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HomeMy WebLinkAboutE2023-0674 - Permits�aeWpoRr. City of Newport Beach O 4R, Community Development Department - Building Division P n 100 Civic Center Drive, Newport Beach, CA 92669 U yrry = Permit Counter Phone: (949) 718-1888 e'ttoar�r newportbeachca.gov/civic Electrical Permit Plan Check No : Work Class : Other Issued Date : 07/27/2023 Final Date: Permit Status: Issued Inspection Area : 4 E2023-0674 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 : 4209 COLONY PLZ Legal Desc : N TR 15178 BLK LOT 1 Description : ELEC R/R ELECTRICAL DISCONNECT FOR HVAC (H2O23-0480) Owner: THE COLONY AT FI LLC Address : NEWPORT BEACH, CA 92658 Phone: (949)939-4889 Applicant: Ana Ghepes Address : 17751 Sky Park Circle, F Sky Park Circle, 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: SPECIAL CONDITIONS: 30" VVIDE X 36' DEPTH REQUIRED FOR A/C DISCONNECTS 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: 04/30/2025 Bus Lie: 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: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the Possu (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, after. improve, demolish, or repair any structure, prior toits issuance, also requires the applicant for he permit to file a signed statement that he Of 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 rrofescons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500).. 1, as owner of the property, or my employees with wages as their sole compensation, trill do (_) all of or (,_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, lushass 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 properly, provided that the �nprovemanls 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 mproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with Released Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ipply 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), 1 am exempt from licensors under the Contractors' State License Law for the following reason: 4y my signature below 1 acknowledge that, axpopk for my personal residence in which I must have resided for at toast one year prior to completion at the improvements covered by this permit I cannot legali, ,all a structure that I have built as an owner-buildor if it has not been constructed in Its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:ltwww.leginfo.ca.govlcalaw,html. iignawre of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirmunder penalty of partury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ¢{vi the Business and Professio Co ' rP� - 1. er a' i u19 force Ind effect. License Class License No Date( Contractor Signature VORKERS' COMPENSATION DECLARATION fAHNING: 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 ($100,000), IN ADDITION TO THE :DST OF eOMPENSATIDN, DAMAGES AS PROVIDED FOR IN SECTION 170E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following dectarations: 3 1 have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by file Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th arfonmance 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 wore for which this permit is issued. My Workers componsatiol rance carrier and policy number are: ter _ Policy Number Expiration Date to of Agent Phone # certify that, in the performance of the wo or which this permit is Issued, I snail not employ any person In any manner so as to become subject to the workers' compensation laws of California. and ogre If I should become subject to Y won 7 n Ion provisions of Section 3700 of file Labor Corte, I shall forthwith comply with those provisions. r7 nature Oi Apphpant Date, © :LARATION REGARDING CONSTRDCTION LENDING ENCY hereby affirm under penalty of perjury that there is a const ction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). order's Name Lender's Address N my signature below, I Certify to each of the followhag. t am the pronerty owner or authorized to act on the property owner's behalf. I have racd this application and the Information I have provided is correct I agree to comply with all applicable city and county ordinance no state laws relating to building construction. I al3horlse r przsenialives of this pity or county to enter- o - 'o property for Inspection purposes. ILalure of Propelty Owner or Authorized A ent Pont Properly Owner's or AUlhonzed Agent's Name . � C-7 4 SG1ON DATE BY DECLARATION Or COMPLIA EWITNCODEOFrEDERAI FOR OFFICE USE ONLY I REGULATIONS PART 61 O 10 E 40 AND AQMD ROLE 1403 P4'9,Ni'f EXFI:rED i LEI SUBMITTED ASRFSTO5 NOTIFICATION TO —1—ME !'F7rWd T CAN1:ElI FD PA l'E4^R17 EkiEN©eD ,` IlAC6MD TfN'd,7 fINPt ////// ,,,yyy///��f ...I /N'� _- TO i�ASEESt O5 ND1IFICAtIitN IS NOT APPLICABLE TO Ito IrrCATEDr ' PROPOSED DEMOLITION I Ole UPANCrySSUEC SIGNATURE: Date