Laserfiche WebLink
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DETTARATION <br />I ir.by amm undo pdalty cf F.jury lhal I m .x.npt ion lh. codrados Licmr t w lot Ihc iollowihg ltMn (Se 701! 5 <br />Bosines ntrd Prolsion Codc): Any Cily or County shi.h r.q,ir6 a Fnnn to comhrcl. alr6, inp.o!., d.molish or rcpnn tuy <br />srrucrue pqor ro ils srudc., slso Equir6 rh. rpplical lor such Fmi lo 6lc t 3i8n d ddmor thal lE or sh. t li.@d p@ol <br />lo rnc pDlisio6 ot Ihc Co.rdcroas Licc.s.d Law (Chapld 9, Commcocin-! wilh S*tion 7000 of Divisiod I ollhc Busin* ad <br />Pofc$ions C.d.) orrhar h. or sh€ is ercmpl lhE€fron ad th. bsis foi fic,lLged exmption. Any viobrion oaselio.701I 5 bY any <br />apllicnnl forapmil subj(tslhe applica loacivilp.nalrrof.olnorclhufivchund&ddollrs(Ss00) <br />l. s oMd oarh. ,mp.ny. or my .mplo)6 wilh rvas6 6 th.n $b .onp.Mrion, sill do lh. \'o* dd lh. sE!.lm i! dt <br />d6d(d or oll6€d lo, el. (5{.704.4. 8tr.i.6 sd P,oisio.s Codc Tn Conrrrcroas Li.N brv do6 nol apply ro u os'nq or <br />lh. Drepeny who builds or inIr.r6lhd6n, md who do€ su.h wott hnnsclf o! hdlr or lhrouEh his or h( oM coPloy.6. <br />provid.d rhzr $ch @!.ovoEins d. mt i'nad.dorottord tor sb lq hosB6. rh. birilding or inFowol is sld winin onc )@ <br />of complcrion. $c os,nd Buiklg will havc thc bo.dd of provi.s lh.r h. or shc did nol hrild or inprcvc tnc prnpdty for lk pur!.e ol <br />L d o$n6 ofrhe Fopdly, an cxclusiv.ly contadin8 with lic.N.d co'nracloE lo .oGltud rn projer (S(. ?044. 8sins <br />and Por6si,n Codcr Th.Conrmctor's l-iccns.l-aw do6 nol arply !o s ownd olprcFnyNho builds or imp.ove thd@n, <br />and Nho cor mcrs lor such proj.ds qnh a Conrado(, licm.d puE@l lo lhc Contnclois Li.@ hs) <br />I dn er€Dpl unds Selion <br />DECI,ABAIIO! <br />I hd.by aftm !.d6 pmlty of pEjury onc oilh. followins ddldaioN: <br />I navc s'd will roi.tain a C.ninorc oacoilol lo S.la-lNurc for turt6 @npds.lhn, a Pmvidcd lor by S..:ion 3700 of lhc <br />lntor Code lor lnc p6fomdc. of $. wo* for whict th. pqmi i! (su.d. <br />-l hat 6nd will nai"rain wor*6 comp.Nation iEurancc, * rcqnn d by Setion 3700 oalhc Lab.r Cod.. for lhc poaotruc. oa <br />thc @r* for *hich $ir Fmn is i,N.d. My work6 onpo$lion i!sllm.. Mi6 e policy flunbd dc: <br />3/-/1,.o 7 E.pi*,, .L- <br />I ccniry thar in th. polord.ncc oflh. $orl aor which lnis psmn is issucd. I snall nol @ploy.nyp.mn in any mdnd <br />$ s lo beo,n. sublet to lhc *0*6' comp.Bslion laws of Califomia. dd agrc that il I stould b€tooc subjd to lhc <br />rorl6 conpdElion pmvisioB of Scclion lT00 of lhl tdor Code, I !hrl. aothwnh comPly wilh thoe provisiotu <br />WARNINCT laiiurc lo su€ work6 @nDddion covr.g. i! u.lavtul, md shall subjd d @ployd lo nimind! Fahi6 d <br />.ivil fins up to on. hund.€d IhoMd dou6 (S100.000). in.ddnion to lhc cost of €otopeGalion, dan.8e a Provid.d for ln <br />sdi.n 10?r, . f rh. l:tnr cod. inifd md <br />PECIJAAIP! <br />, ho.by alIhn und6 penally ol pdjury lhal I en lianscd und€r Folision oaahaPtd 0 (ommcncins with S*lio.7000) ofDivirioh l <br />oa Ih. Busn6 ud Prcf6io6 Codc, rnd my li.N is in lu ll lorcc dd .,'el <br />C Ls)-7 <br />o,,"12 -/0.4 con, <br />coxfiLlcllQNrsNDlxclcElcr <br />I fi@by atfin und6 Fraly o f Fjury lhal ths. is a oElrucl ion Lndins agocy for rh. psfomecc of th. wo,k for shich lhts pdtit 3 <br />issucd (S(. 1097. Civ C.). <br />APPI ICANT DECLARATION <br />I n4by aflifln undcr pcnalty olpsjury on. ofrh. aollowinS deluationsl <br />o.molirio. Pdmns-Asb6ros Norilicat ion Fcddal RcsularioN (Tirl. 40. Pel6) <br />Requncd lals olNoifi calon <br />I cdirr rbd d. f.ddal rcBul.lions resadirs 6b6los Bnoval tr nor arplicabl. lo tht pojd <br />I cdifo rhar I hav. ,cad thi aprlicalion &d sbrc thal rhc abov. infomElior is cordr I asrd ro .omPly wilh aI Cny dd Counry <br />odinmcs d Slate Laws Ellling lo buildin8 consrrudion. Md fidebyau$on-rcpr6olalivB ofthis Cily Md Countylo dls ulonlh. <br />abovc morioned pro!.dy aor inspetion purros6. <br />42-'"^,,, <br />12.'/l',/4 <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framinq <br />lnsulation/Enerqy <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. <br />I <br />FINAL 9J-t C/-?2 /*ryu) <br />Certificate of Occupancy/ <br />Notes, Remarks, Etc <br />BUILDING- INSPECTOR RECORD <br />I