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Home My WebLink AboutP2015-0487 - PermitsCity of Newport Beach - Building Division 111p111111111p11111p1111111111111111p111111111p 11 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 5 0 4 8 7 Permit Counter Phone (949)644-3288 Lk v nm.4IY1}A�' h - Job Address: 715 CAMPHOR ST Bldg: 1 Floor: Suite: Description of Work: PLUM -NEW SINK W/VENTING FOR KITCHEN REMODEL (X2015-2418) Inspector Area: 4 Code Edit 2013 Legal Description: N TR 4892 LOT 36 Owner: GRAVES JAMES & CAROL Contractor: ZODIAK CONSTRUCTION CO Address: 715 CAMPHOR ST Address: 1807 N BROWERWOODS PL NEWPORT BEACH, CA 92660 PLACENTIA CA 92870 Phone: Phone: 714-248.4284 oomm Con State Lic:863086 Issued Date:10/27/2015 Lic Expire: 02/29/2016 Bus Lic: BT30052295 Processed By: Lic Exp Date: 08/31/2016 r-a'r u PLUMBING Permit: P2015-0487 Project No : 1844-2015 Inspection Requests Phone (949)644-3255 Worker's Compensation Insurance - Carrier : EXEMPT - NO EMPLOYEES Policy No: Expire : cfqp m o 0 m ° m oom o om � m ° mm°oo om o o cm000 c 000000 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION oomm FEES o °cc 00000 Bathroom Fixtures Kitchen Fixtures Misc. Misc. Other Toilet: 0 $0.00 Kitchen Sink: 0 $0.00 Water Piping: 0 $0.00 Roof Drain: 0 $0.00 $0.00 Bidet 0 $0.00 Garbage Disp: 0 $0.00 Water Softener: 0 $0.00 Grease Trap: 0 $0.00 $0.00 Urinal 0 $0.00 Bar Sink: 1 $13.00 Water Heater: 0 $0.00 Grease Interceptor:0 $0.00 Bath Tub: 0 $0.00 Vegetable Sink: 0 $0.00 Gas up to 4 outlets: 0 $0.00 P -Trap: 0 $0.00 Record Mgmt Fee: $0.00 Shower Stall: 0 $0.00 Ice Maker: 0 $0.00 Gas over 4 outlets: 0 $0.00 Sewer Investigation: $0.00 Wash Basin: 0 $0.00 Dishwasher: 0 $0.00 Backflow up to 2": 0 $0.00 Sewer: 0 $0.00 Plan Check: $0.00 Hydro -Mass Tub:0 $0.00 Lndry[Trap: 0 $0.00 Backflow over 2": 0 $0.00 Sewer Alter/Repair:0 $0.00 Issuance: $35.00 Floor Sink: 0 $0.00 Regulator: 0 $0.00 Hose Bibb: 0 $0.00 Sewer Abandon: 0 $0.00 Supplemental Fee: $0.00 Floor Drain: 0 $0.00 Lawn Sprinkler: 0 $0.00 Drinking Fountain: 0 $0.00 Additional Fee : $0.00 TOTAL: $48.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $48.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(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 7031.5 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). ❑ 1, 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 legalh sell a strgStgw 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. html. •Sig jature off Groper y Owner or Authorized Agent Date • ..... ..• LICENSED CONTRACTOR'S DECLARATION I hereby affirrNunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the BusineAHUNDRro ssions and my license is in full force '.and effect. • .. LicP.nse Class • License No Date Contractor Signatu� NQRKERS.6614P.ENSATION DECLARATION yQaWNG: FAILUREYO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONHOUSAND DOL RS (5100,000), IN ADDITION TO THE -OST OF COMPESJSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �hereby affirm under penally of perjury one of the following declarations: I have and Mll•fiaintain 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 I. V ggqance of the work for which this permit is issued. Policy No. :34 Mave and jill•rgaintain 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' compensation nsurance carrier and policy number are: of Agent rtify that, in the pi I should become of Policy Number Date of the work for which this 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 the worke pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. hereby affirm under penalty of 4rjury that there As construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ender's Name Lender's Address y 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 with all applicable city and county lordinances and state laws relating to building construction. I authorize representatives of this city or countylf kter thepd hvi-identified property for inspection purposes. of ACTION I DATE / I BY PERMITEXPIREO PERMITCANCELLED PERMIT EXTENDED CERTIFICATEOF OCCUPANCYISSUED .4 Print Property Owner Name FEDERAL REGULATIONSPART 61 OF TITLE40AND AQMDRULE 1403. ❑ ISf.BNffTTEDASBESTOSffOTIFICATiONTO: ❑ EPA ❑ AQMD ❑ ASBESTOS NODFICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: