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CITY of RIPON w Building Department <br /> 259 N . Wilma Ave . Ripon, Ca . 95366 ( 209) 599m2613 Inspection Recorder ( 209 ) 599-6079 <br /> 0 Building Permit <br /> Permit Number: 23022 Date Issued : Date Final : <br /> Address : 1501 N JACK TONE ROAD Subdivision: ,o <br /> F� 1 <br /> Assessors Parcel # : 228410 -23 Lot : C/� 61 <br /> Permit Class : MISC Permit Type: B-P Project Type : COM OFA/ <br /> Project Description: REPLACE 4000 GALLON UNDERGROUND OIL WATER SEPARATOR A�/ti/ <br /> Property Owner: PILOT TRAVEL CENTER LLC Owner Builder; ❑ <br /> Mailing Address: 5508 LONAS DRIVE KNOXVILLE, TN 37909 Owner Phone: (865)474-2128 <br /> Contractor, JONES COVEY GROUP, INC. Contract License # : 804431 <br /> Mailing Address: 9595 LUCAS RANCH RD #100 RANCHO CUCAMONGA, C. Contractor Phone # : (888)975-2457 <br /> Desggner: Designer License # : <br /> Occupant Group : CBC Type: Occupant Load : # Units per Bldg : Stories: <br /> Res . Living (SF) : Garage (SF) : Porch ; Patio (SF) : Other (SF) : Fire Sprinklers [] <br /> Commercial (SF) : Industrial (SF): <br /> Construction Valuation: $49,000.00 Plan Check By: TH Census Code: Zone : <br /> Building Permit (201 ) : $565,75 Sewer Connection (204 ) : CBSC (255) : $2.00 <br /> Plan check (201 ) : $367 .74 Water Connection (206) : County Facilities (238) : $0.00 <br /> Energy Compliance (201 ) : Transportation (215 ) : $0 .00 RTIF (246) : $0.00 <br /> Plumbing (201 ) : $39 .75 Police I City Ball (213) $0 .00 <br /> Mechanical (201 ) : Corp Yard (245 ) : $0 .00 <br /> Electrical (201 ) : Library (216) : $0.00 <br /> Parks (209) ; <br /> Notes: <br /> Garbage (210) : Permit Total : $988.96 <br /> General Mitigation (218) : $0 .00 PC Fee Paid 711 / 19 : $373.26 <br /> SMIP (208): $ 13 . 72 Balance Due: $615.70 <br /> I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH <br /> ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BU CONSTRUCTION , AND HEREBY AUTHORIZE <br /> REPRESENTATIVES OF THIS CITY TO ENTER UPON THE ABOVE MENT D OPERTY FOR INSPECTION PURPOSES. DO NOT CONCEAL OR <br /> COVER ANY CONSTRUCTION UNTIL THE WORK IS INSPECTED A HE ECTION IS RECORDED ON THE JOB CARD, ALL INSPECTION <br /> REQUESTS A REQUIRED 24 HOURS IN ADVANCE OF THE I ECTI <br /> on <br /> tractor { ) Owner ( } Agent Signatur Date <br /> WHEN PROPERLY VALID ED THIS FORM CONSTITUTES A BUILDING PERMIT <br /> THIS BUILDING PERMIT WHEN PROPERLY FILLED UT, SIGNED AND PERMIT FEES ARE PAID PERMISSION IS THEREFOR GRANTED TO DO <br /> SUCH WORK AS INDICATED IN THIS APPLICATION IN ACCORDANCE WITH AND SUBJECT TO ALL OF THE PROVISIONS OF THE BUILDING <br /> CODE OF THIS CITY AND RELATED LAWS THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN 180 DAYS FROM <br /> THE DATE OF ISSUANCE, OR IF WORK IS SUSPENDED AT ANY TIME DURING CONSTRUCTION FOR MORE THAN 180 DAYS . <br /> Issued by : <br /> ( ) City ( ) Assessor ( ) Building Applicant <br />