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Home My WebLink AboutX2013-2255 - Permits (2)' .AY+i4 tuft# City of Newport Beach Building Department COMB Permit No: X2009-1596 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestslTelephone (949)644-3255 Combination Type - SFP/ ELEC/ MECH/ PLUM/ GRAD Job Address: 2904 BROAD ST NB Description: RES ADD 684 SF, GARAGE ADD 35 SF, RMDL 1637 SF Project: 1284-2009 1284-2009 REROOF W/COMP Inspector Area:a. Legal Desc.: FIRST ADDITION TO NEWPORT HEIGHTS BILK 22 LOT4 AND FOR ABAND STR Owner: KELLEY VALLERIE Contractor. KELLEY BUILDING �� Architect: Address: 2904 BROAD ST Address: �„pB�GMF348�- Address: NEWPORT BEACH CA92663 NEWPORT BEACH CA92659 ,{alip�? Phone: 949-355-9109 ho �XqL--355-9109,-/�-- Pt{h—�one¢¢: ((�� (�, Q '`��v� j'-gt�te�Lic Applicant: KELLEY KEVIN on ' . 10 E0gv%V/0 KHATCHADOURIAN VICKEN - Address: 2904 BROAD ST J)a#,e. is Expire: 08/31/2010 Address: 1101 E BROADWAY#202 �.-. NEWPORT BEACH CA 91.3 Bus Lic: END 5 Phone: 949355-9109 at EL Pht� hob-500-0360 State LiaS-0Q3141 Code Edit: 2007 aorlk� s C tXEMPT Designer: ADKINSON TERRY , Type of Construction: VB Address: 647 CAMINO DE LOS MARES 71 Occupancy Group: R3/1.11 Policy No: WON SAN CLEMENTE CA 92673 Added /New sq ft. Bldg: 684 Expire: _ one: 949.240.6591 Added /New sq. ft. Garage: 35 No of Stories: 2 ildin - ck Re Special"Conditions:5 No of Units . 7 ig. 20 Bldg Height: 24 e : 4 Bldg Sprinklers: N Right: 4 1. Flood Zone: Use Zone: R-1 Issued Date: 10/07/2009 Parking Spaces: 2 r one : N Construction Valuation: $210.000.00 PEES - 11 Building Permit Fee' $1,588.00 OaDist: l �et� �. 1 n a�eRt 4" ve Depa - Plan Check Fee: $1,143.36 Exase Tax: `�' $150.99 A I k Fee _ 02it5pect - $Q;00 Overtime Plan Ck: $857.52 NMUSD Fee: $1,258 6 ��y are: $0.001515�• it'll re Plan Rev $1100 Investigation Fee: $0.00 Imo, SJH Trans : OB ee Record Management: $120.00 aP : $160.00 Building Dept Adm $0.00 Energy Compliance: $126.00 Grading PC Fee: $160.00 ublic V� ent - .General Service $0.00 - CA Seismic Safety: $21.00 WO In Fe 00...+ irk Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check : $240.00 -- Fee Increase: Fee: $0.00leslrvc2Pa111.16 Additional Fee : $0.00 Mechanical %: $79.40 _ - $0.00 Hazardous Mat: $0.00 Plumbing %: $158.80 - - Building Green Fee: $9.00 TOVAL ctE : C0X.79 c Plan Check Fee: $1,644.39 Fee Due at Permit Issuance : $6,963.40 o moo. PROCESSED BY: y PUBLIC WORKS APPROVAL: ZONING APPROVAL: Fes`" - PLAN CHECK BY: ) VI LQ i , - c = _ ---- a. _ - GRADING APPROVAL: APPROVACTO-ISSUE: - -_ PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. ' ILDER DECLARATION affirm under ppenalty of perjury that I am w by the checkmark(s) I have placed next v or county that requires a Dermitto cor or work, and the structure is'noffntended or offered for sale (Section M44, Business and Profeisl`o4 State License Law does not apply to an owner of property who through employees' or personal effc property, provided that the improvements are not intended or offered for sale. If, however, the buildii within one year of completion, the Owner -Builder will have the burden of proving that it was not Eiryose of sale). - .. I, as owner of the property am exdusively contracting with Ilcensed.Cootractors to construct t Business and Professions Code: The Contractors' State License Law does not apply to an owner Law) yes thereon, and who contracts for the projects with. a licensed Contractorpursuantto the-•C ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: _ By my signature below I acknowledge that, except for my personal residence in which I must have re: guilder o completion of the improvements covered by this permit, I cannot legally sell a^structure.that builderif it has not been constructed in its entirety by licensed contractors. I understand that:a cc Section 7044 of the Business and Professions Code, is available upon request when this applicah following Web site:http9/www.leginfo.ca.gov/calaw.htmi. '- Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of erjury that I am licensed under provision of;Cha _ (cemmi of Division 3 of the Business and Professions Code, and my license is m full a e License lass License No. _ Date ! ;— Contractor Signature WO KERS' COMPE 1a W O SEC RKE13$' COMjA COVERAGE IS UNLAWFUL,��ND S) LL1P cRI NAL PENALTIES AND INES-rE�l))IMTIJpl6 �H{UI r�•t^EFDiTuHOUSAND DOL oo,000, Dn CO NSATION, DAMAGE o tI ECTIO 6LA8 Ea INTEREST, AND ATTORNEI I hereby, rm 9t a le Ilowingdeclaratibris: ACTION DATE: BY: Law for the reason(s) sinass and Professions ry structure, prior to its PERMIT EXPIRED _ - �ensed pursuant to the _ ,n 3 of the Business and dollalrsi($500Section ed PERMIT CANCELLED I of or ( ) portions of the Code: a Contractors' , builds or improves the PERMIT EXTENDED I or improvement is sold uilt or improved for the project (Section 7044, PERMIT FINAL nl'ropers who builds or ractors State License CERTIFICATE OF OCCUPANCY ISSUED DECLARATION OF COMPLIAII WITH CODE OF FEDERAL _REGULATIONS Jed for at least one year have built as an owner- y-of the applicable law, PART 61OF TITLE 40 AND AQMD RULE 1403. n is sub( ihad or at the ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: Date ❑ EPA.. _ QMD icing with Section 7000 - - ASBESTOS NOTIFICATION IS ICABLE'TO �D DEMOLITIO -.SIGNATURE: 1 TO THE COST OF FOR OFFICE USE ONLY IF S or ❑ I he a and will. maintain a certificate of El atlon, issued by the Director of nsen s I(do Industrial 'ded for 'on. i elation as ro Oof a re, t rf thework fbr Which this permit is issued. . . fi0 vtii;G I L Policy No. ❑ "I he and 'll n wQ rise u as required. by Section 3700 of the Labor Code, :for the performan of t iclfth rm11 Is Issued. My workers' compensation'insurance Cartier and policy number are: _ Policy Number _ tion Date nt - trner, rti thatr4.!Cf •, rman N of e - or .i su shal of ploy any person in any mannerr 5 I d b mee �� 1II s become to thece 5ati a shoul subject penj:'_ o s - sec U 1 or d Csh wicomp y with those proy�sions. - Signatureo ppl-� - 'Date [ d'7-0 - DECLARA ION GARDING CONSTR N LENDING AGENCY p I hereb affirm un er ppenalty of Perury that there is a construction Iendin r i` i)e fe this it Is iss which p d (Section.30g7, Civil Code). Le err'saffm Q Le er's_ B m si ntu ,tcertif t ea Howling:.•' Y Y 9 Yr ' • • • �•• •. , or a e. roperty owner's be alf..I have recation d the information I have is co 3 s ��I I am theLly gpertyer a agree t all - li cityra nrl s I g construction.I 'q►or inspection authoritive ed p•Signature of eror Authorized Agent a '-7 • • ••.-Print Propertent's Name: EJ vuv„cvvu