Laserfiche WebLink
BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS <br />Set Backs I r --?z <br />Forms/Steel/Holdowns ,1 (.1,ff o -r <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Su bfloor/VenVl nsu lation <br />Roof Sheathinq <br />Shear Wall <br />Framinq <br />lnsulation/Energy <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 />Flood Zone Certif <br />E@ <br />)I taa- <br />FINAL ,t t\U 0oq 6./ <br />Certificate of Occupancy rl fr <br />Notes, Remarks, Etc. <br />OWNI]R BUI LDER DI;L('ARA'I'ION <br />I hcrcby allirm under penahy ofperiury thal I ilil exenlpt frorn the ('onlraclors' l-icense l.aw ftrr the follorvirg re6on (Ss-7031.5 <br />llusinss ild Profession ('ode): Any City or (irunty $'hich requires a pmril to constmct. alto, rmprove. denolish or rcpair any <br />structurc, pri<rr to its issuance. also require Ihe applicafit for such lErnrit lo filc a signed statment thd he or she is licosed pusuant <br />lo lhc pro\isions oflhe Conlractor's l-icensed l-arv (Chapler 9. (-onnnencing \\'ilh Se-tion 7000 ofDivision 3 o[the Business and <br />l)rcfessions ('ode) or that he or she is exernpt thqefrom ancl the tasis for the allegcd exernptioD. Any violalion ofSection 703 1.5 by any <br />applicant for a pernrit subjsts the applicant to a civil penalty ofnot mrre than fire hundred dollars ($500). <br />I. a orvncr of lhe prcltrly. or my enrployeB $,ith wag6 6 their solc conrposatirrn. \'ill do the work Md the structuc is nd <br />intmdc{ oroflbredforsale(Ss.T0,l,l.BusincssandProfessionsCode:'[he('ontraclor'sl-icensel.arvdosnotapplytoailownsof <br />thep()Frly shobuildsorirnprovslhoqrn.od*'horlossuchs'odihimselforhcrsclforthroughhisorhrorvnemploycc. <br />providedlhalsuch improvonenlsdEnotinlmdqloroffsttlforsle.l[horrero.thebuildirgorimpmvernmtissoldrvithinonc$r <br />ofcotrplubn. the ()rvner Builds \r'ill have thc hrdcn ofproving lhat he or she did not luild or irnpove lhe prcpay for the purpose of <br />sle). <br />-.1. as o\vner oflhe propmy. am erclusively contracting $ ith liceilscd contrackns kr conshrcl the Foject (Sec. 704.1. Bustns <br />and llof6sion Code: I he ('onlraclor's l.icense [-as'do6 nol apply to an o$no ofproperty *ho builds or irnproves thoeon. <br />and Nho coilracts for such projccts rvith a Contractor(s) licenscd pursuanl to the (bnnack)r's l,icense L1w) <br />I 0n c\ctrlpt under Sation . B. & P.C. for lhis rc6on. <br />lhtc: Owner: . . <br />\\'ORI(ERS' ( Ol\lPliNSA'l ION <br />DI]('LARA'I'ION <br />I her chl ailir nr undcr pcnalty ol pe jurl one oIthe folk)\\ irrr dcclarations: <br />I have and rvill maintain a (-cmillcate of(bnsenl lo Self-lilsure for su'kos' cornpcnsation. as prolided for by Setion 1700 ofthe <br />l-abor Code. for thc pafonrmncc ofthe work for which thc pmnit is issued. <br />the sork f<rr ultich this pennit is issuc{. l!l; sorkcrs cornpersalion insutancc carricr md plicy rrunrlrcr uc: <br />Cmis:_ _ <br />l'olicy Nurnbe:-_Expires: <br />XI cenili lhal in the perfirrmancc of the rvork for s hich this ponrit is issucd. I shall nol enlploy any person in any manner <br />s. rs to htrorne suhjecl lo lhe N\rrkss'compqsalion la\s of('alifomia. and aglcc thal ifl should becorne subj(t to lhe <br />*orkos' conuosation p()visions ofSeclion .1700 ofthe t-abor Code. I shall. fonhwith complv Nilh thoe provisions. <br />WARNING: l;aihre to sure s'orlos' conrJrnsalion coleraSe is unlas ful. irml shall subiect ail qilployer to oininal pmaltia md <br />civil fincs up lo one huodled thousand dollars (100.000). in ad(lili(in to thc cosl of conrfensittion. dantagcs as proridccl for the <br />Scctiotr .1076 oflhc l-nlxn'( odc. intcrcst {nd s fecs.a L <br />I)E('I,ARAI ION <br />rrndu prorisior ol ('h.nls() (connncncing \tilh Sccti(m 7000) ofl)i\isi(nt II hochy alfnm undo pcnahy ofperjury t I anl <br />of the l}trsincss ard l,tolcssi(nrs (\)de. nnd rny liceilsc is in [ull forcc and cffccl <br />License('lass:.-- .' B_ -- <br />r)are: /1',C-/? <br />LicenseNu,nber: -21A7/tr <br />-AL;T &-tfuc- $uuDfuZ>,1ru<- <br />I herchy affirrn undcr 1rcnahy of pcrjurl <br />issuccl ( Sc. 1097. ('i\ . ('. ). <br />l-cndcr's Nail]ci <br />lhlTe is ion lending agmcy for the pq'fonnance ofthc uork for *hich this pcnnit is <br />l-mds's Adriras: _ <br />APPLICAN'I' DECLARAl'ION <br />I hottry alfinn undcr pcnalty ofperjury one ol the follorving declarations: <br />Dcilmlitioil Pcnnits-AslElos Notil'icalion Fedqal Rcgulations (-l ille .10. Piul6) <br />Re(luired Leltcr of Ndificalion <br />I colify lhal lhe federal regulatiom reuading mtx.stos rernoval are not applicablc to this projd. <br />il'! r hat e rcacl this application and stalc thill thc alx)\'c inlonnation is colccl. I agr$ lo corrply <br />his (.itv <br />rvith all City and (irunll <br />and Counlt lo cnl(r uB)n thcandl-a$s relaling Io buildiDg conslructi(u, atd hcrcbl aulhorize |cprcscnlali\6 ofl <br />alnve pr operl\ for inspecli()n purF)scs. <br />{) <br />,\t,plicaill <br />iltc Ja*Ur'l <br />Ihle://-s-t? <br />\.tU