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CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> khI 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> l BUSINESS PHONE: (209)468-3124 <br /> p: BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> rmit Nn.:06 2 JAPN: L1 z .- Contractor: <br /> /job-Site Address: 5'5 5 � W• 612AV i � (V E rl' Use of Structure: �I� ��` N AV p C Li+ss i:c:'v1 S <br /> fZ A Planning Application No: P/4 - u C,uo-3 u <br /> OWNER NAME AND ADDRESS <br /> C kA\Z f Ar1I C rt✓ f �E� <br /> rf Address: _3 2- W ,+ <br /> City: _ Q State: c'/1r Zip: Telephone:( 1-01) 3 3 a <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: .3 I Occupancy Load: 3 <br /> Type of Construction: \J(,*J Square Feet: 3 w S <br /> Zoning -L5 <br /> Fire Sprinklers: Yes(Eo) <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 REQUIRED: DAT <br /> I :;E$.Et7TAL <br /> PUB WO S <br /> Alk <br /> �qa <br /> HEALTH <br /> Fa <br /> COUNTY FIRE AR <br /> ❑ q 5 <br /> FIRE CHIEF q <br /> LOCAL FIRE DISTRICT: 0 0e__ <br /> U <br /> '^- CALTRANS <br /> ! MOUNTAIN HOUSE CSD <br /> 1771 <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> tht Community Development De artrrlent to complete a final inspection. <br /> F <br /> nce the required signatures above a e obtained, return this form to the Community Development Department. A final <br /> a'r'ing inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> t c Uieted and returned. <br /> BUILDIN;\HANDOUTS\HANDOUT 072 C of O.doc(Revised 2/25/04) Page 1 of 2 <br />