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Home My WebLink AboutXR2023-3119 - Permits;aEW�,oRT. City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-3119 o� I Community Development Department- Building Division X R 2 0 2 3 3 1 1 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0112-2022 Permit Counter Phone: (949) 718-1888 Issued Date : 11/02/2023 .a< newportbeachca.gov/civic Final Date: CpC/F00.�`P Combination Type - Permit Status: Issued Work Class - Other - Inspection Area : 3 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 : 1942 GALAXY DR Legal Desc : N TR 4224 BLK LOT 18 Description: SFR ADD CITY STANDARD BLOCK WALLS W/'3A FTG DETAIL' 6' HIGH BY 8' LONG INSIDE P/L (REV2023-2188) Owner: MANOUCH MOSHAYEDI Contractor: TUSCANY CONSTRUCTION CO Architect Address : 255 W COAST HWY Address: 1560 SUPERIOR AV, STE B3 Address NEWPORT BEACH, CA 92663 COSTA MESA, CA 92627 Phone: (949)723-6449 Phone: (949)548-3355 Phone: Con State Lie : 494601 State Lie Lie Expire : 07/31/2D24 Applicant : TUSCANY CONSTRUCTION CO Bus Lie : BT30051434 Engineer: Address: 1560 SUPERIOR AV, STE B3 Bus Lie Expire: 06/30/2024 Address COSTA MESA, CA 92627 ' Phone: (949) 548-3355 Workers' Compensation Insurance Phone: Carrier: EVEREST PREMIER INSURANCE COMPANY Owner/Builder : Policy No : 7600024896231 Designer: TUSCANY CONSTRUCTION CO Address : W. C. Expire : 10120/2024 Address : 1560 SUPERIOR AV, STE B3 COSTA MESA, CA 92627 Phone: Phone: (949) 548-3355 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $850.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : 1, Bldg Height : No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft, 0 Building Setbacks: , Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) 93 PROCESSED BY: ''•, SPECIAL CONDITIONS: REV2023-2188 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the ContractorsState License Law Tor the reason(s) indicatedbelow 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 the permit to file a signed statement that he or sheds 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 toonsure 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 not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 oneyear 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 (Section 7044, Business and Professions Code: The Contractors' Slate 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 am exempt from Aconsure under the Contractors' Slate License Law for the following reason By my signature below I acknowledge that,. except for my personal residence in which 1 must have resided for at [east one year prior to completion of the improvements covered by this permit I cannot legal 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. Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:nttp:/fwww,leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION r 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ision 3 of the Business and Profesi s Cad , niljm license is in full force and effect, license Class License No Date '1. Contractor Signature ! i� WORKERS' COMPENSATION DECLARATION WARNING. FAILURE TO SECURE WORKERS' COMPENSATION CDVERACE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUND THOUSAND DOLLAR' Is 0,000), IN ADURION TO TH COST OF CCMPENSATVON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COVE, INTEREST, Me ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 ti port rmance 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' compansatk nsurance carrier and policy number are: Policy Number of Agent Date 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 agree t, If I should become sZG ct �o tile w rke s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant1 . Date�CLARATiON REGARD CONSTROC N LENDING AGENCY areby affirm under penalty of perjury that th re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).. ider's Name Lender's Address my slgnatura below, I certify to each of the following: �^ I am the property owner or authorized to act on the property owner's behalf. I nave rear this Epplication and the Information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. t authorize representatives of this city or county tr,Tf�yrluer the �l bovr�lidentified property for inspection purposes. 1�' �f I �f 1 0 n 9 nature of P,00env Owner or Authorized Agent { I�1.. l? 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