SU0004224 - Laserfiche WebLink

Home Browse Search

CERTIFICATE OF OCCUPANCY ROUTING FORM SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 BUSINESS PHONE: (209) 468-3124 BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) Permit No.:O APN: ��-� �- Contractor: Job -Site Address: Use of Structure: 019'-C Planning Application No:. -� OWNER NAME AND ADDRESS Name: 4a0a4 Address: 99 City: State: Zip: Telephone:( )7th w STRUCTURE REQUIREMENTS Occupancy Group: 5 Occupancy toad: Type of Construction: VN Square Feet: Zoning : Fire Sprinklers: Yes/No Before. a final inspection can be made by the Building Inspection Division, and prior to issuance of a Certificate of Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below. It is the applicant's responsibility to obtain all signatures and return this form to the Community Development Department. Please be aware that advanced notice and a field inspection time may be required by each agency prior to signature. NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF OCCUPANCY ROUTING FORM. APPROVAL REQUIRED: DATE: YlS PUBLIC W KS 47NVt1R0NMEffTAL HEALTH COUNTY FIRE WARDEN x FIRE CHIEF r LOCAL FIRE DISTRICT: CALTRANS MOUNTAIN HOUSE CSD STOCKTON METRO AIRPORT (209) 468-4700 OTHER OTHER NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize the Community Development Department to complete a final ins ection. Once the required signatures above are obtained, return this form to the Community Development Department. A final building inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been completed and returned. FABUILDINGIHANQOUTSIHANDOUT 072 C of O.doc (Revised 2125104) Page 1 of 2