Laserfiche WebLink
wt <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE:..(209)468-3124 I <br /> BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) j <br /> Permit No.:630 28 J APN: J7—J30 — Contractor: <br /> Job-Site Address: 9 C Use of Structure: <br /> �'Y3t Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: 6_U1 (h}IV L. c <br /> Address: tloS <br /> City: State: [' Zip: '� ' Telephone:{ZC�� ) .. �2 <br /> STRUCTURE REQUIREMENTS <br /> Occupancy GroupOccupancy Load:. <br /> Type of Construction: _ Square Feet: i <br /> Zoning : G.� s Fire Sprinklers: Yes o <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 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." j <br /> APPROVAL REQUIRED: DATE: <br /> I <br /> DEPARIWNT OF PUBLIC WO KS <br /> ENVIRO M NTAL HEALTH <br /> COUNTY FIRE WARDEN j <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> . L 0� 1 3 /Oc <br /> A TRANS <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> i <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> the Community Development Department t2.22n le#e 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 /> cornuleted„and returned. <br /> FASUILDINGIHANDOUTSWANDOUT 072 C of O.doc(Revised 2125/04) Page 1 of 2 Comm.Devel.59(08108) <br />