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O. ,cOG b_ <br /> 1 CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E.HAZELTON AVENUE,STOCKTON,CA 95205 <br /> BUSINESS PHONE(209)465-3123 <br /> FDng <br /> .:{ PJ APN:Eta �� � Business License No.: 6,3— � 1 41- <br /> Job-Siteddress: 0564-- W. �„�� 1�}� t2o fg� Use of Structure: �f"���.� �"j f�j�rCON46 <br /> siness As: } ms ` ' Planning Application No.: <br /> OWNER NAME AND ADDRESS CONTRACTOR NAME AND ADDRESS <br /> //�� ppy� �tpL'Al-10 Irl i�y�'`,11i6_F �1r41ai9 Name: <br /> �.� � �� } Address:i' f^ }'';i ) State: � City State. <br /> .}�� PH: ZIP: pH: <br /> STRUCTURE REQUIREMENTS <br /> i <br /> Occupancy Group: yt� Occupancy Load: <br /> Type of Construction: 11�% Square Feet: <br /> Zoning: Fire Sprinklers: Yes I�2 <br /> Area Separation Wall in Lieu of Sprinklers: Yes (No Hoated/Cooled: (Yes I No i <br /> i <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 appllcant'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 /> I <br /> e�+ <br /> I <br /> � Zr P9 <br /> ❑ TMENT U IC WORKS DAT <br /> ENVIRONMENTAL HEALTH DATE' <br /> AIR POLLUTION CONTROL DISTRICT DATE <br /> COUNTY FIRE WARDEN DATE <br /> i <br /> FfR CHIEF <br /> LOCAL FIRE DI RICT: f d' �lil" �✓r DATE <br /> CITY OF STOCKTON FIRE DEPARTMENT DATE <br /> i <br /> ' E <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 this <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 i <br /> request. A final inspection will not be made unless this completed form has been returned. <br /> 0112001 <br /> i <br /> i <br /> -ndouts\Handout 72.doe(Revised 06-28-02) Page I of 2 <br /> -.- <br />