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I <br /> 4t�FO,R fj <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) 468-3123 <br /> Permit No.: 1 N(�, 4-. APN:�5��-"l,(f.)-"��} Business License No-: <br /> Loh-Site Address (7I1 k-4. I21-:>• Use of Structure: C-{j�lpsil <br /> Doing Business As: Uf4 JU7D Planning Application No.: <br /> OWNER NAME AND ADDRESS CONTRACTOR NAME AND ADDRESS <br /> Name:CL(¢1��[ /xl�i�il0� ((L� �HlC 1rL�f]W�7F�1r Name: 14 HAP, PUD CAAI\ <br /> Address: ((CAI b"cyr- &PQYL= R-L), Address: I S I1. 9' L. V I r-j �� <br /> City: Lo�j 1 State: ( ,A City: rbL-,A-/ State: C.2� . <br /> ZIP: PH: I jg I ZIP: <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: -- Occupancy toad: <br /> Type of Construction: to Square Feet: 3S�( <br /> Zoning: AL _ r U Fire Sprinklers: Yes / ©o <br /> Area Separation Wall in LLeu of Sprinklers: Yes / N Heated/Cooled: Ye / No <br /> Before a final inspection can be made by the Building Inspection Division,and prior to Issuance of a Certificate of Occupancy by the <br /> Building Officlai, APPROVAL SIGNATURES must be obtained from the agencies Indicated below. It Is the applicant's responsibility to <br /> obtain all signatures and return ibis form to the Building Division. Please be aware that advanced notice and a field inspection time <br /> may be required by each agency prior 10 signature. If your project Is In a flood zone,the Building Division must have the Elevation <br /> Certificate properly signed before approval can be granted. NOTE: Please bring your approved Improvement Plan when obtaining <br /> signatures on the Certificate of Occupancy Routing Form. <br /> APPROVAL REQUIRED: <br /> OYES� NO - <br /> DEPARTMENT,OF PUBLIC WORKS DATE <br /> "1" 1 6�� <br /> YE9 NO <br /> RONALD VALINOTI, DIRECTOR �¢jv� nvA.f su�J'cc fro DAT <br /> ENVIRONMENTAL HEALTH -IO-A cr �(t GSL t ev e zrir�93 <br /> G rntclr Iztti.tI oT G7�T� Gre/ `} - ( � ,n��u ••� �l {za. 1r wa�e.sc�S <br /> ✓.0•[-. [T n. Ort-� �'r [-�GG rS GX C.R.CFt S tea,r n �4�.c+r - "�•-t+-� -C - +� <br /> tc <br /> YES er( wQ <br /> L XKHMIR GREWAL, DIRECTOR DATE CYU <br /> AIR POLLUTION CONTROL DISTRICT <br /> (�ES) NO <br /> KEN tAVOIE, FIRE SERVICES COORDINATOR DATE <br /> YES (N70) <br /> FIRE CHIEF DATE <br /> LOCAL FIRE DISTRICT: <br />