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►SR V.1 ty y <br /> a CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> enc+Foa`'�P SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE,STOCKTON,CA 95205 <br /> BUSINESS PHONE(209)468-3123 <br /> LAddress: <br /> �j ! f APN:Zj�g - �� -()� Business License No.: gL- <br /> ress: 74(lQ ` S S�0J'J 1`'`� o Use of Structure: M e �' � k <br /> ss As: Planning Application No.: —d! —54- <br /> OWNER NAME AND ADDRESS CONTRACTOR NAME AND ADDRESS <br /> L !` /f� L _r Name: C� S <br /> G �� Address:C State: City: State: <br /> PH: ZIP: j3� PH:� -�i�'3-� g <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: `s Occupancy Load: 1� <br /> Type of Construction: Square Feet: 600 <br /> [Zoning: Fire Sprinklers: Yes ! o <br /> Area Separation Wall in Lieu of Sprinklers: Yes 1 o Heated/Cooled: Yes ! o <br /> Before a final inspection can be made by the Building Inspection Division,and prior to Issuance of a Certificate of Occupancy by the <br /> Building Official,APPROVAL SIGNATURES must be obtained from the agencies indicated below. It is the applicant's responsibility to <br /> obtain all signatures and return this form to the Building Division. Please be aware that advanced notice and a field inspection time may <br /> be required by each agency prior to signature. If your project is in a flood zone,the Building Division must have the Elevation Certificate <br /> properly signed before approval can be granted. NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING <br /> SIGNATURES ON THE CERTIFICATE OF OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: <br /> DEPARTMENT OF PUBLIC WORKS DATE <br /> ENVIRONMEN HEALTH DATE <br /> AIR POLLUTION CONTROL DISTRICT DATE <br /> COU FIREW DATE <br /> 7 <br /> FIRE CHIS L DATE <br /> LOCAL FIR DI TRICT: C <br /> CITY OF STOCKTON FIRE DEPARTMENT DATE <br /> CALTRANS DATE <br /> OFFICE OF EMERGENCY SERVICES DATE <br />