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HomeMy WebLinkAbout17277 i� ����aT�'�if�����BE� ^----��-- DEPARTMEEIvT�F COMM�JNTI'Y&DEVELOPMENT SERVICES I I 21825 E.Coptey Drive (909)860-3195�ax(909)861-3117 PRESS '""-�� BUILDING PERMIT AYPLICATION FI LY � JOBSITE APPLICATION ? PERMIT � �" � P/C o ADDRESS 1124 Cleghorn DATE � NUMBER # � ISSUE p ,r� G�j TYPE OCC APN LOT S'RACT DATE 6 �� l p OWNER _(;i marron Oak� I HOA CONST. GROUP "- ADDRESS h75 W Fnnthi 1 i Rl vd_ #1 Oli. ZONING SETBACKS o - Z CITY(���g��� ZIP A1711 TEL�Q�I—�1Q,3 FRONT RW C o APPLICANT TEL. REAR ❑ Z SIDEISIDE STREET RW ❑ ¢ CONTRACTOR Rn�al Rnnf Cn_ SIDE ❑ ADORESS o cirv ����-��}Z P ���6fi�fL��_ PROPoseo use___'�'ear off wood shakes. Install z DESIGNE�� 7692 GG1IAgC1S1t].A1L�h�ng�E's w NO.DWEL. NO. NO. � AD�RESS UNITS STORIES �We BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION_ SFR/A�D/REM O p I HEFEBV AFFIRM UNOER PENALTY OF PER,A/RV THAT 1 AM EXEMPT FROM THE CONTRACTORS LI� G8f890/CBfPOrt W CENSELAWFORTHEFOLLOWINGREASON(SEC.7o37S8U5iNE55ANDPROFE5510NSCODE:ANYCITYOR (n U COUMYWHICHflEQUIRESAPERNITTOCONSTflUCT,ALTER,IMPflOVE,DEMOLISH,ORREPAIRANYSTRUC- � W � TURE,PflIOR TO RS ISSUANCE,ALSO REQUIRES THE APPLICANT FOR SUCH PERMITTO FILEASIGNED w PatiO/DeCk - � . STATEMENT hiAT HE OR SHE IS LICENSED PU(iSUANT TO THE PROVISIONS Of THE CONiRACTORS LI- � ' CENSE LAW(CHAPTER 9(COMMENqNG WITH SECTION 7000)OF OIVISION 3 DF THE BUSINE55 AND PRD- V' POOVSP& O , FESSIONSCODE)ORTHATHE-ORSHEISEXEMPTTHEftEFROAFAN�THEBASISFORTHEALLEGEDEXEMP- (� V ' TION.ANYVIOLATIONOFSECTION7o31.5BYANYAPPLICANTFORAPEHMITSUBJECTSTHEAPPLICANTTO Z Re-Roof 3000 �. ACIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLVIRS(ESoo).7: � �� ❑I,ASOWNEROFTHEPROPERTY,DRMYEMPLOYEESWRHWAGESASTHEIFSOLECOMPENSATION, ❑ Commercial - Z I, WILL DO THE WORK,ANO THE STRUCTURE IS NOi INiENDED OR OFFEHED FOR SALE(SEC.7044,BUSI- J � ��. NESSAN�PROFESSIONS CODE:THE CONTRACiORS LlCENSE LAW DOES NOTAPPLV TO AN OWNER OF ? �, PROPERTYWHOBUILDSORIMPROVES7HEREON,AN�WHODDESSUCHWOftKHIMSELFORHERSELFOR � �', THPAUGHHISORHEROWNEMPIAYEES,PROVIDEDTHATSUCHiMPqOVEMENTSARENOTINTENDEDOR m � � ''�, OFFEREDFORSALE.IFHOWEVER,THEOUIL�INGORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE- Z ,.TION,THE OWNER-BUILDER WILL.HAVE�THE BURDBJ OF PROVING ThiAT HE OR SHE DID NOT BUIL�OR � , IMPROVEFORTHEFUFiPOSEOFSALE). W � ❑I,ASOWNEqOFTHEPROPER7YJAMEXCLUSIVELYCONTRACTINGWITHLICENSE�CONTRACTORS Q �. TO CONSTRUCTTHE PRQIECT(SEC.7f14a,9USMESSAND PROFESSIONS CODE:THE CONTRACTORS L4 V81U3t1o� ADJ.AREA W '. CENSELAWDOESNO7APPLYTOANOWNEROFAPROPERTYWHOBUIL�SORIMPqOVESTHEREDN,AND � �',, WHOCOMRACTSFORSUCNPR0.7ECTSWITHACONiRACTOR(S)LICENSEDPURSUANTTOTHECOMRAC- QUANTITY DESCRIPTION FEE Y � TORS UCENSE LAW.). � ❑1 AM EXEMPT UNDER SEC. B.&P.C.FOR THIS REASON Q ?„ U � , � ' OATE OWNER F— Q . W � LICENSED CONTRACTORS DECLAAATION W ¢ � '. 1 HEREBYAFFIRM UNDER PENHITY OF PERJURY THAT I AM LICENSED UNDEfl PROVISIONS OF CHHPTER � p. �'�.� 9(COMMENCINaWITHSECTION70o0)DFDIVISION30FTHEeU51NESSANDPROFESSIONSCODE,AND z �X �� MY LICENSE IS M FULL FORCE AN�EFFECT. m � . LIGENSECLASS�'—�� ��� LIC.NO.I�,��67 � F, . J w DATE�;�"1—l17 CONTRACTOR_D��.Qi D��� a 1 Z.J � WORKERS'COMPENSATION DECLARATION Q � , I HEREBYAFFIRM UNDER PENALTV OF PEPJURV ONE OF THE FOLLOWING DECLARATIONS: Z � �'. _IHAVEAN�WILLMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' _ ¢ COMPENSATION.ASPROVIDEDBYSECTION37000FTHELA90RCODE,FORTHEPERFORMANCE U Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUE�. � w ��IHAVEANDWILLMAINTAINWORKERS'COMPENSATIONINSURANCE,ASRE�UIREDBYSECTION Q , 37000FTHELABORCODE,FORTHEPEPFORMANCEOFTHEWORKFORWHICHTHISPERMITIS ��d �/�� ISSl1ED.MV WORKEAS'COMPENSATIDN INSURANCE CARRIERAND POLICY NUMBERARE: CONSTRUCTION lJ v j ' cnaaiEa Sunerior National PLAN REVIEW Z POLICVNUMBER 4V.bfY�3tJFl�QT=tt ELECTRIC � Q _ 0 I QHISSECiIONNEmNOTBEO�MPLEfE�OFTHEPERM(TISf-0RONEHLtlJDRED�OIlARS�$1oa)ORLESS). PLUMBING W Z ICEFiTIFVTHATiNTHEPERFORMANCEOFTNEWORKFORWHICHTHISPEftMITISI55UE�,l MECHANICAL '(_5 SHALLNOTEMPLOYANYPERSONINANYMANNEASOASTOBECOMESUBJECTTOTHE (/J WORKERS'COMPENSATIDN LAWS OF CALiFORNIA,AN0 AGF=E THAT IF I SHOULO BECOME INSPECTION FEE � � Sl16JECTTOTHEWOFKERS'COMPENSATIONPROVISIONSOFSECTION37o00FiHELA80R '�'^+ = CODE,ISHALLFOflTHWITNCOMP'YWITHTHOSEPflOVI510NS. ISSUANCE �' � � p DATE: APPLICANT. SMIP � J WARNINC`v FAILUflE TO SECUFE WORK�fiS'COMPENSATION COVERAGE IS UNLAWFUL.AN�SHALL 6E ENERGY P/C LL, SUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFINESU?i00NEHUNDPEDTHOUSAND ENERGYPERMIT �DLLARS(51oo,oCo),IN ADOITION TO THE COSiOF COMPENSATIDN,DAMAGES AS PROVI�EO FOR IN J SECTION3]OeOFTHELABORCODE,INTEflEST,ANDATTOFNEV'SFEES. '�"'• p� faETENTION FEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAFFIRMUNDERPENALTYOFAERJURVTHATTHEREISACONSTRUCTIONLEN�INGAGENCY FOqTHE PERFORMANCE DFTHE WORK FOF WHICHTHIS PERMIT IS ISSU[0(SEC.3a9],CIV.C.j. Z W _"' � LENDER'S NAME H LENDEP'SADOP.ESS w I CERiIFV THAT I HAVE READ THIS APPLICATION AND SiATE THAT THE ABOVE MFORMATION IS CORRECi TOTAL FE ES � � � . � 1 AGREE TO COMPLV WITH ALL CITY ANO�IJNTY ORDINANCES AND STAiE LAWS RELATING TO BUILDING - � CONSTRUCTION,ANDHEHEBVAUTHORIZEFEPRESENTATIVESOFTHISCOUNTYTOENTEFUPONTHE z ABOVE-M°NTIONEDPROPEflTYFORINSPECTIONPURPOSES. COMMENTS � — J � m PEflMITTEENA ��(P NT) @ C� � ( f4_ �5j.L14 ��_�_�_ ��,�,/ � SIGNATUREOFPEPMI E DATE �;��(� �� = RECPT.NO. d� PAID BY VALIDATION F WHITE—De artment Co YELLOW—Finance Co PINK—Assessor Co GOLDENFIOP—File Co GREEN—A IicanPs Co P PY. PY� PY. PY. PP PY :;.;�.... . .....:....._,..,..,.. ....._... .. .._., ,., . . ��<:; a �>- .,.' � -3,.. ,�? .. �..,. ,' ' =... . . ..,. ...- , �� . �-:,: ., �,.,,-.. -..„- .. ... ........ ....... . . . � . .,.:. ... - -� -....... ... .. . �.,,.,:. - ., .�. - . , . . t- , , . ,,..s . a�: � r: , _ _ .. � '� �.. i .�. . 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