SR0079711 - Laserfiche WebLink

Home Browse Search

CITY OF STOCKTON PHONE: (209)937-8561 CITY OF 24 Hr.Inspection Request STOCKTON COMMUNITY DEVELOPMENT DEPARTMENT 209-937-8560 BUILDING DIVISION,CITY HALL PERMIT STOCKTON,CALIFORNIA 95202 Permit No: BP18-05878 Description of Work: , SFR Sewer Connection � �..►� Py Issue Date LICENSED CONTRACTOR'S DECLARATION Permit Type Outside City Limits I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. Category Residential License Type: License Number: Date: Contractor: Stockton Bus.Lic.No: Permit Address 643 MODESTO AV OWNER-BUILDER DECLARATIONS Parcel No. 14516012 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5.Business and Professions Code: Any city or county which requires a permit to Owner CORREA,JOSE A construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the 643 S MODESTO AVE applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Contractor's License Law (Chapter 9 commencing with Sec.7000) of Division 3 of the STOCKTON CA,95203 Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to Applicant civil penalty of not more than five hundred dollars($500): STOCKTON,CA I, as owner of the property, or my employees with wages as their sole compensatoin, will do the work, and the structure is not intended or offered for sale (Sec. 7044) Business and Professions Code: The Contractor's License Law. does not apply to an owner of property who Contractor 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 that he did not build or improve for the purpose of sale.) I, as owner of the property, am exclusively contracting with licensed contractors) to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law Valuation $0.00 does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s)licensed pursuant to the Contractor's License Law) Special Notes and Conditions I am exempt under Sec. B&P.C.for this reason Required inspections: Date: Owner: Additional inspections may be required depending on the NOTE: To protest the imposition of any development fee, dedication, reservation or scope of work for your project;please contact a Permit other exaction imposed on your project, you must file written notice with the City Technician or your Building Inspector for additional Clerk's office within 90 days after approval of the project or imposition of the fees, dedications, reservations or other exactions stating that the required payment is information. tendered or will be tendered when due, or that any conditions which have been imposed Potential additional inspections: are provided for or satisfied, under protest, along with a statement of the actual elements of the dispute and the legal theory forming the basis for the protest. WORKERS COMPENSATION DECLARATION _ I hereby affirm that I have a certificate of consent to self-ionsure, or a Certificate of Worker's Compensation Insurance,or a certified copy thereof(Sec 3800,Lab.C.). Policy Number: Company: _ Certified copy is hereby furnished.Expires: Certified copy is fled with the city building inpsection department. Date: Applicant: CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE This section need not be completed if the permit is for one hundred dollars($100)or less. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date: Applicant: NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. _ I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to construction. I hereby authorize representatives of the city of enter upon the above mentioned property for inspection purposes. SIGNED: PRINT NAME: Street address numbers must be posted before any inspections will APPLICATION APPROVAL be made. THIS PERMIT DOES NOT BECOME VALID UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS Smoke detectors and Carbon Monoxide Alarms will be required in DEPUTY AND FEES ARE PAI existing dwellings when a building permit is required for alterations, ) i, repairs,or additions exceeding a$1,000 valuation. Signature: �— ---THIS PERMIT SHALL BECOME VOID AND WORK SHALL BE CONSIDERED ABAOSAED IF AN INSPECTION HAS NOT BEEN RECORDED AND APPROVED WITHIN 180 DAYS