Laserfiche WebLink
CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> `JTZ' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3124 <br /> BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.: �(pa/ 3 AIDW / 1I/-02 3'� - Q] Contractor: ,Q,iC I�G�i�t/ Gbh% <br /> Job-Site Address: 12-93 3 S , ��,�/tYLf '}r fLf_� Use of Structure: 60,ePl';�17"06e��-6 <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: DP 4/4GL157'lf RACP6;t_>1�S 4-4G <br /> Address: 7-,4,--Z-0 �� <br /> City: 1v/L1-/T4-S State: C4 Zip. ?:5e9-5,c Telephone:(j/6Z- I <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: -/ Occupancy Load: <br /> Type of Construction: /// - Square Feet: <br /> Zoning .- T_ Fire Sprinklers: Yesl69 <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. <br /> APPROVAL REQUIRED: DATE: <br /> XDEPARTMENT OF PUBLIC WORKS <br /> ENVIRONMENT ALTH <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: /-Arr14A P "AA-/T�G� <br /> El <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> 11 <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> the Community Development De artment 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 /> FABUILDINGNANDOUTSIHANDOUT 072 G of O.doc(Revised 2125104) Page 1 of 2 <br />