HomeMy WebLinkAboutH2024-0148 - Permits04'.
City of Newport Beach Mechanical Permit :H2O24-0148
Community Development Department- Building Division100 Civic Center Drive, Newport Beach, CA 92660Plan Check No
Permit Counter Phone: (949) 718-1888 Work Class : Other
newportbeachca.gov/civic Issued Date : 11/1412023
Inspection Area : 4
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, 2108 Legal Desc : N TR 15178 BLK TRACT 15178, FOR. OF TRACT; EITHER
Description: MECH - R/R A/C CONDENSER & FAU. LIKE FOR LIKE. LOWER DB LEVEL THAN (E) UNIT **TAMPER RESISTANT CAPS REQUIRED**
Owner:
THE COLONY AT FI LLC
Address:
PO BOX 2450 NEWPORT BEACH, CA 92658
Phone:
(847)343-2234
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 : X
Use Zone : PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : AMTECH HEATING & AIR INC
Address :
17751 SKY PARK CIR, STE F IRVINE, CA 92614
Phone:
(800)882-3019
Can State Lic
: 1003704
Lic Expire :
04/30/2025
Bus Lic:
BT30060143
Bus Lic Expire:08/31/2024
Workers' Compensation
Insurance
Carrier :
PIE INSURANCE COMPANY
Policy No:
WCPI632562000
W. C. Expire:
12/20/2024
Fire Hazard Zone : NO Manufacturer: CARRIER
Model# : GA5SAN43000WAAAC
OWNER -BUILDER DECLARATION
I hereby affirm under penally of pedury that I am exempt from the ContractorsState License Law for the reason(s) 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 permit 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 pursuantto the provisionsofthe 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 licensors 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do I_) all of or (_) portions of the work., and the structure is not intended or offered for sale (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 (hat the
improvements are not intended or offered for safe. If, however, tine 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).
El I, as owner of the property, am exclusively contracting with licensed Contractors to construct (lie project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to anowner of property Wine 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 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 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, Section 7044 of the Business and
Professions Code, is available uponrequest when this application is submitted or at the following Web site:http:fi"w v.feginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of 6v ion 3 f the Business and Profs i s ode ie nse is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL RENALTIaS AND CIVIL FINES. UP TO ONE HUNDREDTH. eSAND DOLLARS (S100,0 , IN AODRION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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
performance 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
Date
lame of Agent Phone 0
11 certify that, in the pert to ce of the rk 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
rat, If [should become subjec( to a°w ompensa ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��
fgnalure of Applic __ Date ..-
�ECLARATION RE ING CON TRUCTION LIE
; A IE
hereby affirm under penalty of perjury that there Is a onslructrpn lending agency for the performance of the work for which this permit is issued. (Section 3097, Civi Code).
enders Name Lender's Address
y my signature below; certify to each of the following:
I am the property owner or authorized to act on the properly owner's behalf,
I have read this application and the Information I have provided is correct.
I agree to comply withall applicable city ap unty ordinances and state laws relating to building construction.
€ authorize representatives of this city or co o enter t -1 riffled property for inspection purposes, It a
ignature of Property Owner or Authorized Agent _ _ Print Property Owner's or Authorized Aoert's Name k
ACTION
DATE
BY I / I %7 _R.ATJON OF CO LIANCE WITFI CODE OF FEDERAL
FOR OFFICE USE ONLY
V $ REGULATIONS PART OF TITLE 40 AND AQMD RUlF
1403
PERFAfT:EXPfREfJ'U
1508MITTFD ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
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PERMIT EXTENDED
PERMIT FINAL
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LJ AS6r S]fb_ NO I' If ICAi ION 15 NOT APPLICABLE TO
CERTIFICATE OF
PPOPCdFDDEMOLITION
_OCCUPANCY ISSUED
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