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Home My WebLink AboutH2019-0332 - PermitsCity OUNewportBeach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII 4 100 Civic Center Drive, Newport Beach, CA 92660. H 2 0 1 9 0 3 3 2 Permit Counter Phone (949)644-3288: .._ ......... rnacesBoilers & Compressors Ventilation $0.00 amu® FEES to 100K BTU/hr: Job Address: 452 GAVIOTA BIdg:1 Floor: Suite: Up to 3HP: Description of Work: MECH A/C UNIT ON ROOF 'TAMPER PROOF CAP REQ - Inspector Area:8 Code Edit: 2016 - er 100K BTU/hr: Legal Description: TR 6230 (L.L.84-214033) PAR 19 $0.00 Owner: KAWAKAMIOVABLE MADISON Contractor: KLONDIKE AIR INC Address: 452 GAVIOTA Address: 1308 LOGAN STE E NEWPORT BEACH, CA 92660 >15 HP to 30 HP: COSTA MESA CA 92626 Phone: Phone: 714.979-2070 >30 HP to 50 HP Con State tic: 754456 Issued Date:06/05/2019 Lie Expire: 09/30/2020 $0.00 Bus Lie: ST30060482 Processed By: 130 Lie Exp Date: 10/31/2019 .._ ......... rnacesBoilers & Compressors Ventilation $0.00 amu® FEES to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $19.00 Bathroom Fan: 0 er 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 ill/Floor Heaters: 0 $0,00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 at Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 to 100K BTU/hr: 0 $0.00 >50 HP: 0 $0.00 Residential Hood: 0 :r 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 to IM BTU/hr. 0 $0.00 up to 10K CFM: 0 $0.00 Repair/Alter/Add: 0 to 1.75M BTU/hr: 0 $0.00 Over 10K CFM: 0 $0.00 Supplemental Fee: ar 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 MECHANICAL Permit: H2O19-0332 Project No: Inspection Requests Phone (949)644-3255 $0.00 Fire Dampers: $0.00 amu® $0.00 + m + e $0.00 Record Mgt Fee: $0.00 Additional Fee $0.00 $0.00 Model: Workers Comp Insurance- %�d°�• f� �•�'rer{ � ` `� Carrier: FALLS LAKE FIRE &CASUAL Policy No: FLA008095- ,° �•; mm.00 ° • ° Expire :01/01/2020 bmcoo ° ee.uco R050m@ m 0 e $0.00 Fire Dampers: $0.00 Gas Line: $0.00 Metal Fireplace: $0.00 Record Mgt Fee: $0.00 Additional Fee $0.00 $0.00 Model: $0.00 Manufacturer: Other 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 Investigation: Plan Check: CSA1BE36KIssuance: SEER Zoning PC: TOTAL: $110.53 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $110.53 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. $0.00 $0.00 $0.00 $16.53 $35.00 $40.00 OWNER-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 bheckmark(s) Ihave placed next to the applicable kem(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 Busliness end the 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 a(,l. 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, 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' 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 improvements 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 4Mpth of sale). •e• ®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 no apply tooan ownetbYQrbperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 13.1 arm, exempefrom licensure under the Contractors' State License Law for the following reason: a my yJnature bebw 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 legall sale sflucture t eKq he 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 Professions Coderioeuallable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date eignaiure of Proparjy Qwner or Authorized Agent L1Cr=A5ED C(INTMICTOR'S DECLARATION 1 b9febg affirm undgr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 of the BusinesYEN Profes dons Code n !dense is in full force a;ltl%ffeol. Date to 1) Contractor Signatu License Mass License No OR qRS' COMPASATION DECLARATION WARAIRe: FAILURbTO SECURE WORKE0.5' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSAYIOA,-DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm 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 of Industrial Relations as provided for by Section 3700 of the Labor Code, forth ormance of the work for which this permit is issued. Policy No. f the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio have and will maintain workers' compensation insurance, as required by Section 3700 o insur nce carrier and policy number are: Carrier Policy Number Expiration Date Phone # Name of Agent I certify that, in the performs a of th woyich this ' is issued, I shall not employ any person in any manner so as to become subject to t e workers' compensation laws of California, and agre that, if I should become s bje to the w rkeaT rov ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi 5. Date Signature of Applicant DECLARATION. DING CONSTRUCTION LEND G AGENCY I hereby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ( action 3097, Civil Cade). Lender's Name Lender's Address By 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 provided is correct. 1 agree to comply with all applicable city and count/oroInboces anoskatePpr lating to building construction. I authorize representatives of this city or county t e er t abov -i erty for inspection purposes. l- Date Signature of PropertyOwner or Authorized A ant Print Pro erty Owner's or Authorized A ant's Nam ACTION DATE BY 0 CLARATION OF CO PLIA CE WTR CODE OF FOROFFICEUSEONLY FEDERAL REGULATIONS PART 61 OF TTTLE40AND AQMDRULE1403. PER 41TEXPIRED ❑ I SUBbUTT€DASBESTOS NORFI(:ATION TO: PERMITCANCE!!EO ❑ EPA PERMITEXTENDED [I AQMD ❑ ASBESTOS NODACABON iS NOT APPLfCABLE TO PERMITFINALPROPOSEDD€MOUTION. CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED