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ARCHIVED REPORTS XR0003079
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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301
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2900 - Site Mitigation Program
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PR0508132
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ARCHIVED REPORTS XR0003079
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Last modified
10/10/2018 10:25:39 AM
Creation date
10/10/2018 9:25:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS XR0003079
FileName_PostFix
XR0003079
RECORD_ID
PR0508132
PE
2957
FACILITY_ID
FA0007953
FACILITY_NAME
CHEVRON #9-5775
STREET_NUMBER
301
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04514002
CURRENT_STATUS
01
SITE_LOCATION
301 KETTLEMAN LN
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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4-111 or LVI)l - t.ommunity ueveiopment Department, building .Inspection Division <br />* * * * * * FINAL INSPECTION APPROVALS AND CERTIFICATE OF OCCUPANC <br />-------------------------------------------------�-r r -----w_____ ..-_.�.._--------- <br />Permit No 82038 <br />Job Address 301 W KETTLEMAN LN LODI <br />Subdivision Lot Apn 45-140-02 <br />SProperty Owner BAFFONI, IVERN V ETAL <br />Owner Address 1175 ORANGEWOOD DR LODI CA, 95240 <br />Contractor GETTLER RYAN INC Lic No 220793 <br />Contractor Address 6747 SIERRA CT SUITE J DUBLIN, CA, 94568 <br />Protect Description <br />Structure and equipment for remediation of ground contammation <br />Total Sq Ft Valuation $ 30,000 Construction Type <br />No Stories 1 No of Bdrm 0 Occupancy <br />Zoning 45 Type Project COMMERCIAL Plan No <br />------------------------------------------------------------------------------------------- <br />INSTRUCTIONS <br />Please Note: This form must be completed and returned to the Building Inspection Division BEFORE a <br />final inspection by the Building Division will be scheduled. Permitee is responsible for obtaining the <br />following approvals: <br />INSPECTED BY DATE <br />PUBLIC WORKS DEPT: 333-6706 <br />WATER/WASTEWATER: 333-6740�_L<_�_!}t� <br />PLANNING: 333-6711 i t1 CC- t A,, r � �7 Q <br />to R v / <br />BUILDING INSPECTION: 333-6716 <br />BUILDING OFFICIAL: ROGER G. HOUSTON <br />This Certificate is issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that at the time of <br />issuance, this structure was in compliance with the various ordinances of the City of Lodi regulating building construction or use <br />The Building Inspection Division shares your desire to complete the final inspection phase of your project in an expeditious manner <br />However, prior to approval of final inspection, and authorization of gas service connections, the builder is responsible for contacting <br />the Departments listen hove and obtaining final unconditional approval from the agency or City Department <br />The Building Inspection Division will schedule a final inspection when the appropriate approval signatures have been secured and this <br />form has been returned to the Building Inspection Division <br />RETURN THIS FORM TO THE BUILDING INSPECTION DIVISION, WITH THE ABOVE NOTED <br />REQUIRED SIGNATURES, BEFORE A FINAL INSPECTION MAY BE SCHEDULED <br />
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