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Y , <br /> A � � <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E.HAZELTON AVENUE,STOCKTON, CA 95205 <br /> BUSINESS PHONE 209 468-3123 <br /> Permit No.:6 C APN: 00 -<2( —01 Business License No.: -6-L-- 7 Z7_ 7 <br /> Job-Site Address: �' Use of Structure: <br /> Doing Business As: Planning Application No.: * ' <br /> OWNER NAME AND ADDRESS CONTRACTOR NAME AND ADDRESS <br /> r! <br /> Name: h� �' F 6 L_t Name; +" <br /> Address: ! "L g,()PD Address: <br /> City: it— State: ��� City: State: <br /> ZIP: r PH: _ '" 72,73 ZIP: <br /> PH: <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: <br /> Type of Construction: Square Feet: <br /> Zoning: -- Fire Sprinklers: Yes <br /> 771 <br /> Area Separation Wall in Lieu of Sprinklers: Yes f,Tlo Heated/Cooled: Yes jl/Flo� <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 /> 2. 113 a <br /> DEPAR N OF PUBLIC WORKS DATE <br /> NVIRON E A EALTH DAT <br /> AIR POLLUTION CONTROL DISTRICT DATE / <br /> ��- � C1 �/ <br /> COUNTY FIRE WARDEN DATE <br /> FIRE CHIEF DATE <br /> LOCAL FIRE DISTRICT: <br /> CITY OF STOCKTON FIRE DEPARTMENT DATE <br /> CALTRANS DATE <br /> 0 <br /> OFFICE OF EMERGENCY SERVICES DATE <br /> 11 <br /> STOCKTON METRO AIRPORT(209)468-4700 DATE <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met. Use the reverse side of this <br /> form to note comments or conditions,or to approve temporary occupancy. <br /> Once the required signatures are obtained, return this form to the Building Division. A final building inspection will be scheduled at your <br /> request. A final inspection will not be made unless this completed form has been returned. <br /> 0112001 <br /> :IBuildinglHandoutsV-kmdaut 72.fioc(Revised 06-28-02) Page I of 2 <br />