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Opp U,�N �p ! ERTIFICATE OF OCCUP . CY ROUTING FORM <br /> 2r !� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> a: <br /> < <br /> 1870 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3124 <br /> C'�l`pli' BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Permit No.: V?-0 7 APN: a, - 4 0 • 03 Contractor: <br /> Job-Site Address: _ p Use of Structure: U A j d (12 00 <br /> Planning Application No: rA- (000 0 U <br /> OWNER NAME AND ADDRESS <br /> Name: <br /> Address: (j,.J "1 P-OA L7 <br /> City: U ,� State: Zip: q,5 10 Telephone:(U) I - 1 co 4 <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: 7.4 <br /> .Type of Construction: Square Feet. -34.00 S F <br /> Zoning : Fire Sprinklers: Yes/No 40 <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 PLAN WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: DATE: <br /> DEPARTMENT OF PUBLIC WORKS <br /> ENVIRONMENTAL HEALTH <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> Cl <br /> CALTRANS <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 /> 4 <br /> FABUILDIN&HANDOUTSIHANDOUT 072 C of O.doc(Revised 2/25/04) Page 1 of 2 <br />