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HomeMy WebLinkAboutE2022-0238 - Permits9w , City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit: E2022-0238 ti d 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 2 0 2 3 a Project No r,» _ Permit Counter Phone (949)644-3288 r^:rgi aN�' Inspection Requests Phone (949)644-3255 Job Address: 2206 COLONY PLZ Bldg: 1 Floor: Suite: Description of Work: ELEC -DISCONNECT FOR A/C CONDENSER REPLACEMENT Inspector Area: Legal Description: Owner: THE COLONY AT F1 LLC Address: PO BOX 2450 NEWPORT BEACH CA 92660 Phone: Issued Date: Processed By: New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 0-600V over 20OA: 0 Over 600V or 1000A: 0 O/H to U/G 0 Contractor: AMTECH HEATING & AIR INC Address: 17751 SKY PARK CIR, STE F IRVINE CA 92614 Phone: 800-882-3019 Con State Lic: 1003704 Lic Expire: 04/30/2023 Bus Lic: BT30060143 Lic Exp Date: 08/31/2022 Cade Edit: 2019 Worker's Compensation Insurance Carrier: OAK RIVER INS CO Policy No: AMWC139443 Expire : 12120/2022 'T FEES Receptacle/Switch/Outlets Motors/Transformers (HP/KVA) Receptacles/Outlets: 0 $0.00 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 $0.00 Fixtures: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 $0.00 Sep Circuits: 1 $7.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 Low Voltage 0 $0.00 50to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Signs Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 $0.00 Branch Circuit: 0 $0.00 Plan Check Fee: $0.00 $0.00 Each Add Circuit: 0 $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 $0.00 Time Clocks: 0 $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $38.00 $0.00 Additional Fee: $0.00 Supplemental Fee: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Mondag; Friday 7:000 .m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. • b • • • •O • 9 • •O 000 O b • • O O • ti O iG pvP & • • •W• 90 OOO b b bp0 •p0 Y9• 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 Iicensure 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 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 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 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). ❑ I am exempt from Iicensure 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 Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent 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 Profe oil ode, an y lice 11 force and effect. rr�� �7 JJ License Class License No Date 2—O �ZL Contractor Signalyr'$/ WORKERS' COMPENSATION DECLARATION I WARNING: 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 )$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: bha e 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 thnce of the work for which this permit is issued. Policy No. 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' compensatioa carrier and policy number are: Policy Number Expiration Date Name of Agent Phone # ❑1 certify that, in the performance of th o f rwhich this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre that, if I should become subject to the r r ' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /'� // Signature of Applicant - Da� `7/ DECLARATION REGARDING CONSTRUCTION LE ING AGENCY I hereby affirm under penalty of perjury that there is 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 ordin ces and state laws relating to building construction. authorize representatives of this city or c ty t0 It -i a tifie roperty for inspection purposes. Si nature of PropertOwner or Authorized Ag n Print Property Owner's or Authorized Agent's Na e Date ACTION DATE BY DECLARATION Qt=COMPLIANCE 6MTHCODE QE FOR OFFICE USE ONLY FEDERAL REPUfAiIL1Y5 AART 6140F Tff EE 40 AND AQMO RULEY4B3. • • ❑ ,CS4Bi2r4E9ASBESfQl NQT(ACAjfO:! TO:. [''; • $PA • • • . • • P€RMITEXPIR€D PERMITCANCELLED ❑ AQMD PERhR'IFEXT€LADED ❑ ASBESTOS NQRACATfONlS NOT APPLICABLE TQ PKOPOSNAAEM(7tIT19N. < • • • • • • V PERMIT FINAL 2 2N. On S CERTIFICAT€QF OCCUPANCYISSUED SIGNATURE:. • • • • "• • • • • • •