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MAf OV I UV Leiter CITY l l� St, Manteca hlTC(.,q Californja 95337 (209) 456-8550 BUILDING Permit No: 2016-00000458 Address: Subdivision: 1 231 N MAIN ST Owner: Address: HIWAY FARM LLC 28214 LEAF DRIVE TRACY, CA 95304 Professional: Contractor Issued To: Chada Construction Co Address: 7010 Hughson AV HLIGHSON CA 95326 Work Description: Square Feet: PERMIT Permit Type: Commercial Shell Building Date: A.P.N. Lot Number: 5/31/2017 21634059 0 inspection Recorder (209) 456-8552 Construct 4,200 SF shell 4200.00 building for future tenants along with site Improvement plans --- Property In Floodplain: Valuation: 400000.00 Yes No Nu �—caeCUNT Initial t hereby atfirn that I am ucensed under provislors 01 Cnaotc'R9 (EON anmeATI with Section 7 thes- Bu,ess and Professions Code and my license is In full force and affect 000) of Division 3 of Lcenae C S;gna`fe L,Cense Expiration. I I r7 Date OWNER BUILDER DECLARATION I ! hereby affirm ;hat I am exLMPI from the Contractor's License Law ter Me following reason ISec 7031 5 Bus.ness and Professions Code) Arty city or County wn,ch requires a permit to construct. alter, improve de temen or repair any rased pe, prior to ds Issuance also requires the applicant for such permit to file a signed statement that he Is licensed pursuam to the Pruvlstofls of the Contractors Chapter g 'commencing with section 7000 of exemption 3 of the Business and Prnfessrcn s Cotler or that he is exempt therefrom and file basis of the alleged exemptWn Any violattar W Section 7()31.5 by any sub)e applicant for a Penn" subjects the appl;cant to a dull Penalty of not more thar five hundred dollars (3500) I as owner of the property or my employees with wages as their sole compensation mil do the work, and strWure is not intended or offered for sale (Sec 7044 Buslness arrd profeasrprs ('ode. Tile Contractors License erectLaw does not apply h b owner of property provided that such ,mptovements are not intended or offered for sale If However IIIc Waldmg that he did not build or improve for the purpose of safer i as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractors License Law does not apply to an owner of property vino buddS or Improves Hereon and who contracts for such Contractors License Law), projects with a contracior(s) licensed pursuant to the or I am exempt under the Contractors State t ,cense Law for the following reason By my signature rxiow I acknowledge thai exrepf for my personal residence In which I at least one year poor to completion rn the rmbrdvements CDtrof6d b /lila have res10W in W that I have built as an owner -builder ,f it has nor been const y pnety, b I cannot legally sell a structure undeistaro that a copy of the applirawe law SeC1on 7 constructed to its er rely by I sensed co"11racors I www.tedlrr'o�a govrcataw htrttr 044 O the B&P Code is available by request or at Progeny Ownef/Authonzed Agent Signature Dae WORKERS COMPENSATION DECLARATION I hereby affirm under the penalty of penury the following tlec:'arations I have and will marnfarn a earhhcate of oor"rit to self- Insure for v'"kars wmpensatron,uetl by the Directoriss Of Industrial Reiabons as provided for by section 3700 of the Leber Code for the pe "t-on, s of wont for which this rmtf is issuetl Poli Yumoer have and will maintaM workers compensation Insurance a$ require p b the perormance of work for which this perm,I Is issued M y section 3700 of the Labor Code, far numbei are, y workers compensatiCn Insure Cagier and policy. Canter STA T� FCi/N J� - o f _! Policy Expiration Data �! Z� I'0,0v Number [� -�/—V 9 h -�-._iNartr W Agent _ _(�.� certify thatir theforwhichPerformance,_- — rmit Is issue manner so as to become JW to rworkeer5 CoMpensation Sthe ews of Cahtoma al 2 pll not employ any Person in any subject to Ine workers Comoensal nn Drovislons of c agree that If I should become these e'ov» i s ection 3700 of the LRbor Code I cheat tonh+Mth comply with Signal ure� �I f Date WARNING FAILURE TO OBTAIN WORKERS COMPENSATION INSURANCE COVERAGE IS UNLFAWUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (31oo.o0O), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES CONSTRUCTION LENDING AGENCY I hereby arm urWer C the pertaily of pentm penury that there rs a construction lending Civil Code cde for Ilia prfrmance of wrork for which this pelt Is Issued Secnon 305' Lenders Name Lenders Address C) SMOKE DETECTOR AN[) CARBON MONOXIDE ALARMS REQUIRED !✓' NSPFCTION REQUIRED DURING INSTALLATION C ALL'lbORK SUBJECT TO FILLD INSFECTIUN CJ NO OCCUPANCY OF STRUCTURE UNTIL OUTSTANDING FEES ARE PAID THIS PERMIT SHALL EXPIRE AND BECOME NULL AND V0113 '4HEN NO INSPECTION HAS BEEN PERFORMED FOR ANY 180 DAY PERIOD AFTER THE PERMIT HAS BEEN ISSUED I hereby certify that I understand and agree that ail permits are subject to California Health and Safety Code Section 19650 arid Government Code 6250 and as such are considered Public Records. Applicant Initials: 1 hereby certify that I have read this application and all Information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize the representative of the City to enter the identified property for inspection purposes. re of Prone Owner or Authorized Agent: Date. Approved by: Date Issued: Amount Paid: $53262.34