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07/07/2011 15:36 FAX 2094683163 SJC_COMM-DEV (A 002/002 <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: &A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Permit No.: r?3 _ 1001.5601 APN- 0-532_ Contractor: <br /> Job-Site Address: 1-7 -ZS-L, W. N I r`,.L f �,. Use of Structure: 6AA"j s+b-A L-r TAr"je,. <br /> LOD I CA q j-L 4O Planning Application No: - < < (D p p pQ <br /> OWNER NAME AND ADDRESS <br /> Name: ► OG- On! +: LLIAJP A . <br /> Address: 17 AILI.sl06 LtOD1 6A 9 SZ4 o <br /> City. LO State: L/A Zip. Q-5 -L-f U Telephone:( ) <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: 20 <br /> Type of Construction: Square Feet: 304410 <br /> Zoning . Fire Sprinklers: Yes/No h�r� <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: DATE: <br /> DEPAR3MENTOFPUBLIC ORKS ' <br /> ) � 0 <br /> ENVIRONMENTAL HEALTH <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT. <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> ❑ <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> O <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 /> F'.%BUILDINGIMANDOUMMANDOUT 072 C of O.doc(Revleed 00-30-00) Page 1 of 2 Comm.Dev.50 (07/09) <br />