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aprL.rcaTIUIQ cult reRnnn � FINAL DATA � <br /> "BUILbING INSPEOTION DI .'_; <br /> VIS1011- / <br /> Give This Number Why <br /> SAJY JOAQUIN�!COUNTY PLANNING AND INSPECTOR Calling for Inspection <br /> BUILDING INSPECTION DEPARTMENT CALL 24 HOURS IN AIDANC <br /> 1810 E. HAZELTON AVE., STOCKTON,CALIFORNIA-PHONE(209)944-3701 <br /> DATE ISSUED � 5����... .••.�—_ <br /> A-PPt Lf. DATE IL0 {O <br /> APPLICANT n't0 '"'D �-[� �t'C7� 4 1 U iti "I K�- <br /> JOB LOCATION ( ti 1�.i4` f �� Ess 1 - 1L4-�.� PHONE <br /> A.P.# <br /> OWNER YVIC)"b &Z W YQ <br /> CONTACT PHONE <br /> ADDRESS PHONE <br /> SCOPE OF WORK—=- �f�� � _{�L1 _�I <br /> I <br /> Ace. By App. By Date BUILDING <br /> Permit Fees $_L Sch. HE $ $ <br /> Remarks_ h VIAE-•_' t*I 11heA?_1 eik-D Plan Check $ <br /> BY: <br /> L S.M.I.P. !State of Califl $ <br /> Microfilm $ <br /> Cent. H/AC <br /> Size Const. Val. $ BILEH ME INSTALLATION <br /> Plan. Dept. Ref. # Zone <br /> PLUMBING � <br /> PW Dept Drain/Flood Own. Ret. Att. —Fixtures—GO—DW $ <br /> SJLHD Fire # Excay. # City Water Heater <br /> THIP SECTION TO BE COMPLETED BY APPLICANT: DEPT. USE ONLY Water Line j <br /> Gas Piping <br /> I the owner of the property. CI Ins Cert on <br /> RI will do the work myself. If I hire anyone File, Exp Date: Sewer/Drain Line <br /> l� without complying with Workers Comp- S /Water Conn. <br /> ensation Laws, my permit will become $ <br /> void. Owner [--]Contr <br /> e <br /> _My employee(s) will do the work. t <br /> 1 will have a Licensed Contractor do the OR (Conn. #1 i�' r f Maint. Dist. $ <br /> work. <br /> Contr. ❑ Contr. No-hire MECHANICAL <br /> Address. Stmt. on File <br /> Comb. Unit/Heat Pump S <br /> City Ph. (—) Labor Code 380 Furnace/A.C. <br /> Lic. Class Number <br /> am a Licensed Contractor: —Gas/Water Piping <br /> Name Phone (—) Range/Dryer <br /> Address City Hood/Fan/Vent <br /> License Class Number $ -- <br /> Arch/Eng Lic# ELECTRICAL <br /> Address Phone (—) Fixtures: Incand. <br /> Fluor. Flood <br /> Construction Lender Outlets: Light o/I <br /> Calif.C.C.P.#3097 Switches Recept. <br /> hereby acknowledge that I have read this application and state that the Motors HP <br /> content is correct. I agree to comply with all applicable laws and —Service---Amp <br /> ordinances regulating :building construction/plumbing/mechanical/elec- <br /> trical installations. Range/Oven/Dryer/Wtr. Htr. <br /> I UNDERSTAND THAT THIS PERMIT BECOMES VOID IF WORK IS Temp Pole—Yes—No <br /> NOT STARTED IN 180 DAYS, IF WORK IS ABANDONED FOR A <br /> PERIOD IN EXCESS OF 180 DAYS; OR IF NO INSPECTIONS ARE panelsAmp <br /> CALLED FOR IN A PERIOD IN EXCESS OF 180 DAYS. IF WORK IS Feeders___.-.imp <br /> NOT TO BE DONE REFUND MUST BE APPLIED FOR WITHIN 180 <br /> DAYS. <br /> f <br /> Signed OTHER FEES Sub-Total <br /> E ❑ CONTRACTOR <br /> See # Amt $ Plan Check $ <br /> Ree # Amt $- <br /> By At17HpRIzI D AGENT Rec �II Amt $ ZZ'htj TOTAL FEES$ <br />