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Mer 24 03 10i46a Sen Joaquin County 4683127 P• 2 1 <br /> An application for a building permit has been submitted in your nate and luting yourself its building of the property improvement,specified. <br /> For your protection, year shemid be awnra that a9 "owru-r-builder" your ort the respo mible purry of rword on such a pernnt. Building <br /> permits are Tint required to be signed by property owners unless they are personally performing their own work. If your work is being <br /> perfornxd by someone other than yourself;yoir may protect yourself from possible liability if that person applies for the proper permit in his <br /> or her whune. <br /> Contractors mu requited by law to be licensed and bonded by it=State of California,and ursy be required to have a business license Itorn the ! <br /> city or county They urn also required by law to put thou licenac number on all permits for which drey apply. If you plan to do your own <br /> work,with tbn exception of various trades that you plan to sub-contact,you should be aware of the following information for your benefit and <br /> protection- If you employ or otherwise engage any persons ntix.r than your immediate family, and the work(inaludutg materials used other <br /> costs)is$200 or nitre fah the intim project,and such persons are not hewed as eontaetrim or subcontractors,then you may be an employer. <br /> 1 <br /> If you are an employer, you must register with the. Stetc stud Federal govcrumtut as an ewpluyer and you are subject to scverol obligations <br /> iticluding State and Federal ineomo tax withholding, Federal social security taxes, Worker's Compensation insuram, Disability insurance <br /> costs,and unemployment cutupensatinn crmtributiom. There may be financial risks for you do not carry out these obbptiom and these risks <br /> are rtpecialiy serious with respect to Worker's Compensation inauance. <br /> For more apecifte izdfi t hon about your obligations under Falcial law, sunset the Internal Revenue Service (and, if you wish, the i)S <br /> Small Business Administration). For more specific intorroation about your obligations under State law,the Department of Benefit Payments <br /> trod the Diviginn of Industrial Accidents may be contacted. <br /> If the stntctunc is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through � <br /> their own employees,without a licensed con(rackrr to subcontractor,only under limited conditions. A frequent practice of unlicemed persons <br /> professing to be contractors is to secure mh"owner-builder)building pemut,erroneously implying that the property owner is providing his or <br /> hes own labor and maitenal personally. Building permits art not required to be signed by property owners unlcsy thcy arc performing their <br /> own work personally. Information about licensed contractors may be obtained by contacting the Contractor's State Liccme bound at 1020 <br /> "N"Strcey Sacramento,CA 95814, <br /> The State of Californiii Health and Safety Code,Sceliun 19830,Chapter 9,Part 3,Division 13,requires w to retake you aware of these laws <br /> and ordinances,and requires you to complete the form on the right and return it to ua before we may issue your permit. Any contractor you <br /> list must have his State Contractors License number on file in this department, and a current, valid Certificate of Worker's Compensation <br /> Insurance(or waiver)also on file with itis Deprrrtmeat. ! <br /> If you ate hiring someone other than a contractor to do the work,your Worker's Compensation Insurance must be on file in this Department <br /> in the form of a v4htl,cunvot GCttlflcalc fnrru your Insurance Agent_ <br /> se No(Circle one)1 personally plan to provide the major labor and materials for the construction of the proposed improvement. ! <br /> I e or have rut(Circle one)sued an application for a building permit for the proposed work. <br /> I have contracted with the following person(firm)to provide the proposed construction. <br /> Narnc do Conductor License Number <br /> Address&City Telephone Numbs <br /> i <br /> I plan in provide portions of the work,but I have hired the following person to coordinate,nupervisc and pruviok the major work. <br /> Name&Contractor License Numbs <br /> Address&City — - „Telephone Number_ <br /> I will provide wane orthe work but I have contracted(hired)the following persons to provide the work indicated. <br /> Name&Contractor I Jeence Number <br /> Address&City&Type of Work _ _Telephone Number <br /> store of Property Owner <br /> 4 (�ovation of project site address_ %✓P�_ <br /> � ( (udifToraru frbrn.br>r<) <br /> yTelephone Number Date <br /> �? FILL OUT BOTH SIDES OF THIS FORM IF BOX IS MARKED <br /> 1 E/E 3wd I0805t7ZSZ61 volcahot3IJVd 10 Lt (ILi3) EOOL t7 EYW <br />