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CERTIFICATE OF OCCL� ANCY ROUTING FORM <br /> . . <br /> ' Q <j San Joaquin CountyCommunity Development Department <br /> 1810 E.Hazelton Ave Stockton Ca 95205 <br /> raR " Business Phone(209)468-3121 <br /> Permit No:BP-1402727 APN: 105-270-04 Contractor: ROLAND CONSTRUCTION, INC <br /> Job-Site Address: 19968 E ST RT 26 HY LIND Use of Structure. addition toequipment buildin .Ffinishin <br /> -Planning Application No: PA 1400068 <br /> OWNER NAME AND ADDRESS <br /> Name. JOAQUIN,RICHARD E&NADINE M TR Pr—nmi tan <br /> Address: PO BOX 652 LINDEN CA 95236- <br /> Tele hone: <br /> STRUCTURE REQUIREMENTS FEB 0 4 2015 <br /> Occupancy Group: F-I Occupancy Load: 84 <br /> Type of Construction: IIB Square Feet: 11400 PERMIT/SERVICES <br /> Zoning: I-G .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 REOUIRED: DATE: <br /> DEPARTMENT OF PUBLIC WORKS 209-468-3000 <br /> Ik? /1/�f!/yam 62c ,Gj frr� q i 5� <br /> ENVIRONMENTAL HEALTH 209-468-3420 <br /> F] <br /> COUNTY FIRE WARD N 209-468-3166 f <br /> 0 <br /> FIRE CI EF If&&a%C INDEN PETERS 209-887-3710 f <br /> CALTRANS 209-948-7543 <br /> MOUNTAIN HOUSE CSD 209.468-0327 <br /> STOCKTON METRO AIRPORT 209-468-4700 <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 coin lete 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. A final inspection will not be scheduled until this form has been <br /> coin feted and returned. <br /> FOR STAFF USE ONLY <br /> Approved <br /> Yes No <br /> Community Development Department Date <br />