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Home My WebLink AboutH2021-0569 - Permitsn City of Newport Beach - Building Division H2O21-0569 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 MECHANICAL Permit: H2O21-0569 Project No: 1604-2021 INS ECT r`ies.�u�xInspection Requests Phone (949)644-3255 Job Address:600 STJAMESPL Bldg:1Floor: Suite: Description of Work: SFR MECH NEW A/C UNIT AT SIDE YARD (31.75 DBA). TAMPER PROOF CAP REQUIRED. INSTALL DUCTWORK. Inspector Area:3 Code Edit: 2019 Legal Description: N TR 1218 LOT 30 ° Owner: STROLLO RICHARD Contractor: Address: 600 ST JAMES PL Address: NEWPORT BEACH, CA 92663 Phone: Phone: Con State Lic: Issued Date:10/01/2021 Lic Expire: �1 Bus Lic: Processed By: ,R 15DA Lic Exp Date: ° KLONDIKE AIR INC Worker's Comp Insurance - ° 1308 LOGAN STE E Carrier: FALLS LAKE FIRE & CASUAL °°°°°° COSTA MESA CA 92626 Policy No: FLA00809502 ° 714-979.2070 Expire:01/01/2022 ° 754456 . ° 09/30/2022 "4 BT30060482 09/30/2022 ° FEES rnacesBoilers & Compressors Ventilation to 100K BTU/hr: 0 $0.00 Up to 3HP: 1 $22.00 Bathroom Fan: 0 $0.00 Fire Dampers: 0 $0.00 er 100K BTU/hr: 0 $0.00 > 3 HP to 15 HP: 0 $0.00 Exhaust Fan: 0 $0.00 Gas Line: 0 $0.00 ill/Floor Heaters: 0 WOO >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 at Pumps & Package Units >30 HP to 50 HP 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 $0.00 Additional Fee : $0.00 ar 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 to 1 M BTU/hr: 0 $0.00 up to I OK CFM: 0 $0.00 Repair/Alter/Add: 1 $22.00 Model: AULD36w2IA-D(U) to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO ;r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Other ° ° •°sccc °oocnr ° $0.00 $0.00 Investigation: $0.00 Plan Check: $38.28 Issuance: $38.00 Zoning PC: $52.00 TOTAL: $172.28 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $172.28 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below it the checture, prior I have placed next to the applicable item(s) ;action 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 e 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 3t more than five hundred dollars ($500). ] I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements $.i :2 0t Mtended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). ='f,'4 ownero ONtha property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Tly.to an owner af+property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1@fh exempt hom licensure under the Contractors' State License Law for the following reason: y mi signaturohalaw I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally Bill a leginfo.ca.gov/calaw.html. structur2'fJyp"Ifave by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Cone, is available upon request when this application is submitted or at the following Web site:http://www. built as an owner -builder if it has not been constructed in its entirety Date ligeat.ure of Propeety7JwnerorAuthorized Agent .tOENSED CONTRACTOR'S DECLARATION tvws4y affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and�P/rofessions Code, and my license is in full force III effect. , D' �D b License No L� Date )r \O Contractor Signature �7�. v Iji Class `J 1 %QFJKERS',QQMP;ENSATION DECLARATION IARNING: FAILURE TO SLCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($t00,0001, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 ' 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 Drmance 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' rance carriar and policy number are: AA Policy Number r\-T 0 4r GS dZ Expiration Date OHnnc 1 _11_z� ie of Agent certify that, in the performance of the work for which this per it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre, if I should become subject to the workers' compensation pr visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Date rature of Applicant CLARATION REGARDING CONSTRUCT wry Ltnulrvb AUMIVi.r �reby affirm under penalty of perjury that there is a construction lending agency forrthe enderer Address of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name - 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. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. Date nature of Property Owner or Authorized Agent '� W — Print Property Owners or Authorized Agent's Name _..._FnR ncnrc USE ONLY ACTION DATE BY .,..,,, I—.... __.--- _._..____ FEDERAL REGULATIONSPART 61 OF TITLE40 AND AOMD RULE 1403. ❑ 1SUBMITTED ASBESTOS NODFICATION'TO. ❑ EPA [I AOMD ASBESTOSNORACAT70N1SNOTAPPLICADI.EiO PROPOSED DEMOLITION, SIGNATURE: PERMITEXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL Q— CERTIFIC4TEOF OCCUPANCYISSUED _