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Home My WebLink AboutE2024-0314 - PermitsrEWPoy City of Newport Beach 0 " Community Development Department- Building Division t 00 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 �yo.��-`oftN,rj newportbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : 05/14/2D24 Final Date: Permit Status: Issued Inspection Area : 4 E2024-0314 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 BLK LOT 1 Description: ELEC R/R DISCONNECT FOR HVAC (H2024-0273 ) Owner: THE COLONY AT FI LLC Address : PO BOX 245D NEWPORT BEACH, CA 92658 Phone: (847)343-2234 Applicant: ANAGHEPES Address : 17751 SKY PARK CIR, 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: PC - North Newport Center PROCESSED BY: SI 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: WCPI632562000 W. C. Expire: 12/20/2024 Fire Hazard Zone : NO Occupancy Groups: X 36" DEPTH REQUIRED FOR A/C DISCONNECTS OWNER -BUILDER DECLARATION I hereby effort under penalty of perjury that t 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 ftem(s) 'action 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 Ia 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 rofessions Code) or that he or she is exempt from ficensure 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 IS500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044, usiness and Professions Codes 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 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 bullt or nproved for the purpose of sale). 1 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 witha licensed Contractor pursuant to the Contractors' State License Law). 7 t am exempt from licensure 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 legall, ell 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 'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo-c .govYcalaw.htmi. signature of Property Owner r 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 vTs' n 3 o the Business and Professions Co, g. !cerise is in full force no effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 (1110p,00061N ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 erformence 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' compensatioi .Trance canter and policy number are: Tier Policy Number Expiration Date no of Agent Phone N certify that, in the performance of the rk for Ich 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 become subject to the wo - o p sation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.�J nature of Applicant Date?'[ / ��_ CLARATION REGARDING C STRUCTI N LENDI A ENCY areby affirm under penalty of perjury that there is a c struction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Idler'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 this application and the information I have provided is correct. I agree to comply with all applicable city and county ordina ces and state laws relating to building construction. i authonz:: repres:ntalives of this city or county toe er ' ntified property for inspection purposes. p .r.alure or PropertOwner or Authorized A ent Print Property Owner's or Authorized Agent's Name { S Date T,ON DATE BY DECLARATION OF COMP ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS P, F TITLE 40 AND AQMD RULE 1403 RMIT EXPIRimu I LJ I SUBMITTED ASBESTOS NOTIFICATION TO ' ^FPN'ITEXTENOEO PERA IT FINA1 07FRTIFICATE OF I QCCC PANCY CSJ£J UAS8ESTOS NOTIFICATION kS NOT APPLICABLE TO PROPOSED' DEMOLITION