HomeMy Public PortalAbout8914 HERMOSA DR_Certificate of Occupancy__ 76A662-CE992 6/71
LAPP DICATILOS ON FOR OCCUPAND' NSPEC N � .
LES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
HARVEY T. BRANDT, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILLw
NEAREST
(Print or type only) CROSS ST.
BUILDING DISTRICT Npy,,� [PROCESSED BY
ADDRESS . s
USE ZONE [K
OAP
NO. BLOCK N0AP.
PECIAL
TRACT SIZE OF LOT CONDITIONS
TEL
OWNER N0.
l BLDG. SETBACK FROM
ADDRESS
rj lc� C. ��-� I✓Ia14 (JT_ FRONT PROP.LINE OF (STREET)
CITY 1 CA
_ � ' HIGHWAY TYPE OF E ISTIXo FRSET
om cK HIGHWAY + YARD c TOTAL
SIZE OF N0. 0
EXISTING BLDG. �J STORIES +
PRESENT USE OF BUILDING L __ S1DE PROP.LINE OF— (STREET)
TYPE Of jEX1STIHGI SET BACX HIGHWAY WIDTH FROM C.L. HIGHWAY + YARD = TOTAL
N0. OF EXISTING BUILDINGS � <
ON LOT AND USE C ` + _
Y
CORNER CUTOFF YES❑ NO ❑ U
N . PA RKI G
SPACES PROVIDED C
OCCUPANCY GROUP
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PROPOSED USE OF BUILDING OCCUPANT LOAD a
�IV S CG QIH' I'AIq FA EXIT HARDWARE:
No Spec. Knowl. ❑
1. Panic Devices El
PROPOSED MAX. OCC. NO. OF EXITS
PARKING . REQ'D D PROVIDE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES
APPLICATION AND STATE THAT THE-ABOVE IS COR-
RECT.
SIGNATURE OF /S/`-/7'L �k_
APPLICANT
f
ADDRESS
Qp icOz'�✓""'.L
g I t � -�� r,�7 Z l(1 jt5-)
APPROVAL DATE INSPECTOR'S
ZIP SIGNATURE
PHONE FINAL APPROVAL 7z-
JOHN F. LEWIS, PRINCIP SJR/ RAL ENGINEER
APPLICATION VALID I( 7 CK. M.D. CASH
Co 5 73 9 NAR 21 2 2 D .0 0-