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CITY OF MANTECA 1001 W. Center St, Manteca, California 95337 (209) 456-8550 Inspection Recorder BUILDING PERMIT (209)456-8552 Permit Type: Demolition of Dwelling(s) Permit No: 2018-00002919 Date: 8/28/2018 Address: 259 SWANSON RD A.P.N. 19817003 Subdivision: CREAMLAND TRACT UNIT 3 Lot Number: 10 Owner: AULAKH, RAJINDER INSPECTION REQUEST: Address: 259 SWANSON RD Manteca, CA 95337 Please note starting December 1512017, Professional: Owner Cwry inspections must be called in before 3:30 PM. Issued To. AULAKH, RAJINDER Address: 259 SWANSON RD To make it to the list, you must call on a business da Manteca, CA 95337 before 3:30 pm for the next business day inspection. **reminder: we are closed every other Friday** Work Description: MOBILE HOME DEMOLITION Our calendar with or days of operation is available in our website Square Feet: http://www.ci.manteca.ca.us/pdf_files/closuredates.pdf Property In Floodplain: LICENSED CONTRACTOR DECLARATION CONSTRUCTION LENDING AGENCY I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of I hereby affirm under the penalty of perjury that there is a construction lending the Business and Professions Code,and my license is in full force and effect. agency for the performance of work for which this permit is issued.Section 3097, Civil Code. License Class:0 License Number:0 License Expiration: Lenders Name: Signature: Date: Lenders Address: OWNER BUILDER DECLARATION ID SMOKE DETECTOR AND CARBON MONOXIDE I hereby affirm that I am exempt from the Contractors License Law for the following reason(Sec.7031.5 ALARMS REQUIRED Business and Professions Code). Any city or county 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 ❑ INSPECTION REQUIRED DURING INSTALLATION statement that he is licensed pursuant to the provisions of the Contractors Chapter 9(commencing with section 7000 of Division 3 of the Business and Profession's Code)or that he is exempt therefrom and the basis of the ❑ ALL WORK SUBJECT TO FIELD INSPECTION alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500) ❑ NO OCCUPANCY OF STRUCTURE UNTIL ❑I,as owner of the property,or my employees with wages as their sole compensation will do the work,and OUTSTANDING FEES ARE PAID structure is not intended or offered for sale(Sec.7044.Business and Professions Code. The Contractors License Law does not apply to an owner of property provided that such improvements are not intended or 2ed for sale.If,however the building that he did not build or improve for the purpose of sale). as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec THIS PERMIT SHALL EXPIRE AND BECOME NULL AND VOID WHEN .Business and Professions Code. The Contractor's License Law does not apply to an owner of property NO INSPECTION HAS BEEN PERFORMED FOR ANY 180 DAY PERIOD who builds or improves thereon,and who contracts for such projects with a contractor(s)licensed pursuant to the AFTER THE PERMIT HAS BEEN ISSUED. Contractor's License Law). ❑1 am exempt under the Contractors'State License Law for the following reason: By my signature below I acknowledge that,except for my personal residence in which I must have resided in for I hereby certify that I understand and agree that all permits at least one year prior to completion of the improvements covered by this permit,I cannot legally sell a structure are subject to California Health and Safety Code Section that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors.1 19850 and Government Code 6250 and as suc are =understand that a copy of the applicable law,Section 7044 of the BSP Cod is available by request or at .rlse'info.ca.goy/calaw.html considered Public Records. Property Owner/Authorized Agent Signature: v� Date:08LaRLIF Applicant Initials: WORKERS COMPENSATION DECLARATION I hereby certify that I have read this application and all I hereby affirm under the penalty of perjury the following declarations: information I have provided is correct. I agree to comply ❑ 1 have and will maintain a certificate of consent to self-insure for workers compensation,issued by the with all applicable city and county ordinances and state Director of Industrial Relations as provided for by section 3700 of the Labor Code,for the performance of work laws relating to building construction. I authorize the for which this permit is issued. representative of the City to enter the identified property Policy Number: for inspection purposes. ❑I have and will maintain workers'compensation insurance as'required by section 3700 of the Labor Code,for the performance of work for which this permit is issued.My workers'compensation insurance carrier and policy number are: Signature of Property Owner or AGthorized Agent: Carrier: Policy Expiration Date: 1 Policy Number: Name of Agent: certify that,in the performance of the work for which the permit is issued,I shall not employ any person in any Date: b U d I t+ manner so as to become subject to workers'compensation laws of California,and agree that,if I should become subject to the workers'compensation provi 'ons of Section 3700 of the Labor Code,I shall forthwith comply with these' v' Approved by: Signature: Date: 7� ID O Q Date Issued: 8 I Z 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 Amount Paid:$190.50 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.