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Home My WebLink AboutS2024-0037 - Permits"EWPORr City of Newport Beach 0 @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u - - •'=jl Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic one'° Combination Type - Work Class - Other 111111111111111111111111111111111111111111111111111jj Pool Permit : S2O24-oo37 Plan Check No : PC2024-0626 Issued Date : 03/28/2024 Final Date: - Permit Status: Issued Inspection Area : 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 : 1600 SKYLARK LN Legal Desc : Description: SFR REPLASTER (E) POOL. ALT SITE DRAINAGE. (STOPWORK 124-1116) Owner: GEORGE TUNG Contractor: KURT KARL DESIGNS Architect Address : 1600 SKYLARK LN Address : 20 VIA PAQUETE Address: NEWPORT BEACH, CA 92660 SAN CLEMENTE, CA 92673 Phone : (316) 993-1372 Phone : (949) 369-7888 Phone Con State Lic : 604076 State Lic Lic Expire : 07/31/2024 Applicant : KURT KARL SHIPPY Bus Lic : BT30083955 Engineer Address : 20 VIA PAQUETE Bus Lic Expire : 03/31/2025 Address SAN CLEMENTE, CA 92673 Phone: (949) 300-2787 Phone: Workers' Compensation Insurance Carrier: TECHNOLOGY INSURANCE COMPANY INC Owner/Builder: Policy No: TWC4341354 Designer: KURT KARL SHIPPY Address: W. C. Expire: 12/8/2024 Address : 20 VIA PAQUETE SAN CLEMENTE, CA 92673 Phone: (949) 300-2787 Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.0n Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : Alteration sq. ft. Bldg : Bldg Height : No of Stories : Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone Use Zone: PROCESSED BY: SPECIAL CONDITIONS: STOP WORK 124-1116 i OWNER -BUILDER DECLARATION I hereby affirm under penally 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 item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any stricture, prior to its issuance, also requires the applicant for he 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 Irofessions 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 lot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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, the Owner -Builder will have the burden of proving that it was not built or reproved 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 Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: iy 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 legall, all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo-M.govio law.htmi. iignature 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) of Q, ision 3 of the Business and Prof sion ode, d'fl el' full force Ind effect. License Class License No Date .7i L'Uf •2 Contractor Signature PORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 13100.0001, IN ADDMON TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE• INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 erformance 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' compensatior ranee carrier and policy number are: ier Policy Number Expiration Date to of Agent Phone If certify that, in the perfoH ance of the wgqrk for whi li a it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree if I should becom ubjec the work, PaRa i D 'sion of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Applicant Date � ' % �' 14 )re by affirm under penat�llof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ides s Name Lenders Address my signature below, I certify to each of the following: I am the plapeny owner or authorized to act on the property owner's behalf. I have read this application and the information 1 have provided is correct. I agree is ,.or,.F:y with all applicable city and coun rdinances d s reI ling to building construction. 1.3uthorize r^presenlatives of this city er countNtto eni� the ab. YGed'op for inspection purposes. nature of Pr,)Der'v Owner or Aulhorized Agent ti 7� Print ProDertv Owner's or Authorized Aoent's Name W�✓l� � '�l ACTION DATE BY 2fCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 7403 I,hMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO Pch,W r CANC£1 LED PERMITEXTFNPEO PtkMIT FINAL .16 nFICATE OF OCCUPANCYISSUED All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall D be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the )5 NOTIFICATION 15 NOT APPLICABLE TO life of the pool. DEMOLITION