HomeMy WebLinkAboutH2023-0479 - PermitseWPoR City of Newport Beach
e� ��S Community Development Department - Building Division
+�' ; ( `�) 100 Civic Center Drive, NewportBeach, CA 92660
u., yewsia' Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 07/27/2023
Inspection Area : 4
H2O23-0479
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 : 2122 COLONY PLZ Legal Desc : N TR 1517B BLK LOT 2
Description: MECH - R/R HEATPUMP. LIKE FOR LIKE. LOWER DB LEVEL THAN (E) UNIT
Owner: THE COLONY AT FI LLC
Address : NEWPORT BEACH, CA 92658
Phone : (949) 939-4889
Applicant: Ana Ghepes
Address : 17751 Sky Park Circle, F Sky Park Circle, F Irvine,. CA 92614
Phone : (800) 882-3019
Owner/Builder :
Address
Phone:
Contractor : AMTECH HEATING & AIR INC
Address :
17761 SKY PARK CIR, STE F IRVINE, CA 92614
Phone:
(800) 882-3019
Con State Lie
: 1003704
Lie Expire :
04/30/2025
Bus Lie:
BT30060143
Bus Lie Expire:08/31/2023
Workers' Compensation
Insurance
Carrier :
SIRIUS AMERICA INS CO
Policy No:
WC8555301
W. C. Expire:
12/20/2023
Code Edition : 2022 Fire Hazard Zone : NO Manufacturer : INNOVAIR
Type of Construction : Model# : SEV36H2R19
Occupancy Groups:
Building Setbacks
Flood Zone : X '
Use Zone : PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
TIMERS PROHIBITED
ON HEAT PUMPS
I hereby affirm under penalty of perjury that I am exempt from the ContractorsStale License Law for the reasons) indicated below by the checkmark(s) I have placednext to the applicable Item (a)
Sect qL 7031.5. Business and Professions Code: Any city or county that requires a permit to cons treat. alter, improve: demolish, or repair any structure, prior foals issuance; also requires the applcant for
in permit to file a signed slatoment that he or she is licensed pursuant to Ilia provisions of the Contractors' State Liconsa Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofesslons Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant fora permit subjects the applicant to a civil penalty of
of more than Live hundred dollars ($500),
1 [,as owner of the property, or my employees with wages as, theirs Cie compensation, will do L) all of or L) portions of the work, and the structure Is not intended or offered for sale (Sac HOT 7044,
!usina" end Professions Code: The Contractors' State License Law does not apply to an owner Of property who, through employees' or personal effort, builds or improves theproperty, provided that the
nprove ments are not Intended or offered for sale, Ir, however, the building or Improvement is sold within one year of completion, the Owner-BuiIdarwilI have the burden of proving that k was riot built or
eproved for the purpose of sale),
I, as owner of the properly, am exclusively contracting, with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
pply to anowner of property who builds or Improves thereon, and w1ho contracts for the projects With a licensed Contractor pursuant to the Contractors' Slate License Lsw).
] I am exempt (Torn Ilcensure under the Contractors' Stale Lcense Law for the following reason
ly 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 6y Ihis Darmil, I cannot legelh
oil a structure that I have built as an owner -builder If it has not bean constrocord In Its entirely by licensed Contractors. I understand [hat a copy of the applicable law. Section 7044 of the Business and
'rofessions Code, is available upon request When this application is submitted or at the following Web site'bttp://wvtwaaginfo.cagov/Gmaw.html.
[Ignatura Of Property Owneror Authorized Agent _
Date
DatB,�,��,_,
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of pnr)ury that I am licensed under provlsions ofChapter 9 (commencing with Section 7 f, I. (go 3,'f [tie Business and Profession -OdP d J se is in full force
rid affect, Llconse Class License No Dale o-'I�� Contractor Signature
VORKERS COMPENSATION DECLARATION
'ARNINnf FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AMP SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100.00 , IN An DITION-TO THE
OST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, BITER EST, AND AT TORNEY'S FEES.
hereby affirm sunder penalty of perjury one of the following declarations:
I I have and will maintain a cerlifcate of consent to self -Insure ke workers' Compensation, Issued by (lie Director of industrial Relations as provided for by Section 3700 of the Labor Code, for Ih
orformance of the work for which this permit is Issued. Policy No,
have 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'
I anee carrier and policy number are:
Policy. Number Expiration Date
of Agent
JI certify that, in the performance of the wor for which this permit Is issued, I shall not employ say person In any manner so as to become subject to the workers' componsonon laws of California, and afire
IECLAfshould became
rblecl to IT yVOL r�yp n Lesion provisions of Section 3700 of the Labor Code I shall forthwith Comply with those provisions.
at, If I should beoorne a
gnalure
Date
REGAR
DING CCINSTRUCTf NLENpIN AGENCY �
Tereby affirm Under penalty of perjury that there is a cc struetion lending agency for the performance of the work fur which this permit Is issued (Section 3097, Civil Code).
urti Name _ _ Lenders Address
y my signature below. I certify to each or the followiiag.
I On' the ureDerly: owner or authorized to act on the properly OWPOr'9 behalf,
I have dad Ihis application and the information I have provided is correct.
I a roo to con ly with all applicable city q county ordinaries; and state laws relating [o building construction.
g P } PI ly and �) y�
I Y Y y Print
Inspection purposes,
I autho-lze representatives of this eft or count to an the a d allh ttprrooUori for Ina
nature of I'ro salt Owner Authoiiud A E"nt �' �� �> Fri Propene Owner's Or Authorized Ancnfs Name
J.CTICN
DATE
NY OECLARATIONOFCONIP ANCE WITH CODE OF FEW RAL
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FOR. OFFICE USE ONLY
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SIGNATURE!