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I <br /> P4� <br /> V'" CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> ) tIq <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3124 <br /> ��tiFo �`P BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> r <br /> 1 <br /> Permit No.:050514-a-SO' APN: Gri'y- IEV-Q$ Contractor: <br /> Job-Site Address: j T (,�q. Use of Structure: vtNe -7T0R4&F_- <br /> A C.A Planning Application No: A-O5RDo42¢- <br /> OWNER NAME AND ADDRESS <br /> I <br /> Name: LM-t&C-T�YfKs Wo-41r- CO, i INC,, <br /> Address: L=�•L�T VVP <br /> City: State: Gk, Zip: cj2_20 Telephone:{ 40515 <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: 52. Occupancy Load: �}} <br /> Type of Construction: t'4 Square Feet: 1�,t)IL-_-)tt4G -1 <br /> Zoning : Fire Sprinklers: Yes V9 <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 PUNS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: DATE: <br /> DEP NT O P ELIC WO S <br /> I:rNVI R16NMENTAL HEAL <br /> COUNTY FIRE WARDEN <br /> I ❑ <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> i ❑ <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> ❑ <br /> i OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> r the Communitx 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 /> j 'FABUILDINGIHANDOUMHANDOUT 072 C of O.doc(Revised 2J25104) Page 1 of 2 <br />