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Home My WebLink AboutE2020-0287 - Permitst City of Newport Beach - Building Division off. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone(949)644-3288 �'�L�rnwsfi� Job Address: 280 CAGNEY LN Bldg: 1 Floor: 2 Suite: 211 Description of Work: MFR *ADDITIONAL SCOPE* (5) CANNED LIGHTS IN KITCHEN Inspector Area: 3 Legal Description: TR 8336 LOT 5 UNIT 116 OF PROJECT LOCATED ON AP 423-011-22 TOGETHER Owner: LANZAND JAMES Contractor: OWNER/BLDR Address: 280 CAGNEY#211 Address: LANZAND JAMES 0 NEWPORT BEACH, CA 92660 Multi -Family: 0 Phone: Fixtures: Phone: 949.400-3816 1-2 Family: 0 Con State Lic: O/B Issued Date 19/2020 Lic Expire: Low Voltage Bus Lic: $0.00 Processed Lic Exp Date: Signs New Construction Receptacle/Switch/Outlets Residential 0 to 1 HP/KW/KVA: 0 Receptacles/Outlets: 0 $0.00 Multi -Family: 0 $0.00 Fixtures: 5 $5.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Service Signs 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1000A: 0 $0.00 Time Clocks: 0 $0.00 O/H to U/G 0 $0.00 Additional Fee : $0.00 TOTAL Fee: *E2020-0287* Electrical Permit: E2020-0287 Project No : 1067-2020 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier : Policy No: Expire : FEES Motors/Transformers (HP/KVA) 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 Backrremp Power: 0 $0.00 Temp Power Pole: 0 $0.00 Plan Check Fee: Temp Underground: Sub Panel: Record Mgmt Fee: Plan Check Fee: Investigation Fee: Issuance Fee: Supplemental Fee: 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. $0.00 $0!00 ° $0.00 $9a00° ° $3p.00v INER-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) 1 have placed next to the applicable item(s) ction 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 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 Fess' ns 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 ro It a ' e hundred dollars ($500). a 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, I 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 rovements 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 roved 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 ly 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). LJ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for y ersonal 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 sell a structure that I have built as an owner -builder if t ha not been cons ted 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 thi ap ation is s m' ed or at the f lowing Web site:http://www.leginfo.ca.gov/calaw.html. ,,ryry Signature of Property Owner or Authorize��dA0a9ent D si[o 1.0 LICENSED CONTRACTOR'S DECOFRATIO I hereby affirm under penalty of perjury thatl am lied under provision Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions o and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 IN 3erformance of the work for which this permit is issued. Policy No. :1I have and wig 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 nsurance car11P•rV0`policy number are: Z�arriei- _. Policy Number Expiration Date ••••• Vame Of AgerQ • • • Phone # }�'f�►ceitify that, in -the peA of the work f hich 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( that'd I should co� e Isthe worker ' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .�f Sign�jJre of licant DaIE� ®� l� — DECLARATIOUVWNSTRU TION NDING AGENCY Bere6y affirm ueQerpprjury that th is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _OW's Name • Lender's Address By Irtysjgnature belowpl certify to each of the following: I ant the prdpetty owner or authorized to act on the property owners behalf. • • •Ih9IIe read this application and the information I hav provided is correct. • • degree to cErppIj1a ith all applicable city and cou o mance. an to laws relating to building construction. I authorize representatives of this city or county en th ove- ed property for inspection purposes. �` ( !n n,,�L,�,. r�l5�'',, _� Signature of Property Owner or Authorize5ent Print Property Owner's or Authorized Ad9�f`s Nam ) �'r� °i "L' e1�atS "'_�� ACTION DATE By DECLARATION OF COMPLIANCEYJITNCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 01 OF TITL.E40ANO AQMORULE 1403. PERMITEXP/RED ❑ I SUBHTTEDASBESTOS M071FICATION TO: ❑ EPA AQMD PERMITCANCELLED PERMfTEXTENDED❑ ❑ ASHESTOSM017FICAIIONIS NOTAPPLICABLETO PROPOSED DEMOLITION. PERMIT FINAL �j CERT1FtCATEOF OCCUPANCYISSUED SIGNATURE: