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Home My WebLink AboutH2019-0259 - PermitsCity of Newport Beach - Building Division MECHANICAL Permit: H2O19-0259 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 2 5 9 Project No: s Pewit Counter Phone(949)644-3288 r"crmv HERS VERIFICATION REQ Inspection Requests Phone (949)644-3255 Job Address: 60 OCEAN VISTA BIdg:1 Floor: Suite: Description of Work: MECH/CHANGE OUT RAU. & A/C UNIT 58dB* (MAYTAG;CSA1 BE) *TIMER REQUIRED ON EQUIPMENT TO SHUT OFF BETWEEN 10PM &,7AM� *NOISE LEVEL AGREEMENT W/PERMIT Inspector Area:8 Code Edit: 2016 Ventilation a, Legal Description: TR 9676 LOT 14 UNIT 99 OF PROJECT LOCATED ON AP 442-361-31 TOGETHER Other Up to IOOK BTU/hr: Owner: VANDERWERF NIRVANA Contractor: KLONDIKE AIR INC Worker's Comp Insurance - =7 Address: 60 OCEAN VISTA Address: 1308 LOGAN STE E Carrier: FALLS LAKE FIRE & CASUAL o� NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Policy No: FLA008095- Over 100K BTU/hr: Phone: Phone: 714-979-2070 Expire :01/01/2020 1 Con State Lie: 754456 0 $0.00 Gas Line: Issued Date:05/07/2019 Lie Expire: 09/30/2020 TIMER REQUIRED ON EQUIPMENT Wall/Floor Heaters: <�-. Bus Lie: BT30060482 >15 HP to 30 HP: 0 Processed By: Lic Exp Date: 10/31/2019 TO SHUT OFF BETWEEN 10 P.M. AND 7 A.M. Metal Fireplace: HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to IOOK BTU/hr: 1 $19.00 Up to 3HP: 0 $0.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 1 $35.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 Wall/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 Heat Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 Up to IOOK BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $30.45 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $0.00 Up to 1 M BTU/hr. 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model Issuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 O CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $159.45 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $159.45 PERM17S EXPIRE 18C -DAYS AFTER IPSUAWE OR LAST VALID INSPECTION Construction Hours: fy1ondoy- A*6a -7:00 a.rn.icn 6:90p.m.and Saturday from 8:00 a.m. to 6:00 p.m. O OG4 C 90 Gi G f �O O O O 0Y• •Y O C O l C C G O C( Y O G W YY9 YY YY tl Y GYO YYV IWNER-BUILDER DECLARATION 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) lection 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 regyires the applicant for is 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 Divis'rr.,K'1-3 omhe Business and Irofessions Code) or that he or she is exempt from licensure 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 of more 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 property, provided that the nprovements 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 nproved for the purpose of sale). I, 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 pply 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: ly 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, I cannot legal) ell a structure that I have built as an owner -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 Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro ssio s Code, i nse in full force nd effect. icense Class License No Date S Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS'ICOMPENSATION 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of pBgu."ry;Dne of the folloWing declarations: 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 Code, for thI eerffoormance of the work for which this permit is issued. Policy No. 71 have and will LQaintain 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 Isurance carrier a )icy numbe re: rj r % 1. I R, Numhur Exoiration Date lame of Agent 4tWWK - W C/ UL.4— rnone ff ]I certify that, in the performance t work.f r whi this per i�isuad, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree iat, if I should become subct t he rkers' mpe p visioection 3700 of the Labor Code, I shall forthwith comply with those provisions. 9 signature of Applicant Date I % / IECLARATION REGA 1 C STRUCTION LENDING AGENCY —�� hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly 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 prove Is correctVdI I agree to comply with all applicable city and county ordin nces and statt' building construction. _ I authorize representatives of this city or county �Q a er a ab ve-identiy f 'nspection purposes./_s c..,..va., n...—..r A„Ihnri,, n,.enr Y .._rte Print Prooertv Owner's or Authorized AGent's Name \/ Awgw AC77ON DATE BY ucr-cs+rcw uv1• FEDERAL REGUL.AKIONS PART 6 160 nTLF40AND PERMITEXPIRED AQMDRULf:1403.: : : : : • : : ❑ ISUBhTrTfD4'WTP5NOTTF•tCaTr0%. : PERMITCANCELLED ❑ EPA • • • e P€RMIT€XTEND€D ❑ AQMD ASBESTOS NOnI3•C.4nomis NOT APPLICABLE TO PERMIT FINAL PROPOSED O&NOWTION. CERTIRCAT€4F ° SIGNATURE: OCCOPANCYISSDED •-- ... -.• -.• --- I occ cc cc cce c cc c e c c c c = o cc I Iec i o t