HomeMy WebLinkAboutE2023-0768 - PermitstW!>okT
City of Newport Beach
Community Development Department- Building Division
F '.
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 71 B-1888
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newportbeachca.gov/civic
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Electrical Permit
Plan Check No :
Work Class : Other
Issued Date : 08/30/2023
Final Date:
Permit Status: Issued
Inspection Area :2
E2023-0768
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, 1102
Description : ELEC A/C DISCONNECT (H2O23-0567)
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 FOR 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:
12120/2023
Fire Hazard Zone : NO
Occupancy Groups : U
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 item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a pernill 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 Ilcensure 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).
❑ I, as owner of the property,. or my employees with wages as their sole compensation. will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 704A,
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).
1, as owner of the property, am exclusively contracl'mg with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
appty to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
El I ani exempt from licensure under the Contractors' State 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 Iegail)
sell a structure that 1 hava built asan owner-buildor if it has not boon constructed in its entirety by licensed contractors. I understand that a Copy of the applicable law, Section 7044 of the Businoss and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/twww.leginfo.co.gov/calsw.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 Bache 00 f n 3 the Business and Pro s Ions ode d r ' e Se is in full force
and effect License Class License No Dat Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUadECT AN EMPLOYER TO CRIMINAL PENALTIES AND DIVA. FINES UP TO ONE HUNDRED NDUSAND DOLLARS (EIUD.eDQj, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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
'ormanee 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
Dale
-II 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 afire
rat, if I should beco IT
bfect to the workgrs C fit provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
17)
signature of Applicant ...__..._._..._____..__._., Dat� �19
tE:CLARATION RE IlA G CON5T - E .DING AG CY
hereby affirm uno nder. n} of perjury that there Is a construe on lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Cade).
enders Name _ _ _ Lenders Address
ly my signature Below, I certify to each of the following:
I am the property owner or authorized la act on the property owner's behalf.
I have read this application and the information I have provided is ccrrecL
I agree to comply withall applicable city and county ordinances a d�,�ts�la,5te laws relating to building construction,
I authorize representatives Owner
o of this city or count! enter property for inspection Purposes. v_v / r' q lO / 1j�e iionaWre of Prcoerty Owner or Authorzed Aoent Print Prooartv Owner's or Authorized ADenl's Nam ate
ACTION DATE BY TBCLARATCN OF COMPU NCE v1 TH CODE OF FFDFRAL FOR OFFICE USE ONLY
RFC ULATIONS PART 51 TITI.F 40, AQMO Rll lF
PERMIT EXPIRED
LJ I SU_BMITTF.D ASBESTOS NOTIFICATION TO
PERMIT CANCEL! ED®EPA
PERMIT EXTENDED .__.______.____
_. _..QAQMD...._._ ......... ................ .................
FERMtTFINAL
�. /•G�
_..1�✓1��'0ASBf,S rOti NOI IFICAT ION ISNOf APPLICABIL TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE;