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a <br /> °�.,..... CERTIFICATE OF <br /> OCCUPANCY <br /> ROUTING FORM <br /> too <br /> SAN.JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .:J 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE. (209)4$8-3124 <br /> Cq`r�o N1p BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Permit No.: 0-0!1� g I APN; <br /> �- OS7f Contractor: <br /> Job-Site Address: \TA ah se <br /> Structure: �� <br /> g �S <br /> Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: Su1T �N tri f I Ci . <br /> Address: .p , <br /> City: , State: G,A� Zip:. C1443A Telephone:( <br /> STRUCTURE REQUIREMENTS <br /> Occupancy.Group: Occupancy Load: <br /> Type of Construction: Square Feet: I I (041;1 Sf� <br /> Zoning : E, — Fire Sprinklers: a INo <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 /> HE CERTIFICATE OF <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON T 9 <br /> OCCUPANCY ROUTING FORM, <br /> APPROVAL REQUIRED: DATE: <br /> DEPA MEN OF PUBLIC WORKS <br /> ENVIR MENTAL HEA TH <br /> i <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> El <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> El <br /> OTHER <br /> i <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 on will be scheduled at your request. A final infection will not be_scheduled until this form has been <br /> completed and <br /> FABUILDINGIHANDOUTMHANDOUT 072 C of O.doc(Revised 2125104) Page 1 of 2 <br />