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Home My WebLink AboutE2023-0770 - PermitsCity of Newport Beach Community Development Department- Building Division (34�1r! 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic II�III�IIIIII��I��II�IIII�IIII II Electrical Permit : E2023-0770 E 2 0 2 3 0 7 7 0 Plan Check No : Work Class : Other Issued Date : 08/30/2023 Final Date: Permit Status: Issued Inspection Area : 2 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 ALI. AREAS Job Address : 5100 COLONY PLZ, 3135 Description : ELEC A/C DISCONNECT (H2O23-0569) Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone : (949) 720-3100 Applicant : AMTECH HEATING & AIR INC Address : 17751 SKY PARK CIR, STE F IRVINE, CA 92614 Phone : (800) B82-3019 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction : Legal Desc : P BK 49 PG 15 PAR 1 PARCEL MAP 49-15 PAR 1 POR OF 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 : 0413012025 Bus Lic : BT30060143 Bus Lic Expire:08/31/2023 Workers' Compensation Insurance Carrier : SIRIUS AMERICA INS CO Policy No : WC8555301 W. C. Expire: 12/20/2023 Fire Hazard Zone : NO Occupancy Groups : U Building Setbacks : Flood Zone : X; X Use Zone : PC - Promontory Point - UP 1494 PROCESSED BY: SPECIAL CONDITIONS: k OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 are 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 70316, 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 :he 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 arofessions Code) or that he or she Is exempt from l censure, 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 lotmore 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 I_) pardons of the work, and the structure is not intended or offered for sale (section 7044, Business and Professions Code. The Contractors' Stales License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the Improvements are not intended or offered for safe, 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 u proved for the purpose of sale) 0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply property p contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law). LJ I am exempt born licensors under the Contractors' State License Law for the following reason- ,._.._..__ ._�.._._. .. _..______ ,n € to an owner of rnperf Who builds at improves thereon, and a By my signature below F acknowledge that, except for my personal residence in which I must haveresided for at least one year prior to completion of the Improvements covered by this permit, I cannot legafly sell a structure that I have built as an ownair-buildor if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:nitp tfwww.lagtnto.aa.govfcataw.html. Signature of Property Owner or Authorized Agent__.W.....__.-..,------ --- Date � -- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Berrien - 0 v' ' 3 o tha Business and ref sfons. olio. rr ' en i In f II farce and effect. License Class License No Date Contractor Signal re WORKERS' COMPENSATION DECLARATION. WARNING: FAILURE TO SECURE WOR3r:ER3' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNG ED THOUSAN'.0 DOLLARS i3100.000 , IN' ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR M SECTION 370 OF THE LABOR COOP, INTEREST, AND ATTORNEY'& FEES. rI^hereby affirm under penalty of perjury one of the following declarations: u 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 Cade, for to aarfonnaace of the work for which this permit is issued. Policy I have and will maintain workers compensation insurance, as required by Section 8700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' eompansetior u 'e Ocular and pollcy number are: :airier Policy Number Expiration Date Same of Agent Phone # 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 I certify that, in the performance of the hat, 3f I should become Inject to the workers"7LD5N_bJFQy n provisions of Scotian 3700 of the tabor Code,: I stroll forthwith comply with. those provisions. 3+gnatcre of Apphcartt" _ ®� __ .,..�_�__.-..__.�. _ Date ��„____ )ECLARATtON REGA' GN UCTIOhereby affirm tinder pnefty of perjury that there Is a corran lending agency for the performance of the work for which this permit is issued. (Section 3097, Ci it Cade). _ender'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 this application and the information i have provided is correct, I agree to comply with all applicable 6ty and county ordinances Spill state laws relating to building construction, € authorize representatives of this City or coun enl r,th tilled property for inspection purposes. 3I g nature of Property Owner or Authorized A enl / Print Property Owner's or Authorized Agent's Name ACTION DATE I 9Y V 1 D.CLARATl.ON OF COMP NC[WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 6t Of TITLE 40 AND AOMD RULE PERMIT EXPIRED i L-I I SLJ6MITTED ASRESTOS NOTIFICATION TC PEAMIT CANCEtLEb CT-�iPA PERMIT EXTENDED _7 0A513ES 105 NO] IFICATION IS NOT APPLICABLE 70 CERTIF1CATf OF V PROPOSEDDEMOLMON OCCUPANCY ISSUED SIGNATURE: