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Home My WebLink AboutH2022-0683 - Permits�aEWPoRr City of Newport Beach @ Community Development Department- Building Division > Fy 1 DD Civic Center Drive, Newport Beach, CA 92660 > i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cgcrcenN`r newportbeachca.gov/inspections Mechanical Permit Plan Check No : Work Class : Other Issued Date: Inspection Area : 4 H2O22-0683 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 : 1122 COLONY PLZ Description : MECH - R/R FAU, LIKE FOR LIKE Owner: THE COLONY AT FI LLC Address: NEWPORT BEACH, CA 92658 Phone: Applicant: AMTECH HEATING &AIR INC Address: 17751 SKY PARK CIR, STE F IRVINE, CA 92614 Phone: (800)882-3019 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: PROCESSED BY: X PC - North Newport Center SPECIAL CONDITIONS: W Legal Desc : N TR 15178 BLK LOT 2 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 Bus Lic Expire:08/31/2023 Workers' Compensation Insurance Carrier : SIRIUS AMERICA INS CO Policy No: WC85553 W. C. Expire: 12/20/2022 Fire Hazard Zone : NO Manufacturer Model# : 31 CDXP OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable iiem(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 io 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). 111, as owner of the property, or my employees with wages as thelr sole compensation, will do U all of or U portions of the Work, and -the. structure Is notintended 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) El t, as Owner of the properly, am exclusively contracting with licensed Contractors to construct [lie project (Section 7044, Business and Professions Code: The Contractors' State License law does not LJ ,5a ply to an owner of property who buflds 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' Slate 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 itsentirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of tha Business and Professions Code, isavailable upon request when this application Is submitted or at the following INeb site:http:Bwww.leginfo.ca.govlcalaw.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 7q0) t i n - f the Business and Pro fe o s� i .fise Is i full force and effect. License Class License No Date ,J/ �' Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100A00 IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 Ormance of the work for which this permit is issued. Policy No. 1 ave 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' compensatio ` s nce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone 0 ❑I certify that. in the performance of the ��secn' Tois permit Is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire( that, if I should becoma subject to w on provisions ofSection 3700 of the Labor Code., I shall forthwith comply with those provisions. Signature of Applies r� ✓ 2� DECLARATION REG INGCONS. RUCTI N LENDIN AG CY I hereby affirm under penalty of perjury that there is a cction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lenders 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 owners behalf. I have read this application and the information I have provided is correct. agree to comply with all applicable city and county ordmanO s and state laws relating to building construction. I authorize representatives of this city or county to enter t = entified property for Inspection purposes. Si nature of Pro art Owner or Authorized Agent Pont Property Owner's or Authorized Agent's Name / L/ l - Date /Z Y ACTION DATE RY ( DECLARATION OF CO LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R£GULA-PIONS PARTf I.OP TITLE 40 AND AQMO RULE 1403 PERMIT EXPIRED J I SUBMITTEO ASBFSTOS NOTIFICATION TO PERMIT CANCELLED EPA _ _ PERMIT EXTENDED 1JACMD PERMITFINAL - try /i/ ASBESTOS NOTIFICATION I5NOT APPLICABLE T'O CERTIFICATE OF �(*'/ PROPOSED DEMOLITION OCCUPANCy185U£D (_SIGNATURE;