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08/19/2014 13 : 16 FAX 2094883163 SJC_C0Mt1_DEV IR002/002 <br /> ?, �'ri i CERTMICATE OF OCC "A.N Y ROUTIXG F® M <br /> San Joaquin county rnunify Developrnem UDeparta lent <br /> 18 10 E. Hazelton Ave Stockton,Ca 9.5205 <br /> tr�yw Business Phone (209)468-3121 <br /> Perm it No: SP.1401441 APN: 250-030-08 Conteactor: <br /> Job-Site Address: 23950 S CIMSMAN RD TRAC Use of Strraoture: convert ortion of buitdin #o Da Care <br /> Plannin Application No: <br /> OWNER NAME AND ADDRESS <br /> Name:NO CALIF BAPTIST CONFB12IdNCE CORP <br /> Address: 23950 S CHRISMIAN RD TRACY CA 95304-8022 <br /> Tele hone: <br /> STRUCTURE RE UIREMEINTS <br /> O®ou anc Group: E Occu enc Load: 54 <br /> Type of Construction: VB Square Feet: 2550 <br /> Zoning: C-G Fire Sprinklers: Provided:NO Required: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 <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 AP>PRO rVEID BUILD NG PIANS WHEN OBTAINING SIGNATURES ON THE <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM. <br /> APPROVAI._]RE®_UIIII&E�b: DATE <br /> DEPARTMENT OF PUBLIC WORKS 209468.3000 <br /> 0 M � A440 9 f i 9 /r q- <br /> ENVIRONMENTAL HEALTH 209-468-3420 <br /> COUNTY FIRE WARREN 209-468.3166 <br /> FIRE CHIEF-FIRE DISTRICT: TRACY RURAL 209-831.6707 <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 Communi Develo meat De anment to complete 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 /> com leted and returned. <br /> FOR 9TAP)"USE ONLY <br /> Approved <br /> ® ® Yes ® No <br /> Community Development Department Date <br />