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<br /> CERTIFICATES'OF..00CUPANCY. ROUTING FORM .
<br /> �� �•P� � � >d �{ ry ,� � °,>rw�rk�b � SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT,.
<br /> a Ir �4. 5 �' 'Fr �: 4s �F" k� �' �Ff. r:i. tato 1-HAZELTON AVENUE,STOGCTON,CA 95205 9
<br /> t .., !fir .. as . ., BUSINESS PHONE(209)469-3123.
<br /> Business License No.:
<br /> Permit V No.:
<br /> i Job-Site Address: �� � i�l• �.I Nk= I V Use of Structure: G q u 9tc H
<br /> Doing Business As:C t �JJI���% 1 /`1� L Planning Application No.:
<br /> ' 'e ' iWNEiilAA>4fEAf1D A17pRESS C1NfiAC�OR 1+JAEANgAD[3RE$S f
<br /> rr
<br /> Name
<br /> . O11t �»�►M �t � ' 1 H4 I Name:
<br /> 'Address: rn 1-10I-Gil WAVE l'�'- L 1Al
<br /> ly v.'`•� , Address:
<br /> Stats: G i City: State:
<br /> ZIP: a "jy`1 PH: fj'ya{s [j9 f. d` ZIP:
<br /> A PH: 1..
<br /> z
<br /> ' s cit*i�ur 46i N11�N s
<br /> b
<br />, �ccupsney Group:� �:�'..� � �_� ��� f . ► � Occupancy Load.
<br /> Type Of Collsir[ICt{On '� r x. y„Zi - - Square Feet:
<br /> a
<br /> r. gksa
<br /> i'7aning: '4;,° ' �' 'Y Fire Sprinklers* Yes
<br /> Area Separation Wall In Lieu of winiden: ` lfes j ' µ,. Heated/Cooled: ( / No'`
<br /> " ,
<br /> Before*a final Inspection can be made by the Building Inspection Dhrislon;and prior to Isouan00 of a
<br /> Ce cal of occupancy by the
<br /> Building Official,APPROVAL SIGNATURES must be obtained from the agencies indicated below. It Is the applicant's responsibility 10f_r
<br /> obtain all signatures and return this form to the Building Division.'Please be aware that advanced notice and a field Inspection time r 1}
<br /> }[ ' may be required by each agency prior to signature, Ifyour protect k in■Hood zone,the Building Division must have the Elevation
<br />� 1 f'Certlfleate properly signed before approval can be granted. NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN
<br /> ItAININ O SfdNAT6I#E8.6N;T'1tCf ll=1 CJ�►Tif�1l"i�U1'INIi� � � ��4*�� 3>,••� Y ' r ,�
<br /> ' '' M •P`C.l.G L�'�a#�µ ryes ° rY -4�• 1p,,,,F '4eAt P'f�",y; sl �
<br /> `s aw APPROVAL REQUIRED, is { ; k s ,41
<br /> DEPARTMENT OF PU C WORKS " DATE f
<br />`i }� .W' t •SLS! _ ,. i ry" _
<br /> IRONMENTALACALTH �II3
<br /> 4
<br /> h ,yi � '`.a,..> [ '•_�❑ - - �r . .wry.
<br /> '?!•y, +' AIR POLLUTION CONTROL DISTRICT DATE
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<br /> OUNTYFIRE WARDEN { F } 1 , Abair C
<br /> V _
<br /> >4 f
<br /> FIRE CHIEF :
<br /> LOCAL FIRE DISTRICT
<br /> #`. ��} '•`L -k k
<br /> E.� ■
<br /> a F `+wp�Y a �� � i �a. a�� Z.arir
<br /> CITY OF STOCKTON FIRE DEPARTMENT+'` ,. � AIE.�'
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<br /> CALTRAN$
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<br /> Al` NO i}EPARTf+fENlS LISTED ABtsV , Your slynatsrr+r indirptas that your condltfons i~bv bean 1�}4 Llsr 1e reee stdel til
<br /> �" � ioTtrt 1d t1a#afr a�feuetstAs air t:OrtdJtfatts+trr��iptox�3vm�sraryi+Itcaupai!rcy. �
<br /> q
<br /> *Onoe ths.requirsd signatures are obtained,rsluln thk form to the Building Dhrkiorr. A final building Inspection will be scheduled at
<br /> r Yt$a Your qusat"'A final Inspecllon will not be mads Un bsi thIs oompisted form has been returned-
<br /> to
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<br /> Comm.Dev.54(IZV5)
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