HomeMy WebLinkAboutE2023-0431 - Permits�ewvoRr City of Newport Beach
Community Development Department- Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
7 Permit Counter Phone: (949) 718-1888
m
newportbeachca.gov/civic
11IIIIII111111111111111111111111111111111111111111II jjElectrical Permit : E2023-0431
Plan Check No : 1753-2021
Work Class : Other
Issued Date : 05/11/2023
Inspection Area :1
PERMITS EXPIRE 160 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: 329 LINDO AVE Legal Desc : A TR EAST NEWPORT BLK A BLK LOT 142 EAST NEWPORT BLK A LOT 1 42(AND LOT 143
Description: ELEC CIRCUIT FOR NEW A/C (H2O23-0318)
Owner: WHITAKER LISETTE ANN TR
Address: 8200 STOCKDALE HWY STEM10 BAKERSFIELD, CA 93311
Phone:
Applicant: EPIC CUSTOM HOMES INC
Address : 2781 BLUEBIRD CIRCLE COSTA MESA, CA 92626
Phone: (949)280-7006
Owner/Builder :
Address
Phone:
Code Edition :
2022
Type of Construction :
Building Setbacks :
Front: 10, Side: 4, Side: 4, Rear: 5
Flood Zone :
X; AO 1
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : EPIC CUSTOM HOMES INC
Address :
2781 BLUEBIRD CIRCLE COSTA MESA, CA 92626
Phone:
(949)260-7006
Con State Lic :
1015708'
Lic Expire :
07/31/2024
Bus Lic :
BT30042675
Bus Lic Expire:11/30/2023
Workers' Compensation Insurance
Carrier :
EVEREST+PREMIER+INSURAN CE+COMPANY _
Policy No:
7600018178211
W. C. Expire:
9/29/2023
Fire Hazard Zone : NO
Occupancy Groups : R3/U
NO CONSTRUCTION WORK
ON SATURDAYS y t ..y/
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of 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)
'Section 7031.5, Business and Professions Code: Any city or county that requires a permit ID construct, alter, improve, demolish or repair any structure, prior to its Issuance, also requires the appticant for
:he permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law jChapter g (commencing with Section 7000) of 4rv1sion 3 of the Business and
�rotesslons Code) or that he or she is Bxempt from liconsura. 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
Tot nice than five hundred dollars ($500),
D 1, as owner of the property, or my employees with wages as their safe compensation, will do (_) all of or (_) portions of the work, and the: structure is not intended or offered for sale (Section 7044,
Business and Professions Code The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the
mprovements are not intended or offered for sale. If, however„ fife building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
Improved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project ($action 7044, Business and Professions Code: The Contractors' State License Law does not
ap Cy 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).
I am exempt from licensure under the Contractors' State License Law for hie following reason _
By ray signature below I acknowledge that, except for my personal residence in which i must haveresided for at feast one year prior to completion of the improvements covered by this permit, -I cannot legallf
sell a structure that I have built as an owner-buitdor if it has not boon constructad in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Wed site:http:li v .leginfo.ca.govlcalaw,html.
Signature of Property Owner or Authorized AgentDate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter &.(commencing with Section? 0 1.d1 T.t f�iyn bC,the Business and Prole siorrs 1 de, •. dirty se is 1r7 eh71 for s
and effect. License Class License No Date �77��( I Contractor Signature
WORKERS' COMPENSATION DECLARATION.
NANNING: FAILURE TO BEMIRE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (1000,000), IN ADDrTION TO THE
COST OF COMPENSA'ION, DA'tAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ir �h5ereby a*tUm under penahy of perjury one aline following declarations:
12 1 have and w,d 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, forth
peff�4'mslice of the work for which this permit is Issued. Policy No,
II/ha 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' compensatiol
nce carrier al a pall ry number are:
Policy Number
Date
Vame of Agent more rr
11 certify that, in the perform G Of the Work to Whl 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 agre
h^t,'° I sf tiuld become s'rbjA t he workers' rrsat➢ v ` ns of Section 3700 of the Labor Code, shall forthwith comply with those provisions.
re of AAPiioant. _ Data
DLCLAFb,TiON RE NG CONSTRUCTION LENDING AGENCY
hereby affirm under cnalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, : ivil.Cade).
Lender's Name Lender's Address
By 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.
f agree to comply with all applicable city and county or ces and sta I relating to building construction. ���rrr���'''
I authorize representatives of this city or count t0 ante he above-ide BdJ prop ffspechon aurpases �/�;
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ACTION DATE BY / E DECLARREGULAATION
IONS OF COM. LIAi CE Wt4 7H C DE OF FEDEAQMD FEDERAL I FOR OFFICE USE ONLY
PERMIT EXPIRED
TIFCA1i OF ITFINALL, _3 Lf f JR PROPOSED DEMOLITION
15 NVY-APFLICABt.k TO
CEN
(JfY"UPANG'V 15£U€0 ( SIGNATURE: