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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 /> c��iFOR��P BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.:0 =9, AP14:2Z.6-0 - 06' Contractor: <br /> Job-Site Address: 7S 1E. fA, V a- Use of Structure: sl cJ rr4,-/-Tt4P i N6-- <br /> M OC j Planning Application No: 35 7 <br /> OWNER NAME AND ADDRESS <br /> Name: iL <br /> �'►'►�}'}Gl "f <br /> Address: P.{ . <br /> -79 <br /> City: Al d State: Zip: Telephone:( ) Z <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: 60 <br /> Type of Construction: Square Feet: 9,9150 <br /> Zoning : Fire Sprinklers: ,Yes/No <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 /> DEPA WENT OF 73LIC WORKS <br /> OCA? a <br /> I�NVIRONMENtAL HEALTH <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> CALTRANS <br /> El <br /> MOUNTAIN HOUSE CSD <br /> 11 <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> El <br /> OTHER <br /> El <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 /> FABUILDING\HANDOUTS\HANDOUT 072 C of O.doc(Revised 2/25/04) Page 1 of 2 Comm.Devel.59(08/08) <br />