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Home My WebLink AboutPV2023-0167 - Permits��,�WPORT City of Newport Beach 1pil n 111p 1111111111111111111111111111111111111111 jj� solar Permit : PV2023-0167 p " ecn Community Development Department- Building Division _ - F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0656 G > Permit Counter Phone: (949) 644-3288 Work Class : Alteration r Inspection Requests Phone: (949) 644-3255 Issued Date : 03/23/2023- 9C/PORN newportbeachca.gov/inspections 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, 1/2 Legal Desc : A TR CORONA DEL MAR BLK 742 LOT 17 Description : MFR SOLAR PV SYSTEM - 7 PANELS 3.01 KW Owner: LA21 G LLC Address : 26880 ALISO VIEJO PKWY, STE 200 ALISO VIEJO, CA 92656 Phone: (949)463-132B Applicant: NELLIE MONTEJANO 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 Lic : 1025507 Lic Expire : 04/30/2023 Bus Lic : BT30059037 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: TECHNOLOGY INS CO INC Policy No: 5vdb92XI59a W. C. Expire : 3/8/2020r Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : RAU 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: / )l SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address Phone Designer: JOHN CAREY Address : 3000 EXECUTIVE PKWY, STE 504 SAN RAMON, CA 94583 Phone: Construction Valuation : $7,500.00 Type of Solar: MFP Kilowatt: 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasen(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for the permit to file a signed statement that he or sheds 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 Ilcensure 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). ❑ 1, 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 employees' or personal effort, builds or improves theproperty, 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 roved 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). ❑ 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 boon 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 vVeb site:tlttp://wwwAeginfo.ca.gDv/Gaiaw,html, Signature of Property Owner or Authorized Agent 3�y1�g� LDaate �// _ LICENSED CONTRACTOR'S DECLARATION 0 0 L� n /1 � ayya ,yge'� I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 7000 I Business and Prefer ' 1 my, 1 n i lull force and effect. License Class License No Date t onVactor SionatureA COMPENSATION DECLARATION MRNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.000), OnMElentION TO THE OST OF COMPENSATION, DAMAGE3 AS PROVIDED FOR IN SECTION 0709 OF THE LABOR CODE, INTEREST, AND ATTORNEY-8 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 Ormance 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 work for which this permit is issued. My workers' carrier and policy number are: 1e. of Agent certify that, in thepf , it I should become raters of ADolicari for Policy Number Date uad, t shall not employ any person in any manner so as to became subject io the workers' corn pqn onCalifornia, lav/s of Califoi.and of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. 3 3 !l �.�7/l hereby affirm under penalty of perjury that there is a cons ucti lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tinder's 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 owner's behalf. I have read this application and the information I have provided is correct/ i agree to comply ^dh. all applicable city and courtly. ordlncesnd stag s re g building construction- I authorize representatives of this city or county to ter t e ab a -dent i r dy for Inspection purposes. qP0 li ACTION DATE BY DECLARATION OF COMPLIANCE JITH COPE OF FEDERAL REGULATIONS PART BI OF TITLE4Q,AlyAQMDRULE 1403 FOR OFFICE USE ONLY PERMITEXPIR£O I suBmi r, EDAWSTOS NOTIFICATION TO P5R FT ANCELL ED -II EPLI A --J-- P�RMITfXTENOED PERMITFl1JAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED 51GNnTURc; �7 Cn F CO CJ H CV =9 "r v,S ,Si co U q pro I. CL z Cl Fom U Ci O FyCAc'N � t tir? aas L o � � y Za _o R cqqi = li 4w Uv Z CL O � C 0/W fJ� o 4w 2.0 E°' t4 v Q. LO 1"' N F- d a C: YS CI c v r�6 U O U v 'o Q N L Y L 0 f? v O Q Q f6 L L U N E 41 � Y C.1 CO L I