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° 0.0 CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> + 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3124 <br /> t'aiza�t �� BUSINESS HOURS &A.M. TO 5:00 P M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.: Cqg APN C5/ —120-3& Contractor <br /> Job-Site Address: "7 d IV N- L.ocvSf -F Use of Structure: W rte, Process Q I Q W I ne fr-sn <br /> Planning Application No: I F7 <br /> OWNER NAME AND ADDRESS <br /> Name: n+°r <br /> Address: ('7 Oto nI: LD wsrFree W _ --- -- <br /> City: State: CA Zip: f'_�_zyp Telephone:( ? .3Z9 r 1 Sig <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: E SIM Occupancy Load: lqq <br /> Type of Construction: Square Feet: 5000 <br /> Zoning : Pk( L{Q Fire Sprinklers: Yes a <br /> Before a final inspection can be made by the Building Inspection Division, and prior to issuance of a Certificate of <br /> Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below. It is <br /> 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 CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: DATE: <br /> DEPART T OF PUBLIC RK <br /> � �3ti�2�Gn <br /> ENVIRONME TA HEA TH <br /> Ix <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD _ <br /> El <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> OTHER ` <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> 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 /> building inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br /> F ZUILDINGIHANDOUTSkHANDOUT 072 C of 0 doc(Revised 06-30-09) Page 1 of 2 Comm Dev.59 (07109) <br />