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30136870 - Permit (2)
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30136870 - Permit (2)
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Last modified
11/10/2022 9:23:11 AM
Creation date
11/10/2022 9:23:10 AM
Metadata
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Permit
Permit Number
30136870
Full Address
3705 S Ross St
Permit ID
220111
Master ID Number
2016-129819
Project Name
Online Permit
Street Number
003705
Street Direction
S
Street Name
Ross
Street Suffix
St
Building Use Code
Resid-1 unit
Job Types
Miscellaneous
Permit Type
Plumbing
Applied Date
7/1/2016
Issued Date
7/1/2016
Finalized Date
9/3/2019
Flood Zone
X-0602320278J
Description of Work
Plumbing
Nature of Work
Plumbing
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PLUMBING.!NSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS O\I'NER BUII.DT:R D}:I,CARA'I'ION <br />I hocby affm undc pmalty of po'jury tha! I u cxmpt from thc ContrsctoE' Licme lrw for thc following reen (56.7031.5 <br />Buinas md Profcsaion Codc)r Any City or County which rcquirc a pcrmit to construct, alto, improvc. dmolish or rcpair ay <br />stsuctuc, prbr to its issumcc, also rcquiro thc applicut for such pcrmit to filc a signcd statmmt thal hc or she b licdscd pwmt <br />to thc prcvisioE of thc Contraclor's Liccmcd law (Chapts 9. Comcncing whh Scction 7000 of Division 3 of the Bsins md <br />PrcfcssionsCodc)orthathcorshciscrcmptthqefrommdth.bsisforthcallcgcdcrmption. AnyviolationofScclionT0Sl,5byany <br />applicantforapdmitsubjetsthc applicanttoacivilpmaltyofootmorethufivchundrcddollus($500). <br />-1, <br />a owtrs of thc prcpcrty. or my mploy€ wilh wag6 6 thcir rclc compruation. will do thc work ad thc structuc is not <br />intadcd or offccd for slc (Sc.7044. Buine od hofesiom Codc: Thc Contractor's Licos Law do6 not apply to m om6 of <br />thc propqty who builds or improvc th@rl ed who doB such wo* himself or hmclf or thrcugh his or ho om cmployce. <br />providc{ that such improvqmts e rct intqrdcd or ofnrcd for eb. I[, holffi. thc boilding or impovmt is pld within onc ]q <br />of@mpLtiolr thc O*ntr Buildq will havc thc hulen ofpoving tha he or shc did not build or imprcvc thc prcpsty for thc purpos of <br />sh). <br />-1, <br />rownq of thc prcpqty, @ cxclBivcly contractirg with liccNcd coftractoE to construct thc prcjcct (Ss. 7044, Buins <br />dd Ptoftsir Codc: Thc Contrrtor's Licosc Law do6 not apply to e ownr of propcrty who buil& or irnprcvB thq@n, <br />ud who contracls for such projcts with a Contraclo(s) lic$cd puE@t to thc Contraclor's Licw larv). <br />-l <br />m cxopt utrdq Satioo-. B. & P.C. forthis ren. <br />Dxte:()wner: <br />WORKERS'COMPENSATTON <br />DECI-I\RATION <br />I hocby affm undo paralty ofpajury onc ofthc following delaratiom: <br />-l <br />havc and will ruintain a Cdificatc of CoMt to Sclflmuc for work6' comJmsalion. r povidcd for by Sction 3700 of thc <br />Labor Codc, for thc pqfomilcc of thc wort for which thc pamit is i$ucd. <br />-l <br />havc and will maintain work6' compeNatiotr iNuancc, 6 rcquired by Setion 3700 of thc l-abor Code. for thc pqfollrucc of <br />thc work for which this pcnnit is i$ucd My workc' compcn$tion imurmcc cmia urd policy numba rc: <br />Policy Numbo: Erpires: <br />-l <br />cdliry lhal in the pqformnce of the work for which this psmit is issued. I shall not mploy my p€mn in any mona <br />rc atobecomcsubjcttothcworkm'compmationlawrofcalifomia,andagrcthaiflshouldbecomesubjcttothc <br />wortm' compcrwtion provisioro of Selion 3700 of lhc txbor Codc, I sh8ll. forthwith comply with thor prcvisiom.. <br />WARNING: Failurc to wuc workm'composation cov@gc is unlawful, md shall subjcct an mploy6 to qiminal pcnaltic md <br />civil fine up to one hundrd thousqnd dollm ($100.000), in addition to lhc cosl of compcmtion, damagc u providcd for thc <br />Setion 3076 of thc Lsbo Codc, intsBt ud artomcy's fc6. <br />LICENSEN CONTRACTOR <br />DECI.ARATION <br />I hcby alfm unda panalty of pcrjury that I m ticas.d udq lrovision of Chaptq 9 (com@cir8 with Setion 7000) of Divisior 3 <br />of thc Buiae md Profciom Codc, ard ny lic@ is in full forcc md cffcrt. <br />Lodq's Addrs: <br />APPLICANT DECLARATION <br />I hq$y aftrn uodq psralty of pajury ooc of thc following deloations: <br />Doolitiotr Pmits-Asbclos Notification Fedtral Rcgulatiotrs (Titlc 40, Pan6) <br />-Rcquircd <br />Ldt6 of Notificaliotr <br />_I cgriry thd thc lbdcEl rcgulatioro rcgrding rbatos roovaluc not applicablc to this prcjet. <br />-l <br />cdiry thd I hEvc rad this application ed statc that thc sbovc information is corecl. I agre to comply with all City and Couty <br />ordinmcB ed Statc kws rclatiDg to buildiog coBtsuclio& and hrcby authorirc repr6otdivB of thb Chy md Couty to otq upo! ttrc <br />abovr m@tioncd prcpcny for iropetion pupos. <br />Appllcrn( or Agst <br />I'crmitcc trf,ilrc <br />I)ale: <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Buildinq Sewer <br />Area/Storm Drain <br />I nterceptor/ Cla rif ier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipinq <br />Roof Drain <br />Tub/Shower Test <br />Rouqh Water Heater t/s/re w/43 <br />POOL/SPA <br />Ptrap/Drain Line <br />Main Drain/Pool Pipinq <br />Fill Line/Back Flow <br />Pool HeateriGas Line <br />Miscellaneous <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing <br />FinalGas Test <br />Meter Release <br />FINAL q/g/rq 84" /23 <br />Notes, Remarks, Etc. <br />Licffi Cbs:-Licmc Numbq: - <br />Drtc _ Contnclot <br />CONSTRUCTION LENDING ACENCY <br />I hocby affim undo pcnalty of pcrjury thal th6c is a conslruction loding agocy for thc perfomancc of thc work for r.hich this pqmit is <br />issued (Sa. 3097. Civ. C.). <br />Lcnda's Namc: <br />-
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