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BP-1400718
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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BP-1400718
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Last modified
5/20/2021 10:18:06 PM
Creation date
12/3/2017 12:44:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
BP-1400718
STREET_NUMBER
12687
Direction
S
STREET_NAME
MANTHEY
STREET_TYPE
RD
City
LATHROP
APN
19123007
Supplemental fields
FilePath
\MIGRATIONS\M\MANTHEY\12687\BP-1400718.pdf
QuestysFileName
BP-1400718
QuestysRecordID
2514774
QuestysRecordType
1
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EHD - Public
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ip <br /> APPLICATION - COMMERCIAL COACH BUILDING PERMIT <br /> (Non-Residential Mobile Unit) <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 /> PERMIT NO. <br /> THIS PORTION OF THE APPLICATION MUST BE COMPLETELY FILLED OUT BY THE APPLICANT IN ORDER TO APPLY FOR PERMITS <br /> REQUIRED TO INSTALL A COMMERCIAL COACH. <br /> Scope of Work: ap e�ATCS <br /> Business Name(DBA): 4� I Bus. Lia No: <br /> OWNER NAME AND ADDRESS APPLICANT NAME AND ADDRESS <br /> Name: Q C Name: <br /> Address: 3 r V Address: •3 VL <br /> Ci State: 64- Cit : State: <br /> zip: 9 Ph: Z42—/4// ZIP: 3S Ph:6 <br /> CONTRACTOR INFORMATION Ph: <br /> Lic. No: Com an Name: <br /> I - rye <br /> Address: Cit n� <br /> ` AS St: OA <br /> - --CHECKLfST= <br /> THE FOLLOWING INFORMATION AND DOCUMENTATION MUST BE SUBMITTED TO DEVELOPMENT SERVICES BEFORE YOUR= <br /> Ch <br /> CAN BE PROCESSED. -Off <br /> 1. One completed Application for a Commercial Coach Building Permit. ✓ <br /> 2. Three copies of a Site Plan, drawn to scale,showing property lines, north arrow,easements,all existing and proposed <br /> develo men*and handica ed ..Wng and signage. <br /> 3. Three complete sets of the following information: <br /> a. Foundation plans and calculations prepared and wet stamped by a licensed engineer. . <br /> b. Com tete floor plans. <br /> C. Handica ped access(pl------ <br /> d. <br /> nsandd. Details of all decks,secunda exits,stairs,steps, etc. <br /> e. State approved use and specifications. <br /> 4. Flood Certificate if re uired . <br /> 5. School Certificate if re uired . <br /> 6. Section 72 of the Revenue and Taxation Code now requires a copy of a complete floor plan to be submitted to the County <br /> Assessor. Therefore, an additional floor plan shall be submitted with all the standard plan submittal requirements. <br /> 7. Permit Deposit(The permit cost Is based on %the valuation for the type of use as stated in the Building Valuation Data <br /> Sheet published by the International Conference of Building Officials.) <br /> WHO MAY APPLY? <br /> ONLY THE OWNER OF THE PROPERTY OR A LICENSED CONTRACTOR MAY TAKE OUT BUILDING PERMITS.. <br /> Owner-Builder must submit the following with the application: Contractor must submit the following with the application: <br /> • A property tax statement or a recorded deed • Current license numbers and a worker's compensation <br /> • A completed and signed"Owner-Builder Verification"form insurance certification(this is not necessary if this information is <br /> • A completed"Authorization for Application"form if other than already on file with the Department) <br /> the owner applies • A waiver form If the contractor is not subject to workers <br /> compensation laws <br /> • A completed "Authorized to Sign" form if other than the <br /> contractor applies (this is not necessary if this information is <br /> already on file with the Department) <br /> r?sws swa.aowwcaurt avr_cornuERcu�concn.eoc Fee site(apisei iaaoozl Page 1 of 2 <br />
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