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t 3 CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> z <br /> � l'�-yan'� r: <br /> It.) San Joaquin CountyCommunity Development Department <br /> ����� 1810 E. Hazelton Ave, Stockton, Ca 95205 <br /> �t''Y�a'"�p'• Business Phone(209)468-3121 <br /> Permit No: BP-1401601 APN: 204-050-51 Contractor: BROCK,G. &L. CONSTRUCTION CO <br /> Job-Site Address: 12301 S ST RT 99 W FRON RD Use of Structure: OFFICE <br /> MANT <br /> Planning Application No: PA-1100224 <br /> OWNER NAME AND ADDRESS <br /> Name: SAN BERNABE VINEYARDS LLC <br /> Address: 12001 S HWY 99 MANTECA CA 95336- <br /> Telephone: <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: B Occupancy Load: <br /> Type of Construction: VB Square Feet: 2160 <br /> Zoning: AG-40 Fire Sprinklers: Provided:NO Required:NO <br /> Before a final inspection can be made by the Building Inspection Division,and prior to issuance of it Certificate of <br /> Occupancy by the Building Official,APPROVAL SIGNATURES must be obtained from the agencies indicated below. It is the <br /> applicant's responsibility to obtain all signatures and return this form to the Community Development Department. Please be <br /> aware that advanced notice and a field inspection time may be required by each agency prior to signature. NOTE: PLEASE <br /> BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL RE,OUIRED: DATE: <br /> ❑ DEPARTMENT OF PUBLIC 209-468-3000 <br /> 2 c <br /> SS <br /> t(}y� / <br /> ENVIRONMENTAL HEALTH 209-468-3420 <br /> n <br /> COUNTY FIRE WARDEN 209-468-3166 <br /> n <br /> FIRE CHIEF-FIRE DISTRICT: LATHROPMANTECA 209-858-2331 <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 authorize <br /> the Coriummity 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 buidling <br /> inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been completed and <br /> returned. <br /> FOR STAFF USE ONLY <br /> Approved <br /> Yes No <br /> Community Development Department Date <br />