HomeMy WebLinkAboutP2022-0380 - Permitsv,E�wPogTc�nn
City of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
��III��III�IIII��III��II111111111111111111111111 jj Plumbing Permit : PZO22-03s0
Plan Check No : PC2022-3134
Work Class : Other
Issued Date : .
Inspection Area: 5
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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: 2 WHARFSIDE DR Legal Desc : N TR 15850 BLK LOT 21
Description : PLUMB- GAS LINE TO FIRE PIT
Owner: GROVE SCOTT C TR GROVE FAMILY REVOC TR
Address : 2 WHARFSIDE DR NEWPORT COAST, CA 92657
Phone:
Applicant : TUSCANY CONSTRUCTION CO
Address : 1560 SUPERIOR AVE #133 COSTA MESA, CA 92627
Phone : (949) 548-3355
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction :
Building Setbacks :
Flood Zone : X
Use Zone: PC - Newport Coast
PROCESSED BY
SPECIAL CONDITIONS:
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
Fire Hazard Zone : NO
Occupancy Groups :
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
ction'7031.5, Business and Professions Code: Any city or county y that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to As Issuance, also requires the applicant for
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
fessions Code) or that he or she is exempt from licensure andthe 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
more than five hundred dollars ($500).
1, as owner of the property,. or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is notintended or offered for sale (Section 7044,
.iness 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 theproperty, provided tbat the
Pavements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Bullder will have the burden of proving that It was not built or
,roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70444, Business and Professions Code: The Contractors' State License Law does not
dy 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 i am exempt from licensure under the Contractors' State License Law for the following reason. _
y my signature belove I acknowledge that, except for my personal residence in which I must have ras ded for at least one year prior to completion of the in
all a structure that. I have built as an owner -builder if it has not boon constructed in itsentirety by licensed contractors. I understand that a copy of the Epp
fofessions Code, is available upon request when this application is submitted or at the following Web site:hdp:llwww.leginfo.ca.gov)calaw.hitml,
ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Cot on of the Business and
nd effect License Class License No Date ' Contractor Signa
rents covered by this permit, I cannot
law. Section 7044 of the Business and
Date
is In full force
VORKERS' COMPENSATION DECLARATION'.IF I
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm underpenalty of perjuryone ofthe 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
Kormance of the work for which this permit is Issued- Policy No.
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'
carrier and policy number are:
Policy Number
Date
came of Agent rnone IT
�i certify that., in the performagap of the work for which this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' coon
pen tion laws of California, and agre
tat, if I should become sub`fec the orkers con ensStich provisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions.
,ignature ofi Applicant _ _ _„-,� Dal _.._hZ - -
IECLARATION REGA DIN STR CTIO NLSING AGENCY
hereby affirm under penalty of perjury that Ynere 1 a construction fending agencyfor the performance of the work for which this permits issued (Section 3097, Civil Code),
ender's Name Lender's Address
ly 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 withall applicable city and county rdin cos and state laws relating to building construction
I authorize representatives of this city c county o n r t a e- entifi d property for inspection purposes
;!mature of Property Owner or Authorized Ageiif i_ Print Property Owners or Authorized Agent's Name"
DATE BY 15ECLARATION OF COM PfdLANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 6t I TITLE. 40 AND AOMD RULE
PERMIT EXPIRED
PERMIT EXTENDED L 1JAQMD
PIRFA77 FINAL �[-Z�.L 12 (uAS81, TO5 NOTIFICATION 15 Nor APPLICABLE TO
CERTIRCATEOF ) J PROPOSED DEMOLITION
OCCUPANCY ISSUED j SIGNATURE: