30143267 - Permit - Laserfiche WebLink

Home Browse Search

APPROVALS DATE ID/SIG.COMMENTS UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor --, Building Sewer th, lz, ArealStorm Drain I \7 I nterceptor/ Clarifier TOP OUT Waste & Vent Water Piping Gas Piping Roof Drain Tub/Shower Test Rouqh Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Pipinq Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary SewerlCao Back FIow Device Roush Plumbins Final Gas Test 7Meter Release /l FINAL 1l Tlzt 2L) trt|'lNotes, Remarks, Etc.\i/ OWNER BUILDER I'EI.CAR TION t hqcty alfm ud6 pqElty of pqjuy thrr t m qmpt ftom thc Contracron' Lic@ kw for thc following two (Se.7011.5 Buine srd Profesion Codc): Any City or Cour*y which rcquirc a pamit to @ostrucl, altc, improvq dsmlish or Epsir ey structurc Fior ro its iswcc, also rcquirc thc applidt for such p6rdt to filc 8 sigord stslmt thd hc or shc b licsrd pueErr to thc prcvisiom of thc Contrrctor's Liccnrcd kw (Ch8pt6 9, Commcing with S61ioo 7000 of Division 3 of thc BuhB md Profcsions Codc) or that hc or shc is qmpt thqcfiom ud thc bosb for thc allcAcd q@ption. Any violation of Sâ‚¬tiotr 703 1.5 by uy applicat for s pcrmit subjcts thc applicut to a civil poalty of not morc the fivc hundrcd dollm ($500). _1. os owner of thc propâ‚¬rty, or my employees with wages as their sole compersation, will do thc work and the stnrcture b not intcndâ‚¬d or offercd for sale (Sa.7044. Business and hofessions Code: The Contractor's License l-aw does not apply to an owner of the propcrty who hrilds or improvcs thcreon srd who docs such wort himsclf or hcrsclf or through his or her own cmployees, provided that such improvanents are not intendod oroffcred for sah. I[, howcver. t]rc building or improvanent is sold within onc ],car of complaion, the Ovyner Buildâ‚¬r will have thc hrdcn of proving thd he or stre did not hrild or imp,rovc the property for the prqposc of salc). _1. as owner of the property, am exclusively contracting with The Contractor's License Law does not licensed contractors to constnrct the project (Sec. 7044, Bwiness and hofession Code:apply to an owner of property who builds the Contractor's Liccnse or improves thercon. and who contracts for such proje,cts with a Contracto(s) licenscd pursuant to Law). _l am P.C.this DECI,ARA'I'ION I hereby alTirm under penalty of pcrjury one of thc following declarations: -l have and will rnaintain a Certificate of Consent to Self-lnsure for workers' compensation, as providcd for Labor Code. for the performance of the work fior which the permit is issued. of the -I have and will maintain workqs' compcnsation insuraoce, as roquired by Scction 3700 ofthc Labor Codc, for the pcrformance of the work for which thb pcrmit is is$â‚¬d My workcrs' compcasdion insurarcc canicr od policy numbcr re: Carrier: Policy \' _l certi$ that in the performance of the work for which this permit is issued. I shall not employ any person in any mdlncr so as to bccome subject to the workers'compansation laws of California, and agrec that if I should becorne subject to the workers' compensation provisions of Section 3700 of the l-abor Code. I shall. forrhwith comply with those provisiory.. WARNING: Failure to scctue workcrs' compcnsation coverage is unlawful. and subjcct an onployer to pouhies civil frnes up to thousand dollars ($100.000). in to thc as for Section 3076 Labor interest and attorney's Dti('1,AttA't'toN I hereby affrrm under penalty of pcrjury that I am licensod under provision of Chapter 9 (commencing with Section of the Business and Professions Code, and my license is in full forcc and effect. 3 License Class: Licerue Numbcr: f )o to'tf\ aat oa at at, CONSTRUCTION LENDING AGENCY I h@by sffm undtr pâ‚¬natty of pcrjury thal thqc is a @nstructiotr larding agmcy for the pqfolrmcc of lhc work for which this pqmit is isucd (Sc. 3097, Civ. C.). lsrdq's Nmc: l.eodcr'B Ad&ese: A PP LICAI\T DEC LARATION I hereby alnrm under pcnalty of perjury one of the following dcclarations: Dernolition Permits-Asbcstos NotiFrcation Federal Regulations (Title 40, Part6) _Required Letter of Notification -t certi$ that the federal regulations regarding asbestos reanoval are not applicable to this projoct. _l cenify that I have read this application and state that with all City and County ordinanccs and State l-aws rclating above mentioned property for Applicant or hcreby is correct. I agrce and County to upon thc PLUMBING.INSPECTOR RECORD , I I 6l ,s/t(