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Home My WebLink AboutE2023-0918 - Permitsa'�WPoR� City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 c9</„naP,r newportbeachca.gov/civic yl Electrical Permit Plan Check No : PC2023-0016 Work Class : Other Issued Date : 11/02/2023 Final Date: Permit Status: Issued Inspection Area : 3 E2023-0918 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 BILK LOT 18 Description : ELEC INSTALL ELECTRICAL LINE FOR BBQ ISLAND (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 : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: 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: U OWNER -BUILDER DECLARATION I hereby affirm 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 placed next to the applicable item(s) Section 7031.5. Business and Professions Code: Any city ar county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ire 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 'rofesslons Code) or that he or she is exempt from llcensure 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 more than five hundred dollars ($500). 1 1, 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, 3useess 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 mprovements 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 mproved for the purpose of safe). I, as owner of the property, am Exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does riot 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). 1 am exempt from licensors under the Contractors' State License Law for the following reason: _ _ 3y 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 legally ;ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and crofessions Code, Is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.html. Signature of Property Owner r Authorized Agent Date. LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perury that I ant licensed under provisions of Chapter 9 (commencing with Section 70001 of Clivislon 3 of the Business and Prof for C d ntl y license is in full force and effect. License Class License NO Date Contractor Signature �l NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDI{ THOUSAND 00 LA IEt Oe,6tlE1, 7N ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYFEES. hereby affirm under penalty of perjury one of the following declarations: —1 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 the ter#gFinance Of the work for which this permit is issued. Policy No. LEI 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' compensatlor insurance canter and policy number are Carrier Policy Number Expiration Date Name of Agent Phone # :11 certify that. in the are man e of the work t wh'Ch this par L Is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and DEBI that, if I should become subj t t the wo er$ �, mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant t Date Z �� DECLARATION REGARDING CONS RUCTION DING AGENCY hereby affirm under penalty of perjury thatlher is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). Lender's Name _ Lender's Address _ By my signatum below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I lava read this Soplicatlan and the Information I have provided is correct. I agree to Lor l} with all applicable city and county d4manc is and s to laws relating to building construction. I authorize representatives of this city or county to r e ab a-i ntified property for Inspection purposes, Signature of PropertyOwner or Authorzed .Agent } Print Property Owner's or Authorized Agent's Name AwI � `�`w� ` Date ACTION DATE BY DECLARATION OF CO IANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ftEGATIONS PRAT OF TIT Ut.LF. 40 AND.AQMD AULF. _ 1403 rERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO ,LN,rr#7'FlNAL 'CRTIFICATE OF OCCUPANO bSUZL, L-IASBES70SNOTIFICATIONISNOTAPLICAOLE TO PROPOSED DEMOLITION SIGNATUREi