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Home My WebLink AboutE2023-0767 - Permits�EWPO,4T City of Newport Beach O� l @ Community Development Department - Building Division F, 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 cq�o r newportbeachca.gov/civic iiiiiiii7 II Electrical Permit Plan Check No : Work Class : Other Issued Date : 08/30/2023 Final Date: Permit Status: Issued Inspection Area : 2 E2023-0767 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 : 5100 COLONY PLZ, 4205 Description : ELEC A/C DISCONNECT (H2O23-0566) Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone: (949)720-3100 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 : 2022 Type of Construction Building Setbacks : Flood Zone : X; X Use Zone : PC - Promontory Point - UP 1494 PROCESSED BY SPECIAL CONDITIONS: Legal Desc : P BK 49 PG 15 PAR 1 PARCEL MAP 49-15 PAR 1 POR OF 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 : 04/30/2025 Bus Lic : BT30060143 Bus Lic 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: U 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 tennis) 3edion 7031.5, Business and Professions Coda: Any city or county that requires a permit tD construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for io 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 'rofessions 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 of more than five hundred dollars (5500). Z 1, as owner of the property, or my employees with wages as their sale compensatfon, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, fusiness and Professions Codes 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 oprovemenls are not intended or offered for sale. If, however, the building or improvementis sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or opro✓ed for the purpose of sale). 3 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 poly to an owner of property who builds or improves thereon, and who contracts for the projects with a ,licensed Contractor pursuant to the ContractorsState License Law)- 3 1 am exempt from Hoensure under the Contractors' State License 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 by this permit, I cannot legally all a structure that 1 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 70" of the Business and 'rofessions Code, isavailable upon request when this application is submitted or at the following Web site:http://www.leginto.ca.gov/calaw.htmf. fignature of Property Owner or Authorized Agent _ Date .ICEN'SED CONTRACTOR'S DECLARATION hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio. 711 h l5i , (ha Business and Pr ions C dg, a. -Be�eis In full force Ind effect. License Class License No Date /�JG Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORRERa' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100.000), IN ADDFTION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS IFEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -unsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih eXformance 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' carrier and policy number are: Policy Number of Agent Date JI certify that, in the performance of the work far which this permit Is issued'. I shall not employ any person in any manner so as to become subject to the workers' compensalio laws of California, and agre iat, if I should become feet to if w e ensauon provisions of Section 3700 of the Labor Code, shall forthwith comply with. those provisions. ignature of Applicant Data IECLARATION REGA DIN CONSTRUCTION LEND G AENOY hereby affirm under penalty of perjury that there is a nsiruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tinder's Name Lender's Address :y my signature betaw, 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 ordinance.,.nd state laws relating to building construction. / f authorize representatives of this city or county to enie hev filed property for inspection purposes. �j- - lic.nature of Property Owner or Authorized Agent u Print Prooertv Owner's or Authorized Agent's Name Lt,Sfa� ate ACTION DATE BY ✓ t DECLARATION OF CO,IANCEWITH CODE OFFEDERAL j FOR OFFICE USE ONLY Y / i REGULATIONS PART 6.. OF TITLE. 40 AND AClMD RULE Ij 1403 PERMIT EXPIRED LJ I suRMrITFD ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMITEXTENDED PLRMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED LJASBES'1'DS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: