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Home My WebLink AboutH2024-0642 - Permits��EWPORT City of Newport Beach 0 @ Community Development Department - Building Division Fy 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 ea newportbeachca.gov/civic C �P III I IPli.l!!I I I!!!ill II!!I!! I I!I l ull Mechanical Permit: ?Icn Check No : 0655-2022 Work Class : Other ?armit Status: Issued Issued Date : 10/07/2024 Inspection Area : 3 H2O24-0642 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 20321 ORCHID ST Legal Desc : N TR 1500 BLK LOT 20 Description: MECH INSTALL (3) HEAT PUMPS *TIMERS PROHIBITED* (X2022-0728) Owner: LEON TRIGONIS Contractor Address: 20321 ORCHID ST NEWPORT BEACH, CA 92660 Address Phone Vb — `t,L1N Phone : Con State Lic Applicant: SURFSIDE HEATING AND AIR CONDITIONING INC Lic Expire Address: 6351 CORTE DEL ABETO, A-108 CARLSBAD, CA 92011 Bus Lic: Phone: (760)304-4882 Owner/Builder : Address Phone : Code Edition : 2022 Type of Construction Occupancy Groups : Fire Hazard Zone : NO Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 .Flood Zone : X Use Zone : SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: SPECIAL CONDITIONS: CMSD: SD22-0081 SURFSIDE HEATING AND AIR CONDITIONING INC 6351 CORTE DEL ABETO, A-108 CARLSBAD, CA 92011 (760)304-4882 936817 01131 /2025 BT30084935 Bus Lic Expire:08/31/2025 Workers' Compensation Insurance Carrier : SECURITY NATIONAL INS. Policy No: SWC1470511 W. C. Expire: 1/15/2025 Manufacturer: DAIKIN Model#: DZ6VSA4810/2MXS18WWVJU9 t 19ERS PROHIBITED ON HEAT PUMPS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the COntraUJfs Ctate-Licenso Lary dor the rsason(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 requ es r permit to cnnstru^t, 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 tBe nrovis-ons of tho Cgmraclors 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 far the dGegeJ exec Iption. An} %iJation 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 (J all of or (_) 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 zppAy to ai owner M 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 irnnrovemenl is solo wdhih 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 ap ly 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: 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 site:http:/tmw.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe�ruq that am licensed under provisions of Chapter 9 (commencing with Secti n 7000) o D ision 3 of the Business an Pro r d ,and my Iicen 11 force and effect. License Class Ce(J License No r/3�1r/% D e D j Contractor Signet WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (b1110,000I, IN ADDITION TO THE COST 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: ❑ 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 IN lee Trance of the work for which this permit is issued. Policy No. JI 4ve 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' compensator ns ante Carder and policy number are: 'er kY%A rv-t? Policy Number se- -YZI/310 Expiration Date 7/25� Name of Agent Phone N :1I certify that, in the performance of 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 agref '.hat, if I should become u cl to the wo rovisions of S lion R700of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION R CONSTRUCTION LENDING AGENCY hereby affirm and na of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C II Code). -enders Name Lenders Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. agree to comply with all applicable city and county ordinance stale laws relating to building construction. I authorize representatives of this city or cou ty ant -Iden er y for inspection purposes. Signature of ProDertv Owner or Authorized ADenl Print Prooertv Owner's or Authorized Agent's Name V/ll�,l•n{ %/jG'� D ACTION DATE 'BYE \ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 630E TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 13EPA PERMIT EXTENDED L1AQMD PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED 1 I- 7_1 1-J ASBESTDS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: