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Home My WebLink AboutE2024-0199 - Permits�EWIPoRr City of Newport Beach 'O Community Development Department - Building Division '.D 100 Civic Center Drive, Newport Beach, CA 92660 µg i Permit Counter Phone: (949) 718-1888 0....N,r.. newportbeachca.gov/civic IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit : E2024-0199 E 2 0 2 4 0 1 9 9 Plan Check No : PC2024-0626 Work Class : Other 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 : ELEC R/R ELECTRICAL LINES FOR (E) BBQ ISLAND. (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 Flood Zone: Use Zone : PROCESSED BY: 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 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 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 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 'rofessions 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 iot more than five hundred dollars ($500). I, 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 mprovements 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 mproved 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' Stale License Law). 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: 3y 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 ;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://www.leginfo.ca.govlcalaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of iv'sio 3 f the Business and Prof sions de. a In u force and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T4&GSAND DOLLARS ($1 1, IN ADOITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTMN 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 IN aerformance 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: is of Agent certify that, in the perforgiance of the , if I should becomekublec the)va lature of Applican Policy Number Date 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 r9ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. II II hereby affirm under penaltyof perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). _enders Name Lenders Address 3y my signatur3 h31ow, I certify to each of the following: 13m the property owner or authorized to act on the property owner's behalf. I have rent' this application and the information I have provided is correct I agree to comply with all applicable city and count ordinances and to building construction. i authorize representatives of this city or count o an r the a h I d,er arty for inspection purposes. 11 JJ 3ial.ature of Fronerty Owner or Authorized Agent Print Prooertv Owner's or Authorized Aqents Name ALt ION I DATE I OtLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND Al RULE 'CRVI� I SUBMITTED ASBESTOS NOTIFICATION TO EPA FERMI CANCCLLfE Cfi L";T EMENDED . U.NIT FINAL UAQMD 9. $Z .r ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE Of PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: