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Home My WebLink AboutH2023-0567 - PermitsCity of Newport Beach �rWno 0 s) e Community Development Department- Building Division > y 100 Civic Center Drive, Newport Beach, CA 92660 u,y x` Permit Counter Phone: (949) 718-1888 n ewpo rtbeach ca.g ov/civic Mechanical Permit Plan Check No : Work Class : Other Issued Date : 08/3012023 Inspection Area : 4 H2O23-0567 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 Legal Desc : N TR 15178 BLK TRACT 15178, POR. OF TRACT; EITHER Description: MECH - R/R A/C CONDENSER & FAU. LIKE FOR LIKE. LOWER DB LEVEL THAN (E) UNIT 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 : 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 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer : CARRIER Type of Construction : Model# : GA5SAN43600W Occupancy Groups: Building Setbacks : Flood Zone : X r n Use Zone : PC - North Newport Center PROCESSED BY: .' i SPECIAL CONDITIONS: Y OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the ContractorsSlate License Law for the reascri indicated below by the checkmark(s) I have placed next to the 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 is 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 lieensure and the basis for the alleged exemption. Any violation of Section 7C31.6 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 properly, provided that the nprovements 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 nprovedfor 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 pply to an owner of property w'ho builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from lieensure under the Contractors' State License Law for the following reason: y 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), ell a structure that I have built asan 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:httpat, w .leginfo.ca..gov/celaw,html. ignalure of Property Owneror Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 p F )If 'bq 3 000�e Business and Pro ions Qa, B sfe s in full force nd effect. License Class License No Dat Lg,f ontractor Signatur VORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORK ERB' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IW,Oaa), 1 ADDnTON TOTHE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, ANO ATTOR145TS 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 th ta�formance of the work for which this permit is. issued. Policy No.. 'FTj I hhaave 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' comper iol sur nee carrier and policy number are: tamer Policy Number Expiration Date Jame of Agent Phone 9 �I certify that, in the performance of the work for which thispermit is issued., I shall not employ any person inany manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should become Subtlact to the worka provisions of Section 3700 of the Labor Code, I shall forthwith comply with those. provisions. 3ignalure of Applicant _ _ Datxivw DECLARATION REBARC IO o k UN LENDING A NOY ection hereby affirm under penalty of perjury that there is a const tion lending agency for the performance of the work for which this permit is issued (S3097,ode). -ender'a Name _ _ Lender's Address 3y my signature below, 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 cou ty ordinanc sand state laws relating to building construction. , I authorize representatives of this city or coun a I.a r,(entitied property far inspection purposes. 31 nature of Property Owner or Authorized Agent IT Print Property Owner's or Authorized Agent's Narn 6%EEE` �� Date ACTION DATE By DIICLARATION OF OMPLIANCE WITII CODE OF FEDERAL FOR OFFICE USE ONLY ( REGULATIONS P RT St OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I 15URMITTED ASRFSTO5 NOTIFICATION TO PERMIT CANCEUEP OEPA __._. -..._._... _ _ rT PERV1ITEXTEND@P L..[AQMD— PERMITFfNAL ❑ASBESTLIS ND1l FICATION 15 NOT APPLICABLE TO CERTIFICATE OF // �/\ PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: