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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: BP19-08003 Description of Work: Removal of two old oil tanks,place and anchor of one new oil tank. Issue Date 12/05/2019 LICENSED CONTRACTOR'S DECLARATION Permit Type Commercial 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 Structure Other Than Building Sub Category Alteration License Type: License Number: on Bus. Date: 9 rY Contractor: Stockton Bus.Lic.No: Permit Address 4704 FITE CT OWNER-BUILDER DECLARATIONS Parcel No. 18111013 I herzby 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 LONE OAK STOCKTON LLC construct, alter, improve, demollsh or repair any structure, prior to its issuance, also requires the 6250 N RIVER RD STE 9000 applicant for such permit to file a signed statement that he7she is licensed pursuant to the provisions of Contractor's License Law (Chapter 9 commencing with Sec.7000) of Division 3 of the ROSEMONT IL,60018 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): 12740 N TULLY ROAD LODI,CA 95240 I, as owner of the property, or my employees with wages as their sole compensation, 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 852887 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 T-6 CONSTRUCTION LLC or improvement is sold within one year of completion, the owner-builder will have the burden of 12740 N TU LLY ROAD proving that he did not build or improve for the purpose of sale.) LODI CA,95240 I, as owner of the property, am exclusively contracting with licensed contractor(s) to 2099965763 construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law Valuation $5,219-00 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) S ecial Nates and Cand#tion I am exempt under Sec. B&P.C.for this reason Required inspections: Date: Owner: 021-Final Fire 022-Final Building NOTE: To protest the imposition of any development fee, dedication, reservation or other exaction imposed on your project, you must file written notice with the City Additional inspections may be required depending on the 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 scope of work for your project;please contact a Permit tendered or will be tendered when due, or that any conditions which have been imposed Technician or your Building Inspector for additional are provided for or satisfied, under protest, along with a statement of the actual information. elements of the dispute and the legal theory forming the basis for the protest. Potential additional inspections: WORKERS COMPENSATION DECLARATION 001-Temporary Electrical I hereby affirm that I have a certificate of consent to self-insure, or a Certificate of Worker's Compensation Insurance,or a certified copy thereof(Sec 3800,Lab.C.). 002-Site Work Policy Number: Company: 003-Foundation Certified copy is hereby furnished.Expires: 004-Shear and Roof Nail _ Certified copy is filed with the city building inpsection department. 005-Fire Sprinkler Rough Date: Applicant: 006-Frame Only CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE 007-Close-In This section need not be completed if the permit is for one hundred dollars($100)or less. 008-Insulation 009-Sheetrock I certify that in the performance of the work for which this permit is issued, I shall not 010-Lath/Stucco employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. 011-Above Ceiling 012-Electrical Wiring Date: Applicant: 013-Electircal Service I Panel NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become 014-Gas Service subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply 015-Roof with such provisions or this permit shall be deemed revoked. 016-Swimming Pool:Pre-Gunite I certify that I have read this application and state that the above information is correct. I 017-Swimming Pool:Pre-Deck agree to comply with all city and county ordinances and state laws relating to construction. I hereby authorize representatives of the city of Stockton to enter upon the above mentioned 018-Swimming Pool:Pre-Plaster property for inspection purposes. 019-Special Inspection SIGNED: PRINT NAME: 020-Final Public Works 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 PAID. existing dwellings when a building permit is required for alterations, repairs,or additions exceeding a$1,000 valuation Sionature: �' L�— THIS PERMIT SHALL BECOME VOID AND WORK SHALL BE CONSIDERED AIJANDOINED IF AN INSPECTION HAS NOT BEEN RECORDED AND APPROVED WITHIN 180 DAYS