The URL can be used to link to this page

Home My WebLink AboutE2024-0180 - Permits0-�""" City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Electrical Permit : E2024-0180 E 2 0 2 4 0 1 8 0 Plan Check No : Work Class : Other Issued Date: 1111412023 Final Date: 12/04/2023 Permit Status: Issued 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 Description : ELEC A/C DISCONNECT (H2O24-0148) 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 : Building Setbacks : Flood Zone : X Use Zone : PROCESSED BY: 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 Lic : 1003704 Lic Expire: 04/30/2025 Bus Lic : BT30060143 Bus Lic Expire:08131/2024 Workers' Compensation Insurance Carrier : PIE INSURANCE COMPANY Policy No : WCP1632562000 W. C. Expire: 12/20/2024 Fire Hazard Zone : NO Occupancy Groups : OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that 1 am exempt from the Contractors' Slate License Law for the reason(s) 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 IQ construct, alter, improve. demolish, or repair any structure, prior to Its issuance, also requires the applicant for Ithe permit to file a signed statement that he or she is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 1, professions Code) or that he or she is exempt from Ilcensure 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). ❑ 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, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who, lhreugh employees' or personal effort, builds or improves the property, provided thatthe 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). I, as owner of the properly, 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 pursuantto the Contractors' State License Law). 'Q 1 am exempt from ticensure 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 rasided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built asan owner -builder if it has not boon constructed In its entirely by licensed contractors.. I understand that a copy of the applicable law, Section 7044 of the Business and .Professions Code, is available upon request when this application Is submitted or at the following Web site:http:llwwhv'.leginfo.ca.gov/calaw.htm). ',.Signature of Property Owner or Authorized Agent __,__v, m __.._._..__..__ Date LICENSED CONTRACTOR'S DECLARATION __.�__ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secto f D' isiy}� of the Business and Prof s Ion o icense i full force and effect. License Class License No Dat `K/ Contractor Signature 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)HOUSAND OOLLARS (510a. OG), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3765 OF THE "SOS CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: 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 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 of Agent Date ..II certify that, in the performance 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 agree mt, if I should beco subject to ,N ease. ion provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. ? at. g lure of Applica t _ _,., _,.,.,,_...,_.,,._ _.,.....,... �_... ,.,. .�.�..® Dattt J �T �Z LARATION f2E REIN pNSTRILCT10 LEN NG GENCY hereby affirm under penalty of perjury that there is a onstructiort lending agency for the performance of the work for which this permit is issued. (Section 3097, ode). Bader's Name Lenders Address ly 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 rid state laws relating to building construction. I authorize representatives of this city or couny o enter he tilled property for inspection purposes. ft ! //gyp/,, '— ,, �� 2 lig.nature of Property Owner or Authorized A9enI , r e��7 Print Property Owner's or Authorized AaenYs Names iY Cf ,oi �" � ACTION DATE By DECLARATION OF COM LANCE WITH. CODE OF FEDERAL ✓ v �__--- 60R OFFICE USE ONLY REGULATIONS PART OFTITLE 40ANDAQMD RUL€ 1403 PERMIT EXPIRED I j LJ I SORMITTED ASBESTOS NOTIFICATION TO -_... _._..._..—_.— _.__.. _. PERARIT C:AA'CECCFD ICPA FERhMTfXTFNDED I-.. CAq VD _ PCRMIT FINAL L IL ASbLS 105 NUr FICANON 15 NOTAPPLICABLE TO DEMOLITION CERTIFICATE Of �r / ✓1+0�0 a D OCCUPANCYf55UFD SIGNATURE.