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Home My WebLink AboutE2019-0060 - Permitst�cAf lde�v�9okrcBe ch -Building Division 0 00 0 X100 c Ce"ntercDrs ebNew�orkBeach, CA 92660 T'ermit Codrggr tdtnne,F249)604-3288 m m • ° i. 'm mmm o o Job Address: 5467' ..PARk•GREE•N DR Bldg: 1 Floor: Suite Description of Work: ELECTRICAL TO BBQ Inspector Area: 4 Legal Description: N TR 6634 LOT 125 Owner: TRIMAR PROPERTIES LLC Address: 2015 SHIPWAY LN NEWPORT BEACH CA 92660 Phone: 949-439-3539 Issued Date:02/04/2019 Processed New Construction Residential Contractor: SM POOL & SPA BUILDERS INC Address: 13257 GARBER ST 0 PACOIMA CA 91331 Phone: 909-844-2147 Con State Lie: 1030994 Lie Expire: 0913012019 Bus Lie: BT30061327 Lie Exp Date: 11/30/2011 Receptacle/Switch/Outlets Receptacles/Outlets: 3 $3.00 Multi -Family: 0 $0.00 Fixtures: 0 $0.00 1-2 Family: 0 $0.00 Sep Circuits: 0 $0.00 $0.00 Temp Underground: 0 Low Voltage 0 $0.00 Service Sub Panel: 0 Signs 10 to 50 HP/KW/KVA: 0 0-600V up to 20OA: 0 $0.00 Branch Circuit: 0 $0.00 0-600V over 20OA: 0 $0.00 Each Add Circuit: 0 $0.00 Over 600V or 1 OOOA: 0 $0.00 Time Clocks: 0 $0.00 0/H to U/G 0 $0.00 Additional Fee: Piggy Backfremp Power: $0.00 Electrical Permit: E2019-0060 Project No: 0035-2019 Inspection Requests Phone (949)644-3255 Code Edit: 2016 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire e+9� p •`std 9� .n'�' 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 Backfremp Power: 0 $0.00 Investigation Fee: $0.00 Temp Power Pole: 0 $0.00 Issuance Fee: $35.00 Supplemental Fee: $0.00 Plan Check Fee at Permit Issuance: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. OWNER-BUILDER DECLARATION o e •• S o ,• . ';• 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 checkmarlftrd; have plait* rjexi toathe apAlcable 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 is issU2nce,�eTTso reQuig ,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 foW a pevrlit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). •. o • • . , ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or `) portions of the work, and the structure i>j Mot intended a•roeJ)dgoreA (Se:tigp 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effortfbuildo or impgovestherproper% plpvWed 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 teatat was not built or im roved 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 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://w .leginfo.ca.gov/calaw.htmi. 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 Professions Code, and my license is in full force and effect. License Class C 5-3 License No I Z)d 7 C[' `"t Dat Contractor Signature .- � e�--� WORKERS' COMPENSATION 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 DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for I 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 issued. My workers' compensatio insurance carrier and policy number are: amer Policy Number Expiration Date e f Agent Phone # ertify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compynsation laws of California, and agre that if I should become sub'ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignature of Applican C, v Date AU ell l DECLARATION REG ING CONSTRUCTION LENDING AGENCY I hereby affirm under 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 Code). Lender's Name Lender's Address By my signature below, I 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 coun enter the ab ve-identified perty for inspectio urposes. // ♦ 7; Signature of Property Owner or Authorized Age - o ertOwner's or Authorized Agent's Nam .Ica04 ACTION DATE BY DECLARATION OF CDMPUANCEfB+ITN CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 610FTliLE4DAND PERMIT€XPlRED AQMD ROLE 9403. ❑ 15ft8NHTTEDASBE5TOSN071F1CATIONTO: PERMfTCANCELIED ❑ EPA P€RfvTtTEYTEND€D ❑ AGIMD ASBESTOS NOTIACARONIS NOT APPLICABLE TO PERMITTINAE V kct PROPOSED DEMOLITION. - C€RT{RCATE OF DCCUPANCYISSUED SIGNATURE