Laserfiche WebLink
t CERTIFICATE OF OCCUPANCY ROUTING FORM <br />��;IFORY''p SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />1810 E. HAZELTON AVENUE, STOCKTON, CA 95205 <br />BUSINESS PHONE (209) 468-3123 <br />Permit No.: OW � Z I <br />APN: '^ (��- 5' <br />Business License No.: <br />Job -Site Address: -rQ Q <br />Use of Structure: f <br />Doing Business As: <br />G <br />Area Separation Wail in Lieu of Sprinklers: Yes o <br />Planning Application No.: d ^- <br />OWNER NAME AND ADDRESS <br />CONTRACTOR <br />CONTRACTOR NAME AND ADDRESS <br />p� ` <br />Name: F R L'��) � f �� F f #00 <br />Name: <br />Address: .D $� <br />Address: 06 d <br />City: <br />State: L j <br />City: <br />State f <br />ZIP: �� <br />PH: <br />[-159(,, <br />ZIP: 2 � <br />PH: 2'�0 <br />STRUCTURE REQUIREMENTS <br />Occupancy Group: <br />Occupancy Load: <br />Type of Construction: <br />Square Feet: 2-3 <br />Zoning: <br />Fire Sprinklers: es 1 No <br />Area Separation Wail in Lieu of Sprinklers: Yes o <br />Heated/Cooled: Yes 1 0 <br />Before a final inspection can be made by the Building Inspection Division, and prior to Issuance of a Certificate of Occupancy by the <br />Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below, It is the applicant's responsibility to <br />obtain all signatures and return this form to the Building Division. Please be aware that advanced notice and a field Inspection time may <br />be required by each agency prior to signature. If your project Is in a flood zone, the Building Division must have the Elevation Certificate <br />properly signed before approval can be granted. NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING <br />SIGNATURES ON THE CERTIFICATE OF OCCUPANCY ROUTING FORM. <br />APPROVAL REQUIRED: <br />DEPA ENT OF PUBLIC WORKS <br />ENVIRONMENTA ALT19 <br />2/zsd3 <br />DATE <br />X, <br />DAT <br />AIR POLLUTION CONTROL DISTRICT DATE <br />COUNTY FIRE WARDEN DATE <br />FIRE CHIEF DATE <br />-�-... •..:...•.=—_-=-L--OGAII�IRE-is11STRICT;-�I►�lRir�=�F�C"$S-T.�__� <br />Etheired signatures are obtained, return this form to the Building Division. A final building inspection will be scheduled at your <br />al inspection will not be made unless this completed form has been returned. <br />F:IBuilding\Handouts\Handout 72.doc (Revised 06-28-02) Page 1 of 2 <br />CITY OF STOCKTON FIRE DEPARTMENT <br />DATE <br />t _ _ CALTRANS <br />DATE <br />OFFICE OF EMERGENCY SERVICES <br />STOCKTON METRO AIRPORT (209) 468-4700 <br />DATE <br />NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met. Use the reverse side of this <br />form to note comments or conditions, or to approve temporary occupancy. <br />Etheired signatures are obtained, return this form to the Building Division. A final building inspection will be scheduled at your <br />al inspection will not be made unless this completed form has been returned. <br />F:IBuilding\Handouts\Handout 72.doc (Revised 06-28-02) Page 1 of 2 <br />