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I agree to comply with all City and State laws relating to the building construction and hereby authorize representatives of the City to enter upon the above-mentioned property for inspection purposes. I also understand that utilities will not be released until such times as all laws, codes and special conditions are completed and accepted by the City. 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Gov", "attrs": { "block_label": "footer" }, "reading_order": 24 }, { "id": "p1.26", "order": 92, "type": "footer", "bbox": { "l": 531.84, "t": 23.52, "r": 580.32, "b": 12.24 }, "text": "Page 1 of 2", "attrs": { "block_label": "number" }, "reading_order": 25 } ] }, { "document_id": 12560, "page": 2, "width": 612, "height": 792, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 612, "height_pt": 792, "engine": "paddleocr_vl", "source_run_id": 12671, "item_count": 78, "counts_by_type": { "figure": 1, "footer": 4, "form_field": 33, "header": 9, "heading": 5, "text": 25, "title": 1 }, "build_ms": 11, "items": [ { "id": "p2.1", "order": 1, "type": "figure", "bbox": { "l": 41.04, "t": 772.08, "r": 133.92, "b": 678.48 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image" }, "reading_order": 0 }, { "id": "p2.2", "order": 2, "type": "header", "bbox": { "l": 157.92, "t": 774.48, "r": 384.48, "b": 756.24 }, "text": "CITY OF RANCHO MIRAGE", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 1 }, { "id": "p2.3", "order": 3, "type": "header", "bbox": { "l": 458.88, "t": 773.52, "r": 530.16, "b": 763.2 }, "text": "(For City Use Only)", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 2 }, { "id": "p2.4", "order": 4, "type": "header", "bbox": { "l": 416.4, "t": 755.76, "r": 490.08, "b": 745.2 }, "text": "Building Permit No.: ___", "attrs": { "block_label": "header" }, "children": [ { "id": "p2.4.1", "order": 5, "type": "form_field", "bbox": { "l": 417.79, "t": 755.1184, "r": 570.8519, "b": 746.1362 }, "text": "", "attrs": { "field_kind": "text", "label": "Building Permit No.: ___", "source": "blank_line", "label_source": "parent_text", "label_ref": "p2.4" }, "reading_order": 0 } ], "level": 2, "reading_order": 3 }, { "id": "p2.5", "order": 6, "type": "header", "bbox": { "l": 157.92, "t": 753.6, "r": 316.08, "b": 740.4 }, "text": "DEVELOPMENT SERVICES", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 4 }, { "id": "p2.6", "order": 7, "type": "header", "bbox": { "l": 157.92, "t": 739.44, "r": 303.12, "b": 728.4 }, "text": "BUILDING AND SAFETY DIVISION", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 5 }, { "id": "p2.7", "order": 8, "type": "header", "bbox": { "l": 416.4, "t": 737.52, "r": 570.24, "b": 726.72 }, "text": "Sustainability/ C&D Waste Plan: YES / NO", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 6 }, { "id": "p2.8", "order": 9, "type": "header", "bbox": { "l": 158.16, "t": 728.88, "r": 374.4, "b": 717.84 }, "text": "69-825 Highway 111, Rancho Mirage, CA 92270", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 7 }, { "id": "p2.9", "order": 10, "type": "header", "bbox": { "l": 157.92, "t": 717.84, "r": 263.76, "b": 706.32 }, "text": "General: 760.202.9253", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 8 }, { "id": "p2.10", "order": 11, "type": "header", "bbox": { "l": 157.2, "t": 717.12, "r": 464.4, "b": 705.84 }, "text": "Inspections: Building@ranchomirageca.gov", "attrs": { "block_label": "header" }, "level": 2, "reading_order": 9 }, { "id": "p2.11", "order": 12, "type": "title", "bbox": { "l": 158.64, "t": 695.52, "r": 490.08, "b": 679.44 }, "text": "BUILDING PERMIT- ASSIGNMENT & ISSUANCE", "attrs": { "block_label": "doc_title" }, "level": 2, "reading_order": 10 }, { "id": "p2.12", "order": 13, "type": "form_field", "bbox": { "l": 104.073, "t": 666.327, "r": 432.11, "b": 647.599 }, "text": "", "attrs": { "field_kind": "text", "label": "Site Address: ____________________________________________ _____________________ Rancho Mirage, CA 92270", "pdf_field_name": "Text1", "source": "acroform" }, "reading_order": 11 }, { "id": "p2.13", "order": 14, "type": "text", "bbox": { "l": 42, "t": 660, "r": 236.16, "b": 649.2 }, "text": "Site Address: ___", "reading_order": 12 }, { "id": "p2.14", "order": 15, "type": "heading", "bbox": { "l": 82.56, "t": 636.72, "r": 237.84, "b": 625.92 }, "text": "OWNER-BUILDER DECLARATION", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 13 }, { "id": "p2.15", "order": 16, "type": "text", "bbox": { "l": 44.4, "t": 615.12, "r": 291.36, "b": 519.36 }, "text": "I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec.7031.5 California Business and Professions Code(B&PC)): Any City which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Ch.9 (commencing with Sec. 7000) of Div. 3 of the B&PC) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violations of Sec. 7031.5 by any applicant for a permit subject to the applicant to a civil penalty of not more than five hundred dollars ($500.00).", "children": [ { "id": "p2.15.1", "order": 17, "type": "form_field", "bbox": { "l": 355.46, "t": 602.85, "r": 574.066, "b": 587.719 }, "text": "", "attrs": { "field_kind": "text", "label": "(Sec.7031.5 California Business and Professions Code(B&PC)):", "pdf_field_name": "Text34", "source": "acroform", "label_source": "parent_text", "label_ref": "p2.15", "text_offset": 177, "text_span": 0 }, "reading_order": 0 }, { "id": "p2.15.2", "order": 18, "type": "form_field", "bbox": { "l": 360.608, "t": 586.672, "r": 475.524, "b": 572.276 }, "text": "", "attrs": { "field_kind": "text", "label": "demolish or repair any structure, prior to it’s issuance, also", "pdf_field_name": "Text35", "source": "acroform", "label_source": "parent_text", "label_ref": "p2.15", "text_offset": 302, "text_span": 0 }, "reading_order": 1 }, { "id": "p2.15.3", "order": 19, "type": "form_field", "bbox": { "l": 368.697, "t": 571.964, "r": 451.992, "b": 555.362 }, "text": "", "attrs": { "field_kind": "text", "label": "that he/she is licensed pursuant to the provisions of the", "pdf_field_name": "Text37", "source": "acroform", "label_source": "parent_text", "label_ref": "p2.15", "text_offset": 315, "text_span": 0 }, "reading_order": 2 }, { "id": "p2.15.4", "order": 20, "type": "form_field", "bbox": { "l": 363.55, "t": 556.521, "r": 575.536, "b": 539.184 }, "text": "", "attrs": { "field_kind": "text", "label": "Div. 3 of the B&PC) or that he/she is exempt therefrom and the", "pdf_field_name": "Text38", "source": "acroform", "label_source": "parent_text", "label_ref": "p2.15", "text_offset": 408, "text_span": 0 }, "reading_order": 3 }, { "id": "p2.15.5", "order": 21, "type": "form_field", "bbox": { "l": 138.11, "t": 356.071, "r": 187.309, "b": 336.689 }, "text": "", "attrs": { "field_kind": "text", "label": "Contractor’s License Law.)", "pdf_field_name": "Text28", "source": "acroform", "label_source": "parent_text", "label_ref": "p2.15" }, "reading_order": 4 } ], "reading_order": 14 }, { "id": "p2.16", "order": 22, "type": "text", "bbox": { "l": 48, "t": 516.96, "r": 290.88, "b": 498.96 }, "text": "I hereby affirm under penalty of perjury, one of the following declarations (SELECT ONE):", "children": [ { "id": "p2.16.1", "order": 23, "type": "form_field", "bbox": { "l": 347.739, "t": 524.164, "r": 451.948, "b": 508.297 }, "text": "", "attrs": { "field_kind": "text", "label": "I hereby affirm under penalty of perjury, one of the following declarations (SELECT ONE):", "pdf_field_name": "Text40", "source": "acroform", "label_source": "parent_text", "label_ref": "p2.16", "text_offset": 62, "text_span": 0 }, "reading_order": 0 } ], "reading_order": 15 }, { "id": "p2.17", "order": 24, "type": "text", "bbox": { "l": 44.64, "t": 488.16, "r": 291.84, "b": 408.72 }, "text": "I, as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, B&PC: The Contractor's License Law does not apply to any owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving he did not build or improve for the purpose of sale.)", "children": [ { "id": "p2.17.1", "order": 25, "type": "form_field", "bbox": { "l": 353.388, "t": 508.987, "r": 576.07, "b": 493.774 }, "text": "", "attrs": { "field_kind": "text", "label": "I, as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, B&PC: The Contractor's License Law does not apply to any owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. 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", "reading_order": 42 }, { "id": "p2.44", "order": 67, "type": "text", "bbox": { "l": 327.36, "t": 247.44, "r": 571.44, "b": 183.84 }, "text": "WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.", "reading_order": 43 }, { "id": "p2.45", "order": 68, "type": "heading", "bbox": { "l": 267.84, "t": 173.28, "r": 342.24, "b": 162 }, "text": "CERTIFICATION", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 44 }, { "id": "p2.46", "order": 69, "type": "text", "bbox": { "l": 33.6, "t": 153.36, "r": 578.16, "b": 99.12 }, "text": "I certify that I have read this application and state that the above information is correct. I agree to comply with all City and State laws relating to the building construction and hereby authorize representatives of the City to enter upon the above-mentioned property for inspection purposes. I also understand that utilities will not be released until such times as all laws, codes and special conditions are completed and accepted by the City. By signing this application, I attest that the property owner has granted consent to apply for the permit and that the associated plans can be released to the property owner at any time.", "reading_order": 45 }, { "id": "p2.47", "order": 70, "type": "text", "bbox": { "l": 167.76, "t": 78.24, "r": 253.2, "b": 67.68 }, "text": "Date: ___/___/___\nName: ___", "children": [ { "id": "p2.47.1", "order": 71, "type": "form_field", "bbox": { "l": 191.728, "t": 84.288, "r": 263.183, "b": 68.1787 }, "text": "", "attrs": { "field_kind": "text", "label": "Date: ___/___/___\nName: ___", "pdf_field_name": "Date1_af_date 2", "source": "acroform", "label_source": "parent_text", "label_ref": "p2.47", "text_offset": 6, "text_span": 3 }, "reading_order": 0 } ], "reading_order": 46 }, { "id": "p2.48", "order": 72, "type": "text", "bbox": { "l": 262.08, "t": 77.76, "r": 447.36, "b": 68.16 }, "text": "
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\"Image\"
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