The URL can be used to link to this page

Home My WebLink AboutE2023-0673 - PermitsU41. City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIII Electrical Permit : E2023-0673 Community Development Department - Building Division E 2 0 2 3 0 6 7 3 Plan Check No 100 Civic Center Drive, Newport Beach, CA 92660 Work Class : Other Permit Counter Phone: (949) 718-1888 Issued Date : 07/27/2023 newportbeachca.gov/civic ,,,� A Final Date: Permit Status: Issued L— 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: 2122 COLONY PLZ Legal Desc : N TR 15178 BLK LOT 2 Description : ELEC R/R ELECTRICAL DISCONNECT FOR HVAC (H2O23-0479) 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 : Code Edition : 2022 Type of Construction : Building Setbacks : Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY: an SPECIAL CONDITIONS: Contractor : AMTECH HEATING & AIR INC Address: 17751 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 Fire Hazard Zone : NO Occupancy Groups: 30" WIDE X 36" DEPTH REQUIRED FOR +► A/C DISCONNECTS I hereby affirm under penalty of perjury that t am Exempt from the Contractors' State License Lawfor the reascin(s) indicated below by the checkmark(s) I have placednext to life applicable items) (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 llcensure, and the basis for the alleged exemption, Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penatty of not more than five hundred dollars ($500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (5ection 7044, Business and Professions Code* The Contractors' State License Law does not apply to an owner of property who,through employees' ar 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 er Improved for the purpose of sale). ❑ 1, 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensors under the Contractors' State License Law tot life 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 legail, sell a structure that I have Emit as en 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:tfw .ioginfo.oa.gov/"law,htmi. Signature of Property Owner or Authorized Agent _ Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under previsions at Chapter 9 (Commencing with Section 70 / -R Qf tie Business and Professitln u e i + se is in full force and effect. License Class License No Date / GUI Contractor Signature iU WORKERS' COMPENSATION DECLARATION ,MANNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFWES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,0041M ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LAeOR CODE, INTEREST: ANO ATTORNEY '$ FEES. hereby affirm Yonder penalty of perjury one of the following declarations: I I have and will maintain a cerlificater 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, her in loremnance of the work for which this parmit 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' oomponsatiol nsurance carrier and policy number are, :Enter Policy Number Expiration Date Jame of Agent Phone # :1I certify that, in the performance of the work for which this permit is. issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre list, If I should become subject to the workersTLWD a a provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. "signature of Applicant a._ „p7.,�...,�Date 'rsL�2J SECLARATION REGARDING CONSTRUCTING A CY hereby affirm under penalty of perjury chat there is a constru ion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). .ender s Name Lenders Address 3y my signature aglow. I certify to each of the following: I am the pwper,y owner or authorized to act on the property owner's behalf. 1 cave re,,d th:a application and the Information I have provided is correct I agree tc comply with all applicable city and county ardWna»ca 3 d state taws relating to building construction. f 3uthORZE, representatives Of this city or county to enigf1the • I it e property for inspection purposes. 31 nature Of Pmf et Owner or Authorzed Agent -f' Print Property Owner's or Authorzed A zit s Name _ , 9 -1, lCTI TN DATE BY 111CLARATION OF CO LIANCE WITH CODE OF FEDERAL. FOR OFFICE USE ONLY REGULATION$PAR I: OF TITLE 40 AND ACME RUIF. 1403 r'.AMtT ENFINEO ) I SURk11TTED ASBESTOS NOTIFICATION TO dr.hfvdTCANt,'€TIED MEPA.._. _... j i'tkma FINAI 3 LIA$BE$TO$ NO11FIC4TION Is Nor APPLfCABLE TO ,: AIIFCAIEof i PROPOSED DEMOLITION OCCUPANCYISSUED 1 SIGNATBRE;