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�. CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> San Joaquin CountyCommunity Development Department <br /> �t 1810 E. Hazelton Ave, Stockton, Ca 95205 <br /> Business Phone (209) 468-3121 <br /> Permit No: BP-1301298 APN: 051-120-36 Contractor: <br /> Job-Site Address: 17010 N LOCUST TREE RD LODI Use of Structure: Convert house to wine tasting room <br /> 17036, Planning Application No: PA-1200126 <br /> OWNER NAME AND ADDRESS <br /> Name: POWELL,JEAN TR ETAL <br /> Address: 1051 LINCOLN AVE LODI CA 95240- <br /> Telephone: <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: B M S-1 Occupancy Load: 45 <br /> Type of Construction: VB S ware Feet: 4064 <br /> Zoning: AG-40 Fire S rinlclers: Provided: NO Required: NO <br /> Before a final inspection can be made by the Building Inspection Division, and prior to issuance of a Certificate of <br /> Occupancy <br /> is the applicant's responsibility to obtain all signatures and return this form to the Community Development Department. <br /> Please be aware that advanced notice and a field inspection time may be required by each agency prior to signature. <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM. <br /> APPROVAL RE UIRED: DATE: <br /> CIR <br /> RTMENT OF UBLIC WORKS 209-468-3000 <br /> ❑ <br /> NMENTAL HEALTH 209-468-3420 <br /> 11 COUNTY FIRE WARDEN 209468-3166 <br /> FIRE CHIEF-FIRE DISTRICT:MOKELUMNE 209-727-0564 <br /> 1-1 CALTRANS 209-948-7543 <br /> MOUNTAIN HOUSE CSD 209-468-0327 <br /> F-1STOCKTON METRO AIRPORT 209-468-4700 <br /> OTHER: <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and <br /> authorize the Community Development Department to complete a final inspection. <br /> Once the required signatures above are obtained, return this form to the Community Development Department. A final <br /> buidling inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br /> FOR STAFF USE ONLY <br /> ApEEoved <br /> Yes � � No <br /> Communi Develo meet Department Date <br />