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Home My Public Portal About6214 ENCINITA AVE_Grading_10/19/2015_COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING AND SAFETY / LAND DEVELOPMENT ILEGAL ID: ION FILE I ASSESSOR INFORMATION NUMBER: 15385-001-015 I TENANT: I I OWNER: TEL. NO: CHOW LIANG CHIU;JEN SIU (626) 710-6338- I6214 ENCINITA AV TEMP 917801639 APPLICANT: TEL. NO: IRODRIGUEZ, ISMAEL E (626) 523-1307- I3965 COAST OAK CIRCL CHINO HILLS CA CONTRACTOR: TEL. NO: WRECK AGE DEMOLITION (909) 393-6937- I3965 COAST OAK CIRCLE LIC. NO CHINO HILLS CA 91709 890096 TEMPLE CITY 9701 LAS TUNAS TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: CUBIC YARDS HANDLED 50 I ISUPERVISED GRADING NO FEES PAID IFEE DESCRIPTION: QUANTITY: UOM I I2G PERMIT ISSUANCE FEE TOTAL FEES I ARCHITECT OR ENGINEER: TEL. NO: LIC. NO: ISURETY BOND: $ BOND NO: ISURETY COMPANY: I I (DATE FILED: REC'D BY: I I ICASH DEPOSIT: DATE FILED: I I I IREC'D BY I I I (OTHER LEGAL IDS: I I I I I I I I I � I I I ISTATE HIWAY: USE ZONE: MAP NO: NO R-1 153H265 I I I IPERMIT EXPIRES 180 DAYS IF I 11) WORK DOES NOT COMMENCE, OR I 12) WORK IS SUSPENDED OR ABANDONED, OR I 13) FAILS TO OBTAIN CODE REQUIRED INSPECTION I # 0508 REPORT ID: DPR262 ROUTE TO: BS0508 GRADING PERMIT GR 0508 1510190001 BUILDING ADDRESS: 6214 ENCINITA AV TEMP CA 917801639 NEAREST CROSS STREET: LONGDEN THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI ******* THIS IS A LIMITED TIME PERMIT ******* ISSUED ON: PROCESSED BY: AMOUNT:I10/19/15 SR 27.80 27.80 (EXP. EXTENDED TO: EXTENDED BY: FINALATE FINAL BY CODE: O IDESUIPTI& OF WORK CHANGE FROM OWNER BUILDER TO CONTRACTOR TO REMOVE EXISTING SWIMMING POOL AND BACKFILL IS COMPACTED SPECIAL CONDITIONS: APPROVALS DATE INSPECTOR SIGNATURE INITIAL GRADE PREP. (COMPACTION REPORT RECD 4 I I ��`1 I ISUP. ENGNR'S CERT REC'DI I I I I I I IROUGH GRADING APPROVAL I I I IPLANTING AND IRRIGATION I I I I I I I SUP. ENG'S FINAL CERT I I I (SURETY BOND RELEASED STYPE I I I I I I I I I I I I I I I I I GEOLOGIC AND SOILS REPORTS FILED PREPARED BY DATE RECEIVED APPROVED 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).): U 1, as owner of the property, or my employees with wages as their sole compensation, will do (J) 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.). U 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 Ito the Contractors' State License Law). r 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. ,d C-7 f p fo lticense Class !'r6 -1Z/ License No. d O /Date 6 Contractor Signature i WORKERS' COMPENSATION TION 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 3706 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 the performance of the work for which this permit ASBESTOS NOTIFICATION is issued. Policy No. ❑ Notification letter sent to AQMD and/or EPA I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for El I declare that notification of asbestos removal is not the performance of the work for which this permit is issued. My applicable to addressed project. w rke compensa n insurance c mer nd policy number are, �(�w.' 3� --cl-0 2 " 1'0'DECLARATION REGARDING CONSTRUCTION LENDING m r gt Policy NumSer Expiration Date AGENCY NamVof Agent Phone Number JOB ADDRESS LOCALITY HAZARDOUS MATERIAL DECLARATION Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material equal to or greater than the amount specified on the hazardous materials information guide? Yes ❑ N o ❑ Will the intended use of the building by the applicant or future building occupant require a permit for construction or modification from the South Coast Air Quality Management District (SCAQMD)? See permitting checklist for guidelines. Yes ❑ No ❑ I have read the hazardous materials information guide and the SCAQMD permitting checklist, I understand my requirem@nts under the Los Angeles County Code Title 2, Chapter 220' Sections 220.100 through 220.140 concerning hazardous material reporting and for obtaining a permit from the SCAQMD. (_) I am exempt from licensure under the Contractors' State — I certify that, in the performance of the work for which this License Law for the following reason: permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the By my signature below I acknowledge that, except for my workers' compensation provis'sof Section 3700 of the Labor Code, I shall forthwith a pl th those provisions personal residence in which I must have resided for at least one year priorjto completion; of the improvements covered by this I legally that I have built — permit, cannot sell a structure as an if it has been in its entirety by owner -builder not constructed ignature of Appliran Date licensed contractors. I understand that a copy of the applicab law, Section 7044 of'the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: httD://www.leoinfo.ca.aov/calaw.html. Date: Signature of Property Owner or Authorized Agent LOBBYIST ORDINANCE CERTIFICATION Complete this section for permits in Unincorporated Los Angeles County only This is to certify that I, as permit applicant, am familiar with the requirements of Los Angeles County Code Chapter 2.160 at seq., (relating to the Los Angeles County Lobbyist Ordinance) and that all persons acting on behalf of myself complied and will continue to comply therewith through the application process. Applicant (Print Name) Company Name Applicant Signature Date 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). Lenders Name Lenders 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 county to enter the above -identified property for inspection purposes. Signature a mJrized Agent