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Home My WebLink AboutPV2023-0541 - Permits�EwPoRr City of Newport Beach iiiiigiiiiiiiiiq�� sour Permit : PV2023-0541 Communit; Development Department - Building Division r. r, 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2548 Permit Counter Phone: (949) 718-1888 Work Class : Counter cq�'"`oaN�r newportbeachca.gov/civic Issued Date : 10/17/2023 Final Date: Permit Status: Issued 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 : 2012 TUSTIN AVE Legal Desc : A TR NEWPORT HEIGHTS BLK LOT 297 NEWPORT HEIGHTS L Description : SFR SOLAR SYSTEM 4.55 KW 13 PANELS Owner: LA21A LLC Address : 26880 ALISO VIEJO PKWY STE100 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Applicant : NELLIE MONTEJANO Address : 26880 ALISO VIEJO PKWY, 200 ALISO VIEJO, CA 92656 Phone: (949)669-5118 Owner/Builder : Address : Contractor: T J C HOME BUILDERS INC Address : 26880 ALSO VIEJO PKWY, 100 ALISO VIEJO, CA 92656 Phone: (949)481-7026 Con State Lic : 1025507 Lic Expire : 04/30/2025 Bus Lic : BT30059037 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: TECHNOLOGY INS COMPANY INC Policy No : TWC4227597 W. C. Expire : 3/l/2024 Architect Address Phone: State Lic: Engineer Address UIT.TT77 Designer: COMPLETE SOLAR INC Address : 3000 EXECUTIVE PKWY, 3504 SAN RAMON, CA 94583 Phone : Phone : (650) 263-8984 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $15,000.00 Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : Type of Solar: Bldg Height : No of Stories : 2 Kilowatt: 4 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 e� Flood Zone : X Residential Use Zone : R-1 - Single -Unit //� Processed By:... - SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of penury that I am exempt from the Contractors' Slate License Law for the reascri indicated below by the checkmark(s) I have place., ru—In the applicable items) ;Section 7031.5, Busirness and Professions Code: Any city or eounly, that requires a permit to Construct, alter, improve. demolish, or repair any ttructure, prior to its issuance, also requires the applicant for .he pormft to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commerlcing'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 (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Secllon 7044, Business and Professions Code: The Contractors' State License Law does not spply to an owner of property who bullds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law). 1 am Exempt from Iicersure under the. Contractors' State License Law for the following reason 3y my signature below 1. acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion or the improvements covered by this permit, I cannot Iegail soli a structure that I have built as an owner-buildor if it has not been constructed to 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 fallowing Web site:http:/9Mvrw.loginto.ca.gov/calaw,html. Signature of Property Owner or Authorized AgentDate LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Sect! G QA f D v the Business and Profess! 0 IF, F m is nsa s In full torte and effect. License Class License No D 1 Contractor Signature WORKERS' COMPENSATION DECLARATION I - %�/ — r `f WARNING: 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 11000.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEES.. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workars' compensation, issued by the Director of Industrial Relations as provided for by Section 3T00 of the Labor Code, for IN p9 ormance of the work for which this peanit is issued. Policy No. I 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' compensatior I surance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone a 01 Certify that, to the pedomm ce of th ork f whitW ed shalt not employ any person In any manner so as to become subject to the workers compensati laws of California, and agree That, if should become subj9 th w errs` ompaor of S9clion 3700 of the Labor Cntle. I shall forthwith comply with (hose provisions. 1 Signature of Applicant .._ _ .,_ Date iDECLARATION REG}1RDf CDNS7R C71 LENDING AGEN1_.. ___ __ ___.___._.___............. L 2-3r ..... I hereby affirm under penalty of perjury that there is a construction le in agency for the performance of the work for which this permit is issued (Section 3097. Civil Code). Lenders Name ____ Lender's Address By my signature ba1Dw, I certify to eanh of tha f011owing: 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 pro dad' correct. non 1 agree to comply with all applicable city and ly ty ortli co rid slat at r lath to building n purposes.. I authorize representatives of this city or county e n r e a ve-lden' I prop y for inspection purposes. Si nature of Property Owner or AuPwnzed A' ent Print Property Owner's or Authorized Agent*$ Name Date ACTION DATE EY ❑ECLA. ATI OF C M LIANCE #H CODE OF FEDERAL FOR OFFICE USE ONLY REGUTATIONS PART 8I OF TITLE 4VJAND AQMD RULE 1403 PERMIT EXPIRED I suBM[TTFD ASBESTOS NOTIFICATION TO PERMITCANCfttED MT�EPA FfRMIT EXTENDED L}pQpq D PERMIT FINA( ASBES rOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE;