(205)428-9547

Building Permit Application

PROJECT ADDRESS: *

PROPERTY OWNER
ARCHITECT/DESIGNER/ENGINEER
CONTRACTOR LICENSE #
TENANT

PLEASE FILL IN THE SQUARE FOOTAGES OF AREAS THAT APPLY:

CHECK ALL THAT APPLY:
 

LICENSED CONTRACTORS DECLARATION

I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with section 7000) of Divison 3 of the Business and Professions Code, and my license is in full force and effect.


OWNER BUILDER DECLARATION


I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec.7031.5, Business and Professions Code. Any city or county which requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor License Law (Chapter 9(commencing with the section 7000)of Divison 3 of the Business and Professions Code) or that he or she is exempt thereform and the basis for the alleged exemption. Any voilation of Section 703. 1. 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500))

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 Profession Code.The Contractors License Law does not apply to an onwer of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion,the owner builder will have the burden of proving that he or she did not build or improve for the purpose sale

I, as owner of the property ,am exclusively contracting with licensed contractor to construct the project (Sec.7044,Business and Profession Code. The contactors License Law 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 Contractors License Law ),
WORKER'S COMPENSATION DECLARATION

I have and will maintain a certificate of consent to self-insure for workers compensation, as provided by for section 3700 of the Labor code, for the performance of the work for which this permit is issued.

I have and will maintain worker compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers compensation insurance carrier and policy number are:


This section need not to be completed if the permit is for one hundred dollars($100) or less).

I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become just to the workers compensation provision of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.


CONSTRUCTION LENDING AGENCY

I hereby affirm penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C).


I certify that I have read this application and the state that the above information is correct. I agree to comply with all city and country ordinances and state laws relating to building construction,and hereby authorize representatives of this country to enter upon the above mentioned property for inspection purposes.