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CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> z. <br /> l T San Joaquin CowntyCommunity Development Department <br /> 1810 E_Hazelton Ave,Stockton,Ca 95205 <br /> Business Phone(209) 468-3121 <br /> Permit No: BP-1300455 APN: 049-120-65 Contractor: ROLAND CONSTRUCTION,INC <br /> Job-Site Address: 6011 E PINE ST LODI Use of Structure: warehouse plus cans (addition to existing) <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: ALL STATE PACKERS INC <br /> Address: PO BOX 350 LODI CA 95241- <br /> Tel hone: <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: S-1 Occupancy Load: 36 <br /> Type of Construction: IIB Square Feet: 17820 <br /> Zonin :I-L I AG-40 Fire S rinkiers: 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 is the <br /> applicant's responsibility to obtain all signatures and return this form to the Community Development Department. Please be <br /> aware that advanced notice and a field inspection time may be required by each agency prior to signature. NOTE: PLEASE <br /> BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL REO ED: DATE: <br /> N 7/ 143 <br /> PARTMENT APIMI TC WORKS 209-468-3000 <br /> ❑x - A497 1 <br /> EN VIRONMI NTAL HEALTH 209-468-3420 <br /> F <br /> COUNTY FIRE WARDEN 209-468-3165 <br /> 1-1 <br /> FIRE CHIEF-FIRE DISTRICT:MOKELUMNE 209-727-0564 <br /> 11 <br /> r� CALTRANS 209-948-7543 <br /> I� <br /> MOUNTAIN HOUSE CSD 209-468-0327 <br /> El <br /> STOCKTON METRO AIRPORT 209-4684700 <br /> F <br /> OTHER:MECH.,PLUMB„&FIRE SPRINKLERS FINAL PRIOR TO OCCUPANCY <br /> NOTE TO DEPARTMENTS LISTED ABOVE:Your signature indicates that your conditions have been met and authorise <br /> the Community Development artment to complete a final inspection. <br /> Once the required signatures above are obtained,return this form to the Community Development Department. A final buidling <br /> inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been completed and <br /> returned. <br /> FOR STAFF USE ONLY <br /> Approved <br /> ❑ Yes No <br /> Community Development Department Date <br />