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CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3124 <br /> /FORS` BUSINESS HOURS: &A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Permit No.:o Q 371 61 APNQ —Z70—j j Contractor: <br /> Job-Site Address: 18621 a- . 9 Use of Structure: Q = C ae.4 oN <br /> C, , 195-7-7-0 Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: C <br /> Address: <br /> City: State: Zip: Cj Telephone:( 269) _ 90 <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: 1=1 Occupancy Load: .9-7-7 <br /> Type of Construction: — Square Feet: 16 -575- <br /> Zoning : <br /> 5- <br /> Zoning : XT--Z(} Fire Sprinklers: es o <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 F <br /> APPROVAL RE UIRE DATE: <br /> DEP M TA�UBLRKS/VN / �- <br /> VI N E AL HEA <br /> COUNTY FIRE WARDEN <br /> a <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> ❑ <br /> CALTRANS <br /> 13 <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <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 /> F1BUILDING HANDOUT&HANDOUT 072 C of OAoc(Revised 2/25/04) Page 1 of 2 <br />