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101107393 - Permit
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101107393 - Permit
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Last modified
10/6/2021 2:55:39 PM
Creation date
10/6/2021 12:42:35 PM
Metadata
Fields
Template:
Permit
Permit Number
101107393
Full Address
2054 S Rene Dr
Permit ID
277502
Master ID Number
2021-167703
Project Name
Pool Demolition and Backfill
Street Number
002054
Street Direction
S
Street Name
Rene
Street Suffix
Dr
Building Use Code
Resid-1 unit
Job Types
Demolition
Permit Type
Building
Applied Date
7/29/2021
Issued Date
7/29/2021
Finalized Date
8/13/2021
Flood Zone
X-0602320257J
Description of Work
Demolish existing swimming pool and infill according to city handout.
Nature of Work
Pool Demo
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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE !D/S!G.COMMENTS OWNER BUILDER DELCARATION <br />I hccby afiirm undo penalty of pcfjury that I m cxcmpt from thc ContBctoE' Licsc Lrw for the following @n (Se.7031.5 <br />Buitrs ard Prcfsion Code): Any City or County which rcquirs a pqmit to coNtruct, altc, improvg danolish or rcpair my <br />structuc, prior to its isuocc. also rcquirc thc applicet for such Fmit to filc a signcd statmat that hc or slE b licqEcd pllls@t <br />to thc provisioN of thc Conrrctor's Licascd taw (Chapt6 9, Comencing with Setion 7000 of Division 3 of thc Buins ud <br />ProfwionsCode)orthathcorshciscxmptthqe+omudthcbasisfortheallcgedcxmption. AnyviolatiotrofSetionT03l.5byuy <br />applicant for a pqmit subj6{s thc applicilt to a civil pffilty of not morc thil five hun&cd dolles ($500). <br />-1. <br />as owner ofthe property. or my employees with wagcs as their sole compensation. willdo the work and the structure is not <br />intendod or offered for sale (Sec.7M4, Business and hofessions Code: The Contractor's License Law does not apply to an owner of <br />the property who bnrilds or improves thermn. and who does such work himself or herself or through his or her own cmployees, <br />providcd that such improvanents are not intended or ofFcrod for sale. I[, however. the building or improvernent is sold within one ]aar <br />of complaion, the Orvner Builder will have the burden of proving that he or she did not build or irnprove the p,ropoty for the purpose of <br />sale). <br />_1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Btsiness <br />and Proftssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. <br />and who contracts for such projects with a Contractor(s) licersed pursuant to the Contractor's Licerse taw). <br />-l <br />am exempt under Section-. B. & P.C. for this reason. <br />Owner: <br />WORKERS' COMPENSAT <br />DECLARATION <br />I heyeby aflirm under penalty of pojury onc of the following declarations:J_l have and will maintain a Certificate of Consent to Sclf-lnsure for worketrs' compq$ation, as provided for by Section 3700 of the <br />Labor Code, for the performance of the work for which the perrnit is issued. <br />-l <br />have and will maintain workcrs' compensation irsurance, as required by Section 3700 of thc l-abor Code, for thc pcrformance of <br />the work for which this pernrit is issued. My workers' compcnsation insurance carrier and policy numbcr arc: <br />Carrier: t <br />- <br />Policy Nurnbcr: Expires: <br />_l certi& that in the perfonnance of the work for which this pennit is issued. I shall not employ in any manner <br />so as to bccome subject to the workers'compensation laws of California, and that if I subject to the <br />workers' compensation provisions of Section 3700 of the Labor Code, I shall.with those provisions. <br />WARNING: Irailure to secure rvorkers'is an anployer to criminal penalties and <br />civil fincs up to one hundred thousand of cornpensation, damages as provided for thc <br />Section 3076 of the tabor interest and attorney's fees. <br />I hereby affrm under penalty of perjury that I arn 9 (corrunencing with Section 7000) of Division 3 <br />of the Busincss and Professions Code. and my license is in full force and effect. <br />. CL\'a <br />License <br />l)q I r.'-1--tl <br />I hereby a{Iirm under pcnalty of perjury that there <br />issued (Sec. 3097, Civ. C.). <br />Lendcr's Namc: <br />agency perfonnance of the work for which this pcrmit is <br />Lcnder's Address: <br />APPLICANT DECLARATION <br />I herdry affrrn under penalty of perjury one of thc following declarations: <br />Demolition Perrnits-Asbestos Notification Fcderal Regulations (Title 40, Par16) <br />_Required Letter of Notification <br />I cerrifo that the <br />E;,r,n", Ihave <br />federal regulations are not applicable to this project. <br />read this above information is correct. I agroe to comply with all City and County <br />ordinances and State [arvs relating to and hereby authorize represertatives of this City and County to entcf upon the <br />above mentioned property for <br />Applicant or Agent <br />Pernritce nRme Cu e <br />,",. -l-1-.\-2/ <br />Set Backs <br />Forms/Stee!/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Su bfloor/VenUl nsu latio n <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsu lation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif Px/d;r lr*t C- a.?-\ :tutl? <br />Am D/,!rl6 bq Paorraa 3-tl- ?-r A*{lz <br />FINAL Q,1q-r/s M 9r- <br />Certificate of Occupancy <br />Notes, Remarks, Etc. <br />-)> <br />a
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