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10/10/2011 13:02 FAX 2094683163 SJC_COMM_DEV 0 001/001 <br /> •.vq .�• ..r-,. . - r. .. _�,.�, ,�.�. ..Iv;r�r.. sr+1'iyrr'n�+q" ' <br /> U4WIFI'CAITE 'D"- UPARCY ROUTM1�d <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPAI <br /> t 1810 E. HAZELTON AVENUE,,STOCK Cd4 9 <br /> BUSINESS,PHONE ,­(209�40�1-3 1 <br /> SUSINIESS HOURS. &A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAY <br /> Permit No.: FOO 10 519 APN 0 17 L 6 U 44f Contractor. <br /> '*b-SRe Address: 2, L- 5 3 N,Y 2 c T H q 1,)a v R o Use of Structure: V4 i,-J t?, <br /> Planning Application No: rA 09DOU 2 6 D <br /> OWNER NAME AND ADDRESS <br /> Narns; T P.. t So 1�04,j L � I <br /> Address: Z Z 2I s N <br /> City: O State: Telephone:( 2 0q) <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: L)Zn- Occupanoy Load: i <br /> Type of Cohs"ctiort: V P> Square Feet: 215 U S <br /> honing . Fire Sprinklers: Yes/No nl p <br /> Before a final inspection can be made by the Building Inspection Division, and prior to issuance of a Cedificate•of N <br /> Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below. ft,s <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 slgnatUre. <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDINQ-PLANS WHEN OBTAINING SIGNATURES ON THE CERTIF4CArE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: DATE: <br /> DEP T OF PUBLIC S <br /> vv <br /> ENVIRON NTAL HEALTH <br /> COUNTY FIRE WARDEN a' <br /> ❑ } <br /> FIRE CHIEF 1 <br /> LOCAL FIFtE DISTRICT: <br /> CALTRANS <br /> MOUNTAIN HOUSE CSO <br /> STOCKrON METRO AIRPORT(209)468-1700 <br /> ❑'; <br /> OTHER <br /> ❑ I <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> the Community Development De22rtment 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 /> comoleted and returned. <br /> F:%UI 91� ANDOUTSWAN000T 072 C of O.doc(Rovimd oe-so.oe) Page 1 Of 2 Comm.Dev.50 (07!09) / <br />