDr APPLICABLh TO
CER TI Ira TE OF
(�j
Y/
� PROPOSED DEMOLITION
C'_CUPAthCYISSUrD -
SIGNATURE:
A /fJ