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APPLICATION FOR PERMIT ` <br /> 'BUILD_ING INSPECTION DIVISION _2y �� I 1t ?) C <br /> F INAL DATE - Cirve This Number When <br /> SAN JOAQUIN COUNTY PLANNING AND INSF'ECTOH Calling for Inspection JX-34 INSPECTION DEPARTMENT - CALL 24 HOURS IN ADVANCE <br /> 1810 E HAZELTON AVE., STOCKTON, CALIFORNIA PHONE 1209)944 3101 <br /> DATE ISSUED 1'2-1'4(- <br /> j�� M'Gnu­ <br /> APPL. DATE-__� -2-7-SS�_�_ - <br /> APPLICANT-_i/C ees u­ -2,65614W-52CA <br /> JOB LOCATION _}_-_-_M„OuQ,tAtrwp <br /> A.P.f <br /> 1-75 <br /> OWNER0, GILD 355°1 VXC")e-iI ✓� � COWACT - <br /> -- - ----- - - ADDRESS -- <br /> ' <br /> SCOPE OF WORK C2_ ZO Wh►t��1 -r -- ----- --- -. _ -_- - - <br /> I <br /> ------ ------------ <br /> Ac.c By .-- --APP• BY -- - Date.__- ---- BUILDING <br /> 'y�` Q- 4I'1 I7 ���1�1 4E17 M� -- <br /> Hc-m3rks_�Cw� �G ._ __ - _ _ eQW�1��1�� _ f'I:rn Cliecl, $ <br /> 13001 . 1A D�kSS VAI IFI lcv) 10,14 BY:- TA.$ $--- <br /> -- ---- --- +- -- S.M I.P. ISUur: of (';rhf) <br /> Microllho 5--- <br /> - - Cent. H!AC S_- $- <br /> Size___.-- ---------_--Const. Val. $ <br /> MOBILEHOME INSTALLATION.-#--.-- <br /> Dept. . -----Rei. 1l - <br /> PVV Dept-- --- -- an PLUMBING <br /> Own. Her. Att. <br /> _Fixtures GD - <br /> '�JI HD Fire A _Excay. tJ_ Water Heater <br /> -- <br /> THIS SECTION TO BE COMPLETED BY APPLICANT: DEPT. USE ONLY --Water Line. <br /> -- ---- <br /> --- L <br /> X -- _-Gas Piping <br /> I a the owner of the property. Cl Ills Cert on <br /> I will do the work myself. If I hire anyone File, Exp Date: Sewer/Drain Line _ <br /> without complying with Workers Comp- Sewer/Water Co, <br /> -- --- <br /> ensation Laws, my per-tit will become I <br /> void. - - - ----------- -- - S ----- <br /> Owner „"Contr --- <br /> ____ My employees) will 0o the work. <br /> I will have a Licensed Contractor do the OR (Conn, # - -1TPPT —Maint. Dist. <br /> work. --_ .__ .L• <br /> Contr. — i__) Contr. No-hire MECHANICAL <br /> Add <br /> Stint. on File --- <br /> _.,.___Comb. Unit/Heat Pump <br /> City __- ph, _) .__ - - Labor Code 380 -_Fomb. Unit/ <br /> Lic. Class--. Numbe - <br /> ----------- <br /> I am a Licensed Cor„,actor. ---- Gas/Water Piping <br /> Narne- <br /> _ . Phone I. ,- _--Range/Dryer <br /> Address` _--City -----Hood/Fan/Vent --- <br /> Iicense Class,..-- - _ Number; -- __---- -----.-_-- S _L <br /> Arch/Eng -_—Lic »---. ELECTRICAL <br /> .:;dress Phone ( )_ Fixtures: . -. Incand. <br /> . . Fluor.---- __Flood <br /> nrsuuction Lender. Outlets: . Light o/I <br /> Calif. C.C.P. tOWJ7- -- - --- .---- Switches-_____Recept. <br /> I hereby acknowledge that I have read this application and state that the <br /> content is correct. I agree to comply with all applicable laws and - - Motors <br /> ordinances regulating building construction/plumbing/mechanical/elec- Service_ ___-Amp <br /> trical installations. Range/Oven/Dryer/Wtr. Htr. <br /> I UNDERSTAND THAT THIS PERMIT BECOMES VOID IF WORK IS <br /> NOT STARTED IN 180 DAYS, IF WORK IS ABANDONED FOR A Temp Pole___Yes__ __No <br /> PERIOD IN EXCESS OF 180 DAYS, OR IF NO INSPECTIONS ARE Panels - ,- -Arnp <br /> CALLED FOR IN A PERIOD IN EXCESS OF 180 DAYS. IF WORK IS Feeders Amp <br /> NOT TO RE DONE REFUND MUST BE APPLIED FOR WITHIN 180 <br /> DAYS. _ <br /> l r _ <br /> Signed <br /> -- <br /> 11COWNER 021 RA`CTOR-' - -- OTHER FEES Sub-Total <br /> Rec x-_____Amt $ 1plan Check $_�_ <br /> y - Rec #--Amt S_ . <br /> AUTHORIZED AGENT -- -- Roc x51q Arnt S�Z. -_ TOTAL FEES$. 2460 <br />