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Work Description:
<br />Square Feet:
<br />Construct 4,200 SF shell building for future tenants al `!-
<br />4200.00 g with site Improvement plans
<br />Property In Floodplain: Valuation: 400000,00
<br />Yes No
<br />LICENSED CONTRACTOR DEC Initial
<br />I hereby affirm that I am licensod anter provisions Dt ChapiCr 9 RATION '--
<br />the Bussyssn and Professions Code aw row Provisions
<br />is in pie force and (commfullencing with Section %GWs Of Division 3 of
<br />License Class 0 _teens umber ;i «
<br />L certso Expiration. / - le
<br />Signature ll1 A
<br />Oata-
<br />I hereby arha^ ;Mat I em exempt from tON ER BUILDER DECLARATION
<br />8us ness and Professions Code) Any city Or county ri ch rs LIcerse Law !or the follow ny feasor! f Sec 7031 5
<br />demlxrsh cr repair any s-,ucturc prier to its Issuance aho !_ quires a permit to cOnSfruct alter, improve
<br />statement that he is licensed pursuant to the prursror s D,requires
<br />theuiCOntradorps�Caant to' 9 (commencing 700. of Dwis On 3 of the Permit to rile a signed
<br />Business and Section
<br />7031.ss,cn s Code) or that he is exempt therefrom and the s s of thsection
<br />penalty
<br />exemption Any violebar of d dolor 7031.5 by any applicant for a pemm sub)egs the theappa I to a dull
<br />penalty of not more Than rive hundred dollars (SSW)
<br />I as owner of the property or my employees with wages as their sole compensation will do the work, and
<br />structure a not intended or offered for sale (Sec r Ota Business and Proleastorts Code The Contractor s
<br />License Law does not apply to an owner of property provided that such improvements Cos are not Conti intended a
<br />offered for sate If, however the budding that he did not build or improve far the mentsa of sate1.
<br />I, as owner of the property, am exclusively contracting with licensed contractors to COM
<br />ruq the o'
<br />7044 Business and Professions Code The ConMactors License Lew does not apply to an owner of property
<br />who builds Or Improves thereon and who contracts for such Pr jed ISec
<br />Contractors License Low) Projects with a cnntractorts) licensed
<br />I am exempt under the Contractors Stet. I cense Law !a the following Pursuant to the
<br />reason.
<br />By my signature below I acknowledge trial exnep! for my personal residence in which I
<br />at least Dne year prior to completion Of the imDrovements Cowl ed by this mUS( have regltyap In for
<br />that I have built as an owner -budder .f It has not been is
<br />ins is Permit, I cannot legally sell a structure
<br />understand that a copy of the appiicah,e law Section 7044 of the Bdd Code to available licensed
<br />by request Dr ffi
<br />WWW.Iedln!O Ca (�v/Calow htm,
<br />Property Owner/Aufhor¢ed Agent Signature
<br />Da!n
<br />WORKERS COMPENSATION DECLARATION
<br />I hereby affirm, under the penally W perjury the fnlraµing tlec.1a:ahonr
<br />I have and wnl rnarnran a cenihcate of corsent to self -insure forworkers rnmpensahon, issued by the Director
<br />of Industrial Relations as provided for by section 3700 0! the Labor Code for the performance of wdck for which
<br />this +t is slued
<br />Poi Number —
<br />hove and will maintain workers' compensation Insurance a; required by section 3700 of me Labor Code, far
<br />the periormanae of work far which this r
<br />number are, _ Pe and\a Issued MY workers compensation insurance prier and pobor
<br />Canner STA T� iruAl IJ
<br />--T�` Policy Expiration Date / I♦ Z01
<br />Po�'cy Number 4 (� t � �7 / � a
<br />"'��.---r— y1L� 7 Name of Agent � ^ �.., t
<br />Certify that m the '�^ -JE 12 —
<br />pertc ub)e, eof the for µhick the permit is Issued 'shall not empby an manner so as to become subject tc tsdrRers wmpensation laws of Catdnmia, and
<br />subAct to the workers y Persson in any
<br />cOmoersarnr. ❑rovisions os Section 3700 of Ifte Collor (flat i! I tIr1011td (raCDrfte
<br />(hese pmvi Ions. Coda. I shell 1
<br />orthwlth comply with
<br />Signature 5131 ! 1 7
<br />-----_. Date: 7
<br />WARNING FAILURE TO OBI AIN 'NORKERS COMPENSATION INSURANCE COVERAGE IS UNLFAWUL,
<br />AND SHALL SUBJECT AN EMPLOYFR TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
<br />THOUSAND DOLLARS lsioo CCO) ;N ADDITION TO THE COST OF COMPENSATION. DAMAGES AS
<br />PROVIDED FOR IN SECTION 3706 CF THE LABOR CODE, INTEREST, AND ArTORtvi=ve ecce
<br />CONSTRUCTION LENDING AGENCY
<br />age agency
<br />erste urWar the penalty of perjury that there is a construction lerdtn
<br />i ncyde the pe formence of work for which this permit is issued Sect on 3[915'
<br />Civil Code
<br />Lenders Name
<br />Lenders Address— — ---
<br />SMOKE DETECTOR AND CARBON MONOXIDE
<br />ALARMS REQUIRED
<br />INSPECTION REQUIRED DURING INSTALLATION
<br />ALL WORK SUBJECT TO FIELD INSPECTION
<br />LJ NO OCCUPANCY OF STRUCTURE UNTIL
<br />OUTSTANDING FEES ARE PAID
<br />THIS PERMIT SHALL EXPIRE AND BECOME NULL AND VOID WHEN
<br />NO INSPECTION HAS BEEN PERFORMED FOR ANY 180 DAY PERIOD
<br />AFTER THE PERMIT HAS BEEN ISSUED.
<br />I hereby certify that I understand and agree that all permits
<br />are subject to California Health and Safety Code Section
<br />19850 and Government Code 6250 and as such are
<br />considered Public Records.
<br />Applicant Initials:/
<br />I hereby certify that I have read this application and all
<br />information I have provided is correct. t agree to comply
<br />with all applicable city and county ordinances and state
<br />laws relating to building construction. I authorize the
<br />representative of the City to enter the identified property
<br />for inspection purposes.
<br />e Of ProPeOwner or Authorized A
<br />I gent:
<br />Date: S I
<br />Approved by: . �•t /
<br />Date Issued:_
<br />Amount Pald: $53262.34
<br />CI
<br />I oU i w. �-enter
<br />0r AIA •� `1 "J 01�
<br />5t, Manteca NTa�GA�;
<br />11
<br />IITY
<br />rnia 95337 (209) 456-8550
<br />BUILDING PERMIT 'i'
<br />Permit No:
<br />Address:
<br />2016-00000458
<br />-�.I frlspeett nT
<br />Permft i Recorder
<br />Type: Commercial Shell Building r'-rR (209) 456-8552
<br />Subdivision:
<br />1231 NMAIN ST
<br />Date: 5/31/2017
<br />Owner:
<br />HIWAY FARM LLC
<br />A.P.N. 21634059
<br />Lot Number: 0
<br />Address:
<br />28214 LEAF DRIVE
<br />TRACY, CA 95304
<br />Professional:
<br />Contractor
<br />Issued To:
<br />Address:
<br />Chada Construction Co
<br />7010 Hughson AV
<br />HUGHSON, CA 95326
<br />Work Description:
<br />Square Feet:
<br />Construct 4,200 SF shell building for future tenants al `!-
<br />4200.00 g with site Improvement plans
<br />Property In Floodplain: Valuation: 400000,00
<br />Yes No
<br />LICENSED CONTRACTOR DEC Initial
<br />I hereby affirm that I am licensod anter provisions Dt ChapiCr 9 RATION '--
<br />the Bussyssn and Professions Code aw row Provisions
<br />is in pie force and (commfullencing with Section %GWs Of Division 3 of
<br />License Class 0 _teens umber ;i «
<br />L certso Expiration. / - le
<br />Signature ll1 A
<br />Oata-
<br />I hereby arha^ ;Mat I em exempt from tON ER BUILDER DECLARATION
<br />8us ness and Professions Code) Any city Or county ri ch rs LIcerse Law !or the follow ny feasor! f Sec 7031 5
<br />demlxrsh cr repair any s-,ucturc prier to its Issuance aho !_ quires a permit to cOnSfruct alter, improve
<br />statement that he is licensed pursuant to the prursror s D,requires
<br />theuiCOntradorps�Caant to' 9 (commencing 700. of Dwis On 3 of the Permit to rile a signed
<br />Business and Section
<br />7031.ss,cn s Code) or that he is exempt therefrom and the s s of thsection
<br />penalty
<br />exemption Any violebar of d dolor 7031.5 by any applicant for a pemm sub)egs the theappa I to a dull
<br />penalty of not more Than rive hundred dollars (SSW)
<br />I as owner of the property or my employees with wages as their sole compensation will do the work, and
<br />structure a not intended or offered for sale (Sec r Ota Business and Proleastorts Code The Contractor s
<br />License Law does not apply to an owner of property provided that such improvements Cos are not Conti intended a
<br />offered for sate If, however the budding that he did not build or improve far the mentsa of sate1.
<br />I, as owner of the property, am exclusively contracting with licensed contractors to COM
<br />ruq the o'
<br />7044 Business and Professions Code The ConMactors License Lew does not apply to an owner of property
<br />who builds Or Improves thereon and who contracts for such Pr jed ISec
<br />Contractors License Low) Projects with a cnntractorts) licensed
<br />I am exempt under the Contractors Stet. I cense Law !a the following Pursuant to the
<br />reason.
<br />By my signature below I acknowledge trial exnep! for my personal residence in which I
<br />at least Dne year prior to completion Of the imDrovements Cowl ed by this mUS( have regltyap In for
<br />that I have built as an owner -budder .f It has not been is
<br />ins is Permit, I cannot legally sell a structure
<br />understand that a copy of the appiicah,e law Section 7044 of the Bdd Code to available licensed
<br />by request Dr ffi
<br />WWW.Iedln!O Ca (�v/Calow htm,
<br />Property Owner/Aufhor¢ed Agent Signature
<br />Da!n
<br />WORKERS COMPENSATION DECLARATION
<br />I hereby affirm, under the penally W perjury the fnlraµing tlec.1a:ahonr
<br />I have and wnl rnarnran a cenihcate of corsent to self -insure forworkers rnmpensahon, issued by the Director
<br />of Industrial Relations as provided for by section 3700 0! the Labor Code for the performance of wdck for which
<br />this +t is slued
<br />Poi Number —
<br />hove and will maintain workers' compensation Insurance a; required by section 3700 of me Labor Code, far
<br />the periormanae of work far which this r
<br />number are, _ Pe and\a Issued MY workers compensation insurance prier and pobor
<br />Canner STA T� iruAl IJ
<br />--T�` Policy Expiration Date / I♦ Z01
<br />Po�'cy Number 4 (� t � �7 / � a
<br />"'��.---r— y1L� 7 Name of Agent � ^ �.., t
<br />Certify that m the '�^ -JE 12 —
<br />pertc ub)e, eof the for µhick the permit is Issued 'shall not empby an manner so as to become subject tc tsdrRers wmpensation laws of Catdnmia, and
<br />subAct to the workers y Persson in any
<br />cOmoersarnr. ❑rovisions os Section 3700 of Ifte Collor (flat i! I tIr1011td (raCDrfte
<br />(hese pmvi Ions. Coda. I shell 1
<br />orthwlth comply with
<br />Signature 5131 ! 1 7
<br />-----_. Date: 7
<br />WARNING FAILURE TO OBI AIN 'NORKERS COMPENSATION INSURANCE COVERAGE IS UNLFAWUL,
<br />AND SHALL SUBJECT AN EMPLOYFR TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
<br />THOUSAND DOLLARS lsioo CCO) ;N ADDITION TO THE COST OF COMPENSATION. DAMAGES AS
<br />PROVIDED FOR IN SECTION 3706 CF THE LABOR CODE, INTEREST, AND ArTORtvi=ve ecce
<br />CONSTRUCTION LENDING AGENCY
<br />age agency
<br />erste urWar the penalty of perjury that there is a construction lerdtn
<br />i ncyde the pe formence of work for which this permit is issued Sect on 3[915'
<br />Civil Code
<br />Lenders Name
<br />Lenders Address— — ---
<br />SMOKE DETECTOR AND CARBON MONOXIDE
<br />ALARMS REQUIRED
<br />INSPECTION REQUIRED DURING INSTALLATION
<br />ALL WORK SUBJECT TO FIELD INSPECTION
<br />LJ NO OCCUPANCY OF STRUCTURE UNTIL
<br />OUTSTANDING FEES ARE PAID
<br />THIS PERMIT SHALL EXPIRE AND BECOME NULL AND VOID WHEN
<br />NO INSPECTION HAS BEEN PERFORMED FOR ANY 180 DAY PERIOD
<br />AFTER THE PERMIT HAS BEEN ISSUED.
<br />I hereby certify that I understand and agree that all permits
<br />are subject to California Health and Safety Code Section
<br />19850 and Government Code 6250 and as such are
<br />considered Public Records.
<br />Applicant Initials:/
<br />I hereby certify that I have read this application and all
<br />information I have provided is correct. t agree to comply
<br />with all applicable city and county ordinances and state
<br />laws relating to building construction. I authorize the
<br />representative of the City to enter the identified property
<br />for inspection purposes.
<br />e Of ProPeOwner or Authorized A
<br />I gent:
<br />Date: S I
<br />Approved by: . �•t /
<br />Date Issued:_
<br />Amount Pald: $53262.34
<br />
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