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Home My WebLink AboutH2023-0480 - Permits�`' WpoR' City of Newport Beach o -) Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 .rR newportbeachca.gov/civic Cq4 £00.��P Mechanical Permit Plan Check No : Work Class : Other Issued Date : 07/27/2023 Inspection Area : 4 H2O23-0480 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 BILK LOT 1 Description: MECH - R/R A/C CONDENSER & FAU. LIKE FOR LIKE. LOWER DB LEVEL THAN (E).UNIT 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 Fire Hazard Zone : NO Type of Construction Occupancy Groups : Building Setbacks : Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY: � SPECIAL CONDITIONS: 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 Lic : BT30060143 Bus Lic Expire:08131/2023 Workers' Compensation Insurance Carrier : SIRIUS AMERICA INS CO Policy No: WC8555301. W. C. Expire: 12/20/2023 Manufacturer: CARRIER Model# : GA5SAN42400W 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 items) Section 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 in 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 irofesslons Code) or that he or she is exempt from licensure and the basis for tha alleged exemption. . Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of rot more than five hundred dollars ($500). I; as owner of the property, or my employees with wages as their sole oompensetlon, will do (_) all Of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness and Professions CGde: 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 uprovemonts 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 uproved 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 Coda, The Contractors' State License Law does not Mf�ply 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). I am exempt from Iicensure under the Contractors' State License Low for the following reason _ , I my slgnalu in below I acknowledge thin I, 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 pormIt I cannot legall, o11 a structure that I have built as an owner -on Idar If it has not been constructed In its entirety by licensed contractors. I understand that a Copy of the applicable iaw, Section 7044 of tha Business and 'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:/Aw .loglnto.ca,govlcalaw.html. ,tgnnature Of Property Owneror Authorized Agent, Date,�_��,��__,__ ACENSED CONTRACTOR'S DECLARATION hereby affirm unbar penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 74 s f I><: E lire Business and Profess' rr7R G B ,ylicen'O is in full tome ind effect. License Class License No _ Date Contractor Signature VORKERS' COMPENSATION DECLARATION lARNING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION t0 THE :DST OR COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 or THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: 3 1 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 Cafe, for In orformence of the work for which this permit is issued Policy No. have and Will maintain ,corkers' compensation insurance, as required by Section 3700 of the Labor Code, tot the performance of the work for which this permit is issued. My workers` ranee carrier and policy number are. Policy Number Expiration Date of Agent certify that, in the performance of thewor0or.Which this permit is issued, I shall not employ any person in any manner an as to become subject to the workers' compensate n laws of Califomia, and. agre t if I should become subject to 9 war m a IIII n provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. �7 nature of APphoant _ _ _ _ _ Date l 2 �/ CLARATION REGARDING CONSTRUCTCC?NLENDING' GENC _ areby affirm under penalty of perjury that there is a co ruction lending agency for the performance of the work for which this permit 1s issued. (section 3097, Civil Code). }ders Name Lender's Address my signature below. I certify to each of the followng; '..�._� w .... I am the prop" owner or authorized to act on the property owner's behalf. I have rear. l:ii.a application and the Information I have provided is correct. I agree to c c p'y with all applicable city and county ord7nancn state laws relating la building construction. / 13uthorizT rermrentax hves of this city or County to en *B ath i d property for Inspection purposes. /C ��/,7 nature of Prvnerty Owner or Authoiza Aoenf /% Print Property Owner's or Authorized Aoant's Name � S l:� nntn 27 FOR OFFICE USE ONLY 1 REGULATIONS PART 4 YOF TITIE 40 AND AQMO RULE 1403 PENA4IT EXPIRED tSUBMITTEb ASBESTOS NOTIFICATION TO PF10,111 CAM Ftr.ED PFRMITOTENDFD UALIMD OCR'bTFiNA1 � //1,3 �(I(/J MASBESIOSNOfIHCATIONISNOr APPLiCABL4 TO CER,fFiCATEDF % PROPOSED DEMOLITION 0(JPANCY&SUED SIGNATURE: