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COMMUNITY DEVELOPMENT DEPARTMENT, BUILDING DIVISION,CITY HALL, STOC ��O ,-CALF NI 95202 24 fit inspection Request %— `' PHONE (209) 9448561 Per J'r� `� d 944.,8560 1i CITY OF STOCKTON NO i 3 $ Gt COdION PERMIT � tE � CTRICAL PERMIT D MECHANICAL P riMIT © BUILDING PERMIT ❑ PLUMBING PERMIT ❑WRECKING PERMIT RK DESCRIPTION CENSUS TRACT I TR ZONE I BLOCK PARCEL REMODLE FOR SERVING WINDOW INSTALL BAR-B-QUI PIT 300 ADDRESS AS8ES50n PARCEL NO 1.244 N WILSON WY I ' LFGAL DESCRIPTION LOT BLOCK SUBDIVESIQN PUBLIC SCHOOL IMPACT FEE 84.0211 OWNER DEVEL FEE RAY GAL.. I & BILL HARR 115-0610-002 ' OW+VER ADDRESS PHCNF PARK LAND 4184 FT DONELSON DR. 15 0610 003 CONTRACTOR AODRESS PHONE PLAN CHECK ' I OWNER 100424-000 ARCHITECTlENGINEER ADDRESS LICENSE NO PHONE PERMIT FEE 100424-000 ZONING CONSTR CODE NO OF BEDROOMS VALUATIOIN MICRO FEE 10 0619 003 OCCUP GROUT NO Of HOUSING UNITS REMARKS ��'�} ] SNfiP FEE _ I // 84 0251.013 ' so TYPE CONSTR CONTR CREDIT NO / CERT OF 111 OCC 10 0424-000 717, ()n?12 QCCUP LOaO SPRINKLERS WATER CONN IN CITY ' NO OF SrORIES BASEMENT SEWER coNN, IN CITY 72-0645-001 TOTAL FLOOR AREA USE PERMIT NO TOTAL FEES LICENSED CONTRACTORS OECLARATION DIMENSIONS PARKING PLAIN RECORD DATA I haaby affirm that 1 em licensed under provisions of Chapter 9 ' (eoirnmencnna with Section 70001 of Divioton S of the Business and Pro- NO DATE REC Q fmions Code and my license is in full fora and affect PARCEL FRONTAGE EXIST NEW ARCHtT PLANS CONTRACTOR LICENSE NO X STRUCT PLANS LICENSE TYPE DATE LOTAAEa REGEIVEO ELECT PLANS 8Y OWNER BUILDER DECLARATION MECIi PLANS I hereby affirm that I am exempt from the COninoc, eg Lk etre tst FLOOR AREA PERMIT Law for the foliolwng mason(SW 70315 Business and Profatuers IssuaNCe SPECIFICATIONS Code Any city or county which requires a pwmlw it to cotroet alpr APP'Vi Y � •J• 3-2 7-8 CALCULATIONS ' improve demolish or"poor any structure prior to lti"Wance,1110 tit' 2-d rlR OOAREA PERMIT quires ' _quires the applicant for such permit to fits a signed a111ement that he 1s ISSUED 501 LS REPORT I licensed pursuant 10 the provisions of the Contractors Lnoer+a Law BY I ChIprer 9 commanang with Section 7000)of Division 3 of the Buss -I ENERGY twee and Ptofenlotw Cods) Or that he is exempt therefrom and the RESIDENTIAL ESTIMATED VALUE ' basis for this alleged axempoon Any violation of$codon 70315 by NOISE any applicant Ion a permit subjects the applinnt to a civil penalty Of GARAGE � Qa I ' Trot mVore than five hundred dollars($6013 1 V ❑ 1 as osvmr of the prdpvwty Of my emplayesl with.rages a their I PORCH sole compensation will do the work and the structure is not Intended WORKERS COMPENSATION DECLARATION OWWASHIP APPROVALS or ofisted for sale(Sac 70441 Eivito a and Pro(eouons Code The I hereby affirm that i havis a ardfneate of consent to self Insure or a Contractor s License Law does not apply to an Owner of property who Perrrlmaite of Workers Compematwn Insurance Ora testified copy ©PFiI VATS ENV.A iaPACr R[PCRr builds Or nmprovea thereon and who don such work himself or through thereof I See 3800 Lab C) Policy No - N. 3-27-81-2 r7_p 1 ' hu own slnploYas.provided that such im trowentenis are not intended fAm_pisnY ❑CITY .7 G ! G7 a offered for 2210 If Inewever,the building or improvement a sold LJ Certified copy is hereby furnuhad ❑COUNTY rua4ic ironxs within one nor Of c ampletrOn the owner builder writ haw die burden of proving that he did not build or Improve for the purpose of Sale 1 ❑Certified copy u filed with the county !!ding I tion an [1 STATE ❑ t as owner of the property am exdu,iw.ty contrecbnq with h- Oats—[or county A da n[ FEE) at'Rewwl. coned contractors to construe[the Project I Ser 7040,Business andplrE OF 'Sa2, ►. fhofexsions Cools The Contractor s Lmanse Law does rat apply t0 an CERTIFICATE OF EXEMPTION FROM W KERS EOVCA ' owner of property who builds orlmprovesthare0n and who contracts COMPENSATION INSURAN TIONAL ��sraglMy for such projects with a contractor l s) licensed pursuant to the Can This swt-on need not be eomptated of the permit is for one hundmif O SEMI rl%f tractor s License Law) dollars(S1 J0) or hu t PUBUC eoA ;,PEALS ❑ i am exempt under Sec B BPC for tits I certify tttal is the performance of the work for winch this permit F= mason q issued I&tail not employ any person in any manner so is to becarns ' Oats Op, liable"I*The Workers CompemationLaws ofCalifwnia VALIDATION.t�,a i certify that I have rood this application end sate that the ebovr inti Dole APPi,eant e� formation is correct I agree to comply with alt city end county Ord in NOTICE TO APPLICANT If after making this Certificate of Exsmp� -ry anter and state taws re4ting to budding construction and hereby tion you should become subject to the Workari Compensation pro p� aothorr:s represantativq of this city to enter upon the above mentioned vdioes of the tabor Code you must forthwith comply with such pro- 0+�1 Alffikoperty 1m inspection purposes. wmons at this permit shall be daemad revoked V CONSTRUCTION LEADING AGENCY I Gerrity that t have road this apjdreeeiort and state that the above in I hereby affirm that theta It a constructl"laedlnp aperactii Iter the formation a correct,I agree to comply with all city and county Wdin ancp and state laws relating to building construction and hereby performance of the work for which this permit is issued I Site 3057 Civ wthorrais raprasentatwes of this Otty to enter upon the above man C I honed ProParty for inspection purposes ' Leader s Noma —SIGNED Lander a Address ADDRESS_.1,.,7-d 4 AA•--.---,N- WTI SON TAIl-9-y r ORIGINAL