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HomeMy WebLinkAboutP2023-0503 - Permits��EWPp�,T City of Newport Beach p 6 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 G }wti Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Plumbing Permit: P2023-0503 Plan Check No : PC2023-0016 Work Class : Other Issued Date : 11/02/2023 Final Date: Permit Status: Issued 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 : PLUMB GAS LINE FOR BBQ (REV2023-2189) Owner: MANOUCH MOSHAYEDI Address : 255 W COAST HWY NEWPORT BEACH, CA 92663 Phone : (949) 723-6449 Applicant : TUSCANY CONSTRUCTION CO Address : 1560 SUPERIOR AV, STE B3 COSTA MESA, CA 92627 Phone : (949) 548-3355 Owner/Builder Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks Flood Zone Use Zone : PROCESSED BY: SPECIAL CONDITIONS: X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) 0075 Contractor : TUSCANY CONSTRUCTION CO Address : 1560 SUPERIOR AV, STE B3 COSTA MESA, CA 92627 Phone : (949) 548-3355 Con State Lic : 494601 Lic Expire : 07/31/2024 Bus Lic: BT30051434 Bus Lic Expire:06/30/2024 Workers' Compensation Insurance Carrier: EVEREST PREMIER INSURANCE COMPANY Policy No: 7600024896231 W. C. Expire: 10/20/2024 Fire Hazard Zone : NO Occupancy Groups : OWNER -BUILDER DECLARATION I. hereby aitirtn under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placednext to the applicable items) Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, damolten, or repair any structure, prior to Its issuance, also requires the applicant for to permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' Stato 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 Ncensure 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not intended aroffered for sale {Section 7044, justness 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 building or Improvement is sold within one year of completion, Vie Owner -Builder will have the burden of proving that Itwas not built or nproved for the purpose of sale). 1, as owner of the properly, am exclusively contractingwith 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 improvesthereon, and wino contracts for the projects with a licensed Contractor pursuant to the Contractors' State License LOW), I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this. permit, I cannot legalli oil a structure that I have built as an owner-buldar if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 oflhe Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:Il ww.legmfo.ca.govlcalaw.html.. Ilgnahlre 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 f D tilog 3 of the Business and Profe ion G , 2 'eem is in full force red effect. License Class License No Date y Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TD CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND Di 15100,0001, IN ADDITION TO THE OST OF COMPENSATIDN, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY"S FEES, hereby affirm underpenalty of perjury one of the following declarations: I 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 th arf9rmance 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' compensatio prance carrier and policy number are: pier Policy Number Expiration Date Te of Agent Phone # certify that, in the Porto r an a of the work r 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 ogre If I should became su) t the wo ers' mpansatien. provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. leture of Applio�ant C��j�lttq�" Dotal ._. :LARATION REGARD CONSTRUCTION LADING AGENCY Z ire by affirm under penalty of perjury that therads a construction lending agency for tha performance of the work for which this permit is issued (Section 3097, Civil Code), Ider's Name _ Lender's Address _ my signature below. I certify to each of the following: I am the property owner er authorizedto act on the property owner's behalf. I have read this Poplicatlon and the information I have provided is correct. I agree to compiy with all applicable city and coui or trances nd s�gte laws relating to building construction. n I authorize representatives of this city or county t� ajtf r t eP,b e•ide�fied property for inspection purposes. nature of Property Owner or Authorized Ads nt I ,�1 ( l� 1 Print Prooarly Owner'c or Ai Rhnrbarl Anpof'c ACTION I DATE I E.TfvRT EXPIRED r L3.41T CANCELLED PEA.✓fiT EXfCNDE7 r'LAMIT RNAL --CRTIRCATE OF OCCUPANCY b50co DECLARATION OF COM LACE WITH CODE OF FEDERAL RIE5ULATONS PART 61 F TITLE 40 AND AQMD RULE L1 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: FOR OFFICE USE ONLY