Laserfiche WebLink
CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> ra, <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE:`(209)'468-3124 <br /> �oR BUSINESS HOURS. 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> [Permit{. No.:6A9 98 -APN:.�3q- / – O j 5� 3 Contractor: <br /> Job-Site Address: /Z W. �pR67�Z�lL- Use of Structure: i <br /> - <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: er,46kL <br /> Address:x//32 VD/uKl6l C,7- <br /> City: <br /> ,City: 9r0Ck- 9V State.- Ch Zip: STLrzvq Telephone:(Tit'"17) clFl- I(PI)4— <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: <br /> Type of Construction: — Square Feet: /ZDD <br /> Zoning : ,� �G Fire Sprinklers: Ye o i <br /> Before a final inspection can be made by the Building Inspection Division, and prior 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 REQUIR DATE: " <br /> DEP _- <br /> as <br /> ENVIRONMENTAL HEALTH — <br /> El <br /> COUNTY FIRE WARDEN <br /> ' 7 <br /> ❑ FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> CALTRANS i <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> (STArg- bpi r. os-- o 4nm Povjpa2 cArs <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 i <br /> completed and returned. <br /> f � <br /> FTUILDINGVHANDOUTSIHANDCUT 072 C of O.doc(Revised 2125104) Page 1 of 2 <br /> 9 <br />