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Z'�a�C1mr•�i Gni• T CERTIFICATE OF OCCUPANCY ROUTING SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 1810 E.HAZELTON AVENUE,STOCKTON,CA 95205 BUSINESS PHONE(209)468-3129 111 IN permit No.: Business License No.: Job-Site Address: (1-703 Use of Structure: ( GdVC12 j=�t�l li l Doing Business As: TR Ai45 F ICd, fPPNM L Planning Application No.: rfi:x:.{•?::t•}.v3::}::}}:•??::i?:?:.:•.:::;:j::::.;.}::•.;::;?:.:.?:4'4': .'.::..:.}.'..t:.• :•: LY1 / ............. ... e ® : � : � �•}:•:�riv4'i.::.:•?.::.•.}...:i.:.•:?.:i.::.?:.�:.:..$v.�.:i.:}.::.y:.::.•:}.::.}:.}:::;.::}.:-.k:.}::.:k.,:.i,.:.{.:.,i.:i.::�.. Name: WTT. kS Q .7ft%W1t* Name' C . O y JE °,►► �® Address: JE . 1t , Address: 200 City: Stale:� '! City: 1`""1 a ID state' f, ZIP: ? ( PH: "" j® ZIP: - PM: f�-Z 026 ..:..:.:...........:.....:.:•.....:::::::::.�.:�.:...............t.. :.:.tt.::::.,.:.::::.....r....111.::1�<.:.::?x<..?..,:.::::..::...::..::.:.::....:.. ............................... ..........................:.....................................,.. t.. .....•:...,t...:}:... - ... ..t}+.:..tr•..t•:::.t•.,•.t•::::•:?:•:•?:::.::::�::::.}:•}:.}}>x�::<:t•:t•:::•}:t.}}.}:•?:•:.:::k�}<:•:k;?>:t'::: ......................r.:..: ...............v:............ .......:.........:•::•:::.?}: :. � Q t�elj:: .: t.?E.:.... •.::•>.tt•t•::•.••:.�.:..:::r::v•.try.:•.... ...............................:.:.:.......................... ... .. .........,:..}..:..:....... Fe��R!�itRB�.k. ....t....,..:;>.}:::::::.t•.::•r.,,:rto..'?.}?:•?}?::t.}:•}}:•??:<.}??::c:..::::::.....:.,,:::,.t:;?.;: ...t r;.....-•.:w:.+.:•.t•.;v:.v:•::::::::w:.•:::.:.•-., t �.v:.\•..n.w.v:k�^:::::::?::::....:...:::::4:}:?:::. } ..... HC :...........................::v:.:::t::x:....... Occupancy Group. f;)-.a. Occupancy Load: 2 4aQ Type of Construction: \/ Square Feet: E.a I ar'S Zoning: Fire Sprinklers:r / No Area Separation Wall In Lieu of Sprinklers: Yes Heated/Cooled: ! No C»1Cr• Before a final Inspection can be made by the Building Inspection Division,and prior to Issuance of a Certificate of Occupancy by the Building Ol lclal,APPROVAL SIGNATURES must be obtained from the agencies Indicated below. It Is the applicant's responsibility to obtain all signatures and return this form to.the Building Division. Plesse be aware that advanced notice and a Heid Inspection time may be required by each agency prior to signature. It your project Is In a flood zone,the Building Division must have the Elevation Certificate properly signed before approval can be granted. NOTE: PI bring your approved Improvement Pian when obtaining signatures on the Certificate of Occupancy Routing Form. APPROVAL REQUIRED: ® DEPARTMENT OF PUBLIC WORKS DATE ® NVIRONMENTA HEALTH DATE AIR POLLUTION CONTROL DISTRICT DATE COUNTY FIRE yyIARDEN DA E FIRE CHIEF DA LOCAL FIRE DISTRICT: T•..a.0 CITY of:STOCKTON FIRESEPARTMENT DATE k:::r::::iii';i::i i::5:k<iiiii:> :i::: :iii+:�> ii ?2 :i; :Si%2>:i< �i'::Y:2%<�i?>:''>#i >i:i2t:i:`•�2:r:�<�S i:3'``•i �i2::�::: :isiti%:`i:?fs�:':'t:c `<':ii ti::ti;2:>t<:?>; ?`:a;>�is S`i: :::�::: i�i::>:>sii;:;ii ii:<:?':>:i::�}">'•i �i� sA�OVE: Yews p, naturu►tedloadf�s:;:......•: .. atnditfprl,s h�va ....:.:. mpL UiEidk�e�r revef#e�side of this>;:> ................... ...... ,.................. ........t.. .., ?. +.;ro .`btoRk:::.t't+$x•.•??::t.:t:.?;x.}:�::kY•.•,:'•t•>:,•r::;•?:•?:•..:..:•.:.:,.:....; ... .................:.............. .,.......................... .,.t .tit... x .........f........ ... .....: .. ....:..... .. .. e�; 111 :. . orm � tnestr�lt::$i^:fragdHiottc';ot::<�o;B �:-:.: :::��?........... :.::.:...:.:::::.:::::::::::::.:::::•::.�::....:. ......:;}:.}:..:.?::.}>.;«;.}::>:::}::::>}:-:::.:}::}?::<. ......... .:::. :kkk2+ri'k•:•ii!ii i::i}i is}:S i'r::iiii::;:ii:::fiiirifi;i$k?;: :y:i'v:.':�:y Once the required signatures are obtained,return this form to the Building Division. A final building Inspection will be scheduled at your request A final Inspection will not be made unless this completed form has been returned.