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CERTIFICATE OF OCC PANCY ROUTING FORM <br />San Joaquin CountyCommunity Development Department <br />1810 E. Hazelton Ave, Stockton, Ca 95205 <br />Business Phone (209) 468-3121 <br />Permit No: BP -2101462 I APN: 061-030-71 Contractor: <br />Job -Site Address: 14165 N BECKMAN RD LODI Use of Structure: Office Addition <br />Planning Application No: <br />OWNER NAME AND ADDRESS <br />Name: CHEROKEE MEMORIAL PARK INC <br />Address: PO BOX 1000 LODI CA 95241 - <br />Tele hone: <br />STRUCTURE REQUIREMENTS <br />Occupancy Group: B A-3 M <br />Occupancy Load: 587 <br />Type of Construction: VB <br />Square Feet: 18790 <br />Zoning: P -F <br />Fire Sprinklers: Provided: YES <br />Before a final inspection can be made by the Building Inspection Division, and prior to issuance of a Certificate of <br />Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below. It <br />is 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 <br />CERTIFICATE OF OCCUPANCY ROUTING FORM. <br />APPROVAL REQUIRED: DATE: <br />a <br />DEPART NT OF PU LI WORKS 209 68-3000 n J <br />lIg <br />❑X C/x <br />I NME A HE � 2 -4 8-3 _ _ <br />S <br />❑X - <br />COUNTY FIRE WARDEN 209468-3166 <br />FIRE CHIEF -FIRE DISTRICT: WOODBRIDGE 209-369-1945 <br />CALTRANS 209-948-7543 <br />MOUNTAIN HOUSE CSD 209468-0327 <br />STOCKTON METRO AIRPORT 209468-4700 <br />OTHER: <br />NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and <br />authorize the Community Development Department 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 />