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Home My WebLink AboutH2021-0008 - Permits (3)ry,wrcu5i,_ City of Newport Beach - Building Division H2O21-0008 MECHANICAL Permit: H2O21-0008 100 Civic Center Drive, Newport Beach, CA 92660 Project No Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 22 ENCORE CT BIdgA Floor: Suite: Description of Work: MECH INSTALL A/C UNIT AT THE PATIO DECK & AIR HANDLER @ THE ATTIC, DUCTING 'TAMPER RESISTANT CAP REQ" Inspector Area:2 Code Edit: 2019 i � � & Legal Description: TR 7817 LOT 4 UNIT 229 OF PROJECT LOCATED ON AP 424-041-01 TO TOGETHER Owner: KLINGELHOFER JEFF Contractor: Address: 989 PASEO DEL SUR Address: SANTA FE, NM 87501 Phone: Phone: Con State Lic: Issued Date:01/05/2021 �. Lic Expire: Bus Lic: Processed By: Lic Exp Date: KLONDIKE AIR INC 1308 LOGAN STE E COSTA MESA CA 92626 714-979-2070 754456 09/30/2022 BT30060482 09/30/2021 Worker's Comp Insurance - Carrier : FALLS LAKE FIRE & CASUAL Policy No: FLA00809502 Expire:0110112022 HVAC Items FEES Furnaces Boilers & Compressors Ventilation Other Up to 100K BTU/hr: 0 $0.00 Up to 3HP: 0 $0.00 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 $0.30 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: 1 $21.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 Investig3tior.: $0.00 Over 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Chick: $49.59 Up to 1M BTU/hr: 0 $0.00 up to 10K CFM: 1 $15.00 Repair/Alter/Add: 1 $21.00 Model: AC036JXADCH/AA Issuanc-,: $37.00 Up to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: SAMSUNG Over 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: $46.25 TOTAL: $189.84 Plan Check Fee: $150.57 Fee Due at Permit Issuance : $39.27 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. 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 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 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 of the Business and 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 L) 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 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 of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web ske:http://www.leginfo.ca.gov/calaw.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 with Section 7000) of Division 3 of the Busi ass a Profe ions Cc , ense I 'n full force and effect. License Class License No D3� 3 � Contractor I ature NORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSA-II'l, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm un irr penalty, of perjury one of the following declarations: I Ilege 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 'ormance of ,:ia m3.k for which this permit is issued. Policy No. 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' carrier al,o policy number are: ,e of Agent _ oei;ify that, in the perfor once f the work I chould become sub' ct to aworkers' Policy Number Date this RpOnInq issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and 0bo rows f Section 3700 of the Labor Code, I shall forthwith comply with thpse provisions. I , I ha;eby affirm Ladoi penalty of perjury that there is a construction lending agency for the performance of the work for which this Lender's Name Lender's Address By my signature below, I certify to each of the following: (Section 3097, Civil Code). I am the property owner or authorized to act on the p perty owners behalf. _ I have read this application and the information I ve rov" ed is correct. Sl�j I agree to comply with all applicable city and co my o man as a s I. relating to building construction. authorize representatives of this city or coun toe er the - de - y for inspection purposes. (� Signature of Property Owner or Aut clued Agent Print Property Owners or Authorized ADe Name--- ACTION DATE RY DECLARATION OF COMPLIANCE 1MTH CODE OF FEDERAL REGULATIONS PART 61 OF T17LE 40 AND AQMD RULE 1,103. ❑ 1 SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMO ❑ ASBESTOS NOTIF?CATIONISNOTAPPLICABLETO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED