Laserfiche WebLink
Q�e-* CERTIFICATE OF OCCUPANCY ROUTING FORM�. � .o� <br /> y - �,, SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3124 <br /> • ��'fa oa�'�P• BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.:[ ., �� APN: P4-3-290-65 Contractor: <br /> Job-Site Address: 78V Use of Structure: t4 s k5 <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: �L L, 1�e�> L <br /> Address: j <br /> City: <br /> State: Zip: �5 2 f.5 Telephone:( ) 94,3-•SCM <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: ---�- <br /> Type of Construction: Square Feet: <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 /> APPROVAL REQ .IRED: DATE: <br /> DEPART EN t2e.:7 WORKS <br /> ENV1R6NMEr4TAeAEALTH <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> El <br /> CALTRANS <br /> 171 <br /> MOUNTAIN HOUSE CSD <br /> 171 <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> El <br /> OTHER <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> the Community Development Department to complete 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 /> FABUlLDINGIHANDOUTSIHANDOUT 072 C of O.doc(Revised 2/25104) Page 1 of 2 <br />