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Home My WebLink AboutE2023-0766 - Permitsa�� Pogr City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 > = Permit Counter Phone: (949) 718-1888 c+".,SyoaN'P newportbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : 08/30/2023 Final Date: Permit Status: Issued Inspection Area : 2 E2023-0766 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: 200 PROMONTORY DR W, MAINTENANCE Legal Desc : P BK 49 PG 15 PAR 1 PARCEL MAP 49-15 PAR 1 POR OF SHOP Description : ELEC A/C DISCONNECT (H2O23-0570) 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: 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' Slate License Law for the reasons) 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, after, 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 71 Division 3 of the Business and Professions Code) or thathe or she is exempt from licensers 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 L) all of or L) portions of the work, and the structure is not intended or offered for safe (Section 7044, 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). 0 I, asowner 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 apply 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). I❑ I am Exempt from licensors under the Contractors' Stale 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 legall 'sell a structure that I 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, Sopron 7044 of the Business and Professions Code, Is available upon request when this application is submitted or at the following Web site:hltp:(1www,.leginfo.ca.gov/calaw.html Signature of Property Owner or Authorized AgentDate iiLICENSED CONTRACTOR'S DECLARATION I,I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 f i i "on the Business and Prof i li en a is In full force land effect. License Class License No Dat Contractor Signature L ,WORKERS' COMPENSATION DECLARATION (WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($t ,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES A$ PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE INTEREST, AND ATTORMEY's FEES. hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of censeni to self -insure for workers' compensation, Issued by the Director or Industrial Relations as provided for by Section 370D of the Labor Code, for rmance 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 Expiratic of Agent Phone # Date Of 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 ogre that, If I should become subi eL to the work o p ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��fJJ23 Signature of Applicant .,j,_ _ _ __ _ Dale DECLARATION REGA. IN CTt LENDING GEN Y I hereby affirm under penalty of penury that there Is a con ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci. I Code). Lender's Name Lenders Address By my signature below, I certify to each of Ilia 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 count rdinanc nd state laws raising to building construction. I authorize representatives of tl,is city or coup to rah o -i if led property for inspection purposes. ��[SI nature of Property Owner or AuCionzeu Agent Print Properly Owner's or Authorized Agent's Na�� ACTION I r`ATE By I trECLARATICIV OF COMP ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j REGULATIONS PART 61 OF TITLE 40 AND ACiM,D RULE I 1403 PERMIT EXPIRED I I SUBMITTED ASRFST05 NOTIFICATION TO PERMITFINAL ; LJ ASBESTOS NOTIFICATION SNOT APPLICABLE TO CERTIFICATE OF / 7i //' PROPOSED DEMOLITION OCCUPANCY ISSUED I fS�N/`G/ i SIGNATURE: