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t;ERTIFICATE OF OCCUPANCY ROUTING FORM <br /> 2 1' SAN,JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ` 1810 E. HA'LELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE' (209)468-3124 <br /> Cq�IpppN`P/ BUSINESS HOURS: &A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDINGHOLIDAYS) <br /> /S' 2-' Contractor: 7tf YL L,)&No.:09t 03 APN: <br /> Job-Site Address: 38' 3?O IV• ti1�(tJTh Use of Structure. / ' <br /> Planning Application No: f 07Do38 <br /> OWNER NAME AND ADDRESS <br /> Name: JA�G/✓1 . G A rt1l� CO_ - <br /> Address: <br /> City: 777X/ State: CX Zip: `ls2-/3 . Telephone:( j 28S D� <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: U Occupancy Load:, <br /> Type of Construction: //A/ Square Feet <br /> Zoning : -1- Fire Sprinklers: YeSAW <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 /> a'S L- `-1 S-G - 2bG� <br /> DEP ENT OF PUBLI WO S - <br /> ENVIRONMENTAL <br /> COUNTY FIRE WARDEN -� - <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <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 f"I <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 /> F:\BUILDING\HANDOUTS\HANDOUT 072 C of 0.doc(Revised 2/25/04) -Page 1 Of 2 <br />