Laserfiche WebLink
;A IV CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3124 <br /> �A��FORN`P BUSINESS HOURS: 8.A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.:GAPN:4pjG) 7 Contractor: <br /> Job-Site Address: j 0(v9 Nom. -V0 Use of Structure:6-L.r!,D 12),— �-'O a <br /> Planning Application NO.''PP-t 0 '0`'1 D3 <br /> OWNER NAME AND ADDRESS <br /> Name: 1'j 1-�►-�S t'S���- `J O1-! <br /> Address: � 0-7-� '�'LV <br /> City: 77) Zip: lq�2 y""t- j Telephone:( ) j C_ j 01' <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: �� Occupancy Load: <br /> Type of Construction: — Square Feet: <br /> Zoning : Fire Sprinklers: Yes/No <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 FO <br /> APPROVAL REQUIRED: DATE: <br /> (IT L :!Z <br /> DEPARTME T OF P L KS <br /> ENVIRONMENTA E LT <br /> COUNTY FIRE WARDEN <br /> El <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> El <br /> CALTRANS <br /> El <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> El <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 final <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 O.doc(Revised 2/25/04) Page 1 of 2 <br />