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HomeMy WebLinkAboutE2022-0499 - Permitso4aEWP°� City of Newport Beach A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u ? Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9C/FOAN�P newportbeachca.gov/inspections IIII I I II I II I II II III I I I II Electrical Permit : E2022-0499 Plan Check No: Work Class : Other Issued Date : Inspection Area : 4 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 : 1320 COLONY PLZ Legal Desc : N TR 15178 BLK LOT 2 Description: ELEC -DISCONNECT FOR A/C REPLACEMENT Owner: THE COLONY AT FI LLC Contractor`.' AMTECH.HEATING & AIR INC Address : NEWPORT BEACH, CA 92658 Address : 17751 SKY PARK CIR, STE F IRVINE, CA 92614 Phone: Phone: (800)882-3019 Con State Lic : 1003704' Applicant: AMTECH HEATING & AIR INC Lic Expire : 04/30/2023 Address : 17751 SKY PARK CIR, STE F IRVINE, CA 92614 Bus Lic: Phone : (800) 882-3019 Bus Lic Expire: Workers' Compensation Insurance Owner/Builder: Carrier: SIRIUS+AMERICA+INSURANCE+COMPANY Address : Policy No: WC85553 Phone: W.C.Expire: 12/20/2022 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : Fire HazardZone : N Occupancy Groups: R2 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center s a. m PROCESSED BY: 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 item(s) rhon 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 permit to file a signed Statement that he or she is licensed pursuant to theprovisions 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 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 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of ar U portions of the work, and the structure is not intended or offered for salt, (Section 7044, ,mass and Professions Coda: 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 rovements 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 roved for the purpose of sale). 1 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 ly 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 am exempt from licensure under the Contractors'' State License Law for the following reason 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,.) cannot legal a structure that I have built as an ownor-builder if it has not been constructed in its entirety by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Businessand fessions Code, is available upon request when this application: is submitted prat the following Web site:httpJtwww.leginfo.ca.gov/ealaw.html. nature of Property Owner or Authorized Agent: __,_Date m under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with: Section 7000) a 'yl i 3 of the Business and Prof ns o and rye+license I 'nfult force License Class License No Date 2 Contractor Signature l i+ ���(�('�GLi�-ci t' COMPENSATION DECLARATION .URE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (ST00,0001, IN ADDITION TO THE >FNSATIDN. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY^$ FEES, hereby affirm under penalty of perjury one of the following declarations: 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, Irmance of the work for which this permit is issued.. Policy No. Lavpolicy number 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` compensatior nce carrier and ber are: er.. Policy Number Expiration Date a of Agent: Phone # :ertify 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 agree It I should be -come subject to the work atlon provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. ,�f% ature of Applicant iDat.`"r �" 2Z I ADATI^M RCr_norll P_ fYAiQTI'Fl ir'IT.nAt rFNnlidr A[SRNrrN �reby affirm under penalty of perjury that there is a coniftructionlending ages. iders Name. My signature below, I certify to each of the following: I am the property owner or authorized to act on the: properly owner's behalf. I have read this application and the informabon:I: Have provided is Correct. I agree to pomplywith all applicable city and county ordinana sand state to I authorize representatives of this city or county to ente�th ,ij } ydentiffec PERMIT OF Iq' DATE to build NOTIFICATION IS NOT APPLICABLE TO work forwhich this permit is issued: (Seciion 3097, Civil Code). FOR OFFICE. USE All required alarms; latches gates and fenceswhich serve aspart of a pool/spa barrier,. shall be in place prior to approval to:fill pool/spa&shall remain in place & be maintained forthe life ofthe pool.