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FACTOR PSF ADJ.AREANALl1AT10N p� OWNER•BUILDER DECLARATION SFR/ADDlREM O I HEREBY AFFIRM UN�ER VENALTY OF CEiWq7 TH�T I MI E%EMPT FROA1 THE CONTRACTOqS U- Ga�8p0/CBfpOR W CENSEUWFORiHEFOLLOWINOREASON(SEC.70.71.6BUSWESSANOGROFESSIONSCODE:ANYCITYOR (n V COUNTYNMICHREOUIRESAPERMITTOCONSTRUCT.ALTERIM7ROVE,DEMOLISH.ORREPAIRAN'lSTRUC• W patlalDeck �� � 7LRE.7RIOR TO RS 155UANCE.ALSO RE�UIRES THE APCIICANT FOR SUCH PERMIT TO iILE A SIGNED w ' STATEMEM THAT HE OH SHE IS UCENSED DURSUANT TO THE PROVISiONS OF TME CONTRACTORS LI- � CENSEUW(pUPTERY�COMMENCWON77H5ECT10N70oa)OFDIVISION90FT11EBUSINESSANOPRO- � PooUSpa FESSIONSCOOE)ORTMATHEORSHEISDCEMVTTNEREFROMANDTMEBASISFORhIEALLECEDE%EMP- C7 TION.ANVVIOUiIONOFSECTION)o7I.68YANYAPPUGVfTFORAPERMITSUBJEGTSTtEMPLIGWTTO Z Re-Roo1 A pVIL YENALTY OF NOT MORE TFIAN FIVE FNNDREO DOIURS(i5o0).): Z04�aVNEROFTMEPHOPERTY,OHMYEMPLOYEESWITHWAGESASiNEIFSOLECOMPENSAT10N, � COmmBfC101 . 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B.l P,C.FOR THIS REASON Q � 2 �. / � DATE OWNER V Z W � LICENSED CONTRACTORS DECLARATION W � IHEREBYAFFIiiMUNDERPElU1TYOFVE0.JURYTHATIAAILICENSEDUNDERPROVISIONSOFCHMTER � � 1(COMMENCWOVATHSELTION7000)OFOINSION70FTHEBUSINESSANUVROFESSIONSCODE,AND Z �� YY IICENSE IS IN FULL FORCE M1D EFFECT. � m , � LICENSE CLASS �G� LIC.N0. �� �S� � -- .V DATE �" � '� CONTRACTOR d W � WORKEFS'COMPENSATION DECLANATION a NIHEREBVAFFIRMUNOERPENFLTYOFPEfWRYONEOFIHEFOLLAWINCOEQAMT10N5: Z , � �IXAVEMIOWILLMNNTAINACEfiTIFICATEOFCONSEMTOSELF•INSUfiEFOfiYVORKEFS' _ COMPENSATION,ASGROVIOEOBYSECTION�7ooOFTMEUBORCOOE.FORTHEPERFORMANCE W Q OF iHE WORK FOR WHlp/TMIS CERMIT IS ISSUED. � Q _117AYE M10 WILL MNMAM WOIL(ERS'CAMPENSATqN MSURANCE,AS PEOUIRED BV SECTION 97000FTHELABORGOOE,FORTNEiERFORMANCEOFTMEWORKPoRWHIp/TH15PERMITIS � � ISSUED.MVWORKERS'C/OMPEtNS'AT /IN�SURANC ARRIER N070UCYNUMBERARE: CONSTRUCTION � uawEa "7 c1z^'�Jr �"1M^� PLAN REVIEW � VOLICYNUMBER � ll J� ELECTRIC � (MSSECil01JNEmNOTBE�InPLEfmCFT1EPEPMf45fORONEW�OREDDOLL/�itSpta�ORL65� PLUMBING Z ICERTIiYTHATINTHEiERFORMANCEOFTHEWORKfORWHICHTNISPERMIT�SISSUED.1 MECHANICAL U' SH�LL NO7 EMPLOY ANV PERSON RI ANY MANNEN SOAS TO BECdAE 5U8JECTTO TME � � WORNERS'C0IAPENS�TION UWS OF GLLIFORNIA,ANO 11GREE THAT IF I SNOULD BECOAAE INSPECTION FEE S SV&IECT TO TNE WORI(ERS'COMVENSATION PRONSIONS OF SECTION�700 OF THE UBOR , , CO�E,I SHALL FOFiTM41TH COMPLY VlITH THOSE VROVISIONS. ISSUANCE t � �r������ SMIP DATE: APPLICANT: � W�RNINQ:FAILUiiETOSECUREWORKERS'COAIPEN 1�AS COVERAGEISUNUWFUL.ANDSWLL6E ENERGYP/C � SVIi1ECTANEMPLAYERTOCRIMWALPENAlT1E5ANDCIVILFINESUPTOONEHUNDRE0T10USAND ENERGYPERMIT }, DOLURS(ftao,Doo),INADDITONiOTHECOSTOFCOMPENSATqN,OAMAGE5A5PROYIOEDFORIN �f. ¢ SECTIDN]70lOFTMEUBORGOOE,INTEREST,ANDATTORNEYSFEES. RETENTIONFEE: �, OCONSTRUCTION LENDING AGENCY pqE-ALT FEE: � IHEREBVA�FIRAIUNDER7ENALTVOFVE0.NRYTNATTNEREISACONSTRLIMIONLENDIN4ACENCY � FOR TME PERFORMANCE OF h1E WORK WR WHICH MIS PERMITIS ISSUEO(SEC.]oY7,CN.C.). Z w � IENDEfYSNAAAE � wIENDER'SADDRE55 �� . � � TOTAL FEES � ICERTILYTHATIHAVEREADTHISAPVLIC�TbNANDSTATETNATTMEABOVEWFORMATIONISCORRECT. � IAGFEETOCOMPIYWITHALICR`/ANDCOUNTYORDWANCESAN�STATEUWSREUI4J(ITOBUMWO � CANSTRUCTION,M!D HEREBV AUTHORRE REPRESEMATNES OF THIS GOVNTY 70 ENTER UPON THE Z ABOVE-MENTIONEO PHOGERTY FOR INSPECTION PURPOSES. COMMENTS � J � � PERMI NAME(PWNn L��* �..'t7 UJ ' (� • � SIGNATUREOFPEFMIF E OATE � � RECPT.NO. PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessa Copy,GOLDENROD—File Copy.GREEN—Applicant's Copy .o.,'.':i..t1J:..1'.���}"r�. ..n� ...>n-.i,. ... ..�i.... , ....... .. -- �. . .,v- . .,,-� �cif� , r.. ^-�.r- ���;�: ..�. ..q. .. . „ +.ny;�......,r. • � �v. . ... .� r- .. -., - . �ezti� �€= �d��r�;or��o ��,, ir����E�:����r� R�c��ti� _ _�__.---_._.. ._.__� _.._________._..__ 'I��F-"�►��c�„��{c,l.►� �.�..�uG'=, .�►��'9 �-:E.`'��,1�'a (►��'1;��.`� ,.. y T . ' � 1►�(��%..y.l�'�'�:� � � � c_��C�'��►I� e) ��'�; 1 c., o r i T �- - — .__. _..__ -_ .___._.._.. .---....___,_ _.�..._._ __.....-----------__------...__.�__ ... � ._.__,__�.__�_.__._ >_---._.. .. - � � � FLOOR JOIS� ! � SET BACK FfGS/FORMS/STEEL �___��, , �_ FHA REQMTS ELECTRIC GROUND --I UtJDER FLO�R DUCT }�. GROUND PLUtv1BING � UNDER FLQOR CUf�IDUIT I SLAB GRADE i � FIREPL�CE FOUtJDATiO�� I TEMP POWER FIREPLACE E3�ND 6EAM �VATER SERVICE h11D HT. BOND BEAh1 ROOF SHEATHING 8 FT. BOND BEAM FRAMINGNENTIUATION FINAL BOND BEAM 1 ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUi41BING FINISH GRf�DING SHOWERrfUB TEST POOL ELEC i RIC EXT.IATH/SIDING POOL FENCING WALL INSULATION POOL FINAL � CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEV✓ER FINAL ENG. SEPTIC TANK LA�dOSCAPE/IRRIG. SEEP PIT/L.L. OfJ SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. �IRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC ���A2 _ DEV. FEES PAID FINAL PLUMBING ENERGY � i:`� :tlTf 1= 'I+:.;f -- CUP,�MENTS SEEP PIT/U SIZE 'y� ,���� _ � , . ! .., , I , . , ,. •, � ��