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Home My WebLink AboutE2019-0773 - Permits�,�wa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II Electrical Permit: E2019-0773 o ! 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 1 9 0 7 7 3 Project No : 1911-2019 u _. `.,,., Permit Counter Phone (949)644-3288 s� � C5 '�ur<�s Inspection Requests Phone (949)644-3255 Job Address: 1030 SANDPIPER DR Bldg: 1 Floor: Suite: Description of Work: ELEC/ADD LIGHTING THROUGHOUT (DELTA 2) Inspector Area: 4 Legal Description: N TR 3660 LOT 31 Owner: LANE FELICIA & PANAY Address: 103 ER DR RONA DE MAR, CA 92625 Phone: 14-267-9124 Issued Datd'i11/19/2019 Processed New Construdtion Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 52 $52.00 0-600V up to 20OA: 0 $0.00 0-600V over 20OA: 0 $0.00 Over 600V or1000A: 0 $0.00 0/H to U/G 0 $0.00 TOTAL Fee: $88.00 Contractor: Address: Phone: Con State Lie: Lie Expire: Bus Lie: Lie Exp Date: '1 dol to / UR Code Edit: 2016 OWNER/BLDR Worker's Compensation Insurance Carrier : Policy No: Expire O/B A A C OGGAG° AAryCO G O G 9 uCA( lI ° AA Receptacle/Switch/Outlets Receptacles/Outlets: 1 $1.00 Fixtures: 52 $52.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs $0.00 10 to 50 HP/KW/KVA: Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 FEES Motors/Transformers (HP/KVA) a0 0 to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Temp Power Pole: 0 $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. Temp Underground: a0 $b.OQ Sub Panel: 0 $0600 0p900 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. 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 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 U 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 applyto 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 theproperty, 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 legal) 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 Ousinqss and Professions Code, is available upon request when this�rypplicatio ubmitted orl�t Ing Web site:http://www.leginfo.ca.gov/calaw.htmi. B. Signature of Property Owner or Authorized Agent \!/ C� /\ Date LICENSED CONTRACTOR'S DECLARATION. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class """: License No Date Contractor Signature QBflR&RS' COMPENSATION DECLARATION .. l4ARNING: FAILURE.'TO' *SE011RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION. TO THE COST OP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I:heroby affirm unser penalty of perjury one of the following declarations: .. J h�axe and 4,%111 m•apltain 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 perfofrflance of t"worjf for which this permit is issued. Policy No. ElIM'Ve and WO 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' compensatio Millir2rice carrier apd policy number are: ghat, "rPolicy Number Expiration Date .•.•.F1 gent Phone #that, !n tAe performance of the work for which t permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pens tion laws of California, and agre I should betolT`R` s��ubjec�tot a workers' c provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ] } Signature of Applicantp - Date�� DECLARATION REG DING CONSTRUCTION LENDING AGENCY 17 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to en the aboa-id 'fled property for inspection purposes. l y Signature of Property Owner or Authorized Agent <-./\. Print Property Owner's or Authorized Agent's Name � i � OR ACTION DATE BY DECLARATION OF COMPLIANCE VYfTN CODEOF FOR OFFICE USE ONLY FEDERAL REGUtAFfONSPART 61 OF PlTLE46AN0 PERMITEXP)R£0 AOM6RULE 1403. ❑ /SUBMITTED A58E5T05 NOTIFICATION TO: PERMIT CANCELLED ❑ EPA PERMIT EXTENDED ❑ AC7MD F£RMtTFtNAt ❑ ASBESTOS NORRCATiONiS NOT APPLICABLE TO �O IL. PROPOSED DEMOLITION. C£RTlFtCAT£OF OCCUPANCYISSUED SIGNATURE: