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SU0011318
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HOLLY
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SU0011318
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Last modified
3/21/2022 11:59:44 AM
Creation date
9/5/2019 11:18:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011318
PE
2633
FACILITY_NAME
PA-1700072
STREET_NUMBER
20500
Direction
S
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95304-
APN
21216010
ENTERED_DATE
4/17/2017 12:00:00 AM
SITE_LOCATION
20500 S HOLLY DR
RECEIVED_DATE
4/17/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
FilePath
\MIGRATIONS\H\HOLLY\20500\PA-1700072\SU0011318\APPL.PDF \MIGRATIONS\H\HOLLY\20500\PA-1700072\SU0011318\CDD OK.PDF \MIGRATIONS\H\HOLLY\20500\PA-1700072\SU0011318\EHD COND.PDF \MIGRATIONS\H\HOLLY\20500\PA-1700072\SU0011318\MISC.PDF
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EHD - Public
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_ CERTIFICATE OF OCC ?ANCY ROUTING F <br /> San Joaquin CountyCommunity Development Depa( <br /> 7 1810 E. Hazelton Ave, Stockton,Ca <br /> Business Phone(209)468 <br /> Permit No: BP-2005147 APN: 212-160-17 Contractor: FULLMER CONSTRUCTION <br /> Job-Site Address: 9375 W SUGAR RD TRAC Use of Structure: Break Area Canopy <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: OLLIIX LLC <br /> Address: 45875 NORTHPORT LOOP EAST FREMONT CA 94538- <br /> Telephone: <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: A-2 Occupancy Load: 273 <br /> Type of Construction: VB --Square Feet:4086 <br /> Zoning: I-G Fire S rinklers: Provided: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 <br /> is 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 <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: DATE: <br /> DEP RTMENT OF PUBLIC WORKS 209-468-3000 <br /> o IZO zl <br /> fi�VIR644—NTA EALT _09-468-3 <br /> COUNTY FIRE WARDEN 209-468-3166 <br /> FIRE CHIEF-FIRE DISTRICT:TRACY RURAL 209-831-6700 <br /> CALTRANS 209-948-7543 <br /> MOUNTAIN HOUSE CSD 209468-0327 <br /> a <br /> STOCKTON METRO AIRPORT 2094684700 <br /> OTHER: <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and <br /> authorize 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 A) <br /> Completed and returned. <br />
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