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CERTIFICATE OF OCCUPANCY ROUTING FORM SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 1810 E. HAZELTON AVENUE, STOCKTON, CA 95205 0 IQW=*C nunue - No.:2o29 7 APN: 10--41}0- I �. w.w wa wv-v au Business License No.: --+ ess: G j �,L "jC,� TC)Nr Use of Structure: ST0 ss As:—O�L4)'40 PAW tc-H Planning Application No.: OWNER NAME AND ADDRESS FAddress: CONTRACTOR NAME AND ADDRESS PPIAf do PAr.fc+-+ Name: Cffl t� }NC. O $0K X3) 8 Address:i.} COUNTY FIRE WARDEN State: City: State: ZIP: s 08 PH:91.31 , ZIP: PH: STRUCTURE REQUIREMENTS Occupancy Group: �j_ 2 - Occupancy Load: 9 Type of Construction: 14 Square Feet: l {obi Zoning: r�� Fire Sprinklers: Ye I No Area Separation Wall in Lieu of Sprinklers: Yes 1( Heated/Cooled: Yes 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 Building Division. Please be aware that advanced notice and a field inspection time may be required by each agency prior to signature. If your project is In a flood zone, the Building Division must have the Elevation Certificate properly signed before approval can be granted. NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF OCCUPANCY ROUTING FORM. APPROVAL REQUIRED: A—Ar DEPART NT F PUB C WORKS DATE ENVIRONMENTAL PfULTH DAT STOCKTON METRO AIRPORT (209) 468-4700 DATE NOTE TO DEPARTMENTS LISTED ABOVE: Your signature Indicates that your conditions have been met. Use the reverse side of this form to note comments or conditions, or to approve temporary occupancy. EOnceequired signatures are obtained, return this form to the Building Division. A final building inspection will be scheduled at your final Inspection will not be made unless this completed form has been returned. FclBuildingWandoutAMandout 72.doc (Revised 06-28-02) Page 1 of 2 AIR POLLUTION CONTROL DISTRICT DATE COUNTY FIRE WARDEN DATE FIRE CHIEF DATE •.=_=-,--� -� ,- ... ---LOCAL_FIRE,DISTRICT,: Li►V1�i-1 --_ _--. _ A - -- �-= - - - -- -- CITY OF STOCKTON FIRE DEPARTMENT DATE CALTRANS DATE e OFFICE OF EMERGENCY SERVICES DATE— - - n STOCKTON METRO AIRPORT (209) 468-4700 DATE NOTE TO DEPARTMENTS LISTED ABOVE: Your signature Indicates that your conditions have been met. Use the reverse side of this form to note comments or conditions, or to approve temporary occupancy. EOnceequired signatures are obtained, return this form to the Building Division. A final building inspection will be scheduled at your final Inspection will not be made unless this completed form has been returned. FclBuildingWandoutAMandout 72.doc (Revised 06-28-02) Page 1 of 2