The URL can be used to link to this page

Home My WebLink AboutH2021-0361 - Permits (3)U%'�:'.Fvl City of Newport Beach - Building Division H2O21-0361 MECHANICAL Permit: H2O21 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1491-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Job Address: 769 AVOCADO AVE BIdg:1 Floor: Suite: Description of Work: MECH NEW HEAT PUMP ON ROOF *TAMPER PROOF CAP REQ* Inspector Area:5 Code Edit: 2019 Legal Description: TR 10274 LOT 1 UNIT 30B OF PROJECT LOCATED ON AP 50.323-03 TOGETHER Owner: PALLADINI DAVID M Contractor: WOODCREST CONSTRUCTION Worker's Comp Insurance- Address: 769 AVOCADO AVE Address: P O BOX 4007 Carrier: WC EXEMPT ; CORONA DEL MAR, CA 92625 TUSTIN CA 92781 Policy No: (NO EMPLOYEES) Phone: 310-408-5895 Phone: 714-697-4603 Expire: Con State Lic: 545331 Issued Date:06/09/2021 Lic Expire: 10/31/2022 ; �j�� Bus Lic: BT30033071 Processed By: Val/ ' � Lic Exp Date: 09/30/2021 4C Items FEES nacesBoilers & Compressors Ventilation Other 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 )r 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 II/Floor Heaters: 0 $0.00 >15 HP to 30 HP: 0 $0.00 Attic Fan: 0 $0.00 Metal Fireplace: 0 $0.00 3t Pumps & Package Units >30 HP to 50 HP 0 $0.00 Down -Draft Fan: 0 $0.00 Record Mgt Fee: $0.00 Investigation: $0.00 to 100K BTU/hr: 1 $21.00 >50 HP: 0 $0.00 Residential Hood: 0 $0.00 Additional Fee : $0.00 it 500K BTU/hr: 0 $0.00 Air Handling Units Comm. Hood: 0 $0.00 Plan Check: $18.27 to 1M BTU/hr: 0 $0.00 up to 1OK CFM: 0 $0.00 Repair/Alter/Add: 0 $0.00 Model: AUD36W/Alssuance: $37.00 to 1.75M BTU/hr: 0 $0.00 Over 1 OK CFM: 0 $0.00 Supplemental Fee: $0.00 Manufacturer: AC PRO $46.2: =r 1.75M BTU/hr: 0 $0.00 VAV Box: 0 $0.00 Zoning PC: TOTAL: $122.52 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $122.52 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. TE® TIMERS PRO"I" ON HE Kr uCr..L MMIIvry 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 I ha,.a Pra—e .. , <c ahe epp„�ee,e ,.emcs, (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 U 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 purpose of sale). 1, as owrer o.` 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 ownq� 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 exe7rt `ram licensure under the Contractors' State License Law for the following reason: By my sign.twe I•elow 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 legal[, 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 site:http://www.[eginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION I hereby affirm unde, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing ith action 7000) of Division 3 of the Business a d rof s Ions Code, and my license is in full force ono effect. CW-CA ^Z Li�Cnse Class � License No Date Contractor Signature v4ORKERS' CORIPENSATION DECLARATION IARNING: FAILUFE TO S:CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Fj RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hermby affirm, ul,oer 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, for th( erformance of the work forwhich this permit is issued. Policy No. I 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' compensatior Isurance carrier and policy number are: '.arrier Policy Number Expiration Date me of Agent Phone # ertify that, in the pe orman a the work for which this 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 lat., I I should beep ubject a rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro �is. ns. ignature of Applicant Date X &co—OC1, - ECLARATION REG DI CONSTRUCTION LENDING AGENCY hereby affirm under penalt of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ecti n 3097, Civil Code). ender's Name Lender's Address y my signature below, c rtify to each of the In I am the property owner or authorized to act on t pro erty owner's behalf. I have read this application and the information av provided is correct. agree to comply with all applicable city and co nt na ces and state laws relating to building construction. I authorize representatives of this city or county t e ter bove-identified roperty for inspection purposes. rl G t ,,�A..�°� ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �Datelt ACTION DATE By DECLARATION OFCOMPLIANCE WITH CODE OF FOR OFFICE USEONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NonFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS N071FICA77ONISNor APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL S Kam. F't3 rL- CERTIFICA TE CF OCCUPANCYISSUED SIGNATURE: