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NOO-18-2013 03:10P FROM:RADCO COMMUNICATIONS 775 826-6355 TO:12094640138 P.2 <br /> 11/15/2013 17:04 FAX 2094663163 SJC-COMM-DEV ®002/002 <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> II �" San Joaquin COuntyCommunity Development Department <br /> C 1810 IF Hazelton Ave. Stoekton.Ca 95205 <br /> � Business Phone(209 468-3121 <br /> l Permit No: BP-12O2064 APN: 258-020 29 Contractor- <br /> Job-Site Address: 18033 S KELSO RD TRAC Use of Strucrure: TELECOMMUNICATIONS TOWER <br /> & 5Plannin A IicetionNo: F'A•1100093 <br /> OWNER NAME AND ADDRESS <br /> Name:MOUNTAN HOUSE COMM SERV DIST <br /> Address: 230 S STERLING DR 8100 ----JNTAiN HOUSE- CA 95391-3045 <br /> Tele hone: <br /> STRUCTURE REQUIREMENTS <br /> Occu anc Grou : — Occu mtc Load: --- <br /> T e of Construction; --- Square Feet;0 <br /> Zoru : P-F Fire 5 rinklers: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 /> Pleasc be aware that advanecd notice and a field inspection time may be required by each agency prior to signature. <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDING PLATS WHEN OBTAINING SIGNATURES ON THE <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM, <br /> APPROVAL REOUIRED• DATE; <br /> ❑ DEPARTMENT OF PUBLIC WORKS 209-468-3000 <br /> x <br /> _'" L112112 t- 711�d 13 <br /> E'NVIRONMENTALHEALTH 209-468-3420 <br /> ❑ COUNTY FIRE WARDEN 209.469.3165 <br /> FIRE CHIEF•FIRE-.DISTRICT: TRACY 209-831-4707 <br /> CAI-TRANS 209-948-7543 <br /> FX <br /> MOUNTAIN}LOUSE CSD 209-468-0327 <br /> STOCKTON METRO AT"ORT 209.468-4700 <br /> OTHER: <br /> NOTE TO DEPARTMENTS LLSTED 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 /> o leted and returped. <br /> FOR STAFF USE ONLY <br /> Aoarnved <br /> Ycs � Na <br /> Cammuni Develo ment De artment Date <br /> Received Time Nov. 18. 2013 3:08PM N0. 4554 <br />