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�Pau'N CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> Q: y� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3124 <br /> BUSINESS HOURS: &A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.: APN: Contractor: <br /> Job-Site Address: d .&>Ise of Structure: �pcv <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: <br /> Address: <br /> City: State: Zip: Telephone:pel 9 ) <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: i5 <br /> Type of Construction: �.. Square Feet.- <br /> Zoning <br /> eet:Zoning AFire Sprinklers: Yes <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 PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIR � AT <br /> DE ART _T OF BLIC WOR <br /> l3 <br /> E ENTAL HEAVH <br /> C NfiY IRE RDEN <br /> FI HIEF <br /> LOCAL FIRE DISTRICT: <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> El <br /> OTHER <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 inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br /> F\Ruu DIN G\HANDOUTS\HANDOUT 072 C of 0 doc(Revised 06-30-09) Paqe 1 of 2 Comm.Dev.59 (07/09) <br />