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'CERTIFICATE OF OCCUPANCY ROUTING FORM <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />1s10 E. HAZELTON AVENUE, STOCKTON, CA 95205 <br />WIRINESS PHONE i2091468-3123 <br />o.: r' j ;1) APN: <br />E ✓ <br />Business License No.:.. . <br />e Address: C r <br />�%� 'I4 • -b� Imo, <br />Use of. Structure: A,�'�:1 �*i�+ a�C.elr4 � 2 1;:''F,�� <br />usiness As: F'6w,,�ll'i 0 9't'a {�,+4 <br />Planning Application No.: <br />FDoihgBusiness <br />§.>'_{' <br />`i��9.,:�ibme:t] <br />,...b. .Et''S, i'OR 1�fA1Gl ACS /1[lif}i$S tr,,! 3 '�1��i <br />Type of ConstructionCSquare <br />s:' <br />Address:: <br />.City.` [0 �C= ., Stats: .. <br />City: State: <br />ZIP "+ W:a (: <br />_PH: <br />ZIP.' <br />PH: <br />' , r": ?[.:-.E �• .:-:, --.. •".,urs F ? .`!":dr :2FY �� 1 F.- � F...:.tk.;EtitE ._. E.{Y,F <br />STRUGTIiFt F EOUIREMEN7S <br />ff <br />5', <br />Occupancy Group: <br />Occupancy Load - <br />Type of ConstructionCSquare <br />Feet: <br />Zon <br />FirSprinklers:/.No <br />Brea Separation .Wall InLieu of Sprinklers: Yes ! o <br />HeatedlCooled: Yes;/ No <br />Before a'final Inspection can be'rtiade by the Building Inspection Division, and prior to issuance of a Certificate of Occupancy by the <br />Building:Official; APPROVALSIGNATURES must.be�obtained from'th® agencies Indicated bolow this th6'a0011C"t's responsibility to <br />obtain all signatures andreturn to the Building DivlsI6n Please;be awarethat advanced notice and a field inspection time may <br />be required by each agency, prior to signature If.your project is Inca -flood zone,.the -Building: n m <br />Divisloust'have,the Elevation Certificate ; <br />►roperlysignedCiefore'approval can'be granted: `NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING <br />51GNATURES ON THE CERTIFICATE OF OCCUPANCY, ROUTING FORM: <br />APPROVAL: REQUIRED k< <br />DEP MENT OF PUBLIC WORKS DATE <br />ENVIRONME TAS HEALTH <br />DATE <br />AIR: POLLUTION CONTROL DISTRICT, r DATE. <br />I COUNTY FIRE WARDEN DATE <br />II FIRE CHIEF DATE <br />LOCAL FIRE DISTRICT ir-#.tAI' N <br />CITY OF STOCKTON FIRE DEPARTMENT DATE <br />I <br />CALTRANS DATE <br />_r <br />OFFICE OF EMERGENCY SERVICES-� <br />' COMMUNITY DEVELOPMENT THOMAS SWEESO 468-3184 DATE <br />:.�.� s ^ �;£.i ';tt, <br />yf4 _ _O �r10te Goi111n�nt� _,COilditl3r16,'3oY .E.. Eg?p�hhV�te .iif8l�r,4`L :.F�uEt n `},Ft, < d� i... _3 <br />+ :Once the required signatures.are,obtainod, return this form to the Building Division: A final building inspection will be scheduled at your <br />request A final inspection will not be made unless this completed form has been returned. <br />�01l2001 <br />1 <br />Paget of 2 <br />F:1Buildin,,NHandoutslHandout 72.doc (Revised 01-25-2001) 1 <br />