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Home My WebLink AboutXR2022-2099 - Permits��gWPORT City of Newport Beach p Community Development Department- Building Division Fi- t➢1 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u pg T -� Inspection Requests Phone: (949) 644-3255 oq</FoaN�r newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM Work Class - Alteration III I II II II II COMB Permit : XR2022-2099 Plan Check No : 1350-2021 Issued Date: 08/12/2022 Inspection Area: 4 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 OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 23 CHATHAM CT Legal Desc : N TR 11451 BLK LOT 1 UN 1 TR 11451 LOT 1 UNIT 1 OF PROJECT L OCATED ON AP Description: MFR - DELTA 3 & 5 - ADD'L SCOPE -ALL BATHS REMODEL Owner: ROBERT HASMAN Contractor: ROBERT HASMAN Architect : RANIERI RANDY Address : 23 CHATHAM CT NEWPORT BEACH, CA Address : 23 CHATHAM CT NEWPORT BEACH, CA Address : 5868 MESQUITE SPRINGS RD 92660 92660 TWENTYNINE PALMS, CA 92277 Phone: (702)769-2725 Phone: (702)769-2725 Phone: (714)296-5502 Con State Lie : 471490 State Lie Applicant : ROBERT HASMAN Lie Expire : 03/31/2023 Address : 23 CHATHAM CT NEWPORT BEACH, CA Bus Lie: BT30076907 Engineer: SHERAFATI ARDALAN 92660 Phone: (702) 769-2725 Bus Lie Expire : 10/31/2022 Address : 17901 VON KARMAN AVE #600 IRVINE, CA 92614 Workers' Compensation Insurance Phone: (949) 522-5001 Owner/Builder : Carrier : Address : Policy No: EXEMPT Designer Phone: W. C. Expire: Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $20,000.00 Type of Construction : V-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 .°.° • Building Setbacks: ° °°•° Flood Zone: X °• ° • °'JVV° ° ° Use Zone : PC - Aeronutronic Ford PROCESSED BY: W o° SPECIAL CONDITIONS: oear �0000° o ao • ° •°.• 'Y4�C3411L,IJ�R UF4u1R++ltVIY; .. y affirm under penalty of perjury that t am exempt from the Gontractors'"Slate License Law forthe reasons) indicated below by the checkmark(s) I have placed next to the aPPI[cable itemts) J31.5, Business and Professions Cade: Any city or county that requires s permittc construct, alter`, mprova, demolish, or repair any structure, prior to Its issuance; zlsa requires the applicant for to fife. D: signed slefament that -he pr she ts.lice_nsed pursuant to the provisions or the,:0ontrabtors`, state License Law (Chapter 9 (commencing with Section 700q) of Division 3 pf the Business and s Cndel ar that he or she is Exempt from lioensure'and the bests for the elloged exemptlon. Any, vloiatiori of Seotion 7031,5.by any applicant for a permit subjects the applioaot to a blvil penalty of lotmore than fivehundred dollars ($500);� 1; as ownai pfthe property; ar my employees vritlt wages Bsth.ak sole dompad9yHOn, tvil(d6 ILJMI ofor{_) portions of'thework'. $,rid tWstrhottlre is notihtended or offered for sale (Sepliun 704k, 3ushoss and Professions Code: The ContractorsState License Law does not apply in an owner of property who, through employees or personal effort, builds or improves. the property, provided that the mprovemants are noflntanded or offaradfor gale. If, however; the building.orimprovement is sold within one year of completion, the Owner -Builder wlll have the burden of proving that It was not. built or mproved for the purpose of sale)._ I, as ownarof the property, ar,axclusiYely.Contracting with licensed Contractors to construct the project (Section 7044� Business and Professions Code, The Contractors State Licansa Law does not. as ply to an owner of property who builds or-Improveg thereon, and NvIiG contracts for the projects -with a licensed Contractor pursuant to the Contractors°State License Law)., LJ Iamexemptfro Onflaensureunder the -Conbeotors' state License Law for the foltowtngreason! .__,_,�,� By my Signature below I acknowledge that,`axcept for my personal residence In�which I must have resided for of least ona:year prior to completion of the Improvements covered by this. permit, I cannct lec cell a chnrtnrd Ihal I have built as an owner-bullaor if It has npt.beericonstructad-In its *,a,ty byiicansed contractors. I understand that copy of the applicable law, Section 7044 of the. Business and or Date iGDNSED CONTfi.AGI-UK S Wtt.,LAKt ktIUN hereby affirm under penalty of perjuryLhat,l am llopnsed under provisions of Chapter (commencing with Section 7000) of Division 3:of the Business and Professions C" my license is infull force rid affect License Class' License -No Date y14 oz V' ctvr53gnature� VORKERS' COMPENSATION DECLARATION IARNING: FAILURE SECURE wOPMRS' COMPENSATION COVERAOE IS UNLAWFUL, ANDSHALt. SUBJECT. AN RVIPLCYER TO GRRYUNAL PENALTIES AND CIVIL FREE DP TO:ONE HU RE" HtlUSANB aOLLARS (itIIn,lltle], tN ADDITION TO THE :CST OF COMPENsgTCNPOAMAcES AS PROVIDED FOR IN SECTION 9700.OF THE LABOR COME, K EREST,:AND ATTORNers FEES, hereby affirm under penalty of perjury one.of the following declarations: 1 have:and will maintain a.ceTlifhata of consentle sel(•insura for worker$' compensation, Issuorf.,by: the Director of Industrial Relations as provided for by section 3700 of the labor Code, for th erformance of the work for which this permit Is issued. PolicyNo.. :11 have and will maintain workers compensation insurance, as�requlrad by $eplion 3700 of the Labor Coda, for the -performeneD:ofi the work fOr whichthis, permit is Issued, My workers! Compengafiol isurance Center and policy number i re: r,,,rt „1,1—rsor, Expiration Date is of Agent certify that, In the performance of If I should become subject to:hio permit 1 shall notemployany person in any manner soas, to become subject to the workers' eomperisation laws of CalilOmla, and agree 1Ction $700 ofthe Labor Code. 100 forthwith Comply with those proviEbnrs. (/+yam Date 21 �- HIIVR RGVHRWIIY VV Ran+.fit Winn under penal •of jury that there Is a'construclon landing agency for the performance of the workfor whiehYhis, parmlYls:issued. (Section 3097, Civil Code), Name - Lendees'Address 1 ary the proCM, !'ebter or authdrizodlto apt do tfie:pmpeity owner's behalf. ° f Ifive read 10da Bppilcation and the information I hsVe providod Is correct I ilgreo to comp with.ail applicable city and county ordinances rid state to °IothorizerepresentalivesofithisCity Orcounfy01'emerthe ove-id Iftel 4QWT FIN ; ° ° ° CERTIFICATFP,F• ° OCCUPANCY ISSUED FOR OFFICE USE RULE Rim :p wu I All required alarms, serve aspa.n'of a pool/spa harrier, shale 6e In place prior teapproval to:flll Pool/spa & shall remain IImpiace tL be maintained for the NOTIFICATION IS Nl APPJJCAfl}E TO Ilfeof the pool. PERMIT FEE DETAILS FOR PERMIT XR2022-2099 Fee Name Fee Amount Fee Paid Amount Transaction Date Payment Method Trans. Paid Amount Paid By Building ----- --�- Building Permit Fee - Valuation $421.00 $0.00 Drawing Fee -:. $16.00r: $0.00 Electrical Permit Fee - Combo $29.47 $0.00 Green Building Fee $1.00 $0.00 Mechanical Permit Fee - Combo $16.84 $0.00 OTC Plan Check Fee - Planning ; $53.00 ' $0.00 Plumbing Permit Fee - Combo $37.89 $0.00 GRAND TOTAL: