Laserfiche WebLink
,.Q�4yu I M c �,•= <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E.HAZELTON AVENUE,STOCKTON,CA 85205 <br /> BUSINESS PHONE 209 468-3123 <br /> Penn it No.: Q 1?—7?— APN:L)/g—,240 —' I Business License No.: <br /> Job-Site Address: ��" Use of Structure: <br /> f Doing Business As� 15anning Application No.: �QZ,� <br /> OWNER NAME AND ADDRESS CONTRACTOR NAME AND ADDRESS <br /> Name: S Name: <br /> Address: Address: <br /> City: b State: 4 L) ' City: State: <br /> ZIP: PH: r� 1 <br /> 2!9�,z �) ZIP: PH: <br /> t <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: F L S Occupancy Load: <br /> Type of Construction: Square Feet: 19. k24 <br /> Zoning: c,.--R Fire Sprinklers: Yes I o <br /> Area Separation Wall in Lieu of Sprinklers: Yes No Heated/Cooled: e 1 No <br /> ,aefore a final Inspection can be made by the Building Inspection Division,and prior to issuance of a Certificate of Occupancy by the <br /> 3uilding Official,APPROVAL SIGNATURES must be obtained from the agencies indicated below. it is the applicant's responsibility to <br /> obtain all signatures and return this form to the Building Division, Please be aware that advanced notice and a field Inspection time may <br /> be required by each agency prior to signature, If your project is in a flood zone,the Building Division must have the Elevation Certificate <br /> properly signed before approval can be granted. NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING <br /> SIGNATURES ON THE CERTIFICATE OF OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: <br /> 9 I <br /> DEPARTMENT OF PUBLIC WORKS DATE <br /> ENVIRONMENTAL HE LTH DATE �'Rdtt <br /> '_`fir <br /> lwo <br /> AIR POLLUTION CONTROL DISTRICT DATE <br /> COUNTY FIRE WARDEN PATE <br /> FIRE CHIEF DATE <br /> LOCAL FIRE DISTRICT: <br /> CITY OF STOCKTON FIRE DEPARTMENT DATE <br /> CALTRANS DATE <br /> OFFICE OF EMERGENCY SERVICES DATE <br /> AIRPORT(209)468-4700 DATE <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that yourconditions have been met. Use the reversesideof this <br /> form to note comments or conditions,or to approve temporary occupancy. q <br /> I <br /> l <br /> Once the required signatures are obtained,return this form to the Building Division. A final building inspection will be scheduled at your <br /> request. A final Inspection will not be made unless this completed form has been returned. i <br /> 01/2001 <br /> F:18uiiding\Handouts\Handout 72.doc(Revised 06-28-02) Page I of 2 <br />