HomeMy WebLinkAboutP2024-0125 - PermitsEWIPORr
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
jjii1111111111111111111111111111111111111111111jjj jj Plumbing Permit: P2024-0125
P 2 0 2 4 0 1 2 5 Plan Check No : PC2024-0626
Work Class : Other
Issued Date : 03/2812024
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 : 1600 SKYLARK LN Legal Desc : N TR 3057 BLK LOT 41
Description: PLUMB R/R GAS LINES FOR (E) BBQ ISLAND AND FIRE PIT. (S2024-0037)
Owner: GEORGE TUNG
Address : 1600 SKYLARK LN NEWPORT BEACH, CA 92660
Phone: (316) 993-1372
Applicant:
KURT KARL SHIPPY
Address:
20 VIA PAQUETE SAN CLEMENTE, CA 92673
Phone :
(949) 300-2787
Owner/Builder!
Address
Phone :
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone: X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY: V./
Contractor : KURT KARL DESIGNS
Address :
20 VIA PAQUETE SAN CLEMENTE, CA 92673
Phone :
(949) 369-7888
Con State Lic :
604076
Lic Expire :
07/31/2024
Bus Lic :
BT30083955
Bus Lic Expire:03/31/2025
Workers' Compensation Insurance
Carrier :
TECHNOLOGY INSURANCE COMPANY INC
Policy No:
TWC4341354
W. C. Expire:
12/8/2024
Fire Hazard Zone: NO
Occupancy Groups:
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 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 Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
111, 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 property, 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).
❑ I 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 prim to completion of the improvements covered by this permit, I cannot legally
sell 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 70" of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:htip://www.leginfo.ca.gov/calaw.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 9 (commencing with Section 7000) of Division 3 of the Business and Pro Sison DGde, R ense In full force
and effect. License Class License No Dated ZContractor Signature
NORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED TH G DOLLARS (5100,000I, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
Jerformance 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
ne of Agent
certify that, in the ppedor nce of the
if I should becom3subiect the wo
fature of Applican
Date
ued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date -Z'k • Z 9
hereby affirm under pen
�of perjury that they a construction lending agency for the performance of the work for which this permit Is issued (Section 3097
Ender's Name Lender's Address
y my signature oelow. I certify to each of the following:
I am the oroneny owner or authorized to act on the properly owner's behalf.
I have recc this application and the information I have provided is correct. /'
I ogree to cc reply with all applicable city and county,grdinances and
a[ zw atin o building construction.
I authorize •eprrFentatives of this city or county to ant the led op yTo inspection purposes. ,
ACTION
r'LR,WT EXPIRED
PERN,IT CANCcI LFD
✓tRN(TEXTENDEr)
DATE I BY
f'tRMIT FINAL
CERTIFICATEOF 77�V L
OCCUPANCY ISSUED
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBEST05 NOTIFICATION TO
U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
Name
Civil Code).
_>HI W0_. Date