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Home My WebLink AboutPV2023-0166 - Permits��aPoRT City of Newport Beach 04 ��Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Cq</F00.N�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/lnspections lIIIIDIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1lllllllln1611 Solar Permit : PV2023-0166 Plan Check No : PC2023-0654 Work Class : Alteration Issued Date : 03/23/2023 -- Inspection Area : 6 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 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays. Job Address : 717 POINSETTIA AVE Legal Desc : A TR CORONA DEL MAR BLK 742 LOT 17 Mm d ad' a Description : MFR SOLAR PV SYSTEM - 7 PANELS 3.01 KW Owner: LA21GLLC Address : 26880 ALISO VIEJO PKWY, STE 200 ALISO VIEJO, CA 92656 Phone : (949) 463-1328 Applicant: NELLIEMONTEJANO Address : 26880 ALISO VIEJO PKWY, STE 200 ALISO VIEJO, CA 92656 Phone: (949)669-5118 Owner/Builder Address : Phone Contractor : TJC HOME BUILDERS LLC Address : 26880 ALISO VIEJO PKWY #100 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Con State Lie : 1025507 Lie Expire : 04/30/2023 Bus Lie: BT30059037 Bus Lie Expire : 05/31/2023 Workers' Compensation Insurance Carrier: TECHNOLOGY INS CO INC Policy No : W. C. Expire : 3/B/202,4 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3,U No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential Processed By: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address : Phone Designer: JOHNCAREY Address: 3000 EXECUTIVE PKWY, STE 504 SAN RAMON, CA 94583 Phone : Construction Valuation : $7,000.00 Type of Solar: MFP Kilowatt: 3 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of penury 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 Cade: Any city or county that requires a permit ilo 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 Iicensure, andthe 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 (_) 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 employeesor 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 wflhin 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 ticensure under the Contractors' State License Law for the following reason' By my signature below I acknowledge that, exceptfor 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 asan owner -builder if it has not been constructed in its.Onlirety 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:flwww.legfnfo.ca.govicalew.html. Signafureof Property Owner or Authorized Agent Date. LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Ao i the Business and Professi' n ZU y li fu I force and effect. License Class _. License No Detai r Signature VORKERS' COMPENSATION DECLARATION r fARNING: 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 (S100A00), 11,1�1 RI N TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANOATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Jrmance 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' compensa mince carrier and policy number are: Policy Number Date lame of Agent 1-Rune R It certify that, in the performa o th o for whit hisC s issued, I shall not employ any person in any manner so as to become subject to the workers' compens Sion law of Califomla, and agre tat, if I should become subjec to th ' compe Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.�ignature of Applicant �—______,�— DafpLIECLARATION RTEGARDING CONSTRUCTION LEN"� tNG {�� hereby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097', Civil Code). enders Name Lender's Address ly 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 Corr t. n /t I agree to comply with all applicable city and county o dntan d , la slat g to building construction. r� `� 1� I authorize representatives of this city or county to e t a ee-/id t e propert for inspection purposes 11NV1`U�A° l v 1l! t l,� )3 _ PGnature of Property Owner of Authorized Agent wI �� 1� `' Print Property Owner's. or Authorized Agent's NamOale ACTION DATE BY SECLARATION OF COMPLIAN-CE+hRTH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE 1403 _ PERMITEXPIRED 1_1 SUBMF fr.IJA5BESTOS NOTIFICATION TO PERMITCANCELLED —' ., LLPA _ PERMIT EXTENDED /�� T-fGrAOMD PERMITFINAL [ ASBESTOS NOT IFICA'TION IS NOT APPLICABLE TO CERTIRCATEOr rL P OSED DEMOLITION OCCUPANCY ISSUED Y , SIGNATURE: V) CD F co 14 m Lzi �ll •r r i coo _�J 0.+ rtn CD +'J Ci la�;'i CL rFs�M \, `� rll ^ ) FI m �I E; 1D U C) 0 0 Al `tiEac E ts, r y a V a) Z;I In E, c C:. 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