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Home My WebLink AboutPV2022-0235 - PermitsaEWPoRr City of Newport Beach II II I II I I I II I I II I III I I II 0� Solar Permit: PV2022-0235 Community Development Department- Building Division p'100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1921 G >+^ S Permit Counter Phone: (949) 644-3288 Work Class : Alteration c aa.r Inspection Requests Phone: (949) 644-3255 Issued Date : 0810312022 4C/FpPN� newponbeachca.gov/inspections Inspection Area : 3 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 : 454 CATALINA DR Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 21 LOT 6 Description : SFR SOLAR PV SYSTEM 4.2 KW. 12 PANELS Owner: LA21G LLC Address : 26880 ALSO VIEJO PKWY STE100 ALISO VIEJO, CA 92656 Phone : Applicant: NELLIE MONTEJANO Address: 26880 ALISO VIEJO PKWY, 100 ALISO VIEJO, CA 92656 Phone: (949)669-5118 Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : Processed By: 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 : TWC4081048 W. C. Expire : 3/8/2023 2019 Fire Sprinklers : NO V-B Fire Hazard Zone: NO R-3 No of Units : 1 No of Stories Front: 20, Side: 4, Side: 4, Rear: 5 X R-1 - Single -Unit Residential Architect Address Phone : State Lie: Engineer: NGUYEN HUAN Address : 15 STUDEBAKER IRVINE, CA 92618 Phone : (949) 752-1612 Designer: Address Phone: Construction Valuation : $15,000.00 Type of Solar: SFP Kilowatt : 1 OWNER -BUILDER DECLARA I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable iterri (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 (commoncing 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 (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Lusiness 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 1improved 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 door, 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 Ilcensure 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 haveresided for at least one year prior to completion of the Improvements covered by this permit, I cannot)egall� sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors.. I understand that a copy of the applicable law, Section 7C44 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:llw .leginfo.ea.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 0) f Division 3 of the Business and Profe THE Code, andlrly lice se is Ili f II force and effect. License Class License No Date '-1 a-.D Contractor Signature Ern-« WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN'. L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES, I hereby affirm under penalty of perjury one of the fallowing dec€orations: ❑ I have and will maintain a certificate of consent to self4rrsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the labor Code, for ih performance of the work 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 woi for which this permit is issued. My workers' carrier and policy number are: Policy Number Date re of Agent Phone If certify that, in the pe ormance 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' c mpensat oo laws of Califolm a, and agre I, it I should beco le ubj ct to thieToorkeirs•' compen�sationn prrooviisioonnsof Section 3700 of the Labor Code„ I shall forthwith comply with those provisions. /,nature of APPlica"1 _-4t�+t-�^---�_ Dat `7 —y `�-��CLARATION REG RDING COSRUCTION LENDING AGENCY Ireby affirm under penalty of perjury that thereis a construction lending agency for the performance of the work for which this. permit Is issued (Section 3097, Civil Code). Iders Name Lenders Address my signature below, I certify to each of the fallowing: I am the property owner or authorized to act on the property owner's behalf. I have read this eppliaaticn and the information I have provided is correct. I agree to comply A.tl all applicable city and county ordinances and state laws relating to building construction. 't\ I aJ.toLize repro ntatSves of this city erc ty to ni the above-ideptifi pro erty forrinspection purposes. N/�A i LUST f" ✓ nature of Prooert Ayer or Authorized Aoel L 4rinl Property Owner's or Authorized Aoent's Narneee��\ ato ACTION I DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ? REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERM.i7 EXPIRED FERM77 CA, ICE ilFD ISUBMITTED ASBESTOS NOTIFICATION TO _0 EpR ........ PEktMTEXTENDED ? rnQMD PEkBANFINAI 4-1527 i QASBES FOS NOT IFI6ATION 15 NOT APPLICABLE TO CERTIFICATE OF !I PROPOSED DEMOLITION OCCUPANCY ISSUED , E SIGNATURE: