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°'asp'^' CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> k•' <br /> San Joaquin CountyCommunity Development Department <br /> 1810 E. Hazelton Ave, Stockton, Ca 95205 <br /> `FOR Business Phone(209)468-3121 <br /> Permit No: BP-1400602 APN: 101-180-37 Contractor: <br /> Job-Site Address: 2490#6 N PICCOLI RD STOC Use of Structure: T 1 . <br /> Planning Application No: ito <br /> OWNER NAME AND ADDRESS <br /> Name: DI LEO FAMILY PARTNERSHIP <br /> Address: 2037 W BULLARD AVE#14 FRESNO CA 93711- <br /> Tele hone: <br /> STRUCTURE REQUIl2EMENTS <br /> Occupancy Group: S e Occupancy Load: <br /> Type of Construction: M Square Feet: <br /> Zoning: I-L Fire Sprinklers: Provided: YES Required: YES <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 <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 REQUIRED: DATE: <br /> DEPARTMENT OF PUBLIC WORKS 209-468-3000 <br /> ENVIR NTAL HE T 209-468-3420 <br /> 0 <br /> COUNTY FIRE WARDEN 209-468-3166 <br /> F1 <br /> FIRE CHIEF-FIRE DISTRICT: WATERLOOMORADA 209-931-3107 <br /> CALTRANS 209-948-7543 <br /> MOUNTAIN HOUSE CSD 209-468-0327 <br /> 1-1 <br /> STOCKTON METRO AIRPORT 209-468-4700 <br /> F] <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. Afinal inspection will not be scheduled until this form has been <br /> completed and returned. <br /> FOR STAFF USE ONLY <br /> Approved <br /> El Yes No <br /> Community Development Department Date <br />