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Home My WebLink AboutPV2015-037 - PermitsA�wPo City of Newport Beach - Building Divistion 0 PO Box 1768 Newport Beach, California 92658-8915 a Unr4pY SOLAR Permit: PV2015-037 Permit Counter Telephone (949)644-3288 Inspection Requestslrelephone (949)644-3255 Job Address: 2924 CATALPA ST NB Description:SFR -SOLAR PHOTOVOLTAIC, (23) ROOF MOUNTED MODULES, 5.98 KW -DC, 403 SF Inspector Area: 4 Legal Desc.: N TR 5018 LOT 79 Owner: BERGMAN ERIC Contractor: STOUT & BURG ELECTRIC INC Address: 2924 CATALPA ST Address: 15052 RED HILL, #C NEWPORT BEACH, CA 92660 TUSTIN CA 92780 Phone Applicant: STOUT & BURG ELECTRIC INC Address: 15052 RED HILL, #C TUSTIN CA 92780 Phone: 714-316-6064 Code Edit: Type of Construction: Occupancy Group: No of Stories: Use Zone: Bldg Height: Building Permit Fee Plan Check Fee: 2013 VB R3/U 2 0 $290.00 $210.00 TOTAL FEE: $512.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Phone: 714-315-6064 Con State Lic: 826780 Lic Expire: 05/31/2015 Bus Lic: BT300060211 Lic Exp Date: 03/31/2016 Worker's Compensation Insurance Carrier: TORUS NATIONAL INS CO Policy No: T10150174 Expire: 0210112016 Building Setbacks Rear: Front: Left: Right: Plan Check Fee: $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Illlllllllllllllllllllllllll�lllllllllllllllplll�ll��l� Project No: 0696-2015 Issued Date : 0410212015 e r R State Lic: \- LARSON HAROLD EUGENE 1437 GLENNEYRE ST LAGUNA BEACH CA 92651 949-497-5203 State Lic:C-033222 Record Management (8 112 X 11) Record Management (Plans) : Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: D APPROVAL TO ISSUE: PERMITS EXPIRE 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 a $0.00- $12.00 $512.00 V •• I hereby affirm under penalty of perjury 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 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 (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 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 L) all of or U 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 was not built or improved for the purpose of sale). ❑ 1, 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 al, avner 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 sigr.a:Lre oolow 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 legally sel, a structure that I have built as an owner -builder if it has not been 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 Web site:http://www.leginfo.ca.gov/calaw.html. Sig ,ature of 'Property Owner or Authorized Agent Date LICENSED COnt TRACTOR'S DECLARATION I hereby affirin under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professi ns Code, y license is in full force and effect. L:canse Class, License No Date 2 2-r; Contractor Signature WORKERS' COMPENSATION DECLARATION WARN,NG: FAR URI -0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm unde, penalty of perjury one of the following declarations: ❑ 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 IN ridko&ance of the work for which this permit is issued. Policy No. - I, ha a 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 'ins rice carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent - Phone # I certify that, in the perfo ance of the or or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre, that, if I should become su j ct to the w rker compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date S DECLARATION REGA G CONSTR CTION NDING AGENCY I hereby affirm under pen of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name, Lender's Address By 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 with all applicable city and count ordinance�d state laws relating to building construction. Ctrs I authorize representatives of this city or county t niter the 6oy1:-identified property for inspection purposes. Signature of Property Owner or Authorized Agent / Print Property Owner's or Authorized Agent's Name s �CS� Date ACRON DATE VBY DECLARATION OF COMPLIANCE KITH CODE OF FOR OFRCE USE ONLY FEDERAL REGULATIONS PART 61 OF ATLE40 AND PAOMD RULE 1403. PERMIT EXPIRED ❑ I S MITTEDASSESTOS M071FICATION TO: PERMITCANCELLED EPA AOMD PERMIT EXTENDED _ A_ RFSTDS NDRRCATIONIS-NRT APPLICABLE TO CERTIFICATEOF OCCUPANCYISSUED