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*DEPT, <br /> Stockton Fire Prevention Division345 North EI Dorado Street CITY OF <br /> Stockton, CA 95202 STOCKTON <br /> (209) 937-8271 • Fax:(209) 937-8893 / <br /> PLAN CHECK APPLICATION City Permit# �( � Z —3 7./ <br /> Project Located inCityEl County E] (If applicable)County Permit#__ _ <br /> Application Date 0011L <br /> Project Name S V4L S� .c <br /> Project Address j M 9 zo <br /> t}fiy, ����- - --�------Suite--------- - - --- Zip---� — - <br /> � <br /> C <br /> � A rc�ee" TOR INFORMATION <br /> Name fS_m�I <br /> O T <br /> Address }3(V Nkr`kA c� SWtf�i — City/Zip S'�,��a/It� qI SZU`E <br /> Phone 4(ol —(08 9 Fax �W— �3�2 <br /> Contact Person LkUL _ Office Phone Cell <br /> E-mail Address _ <br /> Work done in the City requires a CITY OF STOCKTON BUSINESS LICENSE <br /> ALL LICENSE INFORMATION IS SUBJECT TO VERIFICATION <br /> CITY OF STOCKTON Business License# -_Expiration Date <br /> STATE Contractor License#-.-, __ -„--..,,,,-Expiration Date- <br /> ❑Sprinkler ❑Fire alarm ❑Underground <br /> Application is hereby made for a plan approval as follows: <br /> Office Use <br /> ✓Applicant Check Type of Plan FEE <br /> ❑AUTOMATIC FIRE SPRINKLER SYSTEM-Number of Risers: Number of Heads per Riser: <br /> ❑Alterations -Number of Risers: Number of Heads per Riser: <br /> ❑SPECIALIZED FIRE SPRINKLER SYSTEM -Number of Risers: Number of Heads per Riser: <br /> ❑Deluge Water System ❑Foam System ❑Fixed Spray System ❑Pre-Action System <br /> ❑FIRE SPRINKLER APPLIANCES: ❑Fire Pump ❑Fire Hose Racks ❑Standpipe <br /> ❑UNDERGROUND FIRE SERVICE: ❑Fire Sprinkler ❑Hydrant ❑Both <br /> ❑AUTOMATIC FIRE EXTINGUISHING/FIRE SUPPRESSION SYSTEM Number of Flow Points.,,,._. <br /> ❑FIRE ALARM SYSTEMS Number of Devices. Number of Stories per Building ........ <br /> [--]AUTOMATIC FIRE DETECTION SYSTEMS Number of Devices_-.-_._---.-__ Number of Stories per Building,-„,,,,,,,,,,,,,,,,,,,,,,,,, <br /> ❑SPECIALIZED GAS DETECTION SYSTEMS Type: <br /> ❑WATERFLOW Number of Devices <br /> o <br /> 1XQTHER �- /q'Z — 0 QT- LA r I'nmt4 5-2,*. <br /> TOTAL FEES .�?..t . <br /> Total Hours& <br /> ADDITIONAL PLAN REVIEW SERVICES Total Fee <br /> ❑Plan Check 1#Revision-per hour ❑Plan Check-Expedite Request(Review&Approved within 3 <br /> ❑Plan Check 2n°Revision-per hour business days) <br /> n Plan Check aro Raviainn&earh ravisinn thereafter-ner hour ❑Express-Over the Counter Plan Check <br />