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Home My WebLink AboutPV2023-0017 - Permits��EWPoRT City of Newport Beach p ecru Community Development Department - Building Division n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIISolar Permit: PV2023-0017 Plan Ch9ck No : PC2023-0063 Work Class : Alteration Issued Date : 02/13/2023 Insoection Area : 3 PERMITS EXPIRE 1BO DAYS AFTER ISSUANCE OR LAST VALID INS Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. Job Address : 1423 MARINERS DR Legal Desc : N TR 3004 BLK LOT 35 Description: SFR - SOLAR PV SYSTEM 4.55 KW (13) MODULES Owner: LA21G LLC Address : 26880 ALISO VIEJO PKWY STE100 ALISO VIEJO, CA 92656 Phone : Applicant: T J C HOME BUILDERS LLC Address: 26880 ALISO VIEJO PKWY #100 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Owner/Builder : Address : Phone Contractor: T J C HOME BUILDERS LLC Address : 26880 ALISO VIEJO PKWY #100 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Con State Lic : 1025507 Lic Expire : 04/30/2023 Bus Lic: BT30059037 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: TECHNOLOGY INSURANCE COMPANY Policy No: TWC4081048 W. C. Expire : 3/8/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) Processed By: work on Sundays or Holidays. 17, G tect : - !ss r� r i Lic: ' r; leer Ms e: COMPLETE SOLAR INC 3000 EXECUTIVE PKWY 3504 SAN RAMON CA 94583, CA 94583 (650)263-8984 Valuation : $16,000.00 pe of Solar: SFP owatt : 4 SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicatedbelow 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' Stato 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 (he alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applioant 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 (_) 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 not built or EErfor the purpose of sale). I. as owner of the properly, 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 pursuantto 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 legall sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors, 1 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:Ijwwvv.leginfo.ce.gov/calaw.htmi, of Property Owner or Authorized Agent _ Date _ LICENSED CONTRACTOR'S DECLARATION,, 1y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) ;pEt�u'dd3 4f`fh Business and Pro slons.1JdA, mm/cons ' / fulj f ce and effect. License Class License Na flaio it R 1� J Lf ,,..,.,... .. VORKERS' COMPENSATION DECLARATION�� _ % !ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED TN USANO aOLLAR3 (57R3.300), IN. ADDRIO T6 E OST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 17H OF THE LABOR CODE, INTEREST, AND ATTORN.EY'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 th Erfornri of the work for which this permit is issued. Policy No. ha-ve 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` compensatioi ,surance carrier and policy number are: artier Policy Number area of Agent Expiration Date Phone ff �I certify that, inthe performa ee o the r for which t f e if's is d, I shall not employ any person in any manner so as to become subject to the workers' omper ion laws of alifomla, and ogre ,at, if I should Paco e ube, r „ r�ompens rovis of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /F /F Ignature of 6 yam•, hereby affirm under penalty of perjury that there is a construction fe d Ing agency for the performance of the work for which this permit is Issued (Section 3097, it Code), enders Name Lender's Address y my signature below, I certify to each of the following: I am lie property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided i orrect. I agree to comply with all applicable city and c y ordi ances d late la r ( Ling to building construction. I authorize representatives of this city orcount enle b -! enttIII r p it for inspection purposes. �� /j � �prnh Dal V f� ignature of Propert. Owner or Authorized Agent, Print Pro e Owner's or Authorized Agent's Na e y lf� w/ ICTION DATE BY DE LARATION OF COMPLIANCE WI COOE OF FEDERAL FOR OFFICE USE ONLY R EGULATIONS PART 51 OFTITLE 40 DACi RULE 1• - UI. SI IBhITTED ASBESTOS NOTIFICATION TO —u'--i--� PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF /% •Z� _� ASBES`r05 NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION OCCUPANCY lSSUEO ! SIGNVURE: