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08/10!2014 10:50 FAX 2084990103 Sd0_COMM_OEV 16002/002 <br /> ' CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> k San Joaquin ComatyCommunity,Development Department <br /> ' 1810 E•Hazelton Ave,Stooldon,Ca 9520$ <br /> Business Phone(209)468-322) <br /> Permit No:BF-1402576 APN:257-240-48 Contractor:Ipliiv 9IKKF?MA CONSTRUCTION,INC. <br /> JOD-Mite 1,ClOf s:9839IiHUTCHIINSONR,DMANT Useoft'kmture:A Warehouse <br /> P)annin A llcatleA Nq:PA-1400042 <br /> OWNER NAME A"ADDRESS <br /> Name:VAN GRONI IGEN CHRISTOPHER&L SUR <br /> Address:9551 HUTCMINSON RD MANTECA CA 9S337-8967 <br /> Telephone; <br /> STRUCTUR I{R ULREMENTS <br /> Occu ane Group:S•2 Occu ane Load.57 <br /> Type of Construction:2 S uar9 Feet:27846 <br /> Zonin .ACY-40 Piro$ dWders:Provided:N0 R aired:NO <br /> Before a final Inspection earl 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 indiaat9d below.U <br /> is the applicant's responsibility to obtain all signatures and return tbic farm to the Community Development Department. <br /> Phase be aware that advanced notice and a field inspection dnie may be required by each agency prior to signature- <br /> NOTE:PLEASE BRING FOUR APPROVED BTIXILDING PIANS WHEN OBTAINING SIGNATURES ON TDY, <br /> CERTIFICATE OV OCCUPANCY ROUTING FORM. <br /> APPROVAL R11'OUIIRFII: DATE- <br /> D <br /> D R qF pUB[JC W TtxS P09-448.3000 ( p q 4 <br /> ❑ rN IRO AL HEALTH 2O9,468-3420 <br /> ❑ PiRE AR1711N 204 � \�� C� �r� e/ -- ( 7 <br /> F DISTRICT:RIPON 209.599-42099 <br /> CAY,TItANS 209.948-7543 - -- - <br /> MOUNTAIN HOUSE CSI) 209.448.0327 <br /> FJ <br /> STOCKTONWTROAMPOItT 209-468-4700 <br /> PTtIER: <br /> NOTE TO DEPARTMENTS LISTED ABOVE:Your signature indicates that your conditions have bean met and <br /> authorize the Communi Development Department to complete a final inspection. <br /> Once Ute required signatures above are obtained,return this form to the Community Development Departmem. A final <br /> buidling inspection will be scheduled at your requesL A final insnection will not be scheduled until this fen„has heap <br /> com leted and returned. <br /> FOR STAFF USE ONLY <br /> roved <br /> Yes F1 No <br /> ConlYAatli D6velo 61tneD amncnt Date <br />