20172156 - Permit - Laserfiche WebLink

Home Browse Search

ELECTRICAL.INSPECTOR RECOR D APPROVALS DATE ID/SIG.COMMENTS Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Slab / Floor It T Bonding I Grounding I UFER It C t7/DIWW Transformers I ^Torqueinq Sub-Panels Air Conditioners I lt a Roof Top Equipment 0 -?2 Dt^*67 Factory Wired Unit ll Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Roush Ceilings (T-Bar Roush)I )^ N/eter Release tr ()\1,o Dfi.tr8 I \l Rouqh Service N/eter I I r FINAL t\C fl6 bMVY Notes Remarks Etc.f"l-IU'v \ ()WNl.:,R I hereby affrnr under penalty of perjury that I arn exempt from the Cbntractors' Licensc Law for the following rea$n (Sec.7031.5 Busincss and Prol'ession Codc): Any City or County which rcquircs a Jrcrmit to construct, altcr. irnprove, dcmolish or rcpair any structure, prior to its issuance. also requires the applicirnt for such pernrit to filc a signed statemenl that lrc or she is licensed pursuant to the provisions of thc Contractor's l,icenscd law (Chapter 9. Commcncing with Section 7000 of Division 3 of thc Busincss and Professions Code) or that lrc or she is exempt therefronr and tlre basis for tlre alleged exenption. Any violation of Section 7031.5 by any applicant for a pennit subjects thc applicant to a civilpenaltyof not nnre than live hundred dollars ($stttty. -1. as owner ol'thc propcrty. or rny crnployccs with wagcs as their sole compcnsation, will do thc work ard the stnrcture is not interxletl or offeretl for sale (Scc'.7O+a, Business and Professions Code: The Clontractor's License Law does nol apply to an owner of the prupeny who builds or intproves therc<rn, and wlxr does such work himself or herself or ttrough his or her own enrployees, providcd that such itnpnrvcnrcnls arc not intended or ollcrcd for sah. Il. howcvcr, thc building or improvcrncnt is sold within onc ycar of completion, the Owner Builder will have the bunlen o[ proving tlrat he or she did not buikl or improve ttrc property for the purpose of sale). -1. as owner of the propcrtyr am exclusively contracting with liccnscd contractors to construct thc projcct (Sec. 7044, Busirrcss arxJ Prrolbssion Code: Tlte Contractor's License Law does not apply to an owner of property who builds or inrproves thereon. and who conuacts for such projccts wilh a Contractor(s) liccnscd pursuant to thc Conuactor's Liccnsc hw). _l anr exempt under Section_, B. & P.C. lbr this reason. WORKERS' COMPENSATION DECLARATION I hcrcby aflirm undcr pcnalty of pcrjury one of thc lirllowing declarations: -l have and will nnintafur a Certificate of Consent to Self-lrrsure for workers' conqrcnsation, as pruvided for by Section 3700 of the Labor Code, for thc pcrlornunce of the work for which the pcnnit is issued. have attd will nraintain workers' contpensalion insurance, as required by Section 3700 of the Labor Code, for the prcrfonrurrce of work for which this grcrmit is issucd. My workers'insurancc carricr and pnlicy numbcr are: 7 /) e />oL( -l ccrtifythat in tlrc;^-rlbrnuncc of tlrc work f<rr wlrich this pcrmit is is.suc'd, I shall not cmploy any lrcrson in any manncr so aslobccorresubjccttothcworkcrs'cornpensationlawsofCalifornia.andagrccthatiflshouldbccomcsubjecttothe workers' compensation provisiuns of Section 3700 of the Labor Code, I shall, forthwith cornply with tlrcse provisions.. WARNING: Failure to secure workers'compensution coverdge dollars ($100.000t. in is unlawful, and shall subjcct an cmployer to criminal penalties and civil lines up to one hundred thousand addition to the of compcnsation, danuges as provided for thc Section 3076 of the labor Code. intcrest and attorncy's fccs. o LA Annrinont. I,ICENSED CONTRACI'oR I)F:CI,ARAI'I()N I hereby affirnr under pnalty of perjury that I anr licens,ed under provision of Chapter 9 (comnpncing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full forcc and efhct. Number:o 8 CONSTRUCTION LENDING AGENCY I hcrcby aflirrn under penalty of pcrjury that thcrc is a construction lending agcncy for the performance of thc work for which this perrnit is issued (Sec. 3097. Civ. C.). l-ender's Name: lrnder's Address: APPI,ICANT DECI,ARATION I tuchy aftirnr undcr pcnalty of pcrjury onc of thc following dcclarations: Dcnxllition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Title 40, Part6) -Rcquired l-ctter of NotiFlcation -l ccrtily that thc fcdcralrcgulation.s rcgarding asbc.stos rcmoval arc not applicablc to this project. ccrtily that I havc rcatl tlils applicalion tud statc tlral lhc abovc infbrrrnlion is corccl. I agree to contply with all City ancl County City and County to cnter upon thc o Rev. 08-07-2015 I( and Statc Laws rclating to huilding construction, abovc tncntioned property fitrr inspection purposres. Applicant or Agent