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Home My WebLink AboutX2015-2418 - Permitsw1 City of Newport Beach - Building Division tial h 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 amu. Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2015-2418 x 2 0 1 5 2 4 1 6 Project No : 1844-2015 Issued Date : 08/27/2015 �v `�,.✓ �� Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 715 CAMPHOR ST NB Description: SFR -VAULTING CEILINGS IN KITCHEN & LIVING ROOM Legal Desc.: N TR 4892 LOT 36,j Owner: GRAVES JAMES & CAROL Contractor: ZODIAK CONSTRUCTION CO Architect:9 E (i Address: 715 CAMPHOR ST Address: 1807 N BROWERWOODS PL Address: NEWPORT BEACH, CA 92660 PLACENTIA CA 92870 Phone: Phone: 714-248-4284 Phone: State Lic: Applicant: MUNOZ MACRINO Con State Lic: 863086 Engineer: COOKE CONWAY CECIL Address: 1807 N. BROWERWOODS PL Lic Expire: 02/29/2016 Address: 400 E. COMPTON BLVD PLACENTIA CA 92870 Bus Lia BT30062295 COMPTON CA 90221 Phone: 714-248-4284 Lic Exp Date: 08/31/2016 Phone: 310-608-5408 State Lic:S-005524 Code Edit : 2013 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: EXEMPT - NO EMPLOYEES Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 s ° ° o No of Stories: 2 Building Setbacks Rear: I Special Conditions: ° 00 0 No of Units: 1 Front: / o° Bldg Height: 0 Left: / ... Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10.000.00 o °0000 c o 0 0 Building Permit Fee: $219.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $157.68 Additional Fee : $0.00 Plan check Fee : $32.00 Fire Inspection: ° ° $p. V Overtime Plan Ck: $0.00 Fair Share : $0.00 Fire Plan Rev -0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $15.33 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $10.95 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 , $0.00 TOTAL FEE: $441 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $441.96 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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(:) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolis*., 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 3rofessions Code) or that he or she is exempt from liceWsure 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). I, 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, 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 itwas 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 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' State License Law). - 1 am exempt from licensure under the Contractors' State 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 yell 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 rrofessions 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 -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 f Divisn 3 of the usiness and Profs s ode license is in full force md-effect. License Class License No Date Contractor Signature YORKERS' COMPENSATION DECLARATION IARNING: FAILURE TD•SEBURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE HOUSAND D LAR: ($100,000(, IN ADDITION TO THE ;)ST 9 FIOMPENSAIIOU,JDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. tierebyt3ffirm uftgler.%emalty of perjury one of the following declarations: ZN haue 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 erfoMance of the wojkfor which this permit is issued. Policy No. 9- llikYe 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 isurance carries andpalicy number are: • • .arhier • • um • Policy Number Expiration Date • +• .. Phnne ik ce i{y that, iDdb9 pgrtormance 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' cnsation laws of California, and ogre should become �u j the work pensaHaR provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� ci Vra of Apgli CLARATION G CONSTRU ION LENDING AGENCY hereby affirm un r p ally of perjury th there is a construction lending agency for the pertormance of the work for which this permit is issued (Section 3097, Civil Code). Enders Name Lender's Address ly 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 infor ation I have provided is correct. I agree to comply with all applicable city d county or ' antes and state laws relating to building construction. 1 authorize representatives of this city o c ty ,the a i ntifieedparty for inspection purposes. signature of Property Owner or Authorized Print Property Owner's or Authorized Agent's Nai%Aula Ar7ww PIAS P DECLARAMON OFCOMPLDWCE MWTH CODE OF FUHVI-HIf USt UNtY FEDERAL REGU"TKINSPART61 OF T17LE4PAND A09DRIAE1401 PFatarrFxatr rn ❑ 1$I1nM17Tr0ASI1FST0,q N(]TITPCATPnNTO: ❑ EPA ❑ ACMD PfjVvTfTC4P1CiLLLD' PERF 4JT EXTENDED j� ASBESTOS AMOMCATMIS NOT AMLWABLE TO - R POSEODEMOLIT 9Y PrRMITTPPPAI '—y—{ �� GER7iFTCATECF '` V'r �— DCSUDANCYrsSVED SIGMAtUHL;iL � � � \\\ \ / k )§\ /\ E } ƒ\{ \j \$ 7\� �[ °°% §o E C/) CA LU \u y � & E I- )7\- w \ 00 z � � � � k § |\ / k � k § |\ E } \j to }\ ; \u \c I- )7\- \ 00 z }cu )\) M z 0 \_ ƒ00 00 E } to ; \ 00 z M kk 00 ( . k) k � _ )\ q� /\ ®�j \ )) \ 2 a r uJ &[§ / P. .