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-- c° CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> y id ;{ SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON.CA 95205 <br /> �` •.,;„ .-�P <br /> FORr' BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY BUSINESS PHONE: (209)468-3124 <br /> THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Permit No.: 0143 f r0t!k-,�5 Contractor: oto 11,401_ <br /> Job-Site Address: (v7SQ ', i.{, 100 Use of Structure: vul l.lIF- grpR.pt <br /> Planning Application No: )dA- Po crto <br /> OWNER NAME AND ADDRESS A/ 2.1 o' <br /> Name: <br /> Address: 7115- St'. � ” wk wy <br /> I <br /> City: y : sq State: ( Zip: q � Telephone:{ 0-7 ) <br /> a <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: ,S I Occupancy Load: <br /> Type of Construction: Ito Square Feet: 1,71900 <br /> Zoning : _ Fire Sprinklers: Yes/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 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 /> 1 <br /> APPROVAL REQUI D: DATE: <br /> PARTM N U LIC WORKS <br /> ENVIRONMENTAL HEALTH <br /> COUNTY FIRE WARDEN <br /> El <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(249)468-4700 <br /> OTHER <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> the Community Deveia meet Department to com lete 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 been <br /> completed and returned. <br /> F:18UIi DINGIHANDQUTSIHANDQUT 072 C of O.doc(Revised 2125104) Page 1 of 2 <br />