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Home My WebLink AboutH2019-0497 - PermitsCity of Newport Beach - Building DivisionIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� eee °me c °MECHANICAL Permit: H2O19-0497 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 9 0 4 9 7 m ° Project No :e a Permit Counter Phone (949)644-3288 ° ee oae ame Inspection Requests Phone (949)644-3255 Job Address: 206 ADAMS ST Bldg:1 Floor: 1 Suite: B Description of Work: MECH- NEW A/C CON DENSOR. TAMPER-RESISTANT CAP REQ'D InspectorArea:1 Code Edit: 2016 Legal Description: BALBOA TR BLK 5 LOT 9 FEES /+ O NOISE AI(i NOISE Owner: TALEBI TONY Contractor: KLONDIKE AIR INC PONSTRwTION Worker's' o p nsurance - Address: 206 ADAMS AV UNIT B Address: 1308 LOGAN STE E Carrier: FALLS LAKE FIRE & CASUAL NEWPORT BEACH CA 92661 COSTA MESA CA 92626 Policy No: FLA008095- Phone: Phone: 714-979-2070 Expire :01/0112026N 1 $19.00 Con State Lic: .754456 THE WEEKEND Issued Date:08/13/2019 Lic Expire: 09/30/2020 Over 100K BTU/hr: 0 Bus Lic. ST30060482 0 $0.00 Processed By: Lic Exp Date: 10/31/2019 0 $0.00 HVAC Items FEES FurnacesBoilers & Compressors Ventilation Other Up to 1OOK BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 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 100K BTU/hr. 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee: $0.00 Investigation: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $16.53 Up to 1 M BTU/hr: 0 $0.00 up to 1 OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model NHSA4lssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: TEMPSTAR Over 1.75M BTU/hr. 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $40.00 TOTAL: $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $110.53 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE Construction Hours: Monday Friday 7:00 a.m.to6.30 p.m and Saturday from 8.00 a.m. to Y ► " r_V OWNER -BUILDER DECLARATION •• ' ' " -- -;- I hereby affirm under penalty of perjarylhatl jnr ex)rmpf fromlhe Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Lode: -Arty city b( CodhLPth@Crequires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that h9br lBe 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 Professions 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 not more than five hundred dollars ($500). - ... , -0 0 11I, as owner of the property, or my emp%yel'witJ1 ftes as Their soil ccripmnsation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' Stat LscenCe Law 4o4 &t cpply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered fgr qA% If, however -*e 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). LJ 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 7000) of Division 3 of the Business and Pro ssion Code, i nse' full force and effect. . -� License Class License No Date Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 peifermance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number is of Agent certify that, in the performa ce of he work if I should become subie to th workers' of Date id, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ider's Name Lender's Address 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� vided is correct. I agree to comply with all applicable city and county gfdin, nces and to aws Eating o building construction. I authorize representatives of this city or count to (Iter t e above- a ti ' o rt r inspection purposes. ^, g/�1 mature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name" Civil Code). ACTION DATE BY DECLARATION OF CO PLIANCEWITH CODEOF FOR OFFICE DSE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMORULE1403, PERA41TFKPIRED ❑ i SUSMI€TEOASBESTOS N07/FICATfON TO: ❑ EPA ❑ AQMD - PERMITCANCELLED PERA41TEXTENDED ASBESTOS M077FTCA P❑ROPOSEDDEMOLITION.HONIS NOT APPLfC4&:.E TO PERMITFINAL T-1 _Ici 'jZ,(L, CERTIFICATEOF SIGNATURE: OCCOPANCYISSDED