HomeMy WebLinkAboutH2024-0149 - PermitsaeWPoR City of Newport Beach
0k e Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
n Permit Counter Phone: (949) 718-1888
u « newportbeachca.gov/civic
c91./F00.N�P
Mechanical Permit
Plan Check No :
Work Class : Other
Issued Date : 1111412023
Inspection Area : 4
H2O24-0149
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 : 100 VILAGGIO, 5138
Description: MECH - DUCTWORK ONLY
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:
Legal Desc : N TR 15178 BILK TRACT 1517B, FOR. OF TRACT; EITHER
Fire Hazard Zone : NO
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:08/31/2024
Workers' Compensation Insurance
Carrier: PIE INSURANCE COMPANY
Policy No : WCP1632562000
W. C. Expire: 12/20/2024
Manufacturer:
Model# :
OWNER -BUILDER DECLARATION
I hereby affirm under penally of pery'ury that I am exempt from the Contractors' State 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, alter, improve, demolish, orrepair any structure, prior to its issuance, also requires the applicant for
Inc permit to filea 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
Professions Coda) or that he or she is exempt from lioensure and the basis for the alleged exemption. Anyviolation of Section 7031..5 by any applicant fora permit subjects the appticantto 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 (_) all of or U portions of the work,and the structure is not intended or offered for sale (Section 7044,
Business and Professions Coder The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, 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 buiit 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' Slate 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 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 Iegalll
sell a structure that I have built as an owner -builder If it has not bean Constructed In its entirety by licensed contractors. I understand that e copy of the applicable law, Section 7044 of the Business and
Professions Code, Is available upon request when this application Is submitted orat the following Web site:http:iiw .leginfo.ca..gov/caiaw.html.
Signature of Property Owneror Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0} f Dvt ion 3of the Business and Pr salons C dip, a ! e e fs in full force
and effect. License Class License. No Date 1 Contractor Signatur
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 T OUSAND DOLLARS (E100,000)/ ADDITION TO THE
COST OF COMPENSATIGN, 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:
111 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
pgrformance 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
cenify 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
t, if I should becom s ject. to the pensabon provisions of Section 37DO of the Labor Code., I shall. forthwith comply With those provisions.
nature of Applicant , Date
CLARATION RE GA L)1 mm�. m NSTRUCTION L DING AGENCY
)reby affirm under penalty of perjury thatthere 1 a construction lending agency for the performance of the work for which this permit is issued. (Section 3097, Civ' Code).
rder'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 thisapplication and the information I have provided is correct.
i agree to Comply Wish all applicable City and county rdmances and state laws relating to building construction. q f
I authorize representatives of this city or county o nmor th entitled property for inspection purposes. ^ y
nature of Donors Owner or Authorized Anent Print Property Owners or Authorized Agent's Name �' 1 �j(� �jl•("�' to J ((
ACTION
PERMIT'£XPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERrIFICATEOF
OCCUPANCY ISSUED
DATE I BY
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61. OF TITLE 40 AND AOMD RULE
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