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CERTIFICATE OF OCCUPANCY ROUTING FORM San Joaquin CountyCommunity Development Department 1810 E. Hazelton Ave Stockton Ca 95205 Business Phone(209)468-3121 Permit No: BP-1301413 APN: 179-160-03 Contractor: Job-Site Address: 3736 S ST RT 99 E FRON RD Use of Structure: OFFICE STOC Planning Application No: OWNER NAME AND ADDRESS Name: ROGERS, EARL J II Address: PO BOX 32314 STOCKTON CA 95213- Telephone: STRUCTURE REQUIREMENTS Occupancy Group: B Occupancy Load: 55 Type of Construction: VB Square Feet: 3623 Zoning: I-L Fire Sprinklers: Provided:NO Required:NO 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 FORM. APPROVAL REOUIRED: DATE: DEPARTMENT OF PUBLIC WORKS 209-468-3000 ENVIRONMENTAL HEALTH 209-468-3420 COUNTY FIRE WARDEN 209-468-3166 FIRE CHIEF-FIRE DISTRICT: MONTEZUMA 209-464-5234 CALTRANS 209-948-7543 MOUNTAIN HOUSE CSD 209-468-0327 STOCKTON METRO AIRPORT 209-468-4700 OTHER: NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize the Community Development Department to complete a final inspection. Once the required signatures above are obtained, return this form to the Community Development Department. A final buidling inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been completed and returned. FOR STAFF USE ONLY Approved Yes No Community Development Department Date