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w CERTIFICATE OF.. CCUPANCY ROUTING-FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENTS() <br /> 1810 E.HAZELTON AVENUE,STOCKTON,CA 96205 BUSINESS PHONE(209)468.3123Fng <br /> :�22 /tG APN AWED4L+L3F r ' � �— Business License No.: <br /> ddress: �� � -btI�t'� Use of Structure: �Fff , <br /> inessAs: '� . '�( Planning:ApplicationNo.: r� <br /> OWNER NAME AND ADDRESS:, CONTRACTOR NAME AND ADDRESS <br /> Name: <br /> �`,+ "+ Address: <br /> 9State: C Clty:, Slate: <br /> ), PH: ZIP: PH: <br /> STRUCTURE REQUIREMENTS <br /> t Occupancy Group: Occupancy Load: <br /> Type of Construction: VN Square Feet: <br /> Zoning: - Flre Sprinklers,, Yes 1 0 <br /> Area Separation Wall in Lieu of Sprinklers: Yes 14)0 HeateclMooled: "+ ! 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 Official,APPROVAL SIGNATURES must be obtained from the agencies indicated below, Itis the applicant's responsibility to <br /> '- obtain all signatures and return this form to the Building Divlsion. Please be aware that advanced notice and a field inspection time,Mai," <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 /> tu ' 6 <br /> EPARTMENT Pf PUEpqc WORKS DAT . <br /> ®® -7 L p <br /> ENVIRONMENTAL HEALTH DATE <br /> AIR POLLUTION CONTROL DISTRICT DATE <br /> 4 COUNTY FIRE.WARDEN DATE <br /> FIRE CHIEF DATE <br /> LOCAL FIRE DIST ICT: +�� � " Q <br /> CITY OF STOCKTON FIRE DEPARTMENT DATE <br /> Y <br /> CALTRANS DATE <br /> OFFICE OF EMERGENCY SERVICES DATE <br /> STOCKTON METRO AIRPORT(209)468-4700 DATE ! <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature'Indicates that your conditions have been met. Use the reverse side of thls - ;;- <br /> form to note comments or conditions,or to approve temporary occupancy. <br /> Once the required signatures are obtained,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 /> 0112001 <br /> - I <br />��=.--f':1$ur}�inglii:mdvutstHandout-72-doc'(RcviscdUti-2$•112 r'{,�'g-,ate-�+: _. = .. .�: - ,� ... <br /> I <br /> i <br /> i <br />