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02/17/2004 13:34 2---"q83597 <br />I <br />Ii <br />I� <br />CERTIFICATE <br />II <br />RAYMOND GREER CONSTC/"1� PAGE 03 <br />OF OCCUPANCY ROUTING FORM <br />SAN JOAQum CouNYY COMMUNITY DEVELOPMENT DEPARTMENT <br />10101?, HAZELTON AVENUE, STOCKTON, CA 05XS <br />GuslNFss PHONE 12821 "11-3133 <br />Pemtlt No.: (Z <br />APN: �j �- <br />Buslne99 Boer em+s No.: <br />JobSks Address: 1(676-0 <br />.: <br />Use of structure: W ' <br />Oning Busillm Aa: i <br />I IXWE <br />Planning Application No.; ('I — 01 ^8 <br />o ieR NAME AND ADDiam <br />CONTRACTOR NAME Alit) AdDKESS <br />Name: f 694tV,169 <br />j <br />�•7°•s <br />Noma; C L_u <br />Add.: 1 <br />IIkffib4d <br />X) <br />Adnhass: t� /01- <br />Gty:S <br />Ilam: , <br />Ctltt: cx0tq I state: C -1 <br />ZIP: <br />PFI; <br />21p; PH <br />�( <br />STRUCTURE REQUIREMENTS <br />. <br />Occupancy Load: <br />Typen: 1� <br />FZ�anlng: <br />Square Foot: <br />�O <br />�� <br />fire Sprinklers: <br />Yes lall <br />In Lieu of Sprinklers: <br />Yes l HoatodMocled: <br />Cal No <br />Before a final Inspection can be made by the Building Inspeatlon Dhdslon, and prlorto issuance of a Certificate of Occupalrcy by the <br />Building Official, APPROVAL SIOWATURM must he obtalned from the tgenclas Indlcalod below. R is Rha applicanYe respdrlatbillty to <br />obtain all sidrar mea and retum this formito the Building Dtv%tan. Please be awars that advanoed notice and a Raid inspection Nora may <br />be mquirad by each agormy prior to algrIkurs. If your prgwt is Ina flood zone, the Building Division must have the Elevation Cer"flcade <br />property elgrmd before approval can be granted. NOTE: PLEASE BRING YOUR APPROVED BUILDI&Q PLANE WHEN OBTAINING <br />SIGNATURES ON THE CERTIFICATE OF OCCUPANCY ROUTING FORM. <br />I <br />APPROVAL RFQUIRED: i <br />II <br />DEPARTMENT OF PUSLIC WORKS DATE <br />ENVIRONMENTAL HEALTH DATE <br />I. <br />AIR POLLUTION CONTROL DISTRICT DATE <br />II <br />COUNTY FIRE WARDEN DATE <br />FIRE CHIEF II DATE <br />LOCAL FIRl! DISTRICT: .... . _. <br />CI1Y OF STOGKTON FIRE DEPARTMENT DAYS <br />CALTRANS I DATE <br />DATE <br />CALF • �� iE¢�0 (,�t�fi�r"r� <br />0 <br />STOCKTON METRO AIRPORT t2os) "&4700 DATE <br />II. <br />NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indkaias that your eondnlons have been meL Use the reverse side of this <br />form Ia note commands or cmWillons, orto approve temporary occupancy. <br />are <br />request A Onsl Irmpectlortlarl 1 nrK be made unless this completed form has been ratumed. <br />01/21101 n' <br />li <br />ii <br />P:1BundinglHandoutsViandaut 72,doc (Rrviscd 06442) <br />your <br />Page 1 of 2 <br />