COMPLIANCE INFO_1986-1996 - Laserfiche WebLink

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r — w as sr r%s alas . ®s ills rsikifM nEDRAIT WILIN 1 T Or JMIV JVMlivaap LJ%.F vsse%a ■ x�vue•. BUILDING INSPECTION DIVISION 1810 E. Hazelton Ave., Stockton 95205 A/PN '14 5 3 AC E D APPR D B APPL. DATE ISSUE DATE FINAL DATE 209-944-3701 24 Hr. Recorder 944-3706 IT 1 1a. � JOBSITE ADDRESS OIR. STREET NAME TYPE CITY S TE ZIP CODE NEAREST CROSS STREET PERMIT NUMBER S900�. wLIICANT ) PHONE PHONE APP/� _ �o syr 1 1 J �® s s 1 1 1VVNER'S CITY STATE ZIP CODE APPLICANT'S DDRESSv! STATE ZIP CODE "elr G�/Ef�A /• -CITY CONTRACTOR �^ STATE LICENSE LICENSE EXP. DATE REMARKS: 167yy4yf egg. �V7/ . CONTRACTOR'S MAILING ADDRESS PHONE 77 1 1 'f SCOPE OF WORK: ARCHITECT, ENGINEER OR DESIGNER STATE LICENSE ARCHITECT'S, ENGINEER'S OR DESIGNER'S ADDRESS PHONE SO. FOOTAGE VALUATION OCC. GROUP TYPE OF CONST. FIRE SPRINKLERS REQUIRED ❑ I 1 NOT REQUIRED O LICENSED CONTRACTORS DECLARATION PLANNING DIVISION REF. NUMBER ZONE SPECIAL INSP. REQUIRED ❑ NOT REQUIRED ❑ I hereby affirm that I am licensed under the provisions a1 Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and m keer4o . in fall PUBLIC WORKS DEPT. DRAIN/FLOOD SJLHD FIRE NUMBER lone and effect.2 Q/p ��` ® License Is 7 _ .Date Oate ontractor OWNERMU11DER DECLA AT N I hereby affirm that 1 am exempt from the Contractor's License law for the following reason (Sec. 7truct, Business and Professions Code; Arty city ct county which requires a improve, demolish, a repair any structure, prior to its issuance, BUILDING permit Fees $ � Sch. HE $ � $ ELECTRICAL — Fixtures- _ Incand. permit to construct, alter, also requites the applicant for such permit to file a signed statement that he is licensed Plan Check $ _ Fluor. — Flood pursuant to the provisions of the Contractor's License low (Chapter 9 (corrmencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt tharelrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any S. M.I.P. (State of Calif) $ DQtI , s: _ Light O/I 9 applicant for a permit subjects the applicant to a civil penalty of not more than live hundred $ Switches Recept. dollars (115001): Microfilm — _ ❑ 1, as owner of the property, or my employees with wages as their sok compensation, will do the work, end the stroctae is not intended ar offered for sok (Sec. 7044, Buseess Bedroom Tax $ $ — Motors — HP tnd Professions Code: The Contractor's License law does not apply to an owrrer of property $ Service Amp ha bum or Improves thereon. and who does such work hlorself or through his own employees. rovidW that such improvements are not intended in offered for safe. 11, however, the building improvement is sold within one year of completion, the owna-budder will have the burden _ — — Range/ Oven/ Dryer/ Wtr. Htr. proving that he did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to MOBILEHOME INSTALLATION p $ Temp Pole — Yes — No construct the project (Sec. 7044, Business and Professions Code: The Cordractora License improves Panels Amp Law does not fly to an owner of property who tickle or thereon. and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's license Law.). — _ -:1 am exempt under See. , 8. & P.C. for this reason - PLUMBING — Feeders — Amp Date_ Owner $ rlListi WORKERS' COMPENSATION DECLARATION WORKERS' — FIXEUreS _ GD _ DW I hereby affirm that I have a certificate of consent to self-insae. or a certificate of Workers' Compensation Insurance, or a cer ifie copy thereof fSec. 3800, lab. GL — Water Heater — Exp. DateConpan ❑ Certified copy is hereby turns ed. --_Water Line — ,7 Certified c y,ia tiled with the County ng lnspectio rvii Gas Piping — Date -- Applicant CERTIFICATE EMPTION FROM 0 COMPENSATION If SURAN E — — Sewer/Drain Line (This section need not be completed if the permit is for one hundred doAars If 1001 or less.l j I certify that in the performance of the work for which this permit is issued, I shag not Sewer/Water Conn. employ any person in am manner so as to become subject to the Worker's Compensation — _ Laws alifornia. $ - DatApplicant NOTICE TO APPLICANT: If, alter 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 shag be deemed revoked. (Conn. # ) Maint. Dist. $ — CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the — work for which this permit is issued (Sec. 3097. Civ.C.l. Lender's Name MECHANICAL — Comb. Unit/ Heat Pump $ — Lender's Address I certify that I have read this application and state that the above information is correct. 1 agree to comply with erg city and county ordinances and state laws relating to building caetruction,and hereby authorize representativesofffdacity toenter upon the above4mentioned— Furnace/A.C. OTHER FEES Sub -Total property for inspection purposes. DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: — Gas/Water Piping v Rec # Amt S Plan Chec $ — I hereby certify that no eacavalion five 151 or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and — Range/ Dryer Rec # Amt $ Mat no bugdieg structure, scaffolding, falsetwork, at demolition or d'ismantl'ing thereof, will more than thirtpsis 136) feet high. (Chap. 3.2, Grp 2. Art 2, Seo 341, Title 8, C.A.C.). .. Aa owrfer-0uilder.l wrp not employ anyone to do work which would require a permit from — Hood/Fan/Vent Fan/Vent Rec # Amt $ TOTAL FEES $ he Division of Industrial Safety, as noted shore, unless such person has a permit to do $ rich work Iran the division. — Diriakn of Industrial Safety Permit No. -----