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Home My WebLink AboutXR2022-2998 - PermitsCity of Newport Beach p e Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �4iFon�`r. newportbeachca.gov/inspections Combination Type - PLUM Work Class - Other 111I��III��1111111111111111111111111111111111111111111111 jj COMB Permit : XR2O22-2998 Plan Check No : PC2022-2864 Issued Date: 11 — 15. ZY Inspection Area :6 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 : 1227 SAND KEY Legal Desc : N TR 6634 BLK LOT 118 Description: SFR DRAINAGE AND GASLINE TO POOL EQUIPMENT Owner: DANIEL LEE Address: 1227 SAND KY CORONA DEL MAR, CA 92625 Phone Applicant: GRANT MAURY CONSTRUCTION INC Address : 1443 N EL CAMINO REAL, STE A SAN CLEMENTE, CA 92672 Phone : (949) 410-0469 Owner/Builder : Address: Phone Contractor: GRANT MAURY CONSTRUCTION INC Address : 1443 N EL CAMINO REAL, STE A SAN CLEMENTE, CA 92672 Phone: (949)410-0469 Con State Lic : 875047 Lic Expire : 04/30/2024 Bus Lic: BT30077815 Bus Lic Expire : 01/31/2023 Workers' Compensation Insurance Carrier: NATIONAL LIABILITY & FIRE INS CO Policy No: A9WC355686 W. C. Expire: 3/13/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height: No of Stories : 0 Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000' icates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: REV2022-2081 Architect Address : �_ �'_✓ Phone State Lic : m Engineer: Address Phone: Designer: GRANT MAURY CONSTRUCTION INC Address: 1443 N EL CAMINO REAL, STE A SAN CLEMENTE, CA 92672 Phone : (949) 410-0469 Construction Valuation : $0.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penally 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, after, 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant fora 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 U all of or (_) portions of the work, and the structure is not intended or offered for safe (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 thepurpose 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' apply to an owner of 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 1 acknowledge that, except for my personal residence in which I must have residod for at least one year prior to completion of the improvements Coven sell 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, Bootie Professions Code., Is available upon request when this application is submitted or at the following Web site:htipllwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent �„ x LICENSED CONTRACTOR'S DECLARATION p� tiyi„ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seoll 00 pf ,1J.lt 3 of the Business and Pr f sip Code, and effect. License Class License No Dat t S I Y Contractor Signature VORKERS' COMPENSATION DECLARATION FARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: License Law does not :his permit, I cannot of the Business and license. is In full force 1S1OO.D(He, IN ADDITION TO 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 'mance of the work for which this permft is issued. Polley No. 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' carrier and policy number are: p is of Agent certify that, in the pe Balance of the if 1 should becomes lect to the we lalure of Applicant 3reby affirm under penalty of perjury that there'tsaa c ider's Name my signature below, I certify to aaeh of the following I am the property owner or authorized to act on the I have read this application and the information I h. I agree to comply with all applicable city and IA I authorize representatives of this city or county Fq Policy Number Date Phone # this permit is issued. I shall not employ any person in any manner so as to become subject to the work.- ' componsat o laws of California, and agre atlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D It NO 40ENCY ' Tstn1 lion la ing agency for the performance of the work for which this permit is issued (Section 3097, Civi Code). Lender's Address_ behalf. laws relating to building construction. 9d gcagerty for inspection purposes. V / Print Properly Owner's or ACTION DATE BY ,/ ' DEG TIL7S�ONO) P IPLIAN E WITH CODE OF FEDEI REGULATIONS PART 61 OF LE 40 AND AQMD RULE 1403 _ _ T�_ I SUB_M-TTEb ASBESTOS NO_T.F-ICAT ION TO PERMIT EXPIRED PERMIT CANCELLED �rFPA PERMiT EXTENDED r 'nQM6 PERv1YT FINAL CERTIFICATE OF Z-�� ❑ ASBESTOS NOT IFICA TION 15 NOT APPLICABLE TO 1 PROPOSED PEMOL TIOPi OCCUPANCYISSUED SIGNA)UR6; FOR OFFICE USE ONLY V1 r ''fit'