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Home My WebLink Abouth2019-0560 - Permits (2)9 City of Newport Beach Building Division 1111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 H 2 O 1 9 0 5 6 0 Permit Counter Phone (949)644-3288 Job Address: 218 Description of Work: 7AM Inspector Area: Legal Description: 34 GOLDENROD AVE BIdg:1 Floor: Suite: MECH/INSTALL (4) A(C UNITS 45.5dB, 46.5dB, 53dB' &47dB Code Edit: 20 RESUB OF CORONA DEL MA OT 20 BILK 34(AND NELY1/2 Owner: SALAH INVESTMENTS LLC Contra r: Address: 218 GOLDENROD AVE Address: CORONA DEL MAR, CA 92625 Phone: Phone: Con State Lic: Issued Date:09/17/2019 Lic Expire: /� Bus Lic: Processed By:_ • ' r-,y Lic Exp Date: •® MECHANICAL Permit: H2O19-0560 Project No : 2267-2018 Inspection Requests Phone (949)644-3255 f 224ANS; 024,036 & 0 8)- -TIMER RE�IRED TO SHUT OFFBETWEEN 10PM & e7 '�LK 'our°°z:.., /SB¢a ENDLESS SUMMER HTG & A/C Worker's Comp Insurance - ""6 ° M, ° ° 110 COPPERWOOD WAY, STE G Carrier: COMPWEST INSURANCE OCEANSIDE CA 92058 Policy No: WCV5502982 760-439-5071 Expire :12/06/2019 • /3ono2o TtMERREQUtREDONEQUIPMENT 0030164 10 P.M. AND 7 A-M. ° • • ° ° > 12/3 019 TO SHUT OFF BETWEF-N -' FEES 'nacesBoilers & Compressors Ventilation % Other to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $20.00 Bathroom Fan. 0 $0.00 Fire Dampers: 0 $0.00 $0.00 �r 100K BTU/hr. 0 $0.00 > 3 HP to 15/HP. 3 $108.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 $0.00 ]I/Floor Heaters: 0 $0.00 >15 HP to 3 0 $0.00 Attic Fan: - $0.00 Metal Fireplace: 0 $0.00 it Pumps & Package Units >30 HP to 5 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 to 100K BTU/hr: 0 $0.00 >50 HP: / 0 $0.00 Residential Hood: 0 00 Additional Fee: $0.00 Investigation: $0.00 :r 500K BTU/hr: 0 $0.00 Air Han mg Units. Comm. Hood: 0 $0. Plan Check: $111.36 to 1M BTU/hr: 0 $0.00 up to 1OKCFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 odeC Issuance: $35.00 to 1.75M BTU/hr: 0 $0.00 Over K CFM: 0 $0.00 Supplemental Fee: $0.00 ufacturer: :r 1.75M BTU/hr. 0 $0.00 VAV/ ox: 0 $0.00 Zoning PC: $41.50 I� TOTAL : $315F$6 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $315.86 ( 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. 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) ;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 '.he 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 3rofessions 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 pena4'ry of tot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 Improved 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 apply to an owner ®4property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 m exempt flOM 11censure under the Contractors' State License Law for the following reason: a;J M .6bnature 4elow 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 a sell a stricture Phat r ve 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 ProfessionsCode,;s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. IgnatN1; of Property Owner or Authorized Agent Date LICENSED C6Fl.T1 CTOR'S DECLARATION �T�catffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with CtionnI 7000) of Division 3 of the Business and Pro on e, d my license is in full force License Class +•.+ License No Date ul �`�� Contractor Signature ' g9RURS' COMPENSATION DECLARATION MR14ING:"FAILURE�TO S`EQCgRE WORKERS' COMPENSATIQN'COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDmON TO THE dbsT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; MTEREST, AND.P TORNEY'S FEES 1 j 6tebq Dffirm under penalty of perjury oqe ofKhe following declarations. . ❑TI have and wtN42intain a certificate of consent -to self -insure for workerscompensation,'issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Vpe ormance of the work for which this permit is issued. Policy No. I have and wilknyaintain 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' compensatioi insurance carrier olicy numl7eyare: Number Date ame of Agent �I certify that, in the performance o Wrwhich his permit is issued, I shall not employ any person in any manner so as to become subjectto t workers' compensation laws of California, and agre tat, if I should becomect to a ortion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio % ignature of Applicant Dar ,/ 7 DECLARATION REGA ING C T U NDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (S tion 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's beh _ I have read this application and the information I have provided 1 c t I agree to comply with all applicable city and county In ces s relating to building construction., I authorize representatives of this city or county to f t e a tified property for inspection purposes. Jr \ Q r-7—r of AC77ON I DATE I BY FINAL Print Property Owner 7 SUBWTTEDASBESTOS NO-OFICATION T0:- ❑ EPA ❑ AQMD ❑ ASBESTOS N077FTCA170MIS NOT APPLICABLE TO OCCUPANCYISSOED I Iv I I SIGNATURE: