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Home My WebLink AboutXR2023-0972 - PermitsaE,WPO�T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II C� Community Development Department -Building Division X R 2 0 2 3 0 9 7 2 t"y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 T Inspection Requests Phone: (949) 644-3255 cq<rcoa`*`p newportbeachca.gov/inspections Combination Type - SFP Work Class - Other COMB Permit XR2023-0972 Plan Check No : 0614-2021 Issued Date : 04/14/2023 Inspection Area : 6 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 : 30 FAENZA Legal Desc : N TR 15467 BLK LOT 13 Description: **RENEW EXPIRED PERMIT X2019-3877* SFR INTERIOR REMODEL (LAUNDRY ROOM & MASTER BATHROOM) 307 SF Owner: LEE ANN DENNIS CHEADLE Contractor : Architect : DIBIASI VINCENT PAUL Address : 30 FAENZA Address : Address : 1207 LA MIRADA ST LAGUNA BEACH, CA NEWPORT COAST, CA 92657 92651 Phone: (949) 351-5917 Phone: Phone: (949) 378-3895 .... Con State Lic : State Lic Lic Expire Applicant: LEE ANN DENNIS CHEADLE Bus Lic: Engineer: MANSHADI FARHAD Address : 30 FAENZA Bus Lic Expire : Address : 1800 E 16TH ST UNIT B > NEWPORT COAST, CA 92657 SANTA ANA, CA 92701 Phone: (949) 351-5917 Workers' Compensation Insurance Phone: (714) 835-2800 .., Carrier : Owner/Builder : LEE ANN DENNIS CHEADLE Policy No : Designer Address : 30 FAENZA W. C. Expire: Address NEWPORT COAST, CA 92657 Phone: (949)351-5917 Phone: Code Edition : 2016 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : YES Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone: X Use Zone: PC - Newport Coast PROCESSED BY: T7 SPECIAL CONDITIONS: �3iaJi 1 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 eheckmark(s) I have placed next to the applicable items) (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 signedstatement that he or she is licensed pursuantto 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 licensors and the basis for the alleged exemption. Any violation of Station 7031Z by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500), 0 1, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or (_) portionsofthe 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' nr 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). yw I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and professions Coda; The Contractors' Slate License Law does not app€y 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), I am exempt from licensors under the Contractors' State License Law for the following reason: ___ By my signature below 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 legal sell a structure that I have built as an owner -builder if 11. has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 ofthe Business and Professions Code is available upon request when this a ilcation I ubmitted or at tt 0 Growingp site:htt :1lwww.l info.ca.govlcelaw.htmi, Signature of Property Owner or Authorized Agent m l:1`!i l'Q GLCS7 Dale ICI �,--I, LICENSED CONTRACTOR'S DECLARATION 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 WORKERS' COWFENSATION DECLARATION WARNING: FAILURE iv JLCURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,0001. IN ADDITION TO THI ',MsT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAaOR COPE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm undo, nPnalty of perjury one of the following declarations: 'FJ I hate and wit: 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, (Grit 'performance of tho war4 for which this permit Is issued. Policy No. have and will mairimin 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' ranee carrier a.T;f policy number are: Policy Number of Agent Date certify that, Inthrl performance of the work for 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 if I should become subject to the workers' Compensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. Imt,rre of Applicant Date— _ CLARATICIN REGARDING CONSTRUCTION LENDING AGENCY baby affirm under penalty of perjury that there Is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder's Name Lenders Address my signature below, I certify to each of tire following: I am the property owner or authorized to act on the property owner'sbehalf, I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and slate taws relating to building construction. I authorize representatives of this city or county to ynter(f(te above•),,doWlifled proRgrty for inspection purposes. N Date ACTION GATE BY I REGULATIODECLARATN S PART 61:OF IT E At) AND ACHMO RULEDN OF CPLIANCE WITH CODE OF ERAL FOR OFFICE USE ONLY PERMITEXPIRED ( I ;SUBMITTED ASBESTOS NOTIFMAT10N TO PERMIT FINAL j 4�' 1 IROPOStOASBESTOS NOTIFICATION IS NOT (APPLICABLE fr��TO OFFITIFICATEOCCUPANCYISSU€0 `6-! SGNATUREVOO ryJ?��`Q._ xQ