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Home My WebLink AboutE2015-0552 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIElectrical Permit: E2015-0552 ✓ 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 5 0 5 5 2 Project No : 1844-2015 Permit Counter Phone (949)644-3288 G Inspection Requests Phone (949)644-3255 Job Address: 715 CAMPHOR ST Bldg: 1 Floor: Suite: Description of Work: ELEC/OUTLETS & FIXTURES IN KITCHEN & LIVING RM, SEPARATE CIRCUIT X2015-2418 am - Inspector Area: Legal Description: 4 N TR 4892 LOT 36 Owner: GRAVES JAMES & CAROL Address: 715ZAIWPMQR ST EWPORT TACH,CA92660 Phone: Issued te:10/09/2015 Process d By: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over20OA: 0 Over 600V or1000A: 0 0/H to U/G 0 Contractor: ZODIAK CONSTRUCTION CO Address: 1807 N BROWERWOODS PL FEES PLACENTIA CA 92870 Phone: 714-248-4284 Con State Lic: 863086 Lic Expire: 02/29/2016 Bus Lic: BT30052295 Lic Exp Date: 08/31/2016 Code Edit: 2013 Worker's Compensation Insurance Carrier: EXEMPT - NO EMPLOYEES Policy No: a ° Expire ° ° . coo°co o.°oo Plan Check Fee: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance: FEES °°.<.. Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) °°.... ° . ° Receptacles/Outlets: 9 $9.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 Il"OA0. $0.00 Fixtures: 16 $16.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: °`A WAG., $0.00 Sep Circuits: 1 $6.00 10 to 50 HP/KW/KVA: 0 $0.00 `0 $0.00 Low Voltage 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $0.00 $0.00 Additional Fee : $0.00 Supplemental Fee: $9.00 Plan Check Fee: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at Permit Issuance: 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, dernolish, 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). ❑ 1 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 prior to completion of the improvements covered by this permit, I cannot legall) 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED COWTRAPTOR'S DECLARATION I hereby affirm uti I•(fe11alty of p rlury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division /1110)the Business and Pr f s 4Ce,n my license isin full force and effect� --�•••actor Si nature —lscense glass . 'License No 9VY4DFIJERS' OMPENSATION DECLARATIONAPARNINS: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECrDATTORNEY'S PLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU RED THARS ($100,000), IN ADDITION TO THE COAST OF•COMPENV'!IbO,be.MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,A FEES. j1elFpy affirm un66r•panalty of perjury one of the following declarations: (a�hhave and wIlll•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 oesfercOnce of thele olk for which this permit is issued. Policy No. 1P j190PC and wil;main(ain 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 insurance carrier endipolicy number are: �,L. e• • Policy Number Expiration Date Agent • • • ""' y that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become hould becomect i o tFry.1jfey/I oIfke49 ==ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho of Applicant Xf :IA A =! the workers' compensation laws of California, and ns In �I✓J�i areby affirm under penalt of perjury thh there is a construction lending agency for the 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 or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. Ta'Nee to comply with all applicable city and county ordinances and state laws relating to building construction. l orize representatives of this city or county 99 ter the a o -i ientifka property for inspe to urposes. �� p nature of Pmnertv Owner or Authorized AGent �1 �+ r t Property Owner's or Authorized Agent's Name ACTION DATE BY V LrIC14 v r �ff ur r-Vmr u...11. 1"rr. a.vv _ FEDERAL IONS PART 61OFTITLE40AND AQMDRULE 1403. ❑ ISUBMITFEDASBESTOSNQTIFICATIONTO: ❑ EPA ❑ AQMD P€RMiTEHPIREQ PERMITCANCELLED PERMiTEXTENQEO E3ASBESTOS N017RCA170NIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE. PERMITFINAL (— —1(oL7Y(-A-' R" ca CERTIFIC4TE OF OCCUPANCYISSUED