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Home My WebLink AboutPR15-2595.... .... ........ . } g -,r JOB SITE ADDRESS APN LOT TRACT u OWNER VEIL I -. :1 ADDRESS CIN 4� ZIPwfEL. C APPLICANT r . UL" u i f`�C��6� TEL. CONTRACTOR 'o ADDRESS 0� IWC$ st Z .v CITYA45 rWt-T _ ' ZIP 'G �EL. � t — l ARCH/LNG/ _DESIGNER ADDRESS . CITY �'`� ' � 8 � m [P TEL. C OWNER -BUILDER DECLARATION i hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the reason(s) J Indicatod below by the checkmark(s), i have pieced next to the applicable item(s) [Section 7031.5, Business and FProfessions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair, any J stiacture, prior to its issuance, also requires the applicant for the permit be file a signed statement that he or she j is licensed pursuarrtto the provisions ofthe Contractor's State License Law (Chapter 9) Commencing with Section 7000 of Division 3 of the Business and Professions Code] or that he or she is exempt from licensure and the hasis for 3 the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). j U 1, as owner of the property, or my employees with wages astheir safe compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, b3ilds or improves the property, provided that the improvements are not Intended or offered for sale. If however, the building or Improvement Is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). (_) 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant tothe Contractors' State License Law,), i U I am exempt from licensure under the Contractor's State License law for the following reason(s): i By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this penr l cannot legally sell a structure that I have built as an owner-bullder if it has not Leen constructed in its entirety by licensed contractors. I understand that a copy of the j applicable law, Section 7044 of the Business and Professions Code is avallahle upon request when this application is submitted or atthe following Weh site: http/www.leginto.Ca.gDV/Calaw.hlml, LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed antler provisions of Chapter 9 (commencing w!th Section 7000) of Division 3 of the Business and Pro gqfessions Cede, and my license is in full force and affecf. ICENSE^ CLASS:VAC—'w//LIC.NO : 556 q f ATE:.��r7CONTRACTOR: V .i C'l !! WORKER'S COMPENSATION DECLARABON I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I have and will maintain a Cerfificate of Consent to Sol# -Insure for Worker's Compensation, as provided by Section 3700 of the Labor Cade, for the performance of the work for which this permit Is Issued. have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Worker's Compensation lnsurance Carrier and Policy Number ar CARRIER POLICY NUMBER [(1 -IIS SECTION NEED NOT BE COMPLETED IF TRE PERMIT I FOR ONE HUNDRED I)OLLARS ($1 OO) OR LESS). I certify that in the performance ofthe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation Laws of California. And agree that If I should become subject to the Worker's Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wiftthose provisions. DATE: APPLICANT: WARNING: Failure to secure Workers Compensation coverage is unlawful, 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 the compensation, damages as provided for in section 3708 of the labor code, interest, and aftemay's fees. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a Construction Lending Agency for the performance of the work for .which this permit is issued (Sec. 3097, Civ. C.). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and state that the above information is correct I agree to comply with all city and cannily ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. 0?s4 k ? RMI A RIN - `� 1GNAT OFP pA PRESS FIRMLY APPLICATION DATE: J/ P/C# ISSUE DATE: PERMIT# 5 9 15�_ TYPE CONST. OCC GROUP: Scop of Work # DWEL. UNITS #STORIES #BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM _ Garage/Carport � Patio/Deck ua � Pool/Spa ZRe -Raaf Eli Coihme ial , �� [D valuation � Adj. Area: QUANTITY DE CF}IPTION FEE U v J w U iG iF� z z CONSTRUCTION: ; ,( PLAN REVIEW; _ .. ELECTRIC: PLUMBING: MEGHANfCAL:��— INSPECTION FEE: ISSUANCE: SMIP: 4� ENERGY P/C: ENERGY PERMIT: RETENTION FEE: PRE -ALT FEE: BASF: PLOT PLAN: ZONING CLEARANCE: TOTAL FEES x��> COMMENTS: PlC: t;✓ �� p PAID BY: VALIDATION: WHITE —Department Copy, YELLOW— Finance Copy, PINK—Assessor RECEIPT#��1 PAID BY: VALfDATION:,-,_,�_ Copy ch Alw,)ND BAR INS, a iON RCS SETBACK/ LETTER TRACT- AND LEDGER FOOTINGS FORMS SWITCH GEAR SLAB COMMERCIAL HOOD UG. PLUMBING T RAR UG, ELECTRICAL INTERCEPTER — —� HOf MOP/SHOWERPAN UFLR GROUND SEWER LATL!{AL SEPTIC/CESSPOOL. MAIN WATER LIN[: HERS REr'(}RT RECEIVED .- SF'.WER G?_EANOU f DEMOLMON ROOF SHEATHING ROOF DRAINS FLOOR SHEATHING TROUGH CONDUIT —.— — . PODUSPA SHEAR WALLS EXTERIOR_ —. — SHEAR WAILS INTERIOR ROUGH PLUMBING FFtAMlNGIVENTING _ ROUGH ELECTRICAL _ _ �. TiOUGa7 MLCHANICAL ROUGH MECHANICAL ROUGH ELECTRICAL W( } C( _ GAS TEST ROUGH PL13MBING PRE GUNITE ... _ _ INSULATION WALL POOL PRE DECK BONDING INSULATION CEILING I' TRAP DRYWAL.I � _—. �... — 6A FENCE 1 GATE/ ALARM _. .. _.— LATH (FkE) — — FINAL FOOL m MALLS: .. . LATH EXTERIOR LATH INTERIOR 1NALL FOOTINGISTEEL —_ GAS TEST WALL STEEL 157( ) 2"( SCRATCH COAT WALL BOND BEAM _ — -- -- Ft-ECTRIC MI TER RELEM;E — WALL DRAIN/ SEAL GAS MITER IIELEASE — _— — —_ WALL FINAL SPECIAL INSPECTION —~� RO. FiIAMINGPLANNING AT'PROVAL iNAL BUILDING "� ROUGH FIRE APPROVAL. �f — — ... FINAL MECHANICAL FINAL FIRE DEPARTMENT—... FINAL ELECTRICAL FINAL rLANNlh! —_ — FINAL PLUMBING FINAL ENGINEERING/ PSN �..-_-.. �...._. �. _ T.G tai OCLUPANGY FINAL COMMUNITY SERVICES . _ _. . NAL HEALTH DEPT. OGCIiPACk FINAL .. — FINAL INDUSTRIAL WASTE t