HomeMy WebLinkAboutE2023-0586 - PermitsrEWiPoRp City of Newport Beach
Community Development Department- Building Division
' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
`s� Nor newportbeachca.gov/civic
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1111111111111111111111111111111111111111111111111111 jj Electrical Permit : E2023-0586
E 2 0 2 3 0 5 8 6 Plan Check No: PC2023-0246
Work Class: Other
Issued Date : 07/06/2023
Final Date:
Permit Status: Issued
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 : 222 AMETHYST AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 20 LOT 12
Description : ELEC 200 AMP UPGRADE
Owner: SINNER JOHN R LIVING TR
Address : 528 VAQUERO RD ARCADIA, CA 91007
Phone:
Applicant: HAWKER CONSTRUCTION
Address : 2024 CREST DR ENCINITAS, CA 92024
Phone: (714)743-7110
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone : AO 1; X
Use Zone : R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : HAWKER CONSTRUCTION
Address :
2024 CREST DR ENCINITAS, CA 92024
Phone:
(714)743-7110
Con State Lic
: 930312
Lic Expire :
01 /31 /2025
Bus Lic:
BT30063937
Bus Lic Expire:07/31/2023
Workers' Compensation
Insurance
Carrier :
INSURANCE COMPANY OF THE WEST
Policy No:
WSA505347802
W. C. Expire:
1/27/2024
Fire Hazard Zone : NO
Occupancy Groups:
OWNER -BUILDER DECLARATION
I hereby 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
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 Iicensure 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).
7 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,
lusiness 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 buitding 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).
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
pply 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).
7 1 am exempt from Iicensure under the Contractors' Slate License Law for the following reason:
ly 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 legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety 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://www.leginfo.ca.gov/calaw.htmi.
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 Qivision 3 of the usiness and Prof SC and license is in full force
nd effect. License Class License No pate ntractor Signature
UORKERS' COMPFNSATION DECLARATION
FANNING: FAILURE TO SFCURi� WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO cRIMI L PENALTIES AND CIVIL FINES PTO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE
-U.T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37N OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hureby affirm under. penalty of perjury one of the following declarations:
3 1 n e 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
el rice of the work for which this pennit is issued. Policy No.
nd 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' compensation
I. nce� arrier and policy number are:
Policy Number
at Agent
Date
certify that, in hoe pu r anc f 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' mpensation laws of California, and agree
1, if I should bKerpenalty
orkers' arise ' 'sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
n,aare of A _
CLARAT1 I TI NDING AG CY
Ireby affirm oof perjury that there is a construction g agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lenders Address
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 informal) n I have provided is correct.
I agree to Comply with all applicable city and co ordinances and state lat relating to building construction.
I authorize representatives of this cit COU e e a)? a ntifi roperty for inspection purposes. �,) VH� Dt��}�i �s��
nature of Prooertv Owner or Authorized ant J ( Print Prooenv Owner's or Authorized Adent's N e I D to
ACTION i DATE I� PY REGULATIONS PARTet OF TITLE 40 AND DE OFAQMD RULE D FEDERAL I FOR OFFICE USE ONLY
PERMIT£XPIRED
- IJISUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCEUED
EPA
PERMIT EXTENDED
QM D
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY15SUED
y
L1 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
�h-� PROPOSED DEMOLITION
SIGNATURE: