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Home My WebLink AboutH2020-0253 - Permitsa� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 716 HELIOTROPE AVE BIdg:1 Floor: Suite: Description of Work: MECH (2) NEW A/C UNITS "TAMPER PROOF CAP REQ* Inspector Area:5 Code Edit : 2016 Legal Description: CORONA DEL MAR BLK 735 LOT 18 Owner: BAHRAMI JAMI Contractor: Address: 716 HELIOTROPE AVE Address: CDM CA 92625 ;40 GGF P Phone: Phone: 9 O P<0a e Con State Lic: Issued Date: Lic Expire: Bus Lic: Pfbcessed By: Lic Exp Date: IIIIDIVIII0 ILII0IIIilllll0 2III5III3IIII COMFORT HEATING & A/C 21962 COSALA MISSION VIEJO CA 92691 714-335-7055 632774 12131/2021 BT30005700 08/31/2020 MECHANICAL Permit: H2O20-0253 Project No: 2279-2019 Inspection Requests Phone (949)644-3255 LU Worker's Comp Insurance - Carrier : W/C EXEMPT Policy No: (NO EMPLOYEES) Expire: z U) z >_ off OP 0 0 PaaGa r G06N Ua 11G ;40 GGF P =QaGP.,a ry�. LL s 9 O P<0a e I -P G ¢ C P ZW G a a Z aG a G,= a B Pt�a03 qa 060a 0 0 PaaGa 0 a aPGaa® a O 4 B - 4"i4 eJ rl [I4 aG a HVAC Items- FEES - 4"i4 Gape FurnacesBoilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 2 $40.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 $0.00 Over 1OOK 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 1OOK 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: $34.80 Up to 1M BTU/hr: 0 $0.00 up to 1 O CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: NH4A448AKAIssuance: $35.00 Up to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: MAYTAG Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $41.50 TOTAL: $151.30 Plan Check Fee : $151.30 Fee Due at Permit Issuance : $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m. to 6:00 p.m. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the masons) mdleated below by Ilia olleckmarx(s) I have placed next to the applicable Items) (Section 7031.5, Business and Professions Cade: Any city or county that inquires a permit to construct, alter. Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for the permit to Ric a signed statement that he of she Is licensed pursuant to the provisions of the Contractors' State License Law {Chapter 9 (commencing 'with Section 1000) of Divislon 3 of the Business and Professions Code) or that he or she is exemptirom 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 ($900). ❑ 1, as Dimer of the property, or my employees with wages, as their safe compensation, will do () 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 Contracto(s' State License Law does not apply to an owner of propedywho. through employees' Or personal effort, bulltle or Improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or Improvement is Gold within one year al completion, the Owner•Bullder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as oviner 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 properly who builds or Improves thereon, and who Contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). ❑ 1 am exempt from Imensufe under the Contractors' Stale License Law for the following reason: By my signature below 1 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) sett a sbucturo [hat 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 fha Business and Professions Code, is available upon request when this application is submitted or at the following Web site:htlp:ihv .leginfo.ca.govl elaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION % I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing lh tion 7000) of Division 3 of the Business d P ofessions G §, antl my liven_. sin force and effect. License Class License No - Uate _ � Contractor Signature �•,�'� / � � WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNGHNFUL, ANDSNALL SUBJECT AN PRIPI.1) eRT CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NUR REb THOUSAND IIOLURS 1H0a,000), N AGU?ION'Cc rata COST OF COFIPENSATION, DAMAGES AS PROMISED FOR IN SECTION 2706 OF THE LABOR CODE: INTEREST, AND ATTORNEY'S FEES. I hereby aifrrn under penalty Of perjury one of the following declarations: I have and will maintain a certificate of consent to self -Insure for workers' compensation. Issued by the Director art Industrial Relations as provided for by Section 3700 of the Labor Code, for IN enuance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Lobar Code, for filo performance of the work for which this permit is issued. My vrorkers' cornpansallo insKpnm carrier and policy number are: Cartier, Policy Number Expiration Dale Name of Agent Phone #_ _ 1 certify that, in the pertorm n'a of the work for rich this permit is Is ed, I s I not employ any person In any manner so as to become subject to a workers' compansalion laws of California, and agre that, d 1 should becamo.subj i to the workers' impensaten provisions of a 700 of the Labor Code, I shall forthwith comply with those pro 'si S. r� Signature of Applicant __�� 1 '..� Date 1Sf' Z.u� DECLARATION REGAR N CO STRUCTION LED G AGENCY I hereby affirm under per I�Of perjury that there is a construction lending agency for the performance of the work for which this permit is issuea ( e)n 309'7, Civil Code), Lender's Name Lender's Addross By my signature below, I rerufy to each or the following: I am the property owner or authorized to act on the property Owners behalf. I have read this application and the information f have provided Is correct. I agree to comply with all applicable city and cou ordinance and slate laws r lingJe building Constaction. I Y ^� I authorize representatives of this city or cou "far the ve- ientified probed ori a%ifon purposes, w Signature of Property Owner or Authorized Agent rbit Progeqx Owners or Aulhunzed Agent's Name A{7ION OATS 8Y OECLARAHON UFCOM i.fArfCE J7ilCODE OF FOR OFHCE WE ONLY FEDERAL NL-Gl1tA7fON5 PART 07 OF iriLE40 AND PE47J.1T EXp'NELI ADbJOIiULE 2403. e ❑ lSUBMITTED ASBESTOS NOlrFlCAHUN TO: P''RILl7CAlvCA.LED ❑ CPA P54rJ7TEX7ENOFD �[I At7M0 1:1 ASBESTOS fJOT7HG47fOff15 NOT APPLICABLE 70 PERMIT EJNAL PROPOSED DEh70U DON. Ct:Rii(ICA7c OF OCCL'PAf/Cl^SSUED SIGNAT URE: