Laserfiche WebLink
CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> H { 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3124 <br /> BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Contractor: <br /> APN:z - 'S y <br /> Permit No.:��� � <br /> Use of Structure: <br /> Job-Site Address: 4, S. Ir�� v <br /> Plan ning.Application No: - �d <br /> OWNER NAME AND ADDRESS <br /> Name: � 1X <br /> Address: Z lQ �d <br /> City: 'sic/ State: Zip: �j Telephone:{ } Ir? - <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: r Occupancy Load: <br /> Type of Construction: lf' Square Feet: <br /> �} -� Fire Sprinklers: Ye o <br /> Zoning <br /> efore a final inspection can be made by the Building Inspection Division, and prior to issuance of Certificate o <br /> s <br /> B <br /> Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below. It is <br /> the applicant's responsibility to obtain all signatures and return this form to the Community Development Department. <br /> Please be aware that advanced notice and a field inspection time may be required by each agency prior to signature. <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES-ON-THE-CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> DATE- <br /> APPROVAL <br /> ATE <br /> APPROVAL REQUI <br /> M T F PU R <br /> VIRONMENTAL HEALTH <br /> ❑ <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF � CA <br /> LOCAL FIRE DISTRICT: 4A rA% � <br /> k CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> ❑ <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> the Community Development De artment to complete a final inspection. <br /> Once the required signatures above are obtained, return this form to the Community Development Department. A final <br /> building inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br /> Page 1 Of 2 <br /> FA5UILDlNG\HAND0UTSIHAND0UT 072 C of O.doc(Revised 2/25104) <br /> I <br />