HomeMy WebLinkAboutP2023-0050 - Permits (3)Q �BWPORr City of Newport Beach
p �cn Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
Cq4 FO0.N�P newportbeachca.gov/civic
Plumbing Permit
Plan Check No : PC2022-2942
Work Class : Other
Issued Date : 0113012023
Final Date:
Permit Status: Expired
Inspection Area : 2
*15I11:717
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 ELK LOT 16
Description: PLUMB GAS LINE TO FIREPIT AND BBQ (XR2022-3070)
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 : 2019
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
Front: 10, Side: 4, Side: 4, Rear: 10
X
R-1 - Single -Unit Residential
DUPLICATE
Contractor: AKINS HOMES
Address :
3185 AIRWAY AVE STE D2 COSTA MESA, CA 92626
Phone :
(949) 715-5445
Con State Lie
: 801814
Lie Expire :
12/31/2023
Bus Lie:
BT30008749
Bus Lie Expire:01131/2024
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 penalty or perjury that I am exempt from the Contractors' State License Law for the reason(s). indicated below by the checkmark(s) I have placed next to the applicable item(s)
30ction 7031.5, Business and Professions Code: Any city or county that requires a permit to Construct, after, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
Ic 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).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
:usiness 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
nprovements 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
nproved for the purpose of sale).
11, as
ct (Section
4, Business and Professions Code: The
pply to an owner of pror of the perty wine winebuilds or improvly es Thai h�and who ontracts foracting with licensed Contractors to construct the projects withaallicensed Contractor pursuant to he Contractors' State License rLevQs State License Law does not
3 1 am exempt from licensure under the Contractors' State License Law for the following reason.
Iy 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 covered by this permit, I cannot legal[)
all a structure that I have built as an owner -builder if it has not been constructod In itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:t,'w,vW.leginfo.ca.gov/calaw.html..
Signature of Property Owner or Authorized Agent - ____� Date
.ICENSED CONTRACTOR'S DECLARATION
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
no effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS tS100900), IN AODTION TO THE
DST OF OOMPENSATr0N, DAMAGESAS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEES.
hereby affirm under penalty of perjury one 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
erformance 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
of Agent
Dale
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 become subject to the workers' compensation laws of California, and
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Date____A
TECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is Issued (Section 3097, Civil Cade).
.enders Name Lenders Address
ly my signatui a below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf,
I have read this application and the information I have provided is correct.
I agree to comply withall applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
)Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name _ Date
ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGUC.ATIONS PART E1 OF TITLE 40 AND AOMD RULE114U3
PERMIT EXPIRED I I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PER 17EXTENDED ! IJAOMD
PERMITFINAL 4 ❑ASBES I OS NOT IFICATION 15 NOT APPLICABLE TO
CERTiFICATEOF {{ !IPROP05F.D DEMOLITION
OCCUPANCY ISSUED I r.�'j/.j SIGNATURE: