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CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> v' San Joaquin CountyCommunity Development Department <br /> ` 1810 E. Hazelton Ave, Stockton,Ca 95205 <br /> Business Phone(209) 468-3121 <br /> PermitNo: BP-1301820 1 APN: 058-110-40 Contractor: <br /> Job-Site Address: 3123 E ARMSTRONG RD LODI Use of structure: Classrooms for religious facility w/covered patio <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS REOEIVE <br /> Name: D SH DARBAR LODI& STOCKTON <br /> Address: 12098 WEST LN LODI CA 95240- <br /> Tele h e: <br /> STRUCTURE RE UIREMENTS PERMITISERVICES <br /> occupancy Group: A-3 Occupancy Load: 90,CR50+Patio40 <br /> Type of Construction: VB Square Feet: 1800 <br /> Zoning: AG-40 Fire Sprinklers: Provided: NO Required:NO <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 <br /> is the applicants 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 <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM. <br /> APPROVAL RE UIRED: DATE: <br /> �I - <br /> DEPART OF PUBL ORKS 209-468-3000 <br /> 0 z8 r3 <br /> ENVIR016WNTAL HEALTH 209-468-3420 <br /> a <br /> COUNTY FIRE WARDEN 209468-3166 <br /> FIRE CHIEF-FIRE DISTRICT: WOODBRIDGE 209-369-1945 <br /> CALTRANS 209-948-7543 <br /> ❑ <br /> MOUNTAIN HOUSE CSD 209468-0327 <br /> ❑ <br /> STOCKTON METRO AIRPORT 209468-4700 <br /> 1-1 <br /> OTHER: <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and <br /> authorize 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 /> buidling inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br /> FOR STAFF USE ONLY <br /> Anoroved <br /> ❑ Yes ❑ No <br /> Community Development Department Date <br />