HomeMy WebLinkAboutS2023-0002 - PermitsCity of Newport Beach
Community Development Department- Building Division
r'. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
T Inspection Requests Phone: (949) 644-3255
cgGlFn pN�P newportbeachca.gov/inspections
Combination Type -
Work Class - Other
II11111111111111111111111111111111111111111� II Pool Permit : S2023-00021111111
Plan Check No: PC2023-0016
Issued Date : 01/06/2023
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 REMODEL (E) POOL & SPA: ADD 56 SF SPA, RAISE DEEP END OF POOL. ADD BAJA LEDGE, STEPS, & SEATS. ALT SITE DRAINAGE.
Owner; MANOUCH MOSHAYEDI
Address : 255 W COAST HWY
NEWPORT BEACH, CA92663
Phone
Applicant: TUSCANY CONSTRUCTION CO
Address : 1560 SUPERIOR AVE #B3
COSTA MESA, CA 92627
Phone: (949)548-3355
Owner/Builder
Address
Phone :
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
Contractor:
' TUSCANY CONSTRUCTION CO
Address :
1560 SUPERIOR AVE #B3
COSTA MESA, CA 92627
Phone :
(949) 548-3355
Con State Lic
: 494601
Lic Expire :
07/31/2024
Bus Lic:
BT30051434
Bus Lic Expire
: 06/30/2023
Workers' Compensation Insurance
Carrier: SECURITY NATIONAL INS CO
Policy No: SWC1357232
W. C. Expire : 10/20/2023
2022 Fire Sprinklers :
Fire Hazard Zone
U No of Units :
No of Stories
104
SPECIAL CONDITIONS: LANDSLIDE ZONE
Architect
Address
Phone:
State Lic:
Engineer: LACHER TODD
Address : 1201 N TUSTIN AVE
ANAHEIM, CA 92807 °
Phone: (714)630-6100
Designer: , • '
Address
Phone: '
NO Construction Valuation : $82,000.00
NO Added/New/TI sq. ft. Bldg: 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt tram the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Items)
(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 she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the 6, s vscs and
Professions Code) or that he or she is exempt from licensure 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),
L, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 properly, 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 the purpose 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' 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).
1 am exempt from licensure 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 legally
sell a structure that I have built as an owner -builder it it has not been constructed in its entirely 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 sits:http:/A ww.leginio.ca.govlcalaw.html..
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 70 ) of �ivjaigq 3 of the Business and Prof n JCo , n h i ease is In full force
and effect. License Class License Na Section
Contractor Signature
NORKERS' COM?ENSATiON DECLARATION t is
MANNING: FAILURE TC ZCC'JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES DP TO ONE HUNDRED THOUSAND DOLLARS ($10 ,01XI IN ADDITION TO THE
CO.rT CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEPs FEES.
hereby affirm ur.cc, p,;i,al€y 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 tht
)erformance of thn work for which this permit is issued. Policy Noi.
and will raJntain 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 ird policy number are:
Policy Number
of Agent
Date
I 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 agre
If I should become subjec to th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ICLAR ON-REGAR
Of A{,pli:.ani Date _ �
CLAR�.....,..____- ATI31N NS I L Ni51NG AGENCY
3reby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work. for which this permit is issued (Section 3097, Civil Coca .
iders Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. t
I authorize representatives of this city or county e�t ill above idr entified property for inspection purposes. //i� nn 1 �i �� / +
.nature of Property Owner or Authorized Agent �jI1 ((.�0 �"(�,/�— Print Property Owner's or Authorized Aoent's Name rLT E 011A J.S )� cSJ :&.:
ACTION I DATE I 6Y DECLARATION OI i�DMPLIANCE WITH CODE OF FEDERAL l FOR OFFICE USE O
REGULATIONS PAR`{" El OF TITLE 4o AND AOMD RULE.
PERMIT EXPIRED LJ I SUBMITTED A50ESTOS NOTIFICATION TO
PERMIT CANCELLED EIEFA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMIT EXTENDED QMp. be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the
PERMIT FINAL y Zq Z BE5T05 N iFl TIGN IS NUT APPLICAB 70 life of the pool.
CERTIRCATE OF ROPOSEODEMP)liD
OCCUPANCYISSUED clr.Nesl 10F• 1 ��'WWW