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APPROVALS DATE ID/SIG.GOMMENTS OwncFBuildq Dccldation
<br />I h.r.by.mD und6 p.n.lty ofpaj!ry ihal I M exopr foo $c Corl'&tod' Licas. Law lor fia lollowl.S rcsoi Gcc.7O3t.J Bsinet
<br />Md Prcf6sion Codc) Aiy City tr Co{.ry *hich Equir6 e p.mir ro cNtrucr. !lra, improvc, d.molilh or l.rrir sy ttDcruc, prior tdits
<br />is5Dec., .lro ,.qui6 thc .ppli@t id luch p@i! !o 61. a rigncd 3ta!d6r th6l h. or sh. i! li@s.n puuudt to tho Fovirion! ot $c
<br />ConE&ior'r Li@s.d Law (Ch./.r 9, Com.rcing virh Sccrion 7000 of Diviiion I of rl. Bsin6 od ProfslioN Codd or th h! s
<br />shc is.x6pt tl@tom r.d rhc b8t fd thc allcscn qmprio Ary viol.rio of s.crior ?01,.5 by Ey ipplicmr for ! pcmil !ubj.c6 6.
<br />applicdr b a civilpaalry oinol morc the fiw hundr.! dolla (t500)
<br />_1, o ownr ol lh. Fopcny, d 6y 6ploy.6 wilh waAB s lhch solc cnpa&dor, will do rh. wdt sd l]lc flrucrwq is not inlddod
<br />or ofcrcd fd r.l. ( s.c 70,4a, Buiu@ ad Prof*iou Cod.: Th. CoEeror'i Li6& Lsw d.s ior .?ply ro u oE6 of t!. propqty
<br />eho build! or imFov6 ln*6, sd who doB luch wdt himclf o, h6df o! throud hir q lrr M 6ptoyc6, provi&<t ttx such
<br />improvcoatr aa nor in&.d!d or ofard for ssl.. tt how.vd, rhc buildinr or iEFov@ar i! iotd vir.\in on; yc; of mnplcrion, th!
<br />Oma-Buil<lq will hav. $! t{rd6 ol proviii that ho or rhc not bui,d or implovc for lhc purpdc oa 5.lc).
<br />_I, a (Md or th. propqry, u dclusivcly @nrrBctins wirh licosed cont'&ron ro consF0ct th. proj.cr ( Src 70a4, Bcinas ud
<br />Plor.stior crd! Th. C@r@ror! Licarc L.w d.d nor .pply to u omc or lropcry who blitd! 6 ihPlove! $scon , &d who
<br />cmEmE for srch prcjcc$ with . cor&ro(!) licat.d puEu{r ro 6. con!6cror'r Lic.nr L.w )
<br />I e .xropr undd Seti6
<br />D.L: Ownq.
<br />WORKERS COMPENSATION DECLARAION
<br />I h.r.by afim uids p.nalq olpdjury on. of$.lollo*iis dccldadois
<br />_l h.v. qd *ill m.inEin a Cdtifical. of Conrit ro Sdf-ldulc for qortcs cmpo5.don, 6 polrdcd to. by S4rjon l?oo of th!
<br />Labor Codc, for th. Ptrfmsc. of th. eo* lor vhich rh! pcmir is issu.d
<br />_l h.v.6d will nainlaii wct.E! cmptu.don lns!tuk, as r.4ui.cd !y S4tior 37oO of&c Lalor Cod!, |flh. p.rfman@ of6.wqt ld which di! pami ii isu.d My wokrl'' cmpcnrstion insuFcc 6ia dd policy nu,nbr u.
<br />Onir ration ic.d iot bc c6plqLd if rt. p@ir i5 for onc hudcd dollu {IIo0} o' 16)
<br />_l ccniry rh in rb. p.rfomeco of thc wtrk ftr which dlis pmir is islud, r sh.fl nor .mptoy oy pcRo, in uy m&nn io & rob.cs. rubjccr io ih! work6 ' comp.ns&ion lN. of Cslifmi4 dd asrc. rh iftrhouldbccoh.subicctrothcwo.kcRi
<br />@hFns&ion proviiim! ofSe!i6 3700 oath. kbor Cod!, r.hall, fonluilh @mply *ilh rh6c provisions.
<br />WARNING: Failur. ro s6!. wtrtd' conl'lnsrioi @vaarc ii unhwrul, ed sh.ll iubjd & cmptoya ro qimin.t pd.hi6 sd civitfinBuprooichun&cdtoqeddollu(l100,000),in.dditionrot.cslofcompmstid,d.86sprovid.dforrtcScdidto76of
<br />tho Labor Codc, aitdsl ed inom.y'i r.s
<br />LICENSED CONTRACTONS DECLANATION
<br />I h6.by affiD und.r pc.dty of pajury thr I u li@s.d Bda provision oa Ch.pt r 9 Gommcncing with Sccrio ?ooo) of Diviiion 3 ot
<br />lhc Bulin6 ed horaron, Codo, &d my lims ir in full rq€ sd.fi@i
<br />I Li6r. Cld Licou. Nuhb6
<br />CONSIiUCrION LENDING AGENCY
<br />I h.rcby .ffim 6d6 pd.iry of pqju.y th.t $@ ir ! oiaucdor ladhr r36cy ld dE pdftu@ ot rhc {dt fd whth rltir p.mn i
<br />bsucd (Scc !097, civ. C )
<br />A}PLICANTIS DECLAR TION
<br />Dmoliion Pm,|lAsb.srN Nolifiqlioi t.da.l Rc8ul.dons Onlc ao, Pa.r 6)
<br />_ R.quiEd L.ncr of Notificdon
<br />_l @di/ $ar rh! f.!4.1E8!l.riw Es.'din8 sb6rd rcnovd &. nor apptiqbl. io $ii projccr
<br />_ I cenjfy t.t I h.v. rcad thir rppli$tid ud srr. $ dE !hov. idom.tion i5 Md I ag.r to cmply *ilh .lt ciry sd Comry
<br />ordin&c &d Sr.r. Llwi-rchirt io bultdini @ructi@, od ha.b/ rhdia Epr6@r.tiv6 ot$h City sd Cou.ty io 6ld uFn fic
<br />a6ov? tu.(on.d pop.ny fd i.lpcctio. purd€r
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountarns
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />lvleter Release E\,tlIr!E rh
<br />Rough EERNIi r0l9
<br />Service Meter
<br />FINAL SI DUO, &/
<br />Notes, Remarks, Etc
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