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. i <br /> .< CERTIFICATE OF OCCUPANCY ROUTING FORM j <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E.HAZELTON AVENUE,STOCKTON,CA 95205 <br /> i. BUSINESS PHONE(209)468-3123 <br /> Permit No.: ��® APN: �jX 07 Business License No.: <br /> Job-Site Address: 27+1 Cr Use of Structure: �e_ 96P119 <br /> Doing Business As: f Planning Application No.: <br /> OWNER NAME AND ADDRESS ; CONTRACTOR NAME AND ADDRESS <br /> Name: f VqAl) Name: <br /> Address: S( 69#00 UWIV , Address: <br /> City: ^ State: City: State: <br /> ZIP: PH: '! ZIP: PH: <br /> r . <br /> i <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: �� i"! Occupancy Load: - <br /> Type of Construction: Square Feet: <br /> Zoning: — Fire Sprinklers: Yes o <br /> Area Separation Wall in Lieu of Sprinklers: Yes Heated/Cooled: ` Yes o <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 /> ' DH T OF PUBLIC WORKS DATE <br /> NVIROETA HEALTH rK- $ DATE r <br />!k AIR POLLUTION CONTROL DISTRICT DATE <br /> COUNTY FIRE WARDEN DATE <br /> FIRE CHIEF DATE <br /> LOCAL FIRE DISTRICT: <br /> j <br /> CITY OF STOCKTON FIRE DEPARTMENT DATE <br /> n CALTRANS DATE <br /> LJ " <br /> OFFICE_O1FFEMEF7GElNCX SERVICES ---, DATE _ <br /> I <br /> ii <br /> STOCKTON METRO AIRPORT(209)468.4700 DATE <br /> it <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 /> F:18uilding\Handouts\Handout 72.doc(Revised 06-28-02) Page 1 of 2 <br />