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Home My WebLink AboutS2019-0001 - Permits1�11V ON p� a 1r)6��IVIC I°iyl Pwvt Ooyl t r�i€ • a • 6 '� o e Ft 15each - Building Division ° o e, N&ptrt Beach, CA 92660 Job Address: 3607PARK GREEN DR Floor: Suite: Bldg: 1 Description of Work:SFR NEW POOL AND SPA (420 SF) Inspector Area: 4 Legal Description: N TR 6634 LOT 25 Owner: TRIMAR PROPERTIES L C Address: 2015 SHIPWAY LN NEWPORT BEACH CA 9 2660 Phone: 949-439.3639 Applicant: SM POOL & SPA BUILD RS INC Address: 13257 GARBER ST PACOIMA CA 91331 Phone: 909-844.2147 Building Rear: Setbacks: Front: Left: Right: Construction Valuation: Building Permit Fee : $40E Permit Issuing Fee: $C Investigation Fee: $C Building Green Fee: $2 Plan Dept Plan Check: $4C Building Dep Plan Check: $361 Building PC Investigation : $C Plan check Ext. Fee: $C WQ Compliance Insp Fee: $C II TOTAL FEE: PROCESSED BY: ZONING APPROVAL: Contractor: SM POOL 6 Address: 13257 GAR] PACOIMA C Phone: 909.844-214 Con State Lie: 1030994 Lie Expire: 0913012019 Bus Lie: BT3006132' Lie Exp Date: 11130120 Worker's Compensation Carrier: NO Policy No: Expiration: Record Management Drainage Permit Fee : Drainage Plan Check: Grading Consultant Fee Additional Fee: Jill lillig II 13001 -Permit: S2019-0001 Project No : 0035-2019 Inspection Requests Phone (949)644-3255 Plan Check No: 0035-2019 Code Edit: 2016 PA BUILDERS INC Architect RST Address: $0.00 91331 $0.00 Phone: State Lie: Engineer: AZIZISEFAT SOLAYMAN Address: 19510 VENTURA BLVD #110 TARZANA CA 91366 Phone: 818-708-1962 State Lic:C-057840 Special Conditions: FEES Issued Date: 0 210 412 01 9 Water Quality- -- Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Building Dept WQ Plan Check: $0.00 Others: $0.00 $0.00 Fee: $1,011.00 Fee Due at Permit Issuance: $767.00 PLAN CHECKED BY:: 1►lw APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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'pl'ACA nentoi6eadgliEable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, impro e, demolish, or repair any structure, prior to its issuance, th also requires e Applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State L cense Law (Chapter 9 (commencing with gection 7000) o 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. f Section 7031.5 by any applicant for a permit suyjects t a applicant to V civilprialty, of not more than five hundred dollars ($500). 19510 VENTURA BLVD #110 .. ; • • . . ' • • . . E31, as owner of the property, or my employees with wages as their sole compensation, will do L) II of or U portions of the work, and the stFUCturg u not 1•nt , nded ar offerers foi sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of roperty who, through employees' or personal effort, bu'ifd or ifiprovealhe pfprJE;rty, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sol within one year of completion, the Owner-Builder will hav 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my sig ature below I acknowledge that, except for my personal residence ructure that 1 have built as an owner-builder if it has not been in which I must have constructed in its entirely by resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a s licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions ode, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.govicalaw.htmi. Signature ofPrope y Owner or Authorized Agent - Date LICENS D CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under p ovisions of Chapter 9 (commencing with Section 7000) of Division 3 f the Business and Professions ��e, and m icense is in full force and eff License Class Licen a No Dat contractor Signature tz WORKE9S' COMPENSATIO DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DO LARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers' compensation, issued by the Dir actor of Industrial Relations as provided for by Section 3700 of the Labor Code, for t performance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is! ;ued. My workers' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date K-aii of Agent Phone # I certify that, in the performance of the work for which this permit is issued, I shall not employ any person In any i anner so as to become subject to the workers' compensi tion Is s of California, and agre Y, if I should become subject to the workers' compensation provisions of Section 700 of the Labor Code, I shall orthwith comply with those provisions. Signature of Applicant Date�Z / f Jl DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work f r which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below,.) certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. 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 state laws relating to building construction. I authorize representatives of this city or county enter the e-identif' property for inspection purposes. / 'Cz'f(pale Signature of PropertyOwner or Authorized Agent —'- tint Property Owners or Authorized Agent's Nam& I'T C - C' C ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE - 1403 PERMIT EXPIRED TTi SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMITEXTENDED QMD POOLALARMS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO INSTALLED \ PROPOSED DEMOLITION. SIGNATURE: PERMIT FINAL r W N A 5 1 V E N I - N c z U N O N LL ci a o W w N C) J W U d os J O _ d C) W N A 5 1 V E N I -