HomeMy Public PortalAbout9127 LAS TUNAS DR_Certificate of Occupancy__ n APPLICATION FOR OCCUPANCY INSPECTION
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BUILDING/A17D SAFETY DIVI
F R APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
BU LDING JJ 7'� LOCALITY
DDRESS (f�(/J� V .
NEAREST
CITY L••T- ZIP d1 7("� CROSS ST. '
/ NO. OF BLDGGS, v ASSESSOR
SIZE OF LOT � •33 r Z NOW ON LOT , MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE - p S D BY
CONST. ' ZONE
TRACT_67�0_5 BLOCK LOT N0,'=2e) � `L�.og
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OWNER _ 'J n TEL. '` �j USE ZONE YMAP
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NO.oZ��"�7LQ N0. 2, e! 7
ADDRESS9407y LCWeEA1 WOOL? F�� SPECIAL
CONDITIONS
-CITY Ie L ZIPQ f` 9,S BLDG. SETBACK FROM
SIZE OF V NO.. OF ':- FRONT PROP_. LINE OF (STREET)
EXISTING BLDG. STORIES - TOTAL SETBACK FROM TYPE OF EXISTIN
HIGHWAY } YARD = FRONT PROP. LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING -
t t -
BLDG. SETBACK FROM
NO. PARKING SIDE PROP. LINE OF (STREET) C>,--
SPACES
r
SPACES PROVIDED CD
HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF XIS TIN V
SIDE PROP. LINE HIGHWAY WIDTH
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+ - U
REASON FOR INSPECTION REQUESTp 1L
a
CORNER CUTOFF YES NO to
tw G u
OCCUPANCY GROUP
AS VERIFIED OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX. OCC. - � NO SPEC. KNOWL. ElN O. OF EXITS
I HEREBY ACKNOWLEDGE THAT I HAVE .READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. - PARKING
SPACES REQ'D D PROVIDED D
r�� D FINAL B
SIGNATURE OF DATE//- /qq(S
APPLICANT
ADDRESS G, c er xzrlvvllyUU Within the scope of this inspec-
tion the Building Official may
approve minor corrections or
alterations of an existing struc-
/� 1 ture involving work of a build- Permit Fee
ZIP / 27,S— ing, plumbing, mechanical or
electrical nature. Issuance Fee
PHO N
Total Fee
5 APPLICATION VALIDATION CK. M.O. CASH
0.Q AM
76A662C-CE992B 11/75 4 6 3-MAY 195 4 � �