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P E IT
<br /> EXP I R
<br /> F2rmit may have expired wits ou"
<br /> A being competed or inspe�<<;;a
<br /> .ton AUURkas:— pp.AMff n:
<br /> l.IC11NyLO CONTRAOTOR9 DECLARATION
<br /> hofoby efAms thol I om Ilconsod Undor Ilia provisions of Ch apter 9(co,rns nncsng)s(Us SocCon 7060)of Divitlon 3 oftho livslness and
<br /> FWasSlons Code and rnV IJCansa Is h(01 force nrul effect.
<br /> 1.10011,30H. q1 4--+–/–.7 - A8 --b 1) Explrnllonpato O� 30 2-fi
<br /> Dela /2.—y— !3 Contractor Al' dry LLP `
<br /> 12-13-2013 Exploration Geoservices, Inc.
<br /> OWNER•flUI1,01ER DECLARATION
<br /> herebyoffirm that I ant oxompl Guru tho Conrocio?a Ucanso low for tho fo;Weing reason(Section 7031.5,Guslness and Pio:esskne
<br /> Cala: Any city or county vUch tuqufrog u pggnll t0 conslrurl,e'tor,Impmra,demo2sh,or repah any stnn:luro,prior to Its Issuance,
<br /> else roqu'ros Iho applicant for such permit to fie a stgned tWoasont that he h Bccnsed pursuant to the p(o*lons of tho CorMicior'o
<br /> Uconeo Low(Chapter 0(comrooncing with Section 7000)of WAsion 3 of Uio Rus!ncss and Profosslona Code)or that he Is exempt
<br /> harofrom and the basis for the Aucged oxomption. Any volation erBaction 7031.6 try any eppflcont for o parmlt svh)eUs the eppl;canl
<br /> to a CiW penalty of not moro than Into hundred dollars
<br /> CI I,as o'Enor or the properly,or irty emyAyeC3 With%vKo3 as UtoV w10 wmpeivsaVon,MI do Ura vmk,and tho eiruslurei b not
<br /> Inlantad or offered for ante(ScUbn 7044,Uuslnass end Pfofosslona Code:Inc conlrcvfoes Llrartso Low does not apply to an
<br /> n qer of property Wio b'Mq or htprovos thereon,end 0io doss such mrfi hlmaatf or Sxcxrf}h Ne arm orrf&ynos,provided shot
<br /> such improvements aro MI Wevlcd or of(eroJ for Sala. 11,IW6aver,the brir'ding of Impratamonl E soleiµWthfn ono year of
<br /> corn{Luton,like ovmer•btilder v,11 have Uro btxda n d p(ahig Ur Dt he did net b0d arimprovo ror tho purpoie or salo.)
<br /> 131,as o'nor of IM property,orn exciustialy wnliarAN WO Fwa5cdwn4,3aoiu to construct the pio(od(Soc ion 7044,business and
<br /> ProfamIons Godo(Of,PC): Tho Contmaor s Lteense Low does not appy to an omor of property"fio builds or Improves hereon,
<br /> and a{w consUwJs(or suchpra)eUs aSth o oonUuc4or(s)transed pwsuanllo lha ConUactola lbmso L:nv.}
<br /> giamoxomplunderSadm RVCforl413roason,____-____
<br /> 0ato: Ov+nert
<br /> WORKERS'COMPF-NSINnon DECLARAVON
<br /> I horobynffihrt IIA1I have o cetFficnto of consent to solr•1nsUro orn cerliflcale of Wolkure'Componseillon Insuranco,ore
<br /> oorlifled copy thoroof(SocUon 3800,Lotwr Codo).
<br /> F.xplraliofiData()1- 1-2(14 Company. ATLTr LS- N-Cffth America, Inc_
<br /> 13 CoIIMNIcopy Islie rebyNW-Ji ad Policy#WWC3050532
<br /> Jo Cortlkel eopyls riled with U)o Envlronmenial 1(oahh popsrtntont
<br /> CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE
<br /> (Tlvs sed`on n firiD1 bo eanWriled If tho oermlt Is for onn hUndrod dollme($1001 of lass)
<br /> 1 wrtl(y that In Ilio portornbonce of tho vveik for which this lsnraill is Issued,I sting riot employ nny poison In nny manner so
<br /> as to hecon)o eub;ed to the Wotkarc'Componsalion Laws of CaPloinla.
<br /> 1311W ,�__ Applicant
<br /> NOTICE TO APPLICANT:If,after rnaklng itis C60,1A10 of ExompUon,)vu shoUM baoomo sub)ed to Loo Workers'Compensatlon
<br /> proNslons of Iho Labor Codo,you must fsxtliMth consply%lith Stich proV.sbns or tNs perm)t sha'I be doom ed revukod.
<br /> CONSTRUCTION LUMING AGENCY
<br /> I horoby afflin)that thoro is n wnsWcUon loisding agoncy for the porfo iiame of tho vvoik for vibl(if this parmlt Is Issued
<br /> (SecUon,1097,Gull Codo).
<br /> Lontler'e Nawo
<br /> Lontlor'Addross
<br /> DIVISION OV INDUSTRIALSAFF:TY PERMIT C[RTIFICATION
<br /> 13 1 horoby cortiy that Iso oxcavatbn roo(6)or inva feel In depth Into v,Wtth a parson Is iequlred to dov.tnd,vtl be mach In
<br /> conned!on 01h%vile eulhoiired by the perrah,and that no buMing sinuOuro,acaf oldlin,falsework,cr dorneWon or dismanivaq
<br /> thoroof,W bo mofo than Wrtystx(30)feet high.(Chapter 3.2,Group 2,Atticfo 2,Staon 341,Me 0,Ceflornsa Admnisireliro
<br /> Code)_
<br /> 11 As ov.ner•bulider,I Inn not ompioy onyono to do v ark v,Wkh RVvfd requ7e o perrrib from tho DMa1on of Indusbiat Safety,as noted
<br /> above,untass such parson beg is penrit to do sUUs swrk front tho cFvtslon.
<br /> ©DhAstm of fndullikA SaWty Parntit 17_
<br /> I ceNy that I hovo reed Ihss opocattors and state that the above Wofma,lon Is correct 1 nQreo to cornoy Wth at dry nM county
<br /> ord"ricas erA atato lawn rolab'ng to w4h 000strudlon and or soevago etstom oonstrucdon,and hereby orAtserfzo roprosanlalhlta of1h4
<br /> county to enler upon the obow.mehiloned Ixeparty for fnspadlon purpose a.
<br /> D810,—_ AppilOant
<br /> k r4]4 10/ [IGEN:EO CA`R Rlaran bEUJMrintt
<br /> I6S07
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