HomeMy WebLinkAboutH2022-0389 - Permits�gwroRT. City of Newport Beach III I I I II I II I II IIII�I I II II
o4 - Community Development Department- Building Division Mechanical Permit: H2U22-U389
> y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
z- Permit Counter Phone: (949) 644-3288 Work Class : Other
Inspection Requests Phone: (949) 644-3255
C9tIFp AN�P newportbeachca.gov/inspections Issued Date
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1320 COLONY PLZ Legal Desc: N TR 15178 BILK LOT 2
Description: MECH - R/R A/C CONDENSER & FAU. LIKE FOR LIKE. LOWER DB LEVEL THAN (E) UNIT
Owner: THE COLONY AT FI LLC
Contractors. AMTECH.:HEATING & AIR INC
Address : NEWPORT BEACH, CA 92658
Address : 17751 SKY PARK CIR, STE F IRVINE, CA 92614
Phone :
Phone : : (800) 882-3019
Con State Lic `: 1003704%
Applicant: AMTECH HEATING & AIR INC
Lic Expire : 04/30/2023
Address : 17751 SKY PARK CIR, STE F IRVINE, CA 92614
"
Bus Lic:
Phone : (800) 882-3019
Bus Lic Expire:
Workers' Compensation,]nsurance
Owner/Builder:
Carrier: SIRIUS+AMERICA+INSURANCE+COMPANY
Address :
Policy No: -. WC85553.
Phone :
W. C. Expire: 12/20/2022
Code Edition : 2019
Fire Sprinklers : NO
Manufacturer
Type of Construction :
`Fire Hazard Zone: N
Model# :
Occupancy Groups:
Building Setbacks
Flood Zone : X
Use Zone: PC - North Newport Center
PROCESSED BY:
I s
a® i a� i
lby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasori(s) indicated below by the checkmark(s): I have placed next to the applicable item(s)
7031-6, Bbstnees and Professions Code. Any city or county that requires a pert, 0it. to construct, altar, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for
it 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 pf the Business and
xis Code) or that he or sheds exempt from ticensure and the basis for the alleged exemption- Anyviotation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
I, as owner of the property, or my employees with wages as their sole compensation, will do L) allof or L) portions: of the work',and the structure is not intended or offered for sale (Section 7044,
iness 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 budding or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
1. as owner of the property, am exclusively contracting with licensed Contractors to construct the proJact(Section 7044, Business and Professions Coder. The Contractors' State License Law does not
ly to an owner of property who builds or Improvesthereon, :and who contracts for theprojects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors'. State License Law for: the fol€owing. reason:
ny signature below I acknowledge that, exceptfor my personal residence in which I must have residedfor at least one year prior to completion of the improvements covered by this permit,. I. cannot leg
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
lessions Code isavailable upon request when this application is submitted orat the following Web site:http:llwww.leginfo.ca.gov/calaw.html.
iature of Property Owner or Authorized Agent. Date
ENSED CONTRACTOR'S DECLARATION
racy affirmunder penalty of perjury that I am licensed under provisions of Chapter 9'(commencing with Section 7000) if 1 ' 3 of the Business and Professions dmy ense 1s9n uA force
effect. License Class- License No Date ContractorSignature�„y7 i'19
iRKERS' COMPENSATION DECLARATION f/I,
N EMPLOYER TO CRWINAL. PENALTIES AND CNIL FINES
ATTORNEYS FEES.
) DOLLARS (5100,000), IN ADDITION TO THE
hereby affirm under penalty of perjury one, of the following declarations: -
3 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
2iformance of the work for which this permit is issued. Policy No.
eve and will maintain workers compensation insurance, as: required by. Section 3700of the Labor Code:, for the performance of the work for which this permit is issued. My workers' compensa
is noe carrier and policy number are:
-
enter Pollcv Number Expiration Date Ll
certify that, In - the port
, If I should become at
pe6urythat there is a cinstruction lending agency for
my signature below, t certify to each of the following:
I am the property owner or authorized to act onthe propertyowner's behalf.
I have read this application and the informational have provided is correct,
I agree to Comply with all applicable city and county ordinances and state laws
t authorize representatives of this city or count tp Doter 8VAK0 �-', ,PlifTed p-ro
.PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
PECLARATION OF
REGULATIONS PA
3403
SIGNATURE:
Phone M
employ any person in any manner so asto become subject to the workers'compensationlaws of California, and agre
I of the Labor Cede, I shot] forthwith comply with thoseprovisions.
t0ate O�/p. �So2 Z
t performance of the work forwhich this. parmit is issued (Section 3097, Civil Code);.
purposes.
wo
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
E be inplace prior to. approval to fill pool/spa & shall remain in place & be maintained for the
To I life of the pool.