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.._qti 3,y <br /> CERTIFICATE OF OCCUPANCY ROUTING F R <br /> rrl San Joaquin CountyCommunity Development Department <br /> 1810 E. Hazelton Ave, Stockton, Ca 95205 <br /> p COPY <br /> ��.•-:...-�;r Business Phone (209)468-3121 <br /> Permit No: BP-1303934 APN: 209-230-27 Contractor: UECKER DAVID R <br /> Job-Site Address: 26654 S HANSEN RD TRAC Use of Structure: Dog Boarding Facility <br /> Planning Application No: PA-1300 <br /> OWNER NAME AND ADDRESS <br /> Name: FIELDS, JACK ETAL <br /> Address: 26666 S HANSEN RD TRACY CA 95377- <br /> Telephone: <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: B Occupancy Load: 23 <br /> Type of Construction: VB Square Feet: 2360 <br /> Zoning: AG-40 I Fire Sprinklers: Provided: NO Required:NO <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 /> FX <br /> ATE:0 <br /> DEPARTMENT OF PUBLIC WORKS 209-468-3000 <br /> ENVIRONMENTAL HEALTH 209-468-3420 i <br /> COUNTY FIRE WARDEN 209-468-3166 <br /> 7 <br /> FIRE CHIEF-FIRE DISTRICT: TRACY RURAL 209-831-6707 <br /> CALTRANS 209-948-7543 <br /> MOUNTAIN HOUSE CSD 209-468-0327 <br /> STOCKTON METRO AIRPORT 209-468-4700 <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 Commmity Development Department. A final <br /> buidling inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br /> FOR STAFF USE ONLY <br /> Approved <br /> ❑ Yes No <br /> Comi-nunity Development Department Date <br />