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BUILDING PERMIT APPLICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE,STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3121 <br /> INSPECTION REQUEST-24 HOUR RECORDER: (209)468-3165 <br /> L�FOR <br /> THE APPLICATION MUST BE COMPLETELY FILLED OUT BY THE APPLICANT IN ORDER TO APPLY FOR BUILDING <br /> PERMITS. <br /> Scope of Work: New 22,267 SF building <br /> Project Address: 10182 S. Harlan Rd., French Camp, CA. 95231 <br /> Project Valuation: $3,340,000 Contact E-mail: ge@wmbarchltects.com <br /> OWNER NAME AND ADDRESS APPLICANT NAME AND ADDRESS <br /> Name: Howard Land Co Name: WMB Architects <br /> Address: P.O. Box 12346 Address: 5757 Pacific Ave., Ste. 226 <br /> city: Fresno state: CA City: Stockton state: CA <br /> zip: 93777 Ph#(559)486-4310 zip: 95207 Ph#(2091944-9110 <br /> CONTRACTOR INFORMATION Ph#(209)467-0500 <br /> Lia No: Company Name: Devcon Construction <br /> Address: 2010 W. Fremont St. City:Stockton St: CAZIp:95203 <br /> DESIGNER INFORMATION Ph#(209)944-9110 <br /> Lic. No: Company Name: WMB Architects <br /> Address: 5757 Pacific Ave., Ste226 City: Stockton st: CA ZIP: 95207 <br /> LENDING AGENCY ` ' Ph#( ) <br /> Company Name: # <br /> Address: City: St: ZIP: <br /> Permit will be issued to an "Owner-Builder" Yes ❑ No® OFFICIAL USE ONLY <br /> If yes, a completed Owner-Builder Verification Form must Identification Number: <br /> be signed and submitted along with copy of the owner's <br /> identification prior to issuance of the building permit. <br /> DECLARATION BY CONSTRUCTION PERMIT APPLICANT <br /> By my signature below, I certify to one of the following: <br /> I am ❑ a California licensed contractor or❑ the property owner or❑ authorized to act on the property owner's <br /> behalf(requires written approval and Owner/Builder Verification Form signed and submitted). <br /> I have read this construction permit application and certify the information I have provided is correct. I also agree to comply <br /> with all applicable county ordinances and state laws which govern this project. During the course of construction I will also <br /> takes steps to preserve all survey monuments. In addition, I authorize representatives of this county to enter the above- <br /> identified property for inspection purposes. <br /> Applicant's Signature Date <br /> For your convenience checklists detailing any additional submittal requirements for various building permit types <br /> are available at the Building Division counter. Demolition permit and mobile home on foundation require check-list. <br /> F:1Application Forms&Handouts\HANDOUTS\Building Permit Application 1-2015.doc Page 1 of 2 <br /> (Revised(01-28-15) <br />