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2 <br /> BUILDING INSPECTION DIVISION 1 <br /> FINAL DATE / y " G'3650 p 0 <br /> SAN JQAQU1N COUNTY PLANNING AND I <br /> BUILDING INSPECTION DEPARTMENT INSPECTOR ! CMm9 for In i <br /> 1810 E. HAZELTON AVE.,STOCKTON,CALIFORNIA-PHONE 12091 914-3701 CALL 14 HOURS I AO � <br /> A Y jr►/ DATE ISSUED <br /> APPL. DATE <br /> APPLICANT <br /> T� I <br /> JOB LOCATION PHONE � <br /> / i <br /> A.P.N <br /> OWNER ( CONTA rnuNt <br /> ADDRESS PHONE <br /> SCOPE OF,WORK <br /> 1 , � <br /> Acc. By�L; i ) �.,� App. By Date BUILDING <br /> Remarks Permit Fees$__L Sch. HE S 8 <br /> Plan Check 8 <br /> BY: TA.B 8 <br /> S.M.I.P. (State of Calif) 8 <br /> Microfilm 8 <br /> Cont. H/AC <br /> Size Const. Val. 4 <br /> MOBILEHOME INaret a eT10N if 8 I <br /> Plan. Dept., Re}, 0 Zone <br /> PW De PLUMBING <br /> Pt DKain/Flood Own. Rel. Att. <br /> —Fixtures—GD—DW 8 <br /> SJLHD Are I Excay. #-------A__City Water Heater <br /> THIS S CTION TO BE COMPLETED BY APPLICANT: DEPT. USE ONLY Water Line <br /> a eowner of the property. Cl Ins Cert on Gas Piping <br /> _I will do the work myself. If I hire anyone File, Exp Date: Sewer/Drain Line <br /> without complying with Workers Comp- Sewer/Water Conn. <br /> ensation Laws, my permit will become s3� <br /> void. ❑ Owner ❑Contr <br /> My employee(s) will do the work. <br /> I will have a Licensed Contractor do the OR (Conn. <br /> work. `.° airtt, Dist. f.st✓ <br /> I 4 <br /> Contr. f ❑ Contr. No hire <br /> MECHANICAL <br /> Address Stmt. on File <br /> City Ph. 1_1 Comb. Unit/Heat Pump 4 <br /> Lic. ClaasNumber Labor Code 380 Fumace/A.C. <br /> _ I am a Licensed Contractor: Gas/Water Piping <br /> Name Phone 1_ 1 Range/Dryer <br /> Address-- City_ —Hood/Fan/Vent <br /> License Class Number _ I <br /> Arch/Eng Lic ELECTRICAL <br /> # <br /> Address Phone 1 I Fixtures: Intend. <br /> 8 <br /> Fluor. Fk)od <br /> Construction Lender Outlets: Light o/I <br /> CaNf. C.C.P.#3097 Switches Recept. <br /> I hereby acknowledge that I have read this application and state that the <br /> content is correct.' I agree to comply with all applicable laws and Motors HP <br /> ordinances regulating building construction/Plumbing/mechanical/eiec Service__funp <br /> trical installations. <br /> n <br /> I UNDERSTAND THAT THIS PERMIT BECOMES VOID IF WORK IS Ra �/Oven/Dryer/Wtr. Htr. , <br /> NOT STARTED IN 180 DAYS, IF WORK IS ABANDONED FOR A Temp Pole—Yes—No <br /> PERIOD IN EXCESS OF 180 DAYS, OR IF NO INSPECTIONS ARE Panels—J1mp <br /> CALLED FOR IN A PERIOD IN EXCESS OF 180 DAYS. IF WORK IS Feeders__Amp <br /> NOT TO BE DONIIi REFUND MUST BE APPLIED FOR WITHIN 180 <br /> DAYS. { <br /> r'1 <br /> S' <br /> i ned <br /> � I <br /> 0 owNE -O-CONTRACTOR OTHER FEES Sub-Tota ' I <br /> Rec# Amt Chea <br /> 8 i <br /> n 6 <br /> By /►UTHORI A Rec E r Amt 8 1 <br /> Rec OV ' Amt 8-,.: TOTAL FEES– <br /> - n <br /> i � <br /> i i r <br />