20270425 - Permit - Laserfiche WebLink

Home Browse Search

ELECTRICAL.I NSPECTOR RECORD T),no n7 ?n,t r:, APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hocby aflim undo pcnalty of pcrjury that I m cxcrtrpt from thc Contraclon' Liccre Law fo1 thc followilg rcmn (Sc.7031.5 Busincs and Prof6sion Codc): Any City or County which rcquirc a pomit to construct, alt6. improvq dcrnolish or rcpair my structm prior to ils issuucc. also rcquire thc spplicilt for such pcrmit to 6lc a signcd ststmmt lhnl hc or shc b licmed plruat|t to the ttrovisioN of lhc Contraclq's Liccnscd law (Chaptq 9. Commocing rvith Sation 7000 of Division 3 of the BusinN ud Profsions Code) or that hc or shc is cxempt thGefrom and thc b6is for thc allâ‚¬ged exmFion. Any violation of Sctiotr 7031.5 by any applicantforapflnitsubjetsthe applicanttoacivilpcnaltyofnotmorcthanfivchundrcddollas($500). -1. as owner of the propcrly. or my employees with wages as their sole compensation. rvilldo the rvork and the struclure is not intended or oflered for sale (Sec.7044, Business and Professions Code: f'he Contractor's Liccnsc Larv does not apply to an owner of the pmperty rvho builds or improves theron. and who does such work himself or herself or through his or her own employees. provided that such irnprovonents are not intended or offered for sale. I[, however. the building or improvement is sold within one ]tzr of cornploion. the Owner Builder will have the burden of proving that he or she did not build or improve the propo'ty for the purpose of sale). -1. as owner of the propefly. am exclusively contracting rvith licensed contractors to constnlct the project (Sec. 7&14, Business and ttofession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who contracts for such projeds rvith a Contracto(s) licensed pursuant to the Contractor's License Larv). _l am exempt under B. & P.C I hereby alTirm under penalty of perjury one of the --l have and will maintain a Certificate of Consent to Self-lnsure for rvorkers' compensation. as provided for by Section 3700 of the Labor Code. for the pâ‚¬rfonnance of the rvork for which the perrnit is issued. -l have and rvill maintain rvorkers' compensation insurance. as required by Section 3700 of the Labor Code. for the perfonnance of the rvork for which this permit is issued. My rvorkers' compensation insurance ciurier and policy number are: Carrier:_ ---l certify that in the performance of the work for rvhich this permit is issued. I shall not ernploy any person in any manner so as to be'come subject to the workers'compensation laws of California. and agree that if I should become subject to the workers' cornpensation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply with those provisions.. WARNING: Failure to secure workers' compensation coverage is unlarvful. 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 the Section -3076 the interest and attorney's fees. (commencing with Secrion 7000) of Division 3I hereby affirm under penalty of perjury that I am licensed under of Chapter 9 of the Business and Professions Code. and my license is in full force and effect. License Class: License Number: Date:( 'onl rirclrlr: CONSTR,UCTION LENDINC AGENCY I hcrcby affm unde pcnslty of pcrjury lhd th6c is a consruaion loding aSmcy for thc pqfoIrmcc of thc rcrk for which this psmh is issuâ‚¬d (S(. 3(x)7, Civ. C.). lfidtr's Nmc: l.ender's Address: APPLICANT DECLARAI'ION I hereby aflinn under penalty of perjury one of the following declarations: Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6) _Required Letter of Notification rt I cedifv that the Wrtt'urttu*'. federalregulations regarding asbestos removalare nol applicable to this project. read this with all City and County and County to enter upon theordinances and State [,aws relating to above rnentioned property for Applicant or Agent Pernrilee name (prinl): purposes. NG|?â‚¬- - I Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm lDampers Communications Cable Building Under Slab / Floor Bonding I Groundins / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilinss (Hard & Soffit Rouqh Ceilings (T-Bar Roush) Meter Release Rough Service Meter I FINAL //22/raz ffi U Notes, Remarks, E{c.( Policy Nurnber:__Expires: a