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Home My WebLink AboutH2024-0273 - PermitsCity of Newport Beach poRT o Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 0 S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic FO.a��r Mechanical Permit 11111111111111111111 IIIII IIIIIIIIIIIIIII IN IIII 1111111 Plan Check No: Work Class : Other Permit Status: Issued Issued Date : 05114/2024 Inspection Area : 4 H2O24-0273 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: 3329 COLONY PLZ Legal Desc : N TR 15178 ELK LOT 1 Description: MECH R/R HEAT PUMP/SPLIT SYSTEM AND AIR HANDLER **TAMPER RESISTANT CAPS REQUIRED & TIMERS PROHIBITED** Owner: THE COLONY AT FI LLC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: (847)343-2234 Applicant: ANAGHEPES Address: 17751 SKY PARK CIR, F IRVINE, CA 92614 Phone: (800)B82-3019 Owner/Builder : Address Phone: 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: 12/2012024 Code Edition : 2022 Fire Hazard Zone : NO Manufacturer: CARRIER Type of Construction : Model# : GA5SAN43600W Occupancy Groups: Building Setbacks: Flood Zone: X Use Zone: PC - North Newport Center > > PROCESSED BY : Yi.S PROWBIiE® SPECIAL CONDITIONS: CHANGE OUT EN OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State 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 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 pursuant to the provisions of the 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 ficensure and the basis for the alleged exemption. Anyviolation of Section 7031L5 by any applicant fora 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 (_) all of or L) portions of the work, and the structure is not Intended oroffered 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 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). ❑ 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 !a�ly to an owner of property who builds or improvesthereon, and Who contracts for the projects with a licensed Contractor pursuant to the Contractors' State, License Law). 4 I am exempt from licensure 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 rosided for at least one year prior to completion of the Improvements Covered by this permit, I cannot legali, sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request w1hen this application is submitted or at the following Web site:http:/IWWWJeginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized Agent _ —Date. LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001. f i rjai ( 3 of he Business and Profession A C d � license is in full force and effect. License Class License No Date 77 xContractor Signature WORKERS' COMPENSATION DECLARATION NARNINO: 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 (s 0,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. 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. Insurance carrier and policy number are: Policy Number Expiratic of Agent Phone N Date JI 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 t0 become subject to the workers' compensation laws of California, and agre hat, If I should become subject to e r rs' o pensaLion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./Af�/ -T �-, ` . signature of Applicant_ _ Date 4 /rG 7 202AY 7ECLARATION REGARDING CONSTRUCTION LEN),OMINGAGENCY T r .- hereby affirm under penalty of perjury thatlhere is onstruction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). -Ander's Name _ Lender's Address 3y 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 L lie application and the information I have provided is correct. I agree to c3 c,�'y with all applicable city and county ordinances and state laws relating to building construction. ' ❑uthoriz^ epresentatives of this city or county to en th identified property for inspection purposes. ii nafvre of Pro P'i' Owner or Authorized Agent Print Properly Owner's or Authorized Agent's Name —ACt Date ,ICTICN DATE BY 1 DECLARATION OF CO LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART t OF TITLE 40 AND AQMD RULE 1403 ( PERMITEXPIRED j j i U I SUBMITTED ASBESTOS NOTIFICATION TO PLAMITCANCEIIFG I PERMITEXTENDEP ERMITFWAL 1 UASSESIOSNOTIFICATION ISNOT APPLICABLE TO CERT,FICATEGF PROPOSED DEMOLITION J. PANCY155UEO /, G% /"�'� SIGNATURE: