HomeMy WebLinkAboutX2016-0774 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2016-0774
100 Ciuc Center Drive, Newport Beach, CA 92660 x 2 0 1 6 0 7 7 4 Project No
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 4A4
Combination Type - SFP a. ` Issued Date : 2016
,�r�A'k �a Inspection Arearea : 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
Engineer:
Lie Expire:
Description:
SFR -REPLACE SET OF FRENCH DOORS WITH SLIDER AND
REPLACE (1) BAY WINDOW WITH SLIDER
Legal Desc.:
N TR 4892 LOT 36
"
08/31/2016
Owner:
GRAVES JAMES A & CAROL A
Contractor:
ZODIAK CONSTRUCTION CO Architect:
Address:
715 CAMPHOR ST
Address:
1807 N BROWERWOODS PL Address:
$0.00
NEWPORT BEACH CA 92660
$0.00
PLACENTIA CA 92870
Phone:
Investigation Fee:
Phone:
714-248-4284 Phone:
Applicant: ZODIAK CONSTRUCTION CO
Address: MUNOZ MACRINO
Phone:
Code Edit : 2013
Type of Construction: V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage:. 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Con State Lic:
863086
Engineer:
Lie Expire:
02/28/2018
Address:
Bus Lie:
BT30052295
Excise Tax:
Lie Exp Date:
08/31/2016
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
EXEMPT - NO EMPLOYEES
Address:
Policy No:
Overtime Plan Ck:
$0.00
Expire:
$0.00
Phone:
Building Setbacks Rear: / Special Conditions:
Front: /
Left: /
Right: /
Use Zone: Parkina SDaces: 0 Fire Hazard Zone
Construction Valuation:
$4.000.00
$37.50
Fire Inspection:
$0.00
Building Permit Fee:
$124.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee:
$107.88
Additional Fee :
$0.00
Plan check Fee
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans
$0.00
Record Management:
$6.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Energy Compliance:
$56.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access:
$0.00
P/W Plan Check:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $332.38
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee:
INSPEC-
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SUBJECT TO FIELD INSPECTOR'S
REVIEW AND APPROVAL
$0.00 Fee Due at Permit Issuance : $332.38
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:'-.,
Fire Department
$37.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $332.38
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(s)
(Section 7031.5, Business and Professions Code: Any city or County that requires a permit to cons rgx t, alter, improve, demolish, or repair any structure, priorto 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 (_) 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
impr6ements arp. patjntended 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-.qirjj!e of sale).
EJ,WV owner pf 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
opplyto Tan owner L fp operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
R
4-' j a%exempt frpm licensure under the Contractors' State License Law for the following reason:
By mgtignature 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 legalli
sell a structure thatl have built as an owner -builder if it ME not been ciDnstructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
P,rof46i8ns Cod@, 199vailable upon request whet Iieatio bmitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. �7 /.
Tastyre of Praperj T7wner or Authorized Agent ' �— Dat 3 0-Tg b 11,
61.CANSED CDNTRACTOR'S DECLARATIO
herebyy affirm under penalty of perjury that I am licensed oder provi ions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
anV(;1 Ve. License Class License No Date Contractor Signature
JVORKERS' 66AMSATION DECLARATION
*'0**:
NARNING.FAILURE 70 -SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU13JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
003T TA COMPENIAT Vb[YAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty\ of perjury one of the following declarations:
I 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 th
7erformanceof the work for'whlch this permit is issued. Policy No.
:1I have 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' compensatiol
nsurance carrier and policy number are:
Policy Number
Date
Pof Agent Phone #
rtify 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 subject to the workers' compensation laws of California, and agre
if I should become subj t the workers,' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ig
11
nature of Ap2aIto
plicant 1 Date
CLARATION REGARDING NSTRU T L AGENCY
:reby affirm under penalty of rjury that the Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder'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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordi ances and state laws relating to building construction.
I authorize representatives of this city or count 5tulirtheaboie i ntified roperty for inspection purposes. t
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Mm 10ate
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