HomeMy WebLinkAboutE2022-0823 - Permits�t-WPORT City of Newport Beach
O4 @m Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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� Permit Counter Phone: (949) 644-3288
Cq� FORN�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
111111111111111111111111111111111111111111111111111(1Electrical Permit
Plan Check No:
Work Class : Other
Issued Date : 11/01/2022
Inspection Area : 6
E2022-0823
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 : 88 WHITE CAP LN
Description: ELEC -DISCONNECT FOR R/R OF A/C
Owner: NEWPORT RIDGE APTS LLC
Address : 1 WHITE CAP LN NEWPORT BEACH, CA
Phone:
Applicant: AMTECH HEATING & AIR INC
Address: 17751 SKY PARK CIR, STE F IRVINE,
Phone: (800)882-3019
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
X
PC - Newport Ridge
)2658
)2614
LOT 3, FOR. OF LOT.
Contractors "AMTECH. HEATING & AIR INC
Address: � 17751 SKY PARK CIR, STE F IRVINE, CA 92614
SIRIUS AMERICA INS CO
No: WC85553
e: 12/20/2022
rZone: '-NO
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I. hereby affirm :under penalty of perjury that I am exempt from the Contractors' State License Law for the reasori(s). indicated below by the checkmark(s) I have placed next to the applicable Item(s)
cfion 7031.5, Business and: Professions Gode: Any city or county that requires a permit to construct, alter. improve, demolish. or: repair anystructure, pdorto its Issuance, also requires -the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisibris of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and.
fessions Code) or that he or she is exempt from ficansure and the basis for the aliened ezemotion. Any violation of Section 7031.E by any applicant for a permit subjects the applicant to. a civil penalty of :
sale (Section 704A,
*erty, provided that the
oved for the purpose of sale).:
I;as owner .of.the property;:: am exclusively contracting with licensed Contractors to vronstructthe project (Section 7044, Business and Professions: Code: The Contractors' State License Law does not..
y to an owner at property IA410 builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant fo the Contractors' State License Law).
€ am exempt from licensure under the Contractors' State License :Law for the foltowing reason:
racy affirm under penalty of perjury that: f am licensed. under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my license is in full force
,effect. License Glass. License: No Date Contractor Signature
IRKERS' COMRENSATION DECLARATION
'.NING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OPAL FINES UP TO ONE HUNDRED THOUSAND DOLLARS:($900,000), IN AOM710H TO THE
T OF COMPENSATION, DAMAGES AS PROVIDED. FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ PEES: .
rehy affirm udder penalty of perjury one ofthe following declarations:
I have and wHI maintain certificate of consent to self risurm'for workers' compensation, issued by the Director of Industrial Relations as provided for by Section MO of the Labor Coda for ON
'ormance of the work for which this permit Is issued. Poljoy No.
have and willmaintainworkers' compensation Insurance, as required by Section 3700 of the LaborCode, for the performance .of the work for which this: permit is issued. My workers' compensatio
Trance carrier and policy number sre:..... _
rfer Policy Number Expiration Date.
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�
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I -shall forthwith comply with those provisions,
talure of Applicant I IDate®.
:LARATION REGARDING'CONSTRUCTION LENDING AGENCY
reby affirm under penalty of: perjury that. there Is a construction fending aganayfor the performance of the work for which this permit is issued (Section 3(197, Civil Code),
der's Name .... Lender's Address
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