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CERTWICATE OF OCCUPANCY ROUTING FORM <br /> L Z'1 <br /> ++' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 F. HAZEI_TON AVENUE, STOCKTON CA 95205 <br /> �.�. BUSINESS PHONE (209) 468-3124 <br /> BUSINESS HG'f'�S. 8-.A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.:O(r.>p 35'77 APN: Contractor: <br /> Job-Site Address: fgap LC \A— Use of Structure: C 6(}��" ,p T(0 <br /> Planning Application No: —pCOp tg�p <br /> OWNER NAME AND ADDRESS <br /> Name: 44u/v, t RTO <br /> Address: pN FQ E' T —_� <br /> City: r,4 State: (.,d Zip: � j(� I Telephone:( ) <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: 'F-1 Occupancy Load: <br /> Type of Construction: Vt4 Square Feet.- 1"720 <br /> Zoning : a�L„ Fire Sprinklers: Yes (V) <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 tune 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 /> APPROVAL REQUIRED: DATE: <br /> DEPARTMEN OF PUBLIC WORKS <br /> ENV ONMENT L HEALTH—. cL / <br /> El <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: 4:06(,. Toro— V!A-YT S1LJC <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> El <br /> OTHER <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> the CommunL Development Department to com lete 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 /> F 18 UILDINGNANDOUTSIHANDOUT 072 C of 0 000{Revised 2/25104} Page 1 of 2 <br />