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°°-4 CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> 1' San Joaquin CountyCommunity Development Department <br /> �'•" 1810 E. Hazelton Ave Stockton Ca 95205 <br /> Business Phone (209) 468-3121 <br /> Permit No: BP-1400038 APN: 209-050-11 Contractor: SHEA HOMES LIMITED PARTNERSHIP <br /> Job-Site Address: 25#E MAIN ST MOUN Use of Structure: Commercial Coach-Library <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: SHEA MOUNTAIN HOUSE LLC <br /> Address: 2580 SHEA CENTER DR LIVERMORE CA 94550- <br /> Telephone: <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: A-3 Occupancy Load: 57 <br /> Type of Construction: VB Square Feet: 5671 <br /> Zoning: ROADS I M-X Fire Sprinklers: Provided: NO Required: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 REOUIRED: DATE: <br /> Fx] > <br /> DEPARTMENT OF PUBLIC WORKS 209-468-3000 <br /> to - Azii f Z L I <br /> ENVIRONMENTAL HEALTH 209-468-3420 <br /> COUNTY FIRE WARDEN 209-468-3166 <br /> FIRE CHIEF-FIRE DISTRICT: MOUNTAIN HOUSE <br /> CALTRANS 209-948-7543 <br /> MOUNTAIN HOUSE CSD 209-468-0327 <br /> 1-1 <br /> STOCKTON METRO AIRPORT 209-468-4700 <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 /> buidling inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br /> FOR STAFF USE ONLY <br /> Approved <br /> Yes F–] No <br /> CommunityDevelopment Department Date <br />