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Home My WebLink AboutP2023-0462 - PermitsCity of Newport Beach #�� dF e Community Development Department- Building Division �. ,X 100 Civic Center Drive, Newport Beach, CA 92660 �`� .e+ Permit Counter Phone: (949) 71 B-1888 newportbeachca.gov/civic ti Pi�nN` iiiiiiiiiiiiiii II Plumbing Permit Plan Check No : Work Class : Other Issued Date : 10/05/2023 Final Date: Permit Status: Issued Inspection Area :� P2023-0462 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 : 1013 GRANVILLE DR Legal Desc : N TR 14839 ELK LOT 2 UN HOLD Description : PLMB - GAS LINE TO FIREPIT & METER (2) Owner: CLARKE JAMES A TR Address : 127 HARBOR ISLAND RD NEWPORT BEACH, CA 92660 Phone: (619)318-0900 Applicant: BALLAST CONSTRUCTION Address: 65 STANDFORD COURT IRVINE, CA 92616 Phone: (707)217-8597 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 15, Front: 3 Flood Zone : X Use Zone : PROCESSED BY: SPECIAL CONDITIONS: �y P Contractor : BALLAST CONSTRUCTION Address : 65 STANDFORD COURT IRVINE, CA 92616 Phone: (707)217-8597 Con State Lic : 1082190 Lic Expire : 10/31/2025 Bus Lic: BT30081202 Bus Lic Expire:04/30/2024 Workers' Compensation Insurance Carrier: EXEMPT - NO EMPLOYEES Policy No : EXEMPT W. C. Expire: 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 iterl (Section 7031.5, Business and Professions Code: Any city or county that requires a hermit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for :he 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 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 penaRy of not more than five hundred dollars ISSUE). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 hot built or 'unproved for the purpose of sale). ❑ I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply 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 and exempt from licensors 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 least one year prior to completion of the Improvements covered by this permit, I cannot lagalll sell a structure that 1 have built as an owner-bulldor 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:tlw .leg?nfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent„__.._____._.,._._.._....._.,.__..___v....._,._...__...____..___.._..................__�___�____�._ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perury that I am licensed under provisions of Chapter 9 (Commencing With Section 7000 of ivl 'on 3 of the Business and Prgfessieri�7e, and my li pose is In full force and effect. License Class License No L z ldonlractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.. hereby affirm under penalty of perjury one of the following declaratuons: ❑ 1 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 Ih oerforrnance 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' compensatiol rance Carrier and policy number are: ter Policy Number Expiration Date too gent Phone if 1 Fully that In the performa f the work For whim this permit is iss shall not employ any perspn In any manner so as to become subject to the workers' compensation laws of California and agre it I should became su ct to P Norkers Comp/an/y " t I provisl action 37 abor Code. I shall Forthwith comply with those provisions hereby affirm underdWty 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). Coder'a Name �_..____...__....._...... .._._..._..�_.._.....__� Lender's Address y my signature below, certify to each of the following: / I am the property Owner or auth➢rixed react on the properly owner's behalf. I have read this application and the information I have prove Is correct.. I agree to comply with all applicable city and county or anc s and slate aws relating to building construction. I authorize representatives of this city or county tc ter I above -ids le/d pT/pparty for Inspection purposes. Irveafnre of Prnnerty Owner or Autbomad Anent it Y l Print Property Owner's or Authorized AOe11Ls Nanle ACTION 7ATE RV `%DECLARATION OF COMPLIANCE -WITH CODE OF FEDERAL FOR OFFICE USE ONLY C/ RFh ULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PE.W.40 FK2 RFD I SUBMITTED ASRF5T05 NOTIFICATION TO ._.. I _ ..... ... ._._ ------------ ._ PER'✓IT(Anfr LthD I CPA PERMIT FKTEND D __ _ LJAQMO PERMIT FINAL �7 �7T� ! � OAS - PERMIT I OS NOT Itli TION IS NOT APPLICABLE TO CERTIFICATE Of / /-�f' PiOPOSCD DEMOLITION OCCUPANCY ISSJfp SIGNATURE; Date