The URL can be used to link to this page

Home My WebLink AboutH2023-0568 - PermitsPORT City of Newport Beach D��gW Community Development Department- Building Division > r j 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 ?u P2 newportbeachca.gov/civic Mechanical Permit Plan Check No : Work Class : Other Issued Date : Inspection Area : 4 H2O23-0568 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, 3335 Legal Desc : N TR 15178 BLK TRACT 15178, POR. OF TRACT; EITHER Description: MECH - R/R A/C CONDENSER & FAIL. 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 : Code Edition : 2022 Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : PROCESSED BY: X PC - North Newport Center SPECIAL CONDITIONS: 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 Manufacturer : CARRIER Model# : GA5SAN43600W OWNER -BUILDER DECLARATION I hereby affirm under penalty at perjury that I am exempt from the Contractors` Slate License Law for the reason(s) indicated below by the cheakmark(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 slit) 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 7ofesslons 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 forapermit subjects the applicant to a civil penalty of o€ more than five hundred dollars ($50D). 11, 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 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 property, provided that tine npfovements 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 bunt or n roved for the purpose of sale). 1. as owner of the property, am exclusively contracting with licensed Contractors to construct [lie project (Section 7D44, 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 Contractors' State License Law), 1 I am exempt from licensure 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 legall•. ell a structure that I have built as an owner -builder if it has not open 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 sits:http:/lwvrw.leglnfo.ca.govlcalaw.htmi. .Ignaturn of Property Owner or Authorized Agent __ Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Elect 7 I f the Business and Pr fe ions C �a.,. a. r�sZa is in full force rid effect License Class License. No Data GL� Contractor Signatur / YORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERNOT IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tsID0,000t, N ADDITION TO THE DST OF COMPENSATION, DAMAOESAS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE., INTEREST, AND ATTORNEY's FEES. hereby affirm under panalty, of perjury one of the following declarations: I 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 grformance 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 e of Agent Date 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 L if I should become ubjec( to the wor o sater provisions of Section 3700 of the Labor Code, I shalt Forthwith comply with those provisions. / _ A _ nature of ON RE nl i C LARATION REGACONSTRUCTI LENOIN AGE CY Ireby affirm under penalty of perjury that there is a co truction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). Iders Name Lender's Address _ 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or corm tr7/en 5the� Ifledppro ertfor inspection purposes. �t�/' �/ (/�� ` I // C nAhirrl of Pronwty Owner or Aulhnn7pri Anent X !/_/'/9 �✓`�/1._ y Print PrnnartC)wnpr'c or Anthnri>ed Anenl's Nam. /N Act �--/ �-7l `' i I➢/IT :///�'�! ACTION DATE BY ,J ( DECLARATION OF COMPLYNCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V \ REGULATIONS PART Bt XF TITLE 40 AND AOMD RU LF 1403 PERMrTEgPMtD E I 15UBMITTEDASBFSTOSNCTi FICATIONTO PERMITCANCELLED j�� , EPA PERMITFINAt Gl-� _'�'�/� -- UASBESTOS NOI iFFIC'ATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION SIGNATURE: OCCUPANCY ISSUED !