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i k . `� D PARTMENT OF COIGIMUNITY �� � 8t DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(904)861-3117 PRESS �,,p�.� BUIIJDING PERMIT APPY.ICATCON FIRMLY _ _ .., _ _ . . .. ..,. . , . u._:, , �y:.,a . .., o AD�RIESS `��+"'���-✓/ DATE CATION � Y _ �'��'�i NUMBER ����� #/C ����D � -� � / issue � TYPE occ APN LOT Z TRACT� ZZ6�"7 DATE CONST. GROUP p OWNER � - _ "" ADORESS �t ZONING SETBACKS � CITYy�iZf//✓.�'i ZIP�F1/ZTEL� � FRONT RW ❑ APPLICANT TEL. REAR ❑ SIDEISIDE STREET RW ❑ � CONTRACTOR� SIDE � ADORESS PROPOSED USE / CITY ZIP TEL. � �� w ARCWENG/ • � DESIGNER /�'L�—��-r ��st�G--- NO.DWEL. NO. NO. ADDRESS�,��"'�'� K �L � UNITS STORIES BEDROOMS � CITY ZIP%��-/�'p')-°i'EL. � DESCRIPTION SQ.Ff FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFRlADD/REM O p I HEREBY AFRRM UNDER PENALTI'OF PERIURV THAT I AM EXEMPT FROM THE CONTRACTORS U� � Garage/Carport L1J CENSEUWFORTFIEFOLLOWINGHEASON(SEC.7a31.5BUSINESSANOPRpFES510N5CODE:ANYCITVOR CJ COUNTYWHICHREOUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOIISH,ORREPAIqANYSTRUC� w pgti0/DeCk ZTURE.PRIOR TO ITS ISSUANCE.ALSO REOUIqES 7HE APPLICANT FOR SUCH PERM�T TO FILE A SIQNED � STATEMENT THAT HE OR SHE IS LiCENSED PURSUAN7 TO THE GROVISIONS OF THE CONiMCTORS L4 � CENSE LAW(CNAPTER 8�CAMMENCINO WITM SECTION 7Wo)OF DINSION 3 OF iHE BUSINE55 AND PRO� �'j' PooUSpa _ FESSIONSODOE�ORhiA7HEORSHEISEXEMP77HEREFROMANDTHEBASISFOPTHEAILEGEDE%EMP� (� TqN.ANYYIOLATI0NOF5ECT10N7o31.5BYANYAPPUCANTFOFAPERMITSU&lEG'f9THEAPPLICANTTO Z Re-Raot � ACIV0.PENAL7V OF NOT MORE THAN GIVE HUNDRm DOLURS(5500�.): Q � ❑I,ASOWNEROFTN[PROPERTY,ORMYEMPlOYEESWITHWAGESASTHEIRSOLECOMFENSATION, COfIlI11EfC12I ' NALL OO THE WDRK,AN�THE STRUCNRE IS NOT INTENDED OR OFFERE�FOR SALE(SEC.70d4,BU54 J � NE53 AND PF�FESSIONS CODE:THE CONTRACTOflS LICENSE LAW DOES NOT APPLY?O AN OWNER OF � PROPERTY WHO BUILOSOR IMPROVESTHEREDN./WO NRIOOOES SUCH WORK HIMSEIF OR HERSELFOR [[ TMROUGHHISORHEROVMEMPLOYEES,PROVIDEDTHATSUCHIMPROVEMIENiSARENOTINTENDEDOR CTI W OFFERWFORSALEIF,HOWEVER,THEBUILDINGORIMPROVEMEN715SOlDWITHINONEYEAROFCOMPLE� �-' �iION,7HE OWNER�BUILDER WILL HFVE 7HE 6URDEN OF PROVING TriAT HE OR SNE DID NOT Al11tD OR � IMPROVEFORTHFPURPOSEOFSAI.E). ❑I.AS OWNEP OF THE PROPFRTY,AM EJ(CWSIVELY CONTRACTMG WITH LICENSm CONTRAGTOflS � TO CONSTRUCT 7FIE PRQIECT(SEC,7oN,BUSME55 AND PROFESSIONE CO�E:THE CAMRACTORS�I- VdIUa110�1 ADJ.AREA 1_,11 CENSELAWDOESNOTAPPLYTOANOWNEROFAPROPERTYWHOBUILDSORIMPHOVESTHEREON,AND I WHOCONTRACTBFORSUCHPRQIECTSWITHACONTRACTOq(S)LICENSEDPURSUMfTTOTHECONTRAG Q(JANTITY DESCRIPTION� FEE �"' TOPS UCENSE UW.). � OIAMIXEMPTl1NDER5EC. B.SP.C.FORTHISREASON Q � 3 -_--- U � LL' DATE OWNER r � W � LICENSED CONTRAC70RS DECLARATiON -� � W 1 HEREBV AFF7RM UNDEIi PENALTY Of PERJURY THAT I AM UCENSED UN�ER PROVISIONS Of CHhPTER p� D(COMMENCINp WITIi SECTtON 7009)OF DIVISION a OF 7kE BUSINE6S AND PROFESSIONS CODE,AND � � X MY LICENSE IS IN GULL FORCEMM11 D EFFECi. z UJ � , *.^`�� � � UCENSE CLASS p__ LIC.NO. /���" "" � v DA7E'��''y� � -�'__-�`�.� CONTRACTOR �_. a W � WORKERS'COMPENSATION DECLARATION Q _ � 1 HERW AFFlRM UN�ER PENALTY OF PERJUHY ONE OF THE FOLIOWING DECL0.RATIONS: � � 4 Q I HAVE AND W1Ll MAMTAIN A CERTIFICATF OF CANSEMTO SELFdNSURE FOR WORKERS' T � COMPENS�TION,AS PROVIDED BY SECTION 370o OF TME IABOR CODE,FOR THE PERFORMANCE W F THE WORK FOR WHICH YHIS PEqNiT!S ISSUEO. � Q 1 HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQIiIRED BV SECTION nQ J 3700OFTHE LA90R CODE.FOR THE PERFOFMANCE OF THE WOFK FOF WIitCH THIS PEapyT IS ISSUED.MYW ERS'COMPEN$ATION7N. PNCE A�iIERANDGOLICVNVMeERAq(�[�� CONSTRUCTION � CARRtEFi l�" � �� �� """ PLAN REVIEW z �Y M8E s ° � ELECTRIC ��'�� _ siC _'" � EFDND OF7}gPEFiWTISFORIXJENINDFEDDOLLNS(St00JORLESS�. PLUMBING � � •�� Z I CERTIFY TNAT IN THE PEFlFORMANCE OF THE WOFK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL �_ � SHALLMOT EMPLOYANY PER90N IN ANY MANNER SOAS TO BECOME S&ECT TO'HE � NYJRKERS'COAIPENSATIONLAWSOFCALIf-0RNIA.ANDAGREETHATIF SNOULDBECOME INSPECTIONF E _. S SU&IECTTOTHEVIOAKERS'COMPENSATIONPROVISIONSOFSECTI 31COOFTHELABOR ` `� � E,tSHALLFOflTMWITHCOMPlVW1T}iT SEPROVISIONS. ISSUANCE ��T• a �( ���� .�, .� . _ p DAT ��� �v APP�ICANT: SMIP � ' ENERGY P/C J WAANIN 'F ILURETOSECUREVJORKERS'COMPENSATIONCOVERAGEISUNLAWFUL,ANOSHALLBE �y SU&IECTANEMPLOYERTOCRIMINALPENALTIESANOCIVIIFINESUPTOONEHUNDREOTHOUSAND ENERGYPERMIT DOLLARS(f700,OW).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PFOVIDED FOfl IN � SECTION3]080Fh1ELA8ORCODE,INTEREST,ANOATTORNEN5FEE5. RETENTIONFEE: d CONSTRUC710N LENDING AGENCY PRE-ALT FEE: - CL IHEREBVAFFIRMUNDERPENALTYOFPERJLJRYTHATTHEREISACONST CTIONLENDINGAGENCV � FORTHEPERWRMANCEAOFTHEWORKFORW H[TJJd�SPER/A1}rT�I.S�,�ISS.0 (SE4�OBT,CNC.�. �W / '(�/% � �! T/ / '°-'� LENDER'S NAME _ F=- LENDERSADORESS —� y � ICERTIFYTHATIHAVEFEADTHISAPPLICATIONANOSTATETMATTNEABOVEMFORMATIONISCARRECi TOTAL FEES . �, �3�� `✓ � I AGREE TO COMPLY LN'fH ALL CITY ANO COVNTV ORDINANCES AND STATE IAWS FEIATWG TO BUILDING �� � CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATNES OF THIS COtXJTY TO ENTER UPON THE ABOVE-MENTION[D PROPERTV FOR I PECTION PURPOSES. COMMENTS a ���..,e �l' - — QPF_flM�ITTEE N�AME�(PRI ) �T�.� A� u� _�t•�c� _ 2`��[�.1�'�C./ ^�« _ vj s��ICfUREOFPERM� DATE ' � RECPT.NO. PAID BY '� VALIDATION WHITE—Department Copy.YEILOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applican['s Copy 'h" . '"'�'': -..:�-.;,,:.: . ..,.H;.,.:i ..;.._ ....,h� -. ,.:i . . .....,. � ., .�. 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