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HomeMy WebLinkAbout11635 /� � ,:_- �' COMMiJNITY DEVELOPMBNT DEPARTMENT Ot'y 2L660 E.Copley Drive Suite 190 PRESS � (409)86Q3195 Fax(909)861-3117 L'""' BUILDIIVG PERMI'T APPLICATION FIRM4Y o DDRiESS���I /�� F��. �T'�R�`-i° OATE CATION� � � NU BEF� #� � APN LOT TRACT ISSUE TYPE OCC DATE CONST. GROUP p OWNER /�'�/'b /�G3- " ADDRE S � � ZONING SETBACKS gCITY� � / „_ 21P TEL FRONT qHl ❑ APPLICANT TEL. REAR ❑ � SIDE/SIpE STREET RW O � CONTRACT�R l�G�'y��� SIDE ❑ p� ADDRESS PROPOSED USE �' ��`'�'�'r'� � � CIIY ZIP TEL. ,'T��;-�--C��s�•� f�,:.�2 e�-41�l�--' �w ARCH/ENG/ �z DESIGNER NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANAIUATION � OWNER-B�ILDER OECLARATION SFR/ADO/REM O I HEREBV AFFIRM UNDER PENALN OF PERJUqV THAT I AM EXEMCT FROM THE COMMCTORS LI� G8f9aB(C21pOR W CENSELAWFORTHEFOLLOWiNG0.EASON�SEC.7037.58U51NE55ANOPROFE5SIONSCOOE:ANVCITVOP (f� C..) COUNTlWHICHREIX11RE5/1PEFMITTOCONSTHl1CT,AL7ER.IMPROYE.OEMOLISH,ORREVAIRANVSTRUG W Patio/Dedc 2 TURE.PRIOR TO ITS ISSUANCE.AL50 REW IRES THE APPUCANT FOR SUCH PERMIT TO FILE A SIGNE� w STATEMENT THAT HE OR SHE IS IiCENSEO PURSUANT TO 7HE PFOVISIONS OF THE CONTMCTOqS LF W � CENSE LAW(CHAPTEp 9(COMMENCING WITH SECTION 7000)OF DIVISION 1 OF 7HE BUSINESS AND PR4 � PooVSpa � FESSqNSCODE�ORTHATHEOflSHEISEXEMPTTNEREFqOMAN�THEeASISFOHTMEALLE6E0EXEMC• � V TpN.NJYVIOLATIONbFSECTI0N7001.5BVANYAPPUCANTFORAPERMITSUBJECTSiHEAPPLICANTTO Z RB-Ro01 � pCIWL PENALTYOF NOT MORE THAN fIVE HUNDREO DOILARS({600�.): O Z ❑I,ASOWNEROFTHEPHOPER7V,ORMVEMPLOVEESWITHWAQESASTHEIRSOLECOMPENSATION, CommerCt31 WILL DO THE WaRK,qND THE STRUCTURE IS NOT IM�IDEO OR OFFEREO FOR SA�E(5EC.70I�,BU51� �I NE55 AND PqOFE5510NS CODE:THE CONTHACTORS LICENSE UW DOES NOTAPPLY TO Ml OWNER OF � PROPERTYWHOBUILDSORIMPROVESTHEREON,ANDWH600ESSUCHV/ORKHIMSELFORHERSEIFOR � CL THROUGHHISORHEROWNEMPLOYEES,PAOVIDEDTHATSUCHIMPROVEMENTSAqENOTINTENDEDOR � QOFFERE�FOPSALEIF,HOVlEVER,h1EBUL0INGORIMPFWEMENTI$gp�pWITHINONEYEAROFCAMPLE- � 710N,THE OWNER-BU�LDEfl WILL MAVE TIiE BURDEN OF PROViNO THAT NE OR SHE DID NOT BUII.�OR = IMPROVEFORTHEPURP09EOFSALE). ❑I,AS OWNER OK THE PROPERT;AM E%CLUSIVELYCANTRACTING W�TH UCENSm CONfRACTORS � TO CANSTRUCT TNE PRQIECT(SEC.704d.BUSINESS AND PROFESSIONS CODE:THE CON7MCTORS LI- V8IU9�1011 ADJ.AREA W CENSEIAWDOESNOTAPPLVTOANOWNEROFAPROPER7YWHOBUiIDSORIMPROVESTHEREIX�I.AND h WFIOCONTRACTSFORSUCHPROJEC'TSWITHACONTRACTOR(5)LICENSEDPURSUANT70THECONTRq� QUANTITV DESCRIPTION FEE � 70RSliCENSELAW.). � ❑I AM E%EMPT 11NDER SEC. B.8 P.C.FOH THIS REASON Q � v LL /� (� � OATE y/' 6 OWNEF U ., . . s�[ UCENSE4 CONTRACTORS�ECIARATION W CL IHEREBVAFFIRMUNDERPENALTYOFFERJURYTHATIAMLIGENSEOUNDEAPqOVI510N50FCHARTEq � p'. B(COMMENqN6 WiTN SECTION 7000)OF DIVISION 30F THE BUSINESS AND PROFESSpNS CODE,AND Z �X MV UCENSE IS IN FUII FORCE AND EFFECT. � p LICENSE CU155 UC.NO._ _ � F— ""� V DATE CONTRACTOR n. W � WORKERS'COMPENSAT�ON DECLARATION Q � I HEREBY AFFIRM UNDER PENMSV OF PEHJIIR'�ONE OFTHE FOLLOWING�ECLAMTIONS; z � ___IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTO6ELF-�NSUREFORWORNER6' z CqMPENSATION,ASPPOVIDEOBVSECTION37oaOFTHEIABORCODE,FORTHEPEPWRMANCE W OF THE WOFK FOR WHICH THIS PERMIT IS ISSUED. � � � �t HAVE AND WILI.AfAINTI,IN WORKERS'CAMPENSATION INSUHANCE,AS HWUIkED BY SECTION {/�/"ry`�� Q 37000FTHELABORCODE,FORTHEGERFORMANCEOFiHEWORNFORWHICHlHISPERM1T15 ��V ISSUEO.MVWORNERS'CAMP�NSRTIDNINSURANCECARRIERAN�POLICYNUMBEFAflE: CONSTRUCTION J j CARRIER PIAN REVIEW Z VOLICY NUMBER ELECTfiIC Q � �rr+�ss�cma�NE�rioreeoa.w�ermoFn�veanqrswnor+EFnx�oauasR+oo)at�ss�. PLUMBING � 1 CERTIFV THAT IN THE PERFppIdANCE OF THE WOHK FOR WHICH THIS PERMIT IS ISSUED.I MECHANICAL (J 5HALLNOTEMVLOYANVPERSONINANYMANNERSOA5T06ECDMESUBJECTTOTHE � � WORNENS GOMPENSATION LAWS OF CALIFORNI0.ANO AGREE TMpT IF I SHOULD 6ECOME INSPECTION fEE S SUBJECTTOTHEWORKERS'GOMPENSA710NPROVISIONSOFSECTION�70oOFTHEU80R C�E,i SHALL FORTHWITH CpMPLY WITN THOSE PROVISIONS. 1SSUANCE I � SMIP � p DATE: APPUCANP. J WARNING:FAILURETOSECUREN'ORKERS'COMPENSATIONCAVERAGEISUNIAWFUL,ANOSHALL9E ENERGYP/G �y SUBJECTANEMVLOYEFTOCRIMIWLL.PENALilESANDCMLFINESUPTOONEHUNDREDTMOUSAND ENERGYPERMIT I OOLURS(S1o0,0001.MADOITION TOTHE COSTOF COMPENSATION,DAMAOES AS PROVIDEO FOR IN �� � SECTION a7oe OFhIE U190R CO�E,INTERESf,AND A7TOpNEY'S FEES. RETENTION FEE: F^�— " a CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O � 1 HEREBY AFFIRM UNDER PENALTY OF PERIUR�THATTHERE IS A CONSTRUCTION LENDINO A6ENCV FORTHE VEHFORMANCE OFhIE WORN FOF WHICH 7N15 PERMIT I$ISSUEO(SEC.30B1.CIV.C.�. Z W � LENDER'9 NAME F-- LENDFR'SADORESS � TOTAL FEES ' W IGENTIFYTHATIHAVEREADTHISAPPLICATIONAND5TATETHATTHEA80VE�NFORMATIONISCORRECT, � IAGREE TO CAMPLV WITHALL CINANO COUNTY OqpINANCES AND STATE UWS RELATING TO BUILDING � CONSTRUCTION,ANDHEREBVAUTNORREREPRESENTATIVESOFTFUSCOUN7v70ENTERUVONTHE � Z ABOYE�MENTIONEOPROPERTYFORINSPECTIONPUqPOSES. COMMENTS � ��l-� C.�!'�'Y /��r q. i � ¢ PEHMI7TEE NAME(PRINn � � u� �C> �'�`CI � SIONI,TURE OF PE M OATE _ t = RECPT.NO. � PAID BY � VALIQATION ~ WHITE—Depertment Copy,YELLOW—Finance Copy,PINK—Assesaw Copy,GOLOENROD--File Copy,GREEN—AppllcaM's Copy ' .,,� �-,r�� . '��-.,: w , �-.,c,����`f��Ms�i F �i da�P;:5 �:d? r�t �,�; .,�;uti�:, . . . � >.. C �,.WA+iC, '�°MA"P4+4�'±E?-0VG'M,i$$a5`;1��.�"raF4tk',2'�'"yrhrwlxr. ^ky'e� '. ,..-.. •�.. Ya't'�.:� �..wo� � x,.i.�,.��`,�`'"'�1� . -'�� "�;x���'��x v�`e.'��'�� ,a r,•. �� ` ,. . .>%'��� .`F����W. � �i'��.Q�D'�T,MON�..,�t1�. . 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