HomeMy WebLinkAboutE2023-0810 - Permits�eWPoRT City of Newport Beach
Ok ; Community Development Department- Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
' n
T Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Electrical Permit
Plan Check No :
Work Class : Other
Issued Date : 0911912023
Final Date:
Permit Status: Issued
Inspection Area : 4
E2023-0810
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
Description
: ELEC A/C DISCONNECT (H2O23-0613)
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
Use Zone :
PROCESSED BY
SPECIAL CONDITIONS:
X
PC - North Newport Center
m
Legal Desc : N TR 15178 BLK TRACT 15178, POR. OF TRACT, EITHER
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:08131/2024
Workers' Compensation
Insurance
Carrier :
SIRIUS AMERICA INS CO
Policy No:
WC8555301
W. C. Expire :
12/20/2023
Fire Hazard Zone : NO
Occupancy Groups:
OWNER -BUILDER DECLARATION
i hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the raason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.6, 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 parent 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
'rofesslons Code) or that he or she is exempt from Scenavre 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 then five hundred dollars ($800).
1 1, 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,
rosiness 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
nprovemants are not intended or offered for sale. If, however, the building or improvement is sold within one year of complatiun, the Owner -Builder will have the burden of proving that it was not built or
npioved for the purpose of sale).
.e 1, as owner of the property, am exclusively contracting with Licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not
pply 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).
3 1 ant exempt from licensure under the Contractors' State License Law for the following reason.
ly my signature below I acknowledge that, exceptfor 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)
elf a structure that I have built as an owner-bullder if it has not been constmced in its entirety by licensed contractors. I understand that a copy of tho 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:http://w .leginto.co.guvtcalaw.htmf.
tlgnature of Property Owner or Authorized AgentDate
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of periury that I am licensed under provisions of Chapter 9 (commencing with Section 7 r ts' n 3 of the Business and. Profession f�Ide r fc rtsa is in full force
ad effect. License Class License No Date (/� Contractor Signature
WORKERS` COMPENSATION DECLARATION
IARNING: FAILURE: TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS 151ee.9 ), IN ADDMON TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37e9 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty 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
erformanoe of the work for which this permit is. issuad_ 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' compensatioi
urance Carrier and policy number are:
,ner Policy Number Expiration Date
To of Agent Phone if
certify that, in the performance of the work for I , this permit is issued. € shall not employ any person in any manner so as to become subject to the workers' Compensation laws of California, and-agre
I, if I should become subiact to the wort is' n n ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant v
CLARATTON REGARDING CON ��. UCTION LENDING AG ` By TT
areby affirm under penalty of perjury that there is a construc" n lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
ider's 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 Decline s and state laws relating to building construction.
t authorize representatives of this city or county to gn(or JWv9%90IiLi-ed property for inspection purposes.
ACTION DATE BY I DECLARATION OF C IAPLIANCE WITH CODE OF FEDEIRAE FOR OFFICE USE ONLY
j REGUtATIONS PA 61 OF TITLE 40 AND AOMD RUDE
14W , I
PERMITkXPWED I SUBMITTED ASAESTOS NOTIFICATION TO v/t l t" 51F
-PERM77Ghh GEtE £D - -- �._ _0EPA
PERMtT EXFENJEr7 I IagfyfD
PfRMif FYNAt /�ASBh510S NOTIFILAtION I$ NOT APPLICABLE TO
GERi3FfCilTE tlf 3 � PROPOSED DEMOLITION
OCCUPANCY ISSUEf, SIGNATURE!