Laserfiche WebLink
°`'AU(" CERTIFICATE OF aCCUPANCY ROUTING FORM <br /> e SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3124 <br /> 4�%koRr'v BUSINESS HOURS: 8:A.M- TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Permit No.: 000,772% I APN: 2/Z —O 0- pZ Contractor: <br /> Job-Site Address: /3 el(V W. M,40O6E AZ Use of Structure: Yoar7t /�i2C�iuy (j(//L DING <br /> Planning Application No: Uo-q6r • 1VCO2 <br /> OWNER NAME AND ADDRESS <br /> Name:S'0G/r#W/a1a &#a1ZC F N0V11Y 64,-77--� <br /> Address: 139C60 A41Z)O/.ir- A4 <br /> City: State: G� Zip: Telephone:( 151197) 8 = ek,7? <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: 711r <br /> Type of Construction: yip. MErnd#A e.E S)r" Square Feet: 7 8010 0S <br /> Zoning : .416" -fo Fire Sprinklers: e()�' /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 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 /> DEPPJMENT OF PUBLIC WORK <br /> ` / <br /> ENVIR NMENTAL HEALTH <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> El <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)4684700 <br /> El <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 farm has been <br /> completed and returned. <br /> F:\BUILDING\HANDOUTS\HANDOUT 072 C of O.dm(Revised 2/25/04) Page 1 Of 2 <br />