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Home My WebLink AboutE2021-0030 - PermitsK ,r� City of Newport Beach - Building Division too Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 f J r'�(lYVlikw�� Job Address: 112 CORAL AVE Bldg: 1 Floor: bwte: Description of Work: ELEC -TEMP POWER POLE (X2021-0030) Inspector Area: 1 BALBOA ISLAND SEC 2 BLK 5 LOT 24 Legal Description: Owner: GRAF VICTORIA Contractor: Address: Address: PO BOX 5049 NEWPORT BEACH, CA 92662 Phone: Phone: Con State Lic: Issued Date:0111912021 Lic Expire: Bus Lic: Lic Exp Date: Processed Ely, New Construction Residential Multi -Family: 1-2 Family: Service 0-600V up to 20OA: 0 o-600V over 20OA: 0 Over600V or1000A: 0 O/H to U/G 0 Fee : Electrical Permit: E2021-0030 2 0 2 1 0 0 3o Prect No: o 57 2 20 VITARELLI CONSTRUCTION INC 140 S BAY FRONT NEWPORT BEACH CA 92662 949-677-1872 485418 0212812021 BT00011199 08/31/2021 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 $0.00 Fixtures: 0 $0.00 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 $0.00 Signs Branch Circuit: 0 $0.00 $0.00 Each Add Circuit: 0 $0.00 $0.00 Time Clocks: 0 $0.00 $0.00 Additional Fee : $0.00 1 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 0783123 Expire : 1010112021 iON 0015E NO 0 TES Motors/Transformers (HP/KVA) o to 1 HP/KW/KVA: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Piggy Backlfemp Power: 0 $0.00 Temp Power Pole: 1 $41.00 Temp Underground: 0 Sub Panel: $0 00 0 $0.00 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Investigation Fee: $0.00 Issuance Fee: $37.00 $0.00 Supplemental Fee: Fee Due at Permit issuance: $78.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Friday7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 P.M. I hereby affirm under penalty of penury that I am exempt from the Contractors' State Umnse taw for the reasons) mattered belgv try me clleckmafll(s) I have placotl next io the applicable hem(s) ( S ec Don 110 fill, Business and Professions Code: Any city or county that requtres a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the appilcant for the permit th tilg a signed statement that he or she Is licensed pursuant 10 the provisions of tits Contractors' State LlmliSe Law C Pmlessi0ns Cade) or that he or she Is exempt from HGOnsure and the basis for the alleged exemption. Airy -State cf Section (Chap b e applicant for a pSectiOrmill n aria the (Chapter g (commencing with Section 7000) of Division 3 of the Business and Of MI more than We hundred dollars 1y500J. Y nY Pq ❑ I, as owner of the r a applicant to a civil penalty of Business end ProfassllOall O0000 The Contractors, statees With e License sWsppgCompensation, 1101 8 n�aon, oill dor 6 all of property w Poitiers through the work, and Ihg abuclurg Is not Intended or offered for sale (Section 7044, Improvements are not mtanded or offered for sale. It, I'mover, the building or impprovemenl snsold Within no e y arof wn a of se Qypersonal r orl,AII builds s Orbu den or proving met a was not bolt Or 1 roved for rile purpose of sale). Property, provided that [Ire as Owner of Life property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ra+o-1dv to an Owner of property who busds or improves thereon, and who contracts for the projects with a licensed Contractor puleuanl to the Comrecmre' Slate License Law), LJ 1, am exempt from licansure under the Contractors' State License Law for the miawing igaspn: By my signature bafow I acknowledge mat, Except for my Personal residanm In which I must have resided for at least one year sell a structure that I have built as an owner-buflder it it has rot been constructed in Us entirety by licensed contractors. I un�rsttaand trit r In al tcopy of me 2pplfCeble IevT,rSeoler Od4 of the permit 1,ss and Professions Code, is available upon faqusst when this application is submitted or al ins following Web title:ntipXnvww.legmlo.ra.g0vlcelaw.hlml, y eBuss 1 Business and lEgaRy Signature at Plopefly Owner o! AUthOfized Agent LICENSED CONTRACTOR'S DECLARATION _ --`-- _ Date hereby affirm ensor penalty of perjury [hat I am Ilcensetl under provisions or Chapter 0 (mMMINICIng with Section 70001 of Nision 3 of the Business and Prolessions and enact. LYcunde Class l -- NORKERS' COMPENSATION DECLARATION License No,_� Dat� r�q�� ficensg Is In a force �` Contractor Signatur FART OF QM EM Tr SECURt&U oiES AS PR COMPENSATION CTION 37 IO THE WPOL AND MALL RIEST, A AN MPLTORN Y S TO tgNNAL PENAL TIES AND CIPC FINES DP TD DNE HONORED TFgOSANO DOLLARS IS1Da0041 N ADDMON TO THE heLll-olfU4 OF C fhfff' AT W 6of AS Pppyone at t e SECTION g declarations- THE .npq apDa INTEREST, AM ATTORNEYS FEES y Dint of perjury one of the following tleclarallons: Ifar, a cartYflcatO of cmisent to self -Insure for worers'tom nsalion, Iaework for which this permit Is Issued Policy No. sued by Ina Director o1 Industrial Reiahons as provided for by Section 3700 of the Labor Code, to t ve and er maintain wOpplat compensation Insurance, as required the Labor Code, for the performance of the work for whim This emlR is Is isuranm tamer and policy number are: C p artier Polley Number P sued. My workers com igmatlo ame 01 Agent _ _ Expiration Dale _ certify that, In the pertprmence of In c loi�whlch tieissued,--_— Phone IF at, If I should become subject to rite prk®r tDmpens - PB1 I shallIwt employ arty Pelson In any mamgr sD as ID become subject fo tiW workar8'com 1 oC rpn -pl the Labor CorIE, i anall fonnWlm compy with trwae provisions, �uon laws of California. and agt gnatureo(ApplicanTj — '. ncuwnLpmu CONSTRUCTION LENDjN AOEMCY '---""'-'—' Fretry affirm under penalty oT perjury mat there Is a mnsWctfon Ian -�— Da— visit's Name omg agency [Or the padormanca of the Work for which this permit Is Issued (Section 3007, Civil ClJ'- —'— my signature blow, 1 minty 10 oath of the tolfowtng; Landers Address otle I am the property owner or autnonzad 10 act on the Property Owners behaa. 1 have rean this application Ind the Information I have provided is tonest I agree 10 comply with all applicable city and County oro1 e I authorize representatives of this city or Coon t9 'oriel aril he relating ID building construction. tature of PropErry Owrsr or Autfonzsid A ni j�nlir ro nspochon purposes. 1 1 �I ION DAIF Print Property Owners or Authort)ed'nn Ve r.,,,.rC `�j['� �M. J 14 _ II ' 1 f , , CER77FfCATEOF III('f /2Z I P•�r OCCUPANCYISSUEO RfGULAT10NS PART rx�cnaL I FOR 11.1 61 OFT 40 ANO AOMO RULE PRO.bS:D Mi TO 'b