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