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APPLICATION - COMMERCIAL BUILDING PERMIT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 BUSINESS PHONE: (209)468-3121 INSPECTION REQUEST-24 HOUR RECORDER: (209)468-3165 PERMIT NO. THIS PORTION OF THE APPLICATION MUSS'BE COMPLETELY FILLED OUT BY THE APPLICANT IN ORDER TO APPLY FOR PERMITS REQUIRED TO BUILD A COMMERCIAL STRUCTURE. I Scope of Work: //�J {0�U %1 �/ C -11-e- Site Address: OWNER NAME AND ADDRESS APPLICANT NAME AND ADDRESS Name: 77&C4 nucS'C�.�j Name: ) ✓ C' Address: - t Z c-o ( PIC Allri 1216 , Address: 13 7 C) tj City: State: A City: v State: ZIP: Ph:( ) ZIP: `'l.0 Ph:('Ml 333 O L CONTRACTOR INFORMATION Ph:(Ic-) 33 3 - ac/o4 Lic. No: I Company Name: 0 V\. ro v /V L 1_/VL_ Address: d City: kox I St: C R ZIP: DESIGNER INFORMATION _ Ph: _Z33Z Lic. No: Company Name: AA*--(- Address: U',, S City: UC2. 1 St: ZIP: (� BUSINESS INFORMATION IBusiness Owner: od ire Business Name(DBA): 1��C ��,�� `, .. (�,l,,r Mailing Address: C ECKLIST THE FOLLOWING INFORMATION AND DOCUMENTATION MUST BE SUBMITTED TO DEVELOPMENT Check SERVICES BEFORE YOUR APPLICATION CAN BE PROCESSED. off 1. One completed application for a Commercial Building Permit. 2. Three complete sets of construction drawings prepared by an architect or engineer. (NOTE: All sheets of the working drawings must be stamped and wet signed prior to issuance of permit) The plans must include: • Site plan. (NOTE: See the Site Plan Check List regarding requirements for the Site Plan.) • Structural plans. • A complete floor plan, including room usage,exiting plan and complete dimensions. (NOTE: For remodels and additions,the existing and proposed floor plans must be shown in their entirety.) • Plumbing and mechanical plans,including ventilation. • Electrical plans,including a complete one-line diagram of the service and feeders. • Disabled Access compliance. 3. Two sets of structural calculations,stamped and signed with a wet signature. 4. Two sets of complete construction specifications. 5. If prefabricated trusses are included in the scope of work,two sets of the following are required: • Complete truss layout designating each type of truss to be used. • Engineered truss plans and calculations which are cross-referenced to the truss layout plan. • Lateral bracing plans. • Details of any special features such as girder trusses,hangers between interconnected trusses, connections between trusses and beams,etc. • A letter signed by the responsible engineer or architect,stating that he/she has reviewed and approved the truss calculations and drawings,or either a shop approval stamp and signature or the responsible engineer's or architect's stamp and signature. 6. Two sets of non-residential energy calculations with all required forms imprinted on drawings. 7. One extra copy of the floor plan. Section 72 of the Revenue and Taxation Code now requires a copy of a complete floor plan of the proposed work to be given to the County Assessor. 8. One extra site plan to be given to the Department of Public Works at the time of Building Permit application. 9 One copy of a completed Hazardous Materials Disclosure Survey form is required if the building permit application does not require discretion approval(e.g.,Use Permit or Site Approval). Surve form is attached. .� 10. Permit-Deposit APPLICANT: ONLY THE OWNER OF THE PROPERTY ORA LICENSED CONTRACTOR`MAY TAKEOUT BUILDING PERIVII T S.. Owner-Builder must submit the following with the application: Contractor must submit the following with the application: • A property tax statement or a recorded deed . Current license numbers and a worker's compensation • A completed and signed "Owner-Builder Verification" insurance certification (this is not necessary if this form information is already on file with the Department) • A completed"Authorization for Application"form if other • A waiver form if the contractor is not subject to worker's than the owner applies compensation laws • A completed "Authorized to Sign" form if other than the contractor applies (this is not necessary if this information is already on file with the Department) F nl fY:u1 NlYfl RFlll f1FRgM'AIMY APP RFV AMQp 7