HomeMy Public PortalAbout5017 ENCINITA AVE_Certificate of Occupancy__ 76 A 662-CE992-.4177 1 ` • f /
,APPLICATION FGR ®C�UPANCYJNSPE,CT9®N
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS S •/ r
BUILDINGG ' ; ,.+ LOCALITY , '
ADDRESS
CROSS ST.
` ZIP �� D NEAREST-
CITY
SIZE OF LOT NO OF BLDGS. ASSESSOR - `
NOW ON LOT MAP BOOK PAGE =n PARCEL
DISTRICT. TYPE FIRE ED BY
TRACT B t LOT NO. CONSi� ZOO ,
OWNER TEL:. �
16-6,nC y USE ZONE MAP
NO /
ADDRESS Gin./ �'� SPECIAL
CONDITIONS
CITY 02PLe— GQ 'ZIP BLDG.SET BACKFROM
a, FRONT PROP. LINE OF (STREET),
SIZE OF
EXISTING BLDG.' STONO.RIOFES
HIGHWAY + YARD = TOTAL SET BACK FROM TYPE OF ExISTwG
PRESENT•USE OF BUI'LDIfVG " FRONT PROP.LINE, HIGHWAY WIDTH
rho +
T, IIBLDG.SET BACK'FROM Off.
NO. PARKING SIDE PROP.LINE OF, (STREET) V
SPACES PROVIDED
TOTAL SET BACK"FROM TYPE OF EXISTING
HIGHWAY, + YARD =
SIDE PROP. LINE HIGHWAY WIDTH,
REASON FOR INSPECT]ON-REQUEST
CDR - YES NO r�
us •,nV =s -� �� z
OCCUPANCY GROUP
1 n CUPAN
AS VERIFIED ' ' Z�' OCLOAD.T
r
-EXIT.HARDWARE
PROPOSED MAX:OCC" s'" ` o
NO.OF EXITS N•O SPEC. KNOWL.
I HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS' PANIC DEVICES ❑ -
.APPLICATION AND STATE THAT THE ABOVE IS COR:
RECT. PARKING
SPACES REQSD :PROVIDED
SIGNATURE OF
APPLICANT_` FINAL,' BY
DATE• •�
ADDRESS /(. A ••
Within the scope�of this inspec-
Q n t, / tion the Building Official may
approve,„ minorco'rrecUons or
/�;_ /, n��ZlFyr alterations of an existing struc-
(Dp( ' ture,involving'work of a' build PERMIT FEE'
ing, ,plumbing, mechanical-or:
-PHONE electrical nature. ISSUANCE FE
LTOTAIFEI
APPLICATION VALIDATION CK. M'O:. CASH
1 9 5 AUG