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Home My WebLink AboutX2020-2915 - PermitsOwner: NCMB NO 4 LLC Contractor: OWNERIBLDR Architect: Address: 1401 AVOCADO AVE #901 Address: EUGENE S. RHODES Address: TOTAL FEE: $3,499.63 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: City of Newport Beach - Building Division I 111�11111111111111111111111111111111111111111111111111!1COMB Permit: x2020-2915 o �+ too Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 9 1 5 Project No: 2321-2020 V Permit Counter Phone (949)644-3288 ' ;r Inspection Requests Phone (949)644-3255 Issued Date : 02124/2021 Combination Type - BLDG ELEC Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0212512024 OR PERMIT WILL BE INVALID 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. No work on Sundays or Holidays Job Address: 360 SAN MIGUEL DR NB Description: COMM -CIO EMERGENCY GENERATOR Legal Desc.: N TR 5018 LOT 31 V S y. J ,® .0 . $0.00 $190.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,770.79 Fee Due at Permit Issuance : $1,728.84 PUBLIC WORKS APPROVAL: _ PLAN CHECK BY: �N 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 construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie 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 'rofessions 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 of 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, lusiness 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 nprovements 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 n roved 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 pp o 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). I am exempt from licensure under the Contractors' State License Law for the following reason: Iy my signature below I acknowledge that, except for my personal resi ce in which I MUPave ave resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, ell a structure that I have built as an owner -builder if it has een c n rutW!nti by lit sect contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rofessions Ccds, !, available upon request when s ap do is su fiing at!gZ:http:L/www.leginfo.ca.gov/calaw.htmi. Z '1 'signature of F ropPrly Owner or AuthorizLARATI ed Agent Date ICENSED CONTRACTOR'S DEC herehy affirm. under oenalty of perjury that I am Ii ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce nd effect. License Class License No Date Contractor Signature IFOPKERS' COMPENSATION DECLARATION ARNING: FAILURE TC SE. URE 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 C3T Or COMPENSA fION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm uauer penalty of perjury one of the following declarations: Ll 1 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 Derformance of the work for which this permit is issued. Policy No. iI hav,, and will maimain 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 sumpes carrier and policy number are: :.arriPr Policy Number Expiration Date flame of Agent Phone # :1I certify that, in the performance o t w r for which 's p it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation s of California agree :hat, if I should t bje at he r ' comp a on ovisio of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,.`-(/. Signature of Applicant Date DECLARATION REGA(RDING CONS TR ION LIEENDINGAGENCY 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). -ender's Name Lender's Address 3y 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 come I agree to comply with all applicable city and county or�the ces d to a s I 'ng to building construction. I authorize representatives of this city or cou enta e-ifie op y for inspection purposes. pj >I Uj Signature of Property Owner or Authorized Agent Print Property Owners or Authorized A ent's Nam ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REG4LATIONS PART 61. OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED A PERMIT EXTENDED 'Z iI L QMD PERMITFINAL SBESTO N TIFIC TIIS OT LI Al CERTIFICATE OF R OSEDDE OLIT OCCUPANCYISSUED clr,M ruRF�