CITY OF RIVERBANK BUILDING PERMIT APPLICATION

6707 Third Street  -  Riverbank, CA.  95367  (209) 863-7120  FAX (209) 869-7126

 

Please use the following form to submit an application to the Building Department

 

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Online Building Permit Application

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Date of Application  

 

 

Type of Construction  

 

 

Job Address  

 

 

Cost of Project  

 

 

Square Footage    

 

 

     Living Area  

 

 

     Garage  

 

 

     Patio/Porch  

 

 

Owner Information    

 

 

     Name  

 

 

     Phone #  

 

 

     Address  

 

 

     City/State/Zip  

 

 

Contractor Information    

 

 

     Name  

 

 

     Phone #  

 

 

     Address  

 

 

     City/State/Zip  

 

 

     Contractors License #  

 

 

     Class  

 

 

     Expires  

 

 

     Workers Comp    

 

 

          Carrier  

 

 

          Policy No.  

 

         

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Owner - Builder Verification

For your protection you should know that as “owner-builder” you are the responsible party of such building permit.  If the work is being done by someone other than yourself, you may protect yourself from possible liability if that person applied for the permit themselves.  contractors are required to be licensed and bonded by the state of california and to have a business license from the city/county in which they are working.  If you plan to do your own work with the exception of various trades you will sub-contract, you should be aware of the following information for your benefit and protection.

If you employ or engage any person other than you immediate family/friends and the work including material if $500.00 or more for the project and such person is not a licensed contractor, then you may be classified as an employer.  If you are an employer you must then register with the state and federal governments as such and become subject to state and federal tax withholding, social security texes, workers compensation insurance, disability insurance and unemployment compensation.  If you do not carry out these obligations you risk financial liabilities.

i have read the above information   

I will personally provide the major labor/materials for the above described project