HomeMy WebLinkAboutH2024-0297 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
III II II Mechanical Permit
Plan Check No:
Work Class : Other
Permit Status: Issued
Issued Date: 05/23/2024
Inspection Area : 4
H2O24-0297
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 : 2 MILANO DR, 2449
Description: MECH R/R DUCTWORK
Owner: AC AT JAMBOREE LLC
Address : PO BOX 2450 NEWPORT BEACH, CA 92658
Phone:
Applicant : ANA GHEPES
Address : 17751 SKY PARK CIR, 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 Ford
PROCESSED BY: M
SPECIAL CONDITIONS:
Legal Desc : N TR 12309 BLK LOT 2 TR 12309 LOT 2 FOR OF LOT
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 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:
WCP1632562000
W. C. Expire:
12/20/2024
Manufacturer:
Model#
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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, or repair any structure, prior to its issuance, also requires the applicant for
10 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from ticensure 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 than five hundred dollars ($500).
3 I, 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 oroffered for sale (Section 7044,
iusiness and Professions Code: The Contractors' State License Law does net apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements 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
nyproved for the purpose of sale).
J I, as owner 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
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).
I I am exempt from licensors under the Contractors' State License Law for the following reason: _ ___ _,
-y 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 legally
ell a structure that I have built as an owner -builder If it has not been constructed to its entirely by licensed contractors. I understand that a copy of the 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:llwww.leginfo.ca.gov/calaw.htmL
signature of Property Owner or Authorized Agent Date
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 f D,Y"vi •ip 3 of the Business and Professions C y license Is in full force
ad effect. License Glass License No Date Contractor Signature
PORKERS' COMPENSATION DECLARATION
'ARMING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f4 0000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
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
orformance of the work for which this permit is. issued. Policy No.
51 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' compensatio
Isurance carrier and policy number are:
'.artier Policy Number Expiration Date
area of Agent Phone 0
11 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 agre
tat, if I should become subject to a compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. �J �/�
ignature of Applicant, Date ks 2 Y
DECLARATION REGARDING CONSTRUCTION ING AGENCY
hereby affirm under penalty of perjury that then is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
enders Name Lender's Address _
y my signature below. I certify to each of the following:
I out 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 with all applicable city and county ordinanc s and state laws relating to building construction.
I authorize representatives of this city or county to an t entitled property for inspection purposes.
i nature of Property Owner or Authorzed Agent Print Property Owner's or Authorized Agent's Name ill Y Date Q/v Z3 G
kCTION DATE I BY DECLARATION OF MPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
RFGIIIATIONSP T61 OF TITLE 40AND A4MD RULE
PERA:ITCAr.CEUEO $_(EPA
PER.YH, fXTF1qDE4 UAQMD
PER,06 FINAL ❑ASBESTOS N01 IFICATION IS NOT APPLICABLE TO
CERTIF(CATE OF 5/7 j2 4- PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE,
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