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Home My WebLink AboutH2018-0435 - Permits,�y,w!•r�4, City of Newport Beach - Building Division III 11111111111111111111111111111 IN 1111111111111 MECKANICAL Permit: H2O18-0435 100 Civic Center Drive, Newport Beach, p CA 92660 H 2 0 1 8 0 4 3 5 Project No Permit Counter Phone(949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 2212 ARALIA ST BIdg:1 Floor: Suite: Description of Work: MECH - A1C CONDENSOR & FAU C/O *TAMPER -RESISTANT CAP AND TIMER REQUIRED* Inspector Area:8 Code Edit : 2016 Legal Description: N TR 4705 LOT 110 Owner: DUERNBERGER CLIFF Contractor: KLONDIKE AIR INC Worker's Comp Insurance - Address: 2212 ARALIA ST Address: 1308 LOGAN STE E Carrier: FALLS LAKE FIRE & CASUAL NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Policy No: FLA008095-00 Phone: Phone: 714-979-2070 Expire:01/01/2019 Con State Lic: 754456 Issued Date:0712312018 Lic Expire: 09/30/2018 Processed By: Bus Lic: Lic Exp Date: BT30060482 09/3012018 , V4i HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 1 $18.00 Up to 3HP: 1 $18.00 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 : $15.66 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 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: CSAIBE Issuance: $33.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1OK CFM: 0 $0.00 Supplemental Fee: $0.00 k Manufacturer: / Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $37.50 TOTAL: $122.16 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $122.16 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. WNER-BUILDER DECLARATION 1 hereby affirm under penalty of perj Jry that Iam exempt frog o the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) iection 7031.5, Business and Professions Coda. Any city c: courty tha• requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie 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 rofessions 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 ($50u). 7 I, as owner of the property, or my cmi-Ioyees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The b(intrpd-ors' St>te License Law does nor 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 builoing ur 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: y 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 legallt 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.govicalaw.html. '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 Pr fessio s Code, a Ic is full force nd effect. icense Class License No Date v� Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: 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 IS100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of penury one 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 th ormance of the work for which this permit is issued. Policy No. have 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' compensatioi rance carrier and policy number are: Policy Number Date ne of Agent rIiui 1G certify that, in the perfor anc of the w o hi the permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree 1, if I should become u 'act to the worke ' mp nsat' r isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �Q nature of Applican - Dala1/ ��'� L C] CLARATION RE CONSTRUCTIO ENDING AGENCY reby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Se7, Civil Code). 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 prope nets behalf. I have read this application and the information I have ovided correct. I agree to comply with all applicable city and county o inances nd state I relating t Iding construction. l� I authorize representatives of this city or count to a er the abo -identified y ec ion purposes. w , _ r� nature of Prooertv Owner or Authorized Ag Print Property Owner's or Authorized Agent's Name/ V w�" �' "� Date ACTION DATE— BY "�`-'-^'^"""'•"' FEDERAL REGULATIONS PART 61' OF 7ITLE40AND AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMtT EXPIRED PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOPRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITIOM SIGNATURE: PERMIT FINAL CERTOCCUP NCYfS OCCUPANCYISSUED