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6 � , w.-e c-PS I APPLfcanoN GATE ya4-tl5130 / 41�_ 6- l;1TY OF 51 GKti JN No. h T -m "s'xl"qO ❑CONST ON PERMIT C)ELECTRICAL PERNII INICAL PERMIT JUL � � U�� y �l L ` 7M-86 ❑ BUILDING PERMIT ❑PLUMBING PERMIT YJbMECKING PERMIT knomA( II+H(M CFNSIIS TRACT IN ZONE al PAIICEL demolish 1800 sq ft service station 0100 E 03 2 06 eon aDDmss - —�— ASSESSOR PARCEL No THER FEE 641 East Weber Ave. able -09 $ 8 LFGAI Rfo:IllPuoN - LOT IM. $UJ pASON 139 270 Oo6 SCHOOL FEE -___.-_-_ a4-0211- DWNFfl _._—_— -__.-_ —__—.. _ _.—_ EE & SIGN FEES Ken Ladd15-0610.002 Owufn nlroflP55 -_—_—_ .___..- —_._ PHONt PARK LAND 1128 W. Lincoln Rd Stkn 477 15-0610-003 II CONTRACTOR ADDRESS PHOet PLAN CHECK ARazz: Calder ENGINEERB WreckingADIDDIF. BOX 284. 95823_Sacramentr) _ 10-0424-000 HRFC1LICENSE NO 916 422 ld'M PERMIT FEE 10-0424.000 75- 00 ZONM(: CONsrR GOpE NO OF nEOROOMS PERM,, VALUATION MICRO FEE I$$UgNCE - 70 fn Verhi " 9° ✓ 10-061&003 OCCUR GR(NP NO OF HOODING UNITS REMARKS TRAFFIC SIGNAL FEE SMIP FEE REMOVE TANKS LATER ZONE— 64-0251-013 TYPE CON501 CONT4 CREon NO 15.06`93.00 ,,.,,.;... I CERT- - CITY WIDE OCC.. 15 -0633-005 10.0424-000 a OCCUP LOAD SpRxLETS WATER CONN 1 IN CITY !!!.••fff 24.0645001 NO OF STORES BASEMENT � � 1 SEWER CONN t IN CITY 1 72-0645.001 I TOTAL FLOOR AREA USE PENMIi NO TOTAL FEES 75 - 00 LICENSED CONTRACTORS DECLARATION DIMENSIONS PARKING VALIDATION e 1 Thereby affirm that I am licensed under provisions of Chapter 9 C:— (commencing (commencing wish Sectbn 70001 of Division 3 of the Business and t— Professions Coda,and my license Is In lull lace and all.l. T�3 PgNCEL LP(Nir9G! E%IST NEW _ CONTRACTOR-Ga}de.r—Bldg. Wrecking � LICENSE N0. J9647} e*pp 7196 C'• JJ LOT AREA PLANA 0 L-•e1 LICENSE TYPE 02-1 DATE flecOveD V 9V STOCKTON BUS.LIC.NO. T1983 emp 9_]0_ ��[' -q ' IFI.(]OR gRI:A PLANSC'H[CMFII or I OWNER-BUILDER DECLARATION � N :..f I Thereby affirm that 1 am ...pt Iran the Contractor's Llcansa .A Law to the fotlowtmgre..on(Sac.7031.5,Exist Professions Cade: 7rvl 1100.AREA IPt11M1, Any city a county which rpulns a permit to construct, oiler, Improve, SSUED 1amaneh. a repair any structure. prior to Na Issuance, also requires a, NMH 1 M1a applicant for such parmlt to Rle•.lgnad snt•ment that he Is licensed pUIPY•nl la the provisions of the Contractor's License Ler (Chapter 9 111';0INIIAI I STIMAIID VALVE ....ocing with Section 7000) d DIIII.I n 3 of the Business and Fruit...one Cada) or that he le oampl thaafrosn and the beat.for the .n,AI.I alleged e.empllon. Any rloletloe d Se.H. 7031.5 by a, apPllcent for e permit subjects the applicant to a civil penalty of not more than Dye „cRl PLAN RECORD DATA hundred dollars(35130.): WORKERS'CMKNSATMM OECLARATNIN NO. DATE RECD. I,as owner of the property or my employees with rages as that, I hereby stilrm that I have a certificate of caos•nt to sell-insure,or a sde1comyenastlon,will do the work,and the structure Is not Intended candica,aM Workers'Compensation Insurance.or e certified copy thereof ARCHIT.PLANS — or offered Io cal• (Sec. 70M), Business and Pool...Ion. Coda: Th. (Sac.3800.Lab.C.I Policy No. __ 1 Contract.,a License Law does not apply to an owner of progeny who Company ��'L: STRUCT.PLANS__—._— bulbs or Improve&theraon,and who does such work himself o through j )Certified copy Is hereby IumNhed.E.Ptr�E"��-��- ms own employe•., provldad that such Imgroym•m. are not intended -_ELECT PLANS o ollersel to, sale. If, however, the building o Improvement is sold :1 Cenlfied copy Is mad with the city building Inspacllon OePertmen,. ------ELECT one year of completion. the own.rbulld•r will have the burden ! ----MECH.PLANS_— mf proving that he did nct bwm or Improve IDD ma pulp a&.of.....l Data .Applicant - CERTIFICATE RE3EMPTNIN FROM WOPKERS'LOMRNSATfON NSURANCE _-.—.SPECIFICATIONS I. es owner of the properly. em exclusively connecting with This section need not be completed If the permit is to one hundred _ CALCULATIONS.._ Ilcan.ml contractors to construct the protect IS•c. 7044. Business and dolfers(SINjo,less.) ---' __-- 11 PrMesslons Code: The Contractors License Law does not apply to an I cerllly that 1n the performance of the wok for which this permit is own., of proven, no bullae or Improve. the,.. and no contracts Issued.I shall not employ any Penin In any manner to as to become sub- __—.—_SOILS REPORT— for such projects with • conleclor(s) licensed pursuant b the Com lac,to the Workers'Compensation Laws of Ca111anil. ENERGY_ lrecto'c license Law.l . . -.ir____ -->:"�. j ❑ l em exempt undo Sec.._ _ —.0.A P.C.to this Data_,' _.YLj Applicant. - (G' _NOISE__—----- — NOTICE TO APPLICANT:If,elver making this Certificate of Exemption.you enoub become subject to the Workers Compensation provisions of the -PLOT PLAN__ __—_— Date_— ___ --_Own•, Labor Code,you mn uol lur,h si comply with such provlslume o,this permit shelf be deemed revoked. — 1..,lily that I have read this application and&Isla that the so...In APPROVALS i CONSTRUCTION LENDING AGENCY forma Don Is correct.I agree to comply with all city and county ordinances t 1 hereby affirm that there Is a construction lending agency for the and stele laws raising to building conat...Sam, end hereby apmurhos I N1a11M P.C!wroth wsrOnrt: performance of the wok Io which this permit Is Issued(Sec. 3097.Civrepnsannliras aof this city to enter upon the above manlloned property for C.1. Inspection purpas. l. Pun1 avmPes eoAPD or All At Landa'f Nome SIGNED O ' er � " ' till 004 i AODRE55 1 lender's Address __ .IDB ADDRESS 641 E. Weber Ave. r REVISED 9183 .. APPLICANT