SR0083283 - Laserfiche WebLink

Home Browse Search

SAN JOAQUiN RIVER CLUB, INC. 30000 Kasson Road Tracy, CA 95304 Phone (209) 835-1969 8 Email sjrcinc@gmaiLcom BUILDING PERMIT APPLICANT: WITY- MQ0017\ MEMBER #: s- D SITE ACDRESS: I MAILING ADDRESS: ,30,0oD 46s61-7 (Z19 y 2_67 CONTRACTOR: cuks z---,c,t)L us / Improvement Description (include materials, size and use): s ciz--fv- cir“) 1. ERN uvvcs (7-) A kc.-:5T I L L. COUNTY PERMIT IS REQUIRE YES / 0 (Member's Initials) CLUB AND COUNTY PERMITS EXPIRES 6 MONTHS FROM APPROVAL DATE SAN JOAQUIN RIVER CLUB, INC. WILL NOT BE RESPONSIBLE FOR SITE MPROVEMENTS Notice is hereby given that the San Joaquin River Club, Inc. a non-profit corporation of the State of California, is the owner of certain properties as recorded in the official book of records of the San Joaquin County. The San Joaquin River Club, Inc. will not be responsible for construction of, and/or addition to, and/or alteration of said building, or for material or labor or professional services to be used thereol. The member/applicant assumes all responsibility. Building permits may be required from San Joaquin County, 1810 E. Hazelton St. Stockton, CA. Contact the County for a complete list of improvements that require permits. a Copy of initial County site permit must be returned to the SJRC prior to constructicn. Permit must be posted on site and a copy of the final County site permit must be returned to the SJRC for retention in the site file. Refer to the SJRC Building Regulations for additional information. Fee Due: $25,00 for original or renewal permit. AlArnate Fee: $100.00 if project was begun prior to permit approval or continued after permit expired. Amount Paid: Date: .2__,43 Date: Receipt #: 70721;3 I agree to comply with the Building Regulations of the San Joaquin River Club, Inc. and the County of San Joaquin, if applicable. I agree I will in no way hold the SJRC responsible for any property damage or physical injury related to this work. I further agree to maintain all irnrovements and my home site in GOOD CONDITION al (CA PHONE #: APPLICATION SIGNATURE: CONTRACTOR SIGNATURE: APPROVAL Name: Name. Name:<IA-et A,..-y°11.-- Date: 2- - Da tea-1 r -9090 Date: 2-6?-2a2-1 PHONE #: BOARD APPROVAL APPROVED - DESIGN ONLY SUBJECT TO COUNTY HEALTH SAN 40w AND BUILD 3:;:icof 'NS a ' 1 DATE ,;.1 Board Approved 8/15/20