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Home My WebLink AboutXR2023-0120 - PermitsCity of Newport Beach IIIIIIIIIII 111111111111111111111111111111111111111111 jj COMB Permit : XR2023-0120 4 .-4 Community Development Department - Building Division X R 2 0 2 3 0 1 2 0 5 gip: 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0125 Permit Counter Phone: 949 644-3288 t ) Issued Date : 03/14/2023 Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY ORSUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 2000 OCEAN FRONT W Legal Desc : A TR FIRST ADD TO NEWPORT BEACH BILK 20 LOT 1 FIRST ADD TO NE WPORT BEACH LOT 1 BLK 20 ALL Description: SFR- (1) ENERGY STORAGE SYSTEM 14 KW Owner: LIU JOSEPH H TR LIU FAMILY TR Address : 1085 SUMMIT DR BEVERLY HILLS. CA 90210 Phone Applicant: SEMPER SOLARIS CONSTRUCTION Address : 10713 NORWALK BLVD SANTA FE SPRINGS, CA 90670 Phone: (619)715-4054 Owner/Builder: Address : Contractor: SEMPER SOLARIS CONSTRUCTION Address : 10713 NORWALK BLVD SANTA FE SPRINGS, CA 90670 Phone : (619) 715-4054 Con State Lie : 978152 Lie Expire : 10/31/2024 Bus Lie: BT30075814 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: MIDWEST EMPLOYERS CASUALTY CO Policy No : BNUWC0155108 W. C. Expire : 10/10/2023 Architect Address : ") a s'-C)'a Phone State Lie Engineer : �® Address Phone: Designer: Address : Phone: Phone Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $13,800.00 Type of Construction : V-B Fire. Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 1` Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Y Added/New sq. ft. Garage: 0 } TOTAL sq. ft. : 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 10 Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: r14SAI OWNER -BUILDER DECLARATION 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 Rem(s) (Section 7031-.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demob I, 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 Low {Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,) or that he or she is exempt from frcensure, and the basis for the alleged exemption. Anyviolat[ion of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). II J I, as owner of the property, or my employees with wages as theirsolecompensation, will do (_) all of or (_) portions of the rosiness and Professions Code; The Contractors' State License Law does not apply to an owner of property who, through am nprovements are not intended or offered for sale. If, however, the building or improvemant is sold within one year of complet reproved for the purpose of aata). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BL ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pc I i am exempt from licensors under the Contractors' State License Law for the following reason: _ iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yea :ell astructure that I have built as an owner -budder if it has not been constructed in its entirety by licenser) contractors. j undo xrofessions Code, is available upon request when this application is submitted or at the following Web slte:p1 p:h ww.leglnfo. >Ignature of Property Owner or Authorized Agent _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensad under provisions of Chapter 9 (commencing with Section 7000)of 0 Ind effect. License Class ? NTFau 1 f:I0 C 201C; I 64lp.icanse No ill L Date PORKERS' COMPENSATION DECLARATION (ARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO Daniel PENALTY: :OST OF COMPENSATION, DAMAGE%AS PRCW10E0 FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNers F€ES. hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will maintain a Certificate of consent to self=insure for workers' compensation, issued by the Director of It rmance of the work for which this permit is issued. Policy No.. 1I lave and will maintain workers' compensation insurance as required by Section 3700 of the Labor Code.. for the panic is once carrier and policy number are: ,enter w.yA �k t, ,�,lp ic4 8r� S Policy Number a-i i U W Z. 0 1 lame of Agent tl certify that, hi the performance of the work for which this permit is issued. I $trail net employ any person in any manner so If I should become subject to_Vh�ywmpaBastion provisions of Section 3700 of the Labor Code, I shall forthwith c hereby affirm under penalty of perjury that there is a Construction lending agency for the performance of the work for which .tinder's Name Lenders Address fy 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 applicationand the information I have provided is correct. I agree tocomply with all applicable city and county ordinances and state laws relating to building construction I authorize representatives of thiscity or county to enter the above�r' .attG' ed property for inspection purposes. ACTION DATE I By ip DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL j FOR OFFICE € REGULATIONS PART 6I OF TITLE 40 AND AQMO RULE { PERMITEXPIRED j B i LI I SUBMITTED ASBESTOS NOTIFICATtON TO PERMITEXTENQff) NrRMITFINAL . �� •Z �L-J.A—QMO ` ti L, ASEVESTOS NOT] FICA RON Ig NOT APKICAKE '10 CERYIffCATE OF PROPOSED DEMOLITION OCCUPANCYISSUEO SIGNATURE: <, and the structure is not intendedor offered for sale (Section 7044, „es' or personal effort, builds or improves the property, provided that the the Owner -guilder will have the burden of proving that It was not built or and Professions Code: The ContractorsState License Law does not to the Contractors' State License Law), to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date f the Business and Professions Code, a Ipansefs in full force Contractor Signatu Z�- FINES UP' To ONE HUNDRED THOUSAND DOLLARS (1000,000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for wnich this permit is Issued. My workers' Date IQ/ (U/7,-I to become subject to the workers' compensation laws of California, and ogre( ply with those provisions. permit is issued (Section 3097, Civil Code). ONLY