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F } <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3124 <br /> BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.:C7C-V 3(F APN: M3- :2 7 Contractor: <br /> Job-Site Address: F• / , G Use of Structure: , <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: <br /> Address: /psi F• n sr . a, _ <br /> City: y e State: Zip: U I Telephone:( ) <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: p' Occupancy Load: <br /> Type of Construction: s'hJ _ Square Feet: <br /> Zoning : J Fire Sprinklers: Yes <br /> Before a final inspection can be made by the Building Inspection Division, and prior to ssuance of a Certificate of <br /> Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below. It is <br /> the applicants 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: DATE: <br /> DEPARTMENT OF_PUBLIC WORKS <br /> N <br /> ENVIRONMENTAL HEALTH <br /> COUNTY FIRE WARDEN <br /> El <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> CALTRANS <br /> El <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> Fi <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 /> FABUILDING\HANDOUTS\HANDOUT 072 C of O.doc(Revised 2/25/04) Page 1 of 2 <br />