Laserfiche WebLink
�FYE Z <br /> oP4U'N CHER i IFICATE OF OCCUPANCY ROUTING FORllill <br /> ).•.��.CSG <br /> y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> - 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3124 <br /> BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Permit No.: U(o0b15-1 q I AP N: !? 3_ 2 Contractor: <br /> Job-Site Address: �- � �D G Use of Structure: ASTI STDI <br /> Planning Application No: _ D ooSg <br /> OWNER NAME AND ADDRESS <br /> Name: D l DS <br /> Address: <br /> City: -yy <br /> State: C Zip: 9s3 o d- Telephone:(Zp <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: S <br /> Type of Construction: Square Feet: 2 7-40 <br /> Zoning : _ Fire Sprinklers: Ye 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 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 PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: DATE: <br /> DEPART N O IC WORKS <br /> ENVIRONMENTAL HEALTH <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: -j icy <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> El <br /> STOCKTON METRO AIRPORT(209)4684700 <br /> 11 <br /> OTHER <br /> 1771 <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 /> F X51 111 n[Nr=\FJANnni]TC1HHANnni 17 n70 IDS„i- A-Tl, A\ Q ani 9f <br />