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i yCERTIFICATE OF OCCUPANCY ROUTING FORM .� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 BUSINESS PHONE: (209)468-3124 BUSINESS HOURS: &A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) Permit No.: 100 1 U 1 G[ IAPN: Z03 ?1 0 16 Contractor: Job-Site Address: 15C13g Lc. A6 n1 rt k-D Use of Structure: (� �✓� OG�SS:°�j A L o J 1PPlanning Application No: OWNER NAME AND ADDRESS Name: Ly 0-A )I e A Address: G)/b V e City. 'i State: [.fit Zip: I S3 6. Telephon41 - STRUCTURE REQUIREMENTS Occupancy Group: F- I Occupancy Load: i Type of Construction: Square Feet: I fp0 c7 s Zoning : A Fire Sprinklers: Yes/No N 0 Before a final inspection can-be made by the Building Inspection Division, and prior to issuance of a Certificate of Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below. It is the applicant's responsibility to obtain all signatures and return this form to the Community Development Department. Please be aware that advanced notice and a field inspection time may be required by each agency prior to signature. NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF OCCUPANCY ROUTING F RM. APPROVAL RE UI A c:s ZI�PAPUBLIC WO ENVIRONMMTAL HEALTH COUNTY FIRE WARDEN FIRE CHIEF LOCAL FIRE DISTRICT: CALTRANS 4 ❑ MOUNTAIN HOUSE CSD STOCKTON METRO AIRPORT(209)468-4700 OTHER El OTHER NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize the Communi Development De artment to complete a final inspection. Once the required signatures above are obtained, return this form to the Community Development Department. A final building inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been' completed and returned. FABUIIDINGIHANDOUTSIHANDOUT 072 C.of O.doc(Revised 06-30-09) Page 1 of 2 Comm.Dev.59 (07109)