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CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> -�.- SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Q• ..yam <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> _ BUSINESS PHONE: (209) 468-3124 <br /> BUSINESS HOURS. 8.-A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> �, ) <br /> Permit No.: \�� �-�-L'L`�`1 APN:OIC . � � ` Contractor: <br /> Job-Site Address: L,7 ., '7zS LJ n L1�,`�- LYS Use of Structure: <br /> Planning Application No: .0 1 <br /> OWNER NAME AND ADDRESS _ <br /> Name: CL\ L\L <br /> Address: �r� •-b=-;-� -- �i(�,� Wil. \ �� X41--�c�2 �-� -- <br /> City: V 1 State: Zip:-A �-�'� Telephone:(`-)OS' 5' J --LL-1 <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: �' t �- 1Z Occupancy Load: 1 1 <br /> Type of Construction: Square Feet: t ID <br /> Zoning : ', .0 Fire Sprinklers: Yesi,o J <br /> Before a final inspection can be made by the Building Inspection Division, and priorto-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 REQUIRE-07.) DATE: <br /> DEP\=== T OF PUBLIC WO KS <br /> ENVIRONMENTAL HEALTH <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> El <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> El <br /> OTHER <br /> 17-1 <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 beep: <br /> completed and returned. <br /> F\BUILDING\HANDOUTS\HANDOUT 072 C of O.doc(Revised 06-30-09) Page 1 of 2 Comm.Dev.59 (07/09) <br />