HomeMy WebLinkAboutXR2023-1161 - Permits�EwvoRr
City of Newport Beach
Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Combination Type - SFP ELEC
Work Class - Other
COMB Permit: XR2023-1161
X R 2 0 2 3 1 1 6 1��
Plan Check No : 1192-2021
Issued Date : 051051,9023
Inspection A '
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, O LATER THAN 3 YE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH TY AREARdXJP NO WOIjKo
Job Address: 3051 CAROB ST
Description: ***RENEW PERMIT X2021-1353***
Owner: DAVIDDAVUTOGLU
Address : 428 OLD NEWPORT
BEACLO
Phone : (949) 300-5
Applicant: SAMST
Address : 2102 AL
IRVINE,
Phone : (714) 49
Owner/Builder
Address :
Phone
Code Edition ; 2019
Type of Construction : V-B
Occupancy Groups: U
Bldg Height:
Building Setbacks
Flood Zone:
Use Zone :
PROCESSED BY
Front: 6, Si
X
R-1-6000 -
100
o�
N TR 50 B BLKLY�Oe'e
TEM
T E GY ORPA (IONS Architect
?Rhn .- 'rr) P-4& CWAY#R Address
o 5*W-1028 Phone:
Q* f LFrsY 888104 tipllv State Lic :
`•_ q��Expire 12/'kfb24
-"' T15 Lic BT3'0026$27 E i
Bus Lic Expire 02/28I2024 `-" e
&�T,n Pnsati'on Insurance u PhonnAl
e
a r : Zll H AMERICAN INS Cc,„�
I No: EWS107458 � ,a ��q(,S esigner:
C. Expire :-10131I2023 0'j4 Address:
sa ��,` one : 4
6, e: 6, Rear,
le -Unit Resider
iD .
SPECIAL CONDITIONS: RENEW PERAT X2.Orl-1353
VAL ISSUANCE DATE
HOLIDAYS IN ALL AREAS
NOr`{str Valuation
NO " /New/TI aq. ft. Bldg:
1 Alteration sq. ft. Bldg
2 / Added/New sq. ft. Garage
TOTAL sq. ft.
I7
I
SIGNS
#B
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated
(Section 7031.5, Business and Professions Code: Any city or county that requires a.. permit to construct, alter, Improve, demolish
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale Licansa
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation dtion 7
not more than five hundred dollars ($500).
❑ I, as owner of the properly, or my employees with wages as their sale compensation, will do L) al L) portions
Business and Professions Code: The Contractors' State License Law does not apply to an own roperty who Jly empl
e checkma s) 1 have placed next to the applicable item(s)
pair any structure, or to Its Issuance, also requires the applicant for
er 9 (wmmenaing w h Section 7000) of Division 3 of the Buslnoss and
b an a licant f r a, annit Subjects the applicant to a c1 Y Y PP � J pp v11 penalty of
Improvements are notlntanded oroffered for sale. If, however, the building orimprovam sold within gllla complatIV, h&Crw
'rrm�'tcproved for the purpose of sale). " of VV
1, as owner of the property, am axckls7vely contracting with licensed Cc ors to cc
the project (SD,ctU�'A, Business and
apply to an owner of property who builds or Improves thereon, and wit roots for the pro)e with a livens i ntractor pursuant foal
he Is not
effort, bu
Code: The
s' State Lt
I am exempt from licensure under the Contractors` Slate a Law for the folio reason: '
By my signature below I'. acknowledge that, except form oval residence In ch I must T ed for at lgg��sl� ear Pdor to oompieY[on of the in
sell a structure that have built as an owner -build as o een can ad In its ant[ y]tpe, d contra'62drs. I understand that a copy of the app
?ro€asslons Coda, Is available upon request this a i a' i imbed or II rajT3333��77eh'sjte;fj�a/wrvvw.legfnfo.ca.gov/calaw html.
Signature of Property Owner or Author gent ",Ta
LICENSED CONTRACTOR' LA A I'� N'.
hereby affirm under parr perjury that a I ns untle or isi ' p mmencmg mill-Secfi3n 700 ) o Division 3 of the Business and
and effect. Licansa s tI _ No y-. tJate+ ' Contractor 5lg I
NORKERS' COMP NSATdv6) GLARAT - 3
YARNING: FARORE 'To
SEC E 1'IORICCERS' COMPE SATION JVERAG 18 Al ANC SHALL a c. r AN. Eh IILDYCR rO CRIMINAL PENALTIES AND CIVIL FINEe a O it
:Oar Or COMPENSATION, O. 0E3 AS PRO r aINS ON0 0 HELAaORCODE,fNT e'E„ANDATTPRNEYS.EEe. yP
'-hereby affirm underpart y of p one e foil eclarations 's ���qq��®'G
.,AI have and will motile[ a. de cafe of sent to s.elf Ins o or am s o1, issued by the ire "'at @0 °RelatJ �vi
Ieyrfyrmance of the work for nch t p - sued. P b. - t'°-"
I have and will maintain we ors' pan at! insur re a ectlon 3700 of the Labor the pertgrae of the work for wh
nsurance carrier and policy nu. er are:
:arter4 Polic barone _pq
Jame of Agent.- Expl n Da ESQ
�I certify That, in the performance the ai
rdh this permit Is issu I s II ploy any person In any manner s io become 9cbJect I
het, if should'. became subJac t a-provyis�io 5 olio 71000 of the Labor Code,. I shall ro Ith comply wi ose . sfoas.
ianature of AOOIiCan 1 0
ad or offered for sale (Section 7044,
Improves the property, provided that the
burden of proving that It was not bunt or
State License Law does not
Law).
Drovement$covered by this permit, I cannot legall!
:able law, S' Gioro 7044 of the Business and
D e
'rofe i � Be Is In full force
DT OSANDOOL $($100,000),INADDRIONTOTHE
b S 3700Ihe Labor Code„ for th
i r s ed My workers' compensatior
orkers' compensation laws of California, and agree
Dole____,._.._�.l�>wZ�._.._
hereby affirm under penalty of perjury tit. Cher e stru�c' on laf)QRleragancy for the pad ce of the we ar w s permit Is Issued (Section 3097, Civil Code).
ender's Name v' Lend Address
y my signature below, I certify to each of I folio. ng:
1 am the property owner or authorized to I on the properly owner's be
I have read Ill application and the Inform ion I have provided is el
I agree to comply with all applicable city an ountty o¢t�d-,,' n a to Is elati ullding construction.
I aulhoriz.r repres -ntatives of this city crone i4yig�Ce71h o r[y for inspection purposes.
lgna:ure of Property Owner or Authorzed Agent v Print Property Owner's or Authorized Agent's Name
ICTIGN DATE BY ,_ " DEC AT! COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGUI.ATI'�N3 PART 51 OF TITLE AD AND ACM D RULE
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