Laserfiche WebLink
APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evap Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Range <br />Other <br />Hood <br />Type I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openings <br />lnstallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech.r/K/oY 2p,@ <br />Final Test lt/ <br />Meter Release tt a -?, <br />FINAL t \u?\VVW >7 <br />\I <br />I hercby affirm uodcr pcoalty of pe"jrrry tbat I am cxcmpt form thc Contractors' Liccasc Law for thc following rcasor(rcc.7031.:Business' <br />rd Profusioo Co&): Aay City or Couty which roquiE r pcroit to 6BEud, dt6, iDfovg doolirh or rtprir iay stnrctrre pior o.it1 <br />irstEc, .Lo tlquiH tbc rpplicut for suc.h p6nit to filc a sigrcd Jtrt@t thd hc or !b! is licoscd pwurat o thc lmvisioE uf thc <br />CoDmdtr't Li6lcd hw (Cbryta 9, CoDreilg with Scrion 7000 of Divirion 3 of thc Buins rnd koftrrionr Co&) or thlt bc tr <br />shc ir aop rhac&oE rDd thEb.ri! fortbc rlrgod mltiol.A!y vblation of Sctioa 7031.5 by ey applicet for r pcrnir $bjet thc <br />lppticur to a civil porhy of mt Borr th& fivc hun&cd dolhn (5500), <br />_I, u ow of thc poFty, or ny coploye whh *4c u thcir sb @opasltioD, vill do thc wo* ud th. slrucre is mt iatadcd <br />or oftrcd for sdc ( Scc.7044, Buh6r ud Pro&sriou Co&: Ttc Coatncor'r Liw Law do6 mt eply to D ow of thc pmpaty <br />who buil& or imprcve thma, rad wlo &a crch wor& hiretf or hoclf c throug! hir or h6 om @plo)rcci providod tbet ruch <br />improvoats rc mt inadpd or oErrcd for rb. I{, howrc, thc building or improvmt is old wirhio orc }q of ooplaio4 tbc <br />Ovu-Buildq will havc thc buda of Dmvilg tblt bc or shc mt build or imFovc for thc Frporc of :dc). <br />_I, u ow of thc Fop.rty, ro qcluivcly 6fferti[8 with liccorcd olmrtor to couttuct rbc Foj6t ( Sc. ?044, Buinar &d <br />Pr,oft*rbn Co&: Tbc Colrrdor'r Li@ lrw do6 oot +ply to e ow of prcpaty who buil& or inprova rbaoa , ud who <br />coarncrs for such pmjeu wfuh r CoDrncto(O licacd puwt to llc CoilrErot's Lic6c liw.). <br />I u qapt u!d6 Sctim .8. & P.C. for this reD. <br />o*;!/O-?.-OC a*.'Gortzarr 8- Ve)z-@o <br />W <br />I h6*ry 8trm urda panly of pcrjuy onc of thc followilg dclrdor: <br />I hrvc ud will uiarria r Cqtifcatc of Cowr o Sclf-Isw br mrto' oryeraioq u providcd br by Scrioo 3700 of thc <br />kbor Ca&, for thc paforc of thc wort 6r whicb thc pqEit is isuott <br />I hrvc &d witl uittli! worlqr' coryanuion i!$rc, s rcqufud by Sctim 3700 of thc hbor Codc, for rhc pcrbmcc of thc <br />worl for wbich this pquit ir isod My uortc' oopanabr ire mic ud policy aubc uc: <br />Policy Numbcr: Expires: <br />(This scctioo o" oi Uss) <br />_I ccrtify that in thc pcrformancc of thc work for which this pcrnit is issuc4 I shall not cmploy aoy pcrsoo in any Bsmcr so as to <br />bccame subjecr to thc workcrs ' compensation laws of Californiq and agrcc that if I should bccome subjcct to thc workcrs' <br />compeiltation provisions of Scction 3700 of thc Labor Codg I shall, forthwith comply with those provisions.. <br />WARIIIING: Failm !o src wortcrs' coEposation ovaagc ir ulmful, rad shall subjet u oplolc o cininal panlti* ud civil <br />filc. up to oE huD&od tho"-"d &llas (S100,000),in rddhion rc tbc o* of cmposarioq durge s providcd for thc Scrior 3076 of <br />thr kbor Co&, int68t rnd armcy's ftc. <br />@ <br />I hacby afEr ulda pcoafty ofpajury tbat I u licascd uada p,rovirion of Chrytc 9 (omociag with Sctioa ?000) of Divisio! 3 of <br />thc Buirc ud Profesiou Codc, ed my liffic is in full forcc aod cfrcct. <br />Liccosc Class: Lictosc Numbcr <br />Date: <br />CONSTRUCTION LENDING AGENCY <br />I h@by affim undq poafty of pajury that tbc is a mstruction boding a86cy for thc pqfotMcc of thc worr( for whhh this p€reit i! <br />Civ. C.). <br />I-cndcr's Address: <br />Dcmo lition Pcrmits-Asbestos Notifi cation Fcdcral <br />_ Rcquircd Irttcr of Notification <br />APPLICANT'S DECLARATION <br />Rcgulations (Title 40, Pan 6) <br />_I certi$ that the fcdoal rcgulations regarding asbcstos removal are not applicablc to this projoct. <br />_ I ani$ tba t bavc rad liis qlplicdion 6d st tc thlr thc rbovc hfomdio! is srod. Lgre to coDply vilh .I City ed Couly <br />ordiaree ed Stdc l:s rclatiag ro building oasrnrcrio4 &d hcby urhorirc rcproatuiva of this Chy rad Couaty lo at6 upo! thc <br />Ebovc Eatiorcd propdty for iEpEtio! putpos. <br />Applicant or agcnt <br />Permittec namc (print): <br />-lnspection Forms 03.31.06 <br />M ECHANICAL.I NSPECTOR RECORD t <br />e <br />,1