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Home My WebLink AboutX2021-1332 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 y Inspection Requests Phone (949)644-3255 t W ^' Combination Type - MFP ELEC MECH IIIIQIII�IIIIII�IIIIII�II�IIIIIIII II COMB Permit: X2021-1332 Project No : 1350-2021 Issued Date: 06/17/2021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/17/2024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 23 CHATHAM CT NB Description: MFR -INTERIOR ALT OF KIT/LAUNDRY. -RMV STRUCTURAL WALLS TO CREATE OPEN FLOOR PLN. R/R 2 DOORS W/ BI-FOLD DOORS, CREATE NEW DOOR AT GARAGE 600 SF Legal Desc.: TR 11451 LOT 1 UNIT 51 OF PROJECT LOCATED ON AP 442-371-05 TOGETHER Owner: HASMAN ROBERT Contractor: OWNER/BLDR Architect: Address: 23 CHATHAM CT Address: HASMAN ROBERT Address: NEWPORT BEACH CA 92660 Phone: Phone: 702-769-2725 Phone: State Lic: Applicant: HASMAN ROBERT Con State Lic: 0/13 Engineer: SHERAFATI ARDALAN Address: 23 CHATHAM CT Lic Expire: Address: 17901 VON KARMAN AVE #600 NEWPORT BEACH CA 92660 Bus Lic: IRVINE, CA 92614 Phone: 702-769-2725 Lic Exp Date: Phone: 949-622-5001 State Lic:C-085331 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: Address: Occupancy Group: R2 Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. N. Garage: 0 S ��TO No of Stories: 2 Building Setbacks Rear: / Special Conditions: 1N'SP No of Units : 4 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $50,000.00 Building Permit Fee: $799.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $695.13 Additional Fee : $0.00 Plan check Fee : $46.25 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $14.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $55.93 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $31.96 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $1,644.27 Plan Check Fee : $741.38 Fee Due at Permit Issuance : $902.89 PROCESSED BY: c o 9 B PUSLle WOQKv A'BPROVAL: ZONING APPROVAL: ®' PLAN CHECK BY: GRADING APPROVAL: .APPRQV�4L*V ISSUE: Q o ® a > � o c 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 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 as d 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 pendlry 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 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). 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 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). DI m exempt from licensure under the Contractors' State License Law for the following reason: y ` signature below I acknowledge that, except for my pers 'dense in whi h I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalli a structure that I have built as an owner -builder if it,has not b con truc Its entire by licensed contractors. I understand that a copy of the applicable law, Section 7040,of the Business and Professions Code, is available upon request whert.fh�appli.�it f ng Web site: http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent' rn Dat LICENSED CONTRACTOR'S DECLARAI IWN I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO T :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 performance of the work for which this permit is issued. Policy No. 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' rance carder and policy number are: of Agent rtify that, in the pr I should become nature of Applican Policy Number Expiration Date work forypkh 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 J er�'pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGA6l'[) N97NW2UCf"TLENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property ner s behalf. I have read this application and the information I have prove Is correct. I agree to comply with all applicable city and county ordin es and stat s relating to building constmction. I authorize representatives of this city or county to ent e§}yXe-i I' d,prgperty for inspection purposes. of Prooertv Owner or this permit is issued (Section 3097, Civil Code). ACTION DATE BY WCLARATION OF REGULATIONS PART 63OF ICE WITH CODE OF AL FOR OFFICE USE ONLY TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED (� PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED LJ 15UBMI I I EU AS13"i UlJ W I IFILA I IUTI IUD EPA .� QMD •• •• ASBESTOS NOTFIC ION I APPLICABLE TO PROPOSED DE �i • • e • e SIGNATU Name .1/�®��`�'�/�