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Home My WebLink AboutE2021-0768 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 1 0 7 6 8 Permit Counter Phone (949)644-3288 r't iy¢Nj� -;ONSTRUCTION NOISE Job Address: 106 ABALONE AVE Bldg: 1 Floor: Suite: Description of Work: ELEC/TEMP POWER POLE Inspector Area: 2 Legal Description: BALBOA ISLAND SEC 5 ELK 2 LOT 26 Owner: BROGAN KEVIN Contractor: Address: 1778 OAK GROVE AV Address: SAN MARINA CA 91108 Phone: 818-262-3473 Phone: Con State Lic: Issued Date:1110812021 Lic Expire: Bus Lic: Processed By: Lic Exp Date: New Construction Residential Multi -Family: 0 $0.00 1-2 Family: 0 $0.00 Service 0-600V up to 20DA: 0 $0.00 0-600V over 20OA: 0 $0.00 Over600V or1000A: 0 $0.00 O/H to U/G 0 $0.00 TOTAL Fee: ON THE WEEKEND VITARELLI CONSTRUCTION INC 940 S BAY FRONT NEWPORT BEACH CA 92662 949-677-1872 485418 02/2812023 BT00011199 08/31/2022 Receptacle/Switch/Outlets Receptacles/Outlets: 0 $0.00 Fixtures: 0 $0.00 Sep Circuits: 0 $0.00 Low Voltage 0 $0.00 Signs Branch Circuit: 0 $0.00 Each Add Circuit: 0 $0.00 Time Clocks: 0 $0.00 Additional Fee : $0.00 Electrical Permit: E2021-0768 Project No: 2598-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2019 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 0783123 Expire : 1010112022 FEES Motors/Transformers (HP/KVA) 0 to 1 HP/KW/KVA: 0 $0.00 Temp Underground: 0 $0.00 1 to 10 HP/KW/KVA: 0 $0.00 Sub Panel: 0 $0.00 10 to 50 HP/KW/KVA: 0 $0.00 0 $0.00 50 to 100 HP/KW/KVA: 0 $0.00 0 $0.00 Over 100 HP/KW/KVA: 0 $0.00 Record Mgmt Fee: $0.00 Plan Check Fee: $0.00 Piggy Back/Temp Power: 0 $0.00 Investigation Fee: $0.00 Temp Power Pole: 1 $41.00 Issuance Fee: $38.00 Supplemental Fee: $0.00 Plan Check Fee : $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday- Fridav 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m J U 0 G4G Y � 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 and 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 penalty 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). ❑ I, 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 .apply 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❑ 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 resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally (sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date 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 Professi o , an tense is in full force and effect. Q License Class License No Date Z Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: El I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. have and wil4naintain worker ' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior urance came olicy nu e: an pr mer LIntImber Expiration Date me of Agent 0 V2 Phone # certify that, in the performanc a worl s permit ided, shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrer t, if I should become bject th w compe Islons of Section 3700 of the Labor Code, I shall forthwith comply with those provi ions. nature of Applica D CLARATION Rq A ING CONSTRUCTION LENDING AGENCY :reby affirm und' r penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil IS). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property o is behalf. I have read this application and the information I have provi d is o n I agree to comply with all applicable city and county ordina es st s relati to Ing construction. I authorize representatives of this city or cou ty to nter th a v i ntified grope or inspection purposes. Ij 0 nature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Nam 0 ACTION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGI]LATIONS PI RT 6$ GFTITLE40 AN0 P..QMDRULE 1409. PERMIT EXPIRED �] I SUBiNITTCDASBES�OS gf)nFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIHCA77ON IS NOT APPLICABLE TO PROPOSED DFMOL'TION. PERMIT FINAL I(-ll% - CERTIFICATEOF STOW TUPE: OCCUPANCYISSUED