HomeMy Public PortalAbout9130 LAS TUNAS DR_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN = BUILDING �t
(Print or type only) ADDRESS
LDING 913x7..Bcvs Las Tuns lDt�i;ve - LOCALITY
ADDRESS
CITY Te _ to City` ZIP 91180 CROSSNEAREmpST. •-�"�1✓tiGt/ -
NO. OF SLOGS.
ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE CONST ZONE
PROCES D,cOY
- TRACT BLOCK LOT N0. � a .J7 '
OWNER BV_t.. Simgn.:4►. TEL
. USE ZONE MAP �}
NO. 2 Cf o
DRESS 4931 Robinhood: ' SPECIAL
p O/1 CONDITIONS
'CITY Tete- C4ty� ZIP .9-1 j?8 0 BLDG. SETBACK FROM
t SIZE OF N0. OF FRONT PROP. LINE OF .(STREET)
EXISTING BLDG, STORIES TOTAL SETBACK FROM TYPE OF EXISTIN
HIGHWAY } YARD = FRONT PROP. LINE HIGHWAY WIDTH
PR ENT USE OF BUILDING
i? I + _
Puduce Buketc 046 ce. BLDG. SETBACK FROM
NO. PARKING -1 SIDE PROP. LINE OF (STREET) a
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTIN U
HIGHWAY t YARD = SIDE PROP. LINE HIGHWAYI WIDTH =
CD
Rlff�ASON FOR INSPECTION REQUEST Iy
CORNER CUTOFF YES NO
OCCUPANCY GROUP
AS VERIFIED / OCCUPANT
LOAD
EXIT HARDWW.ARE: Pry
PROPOSED MAX-OCC. EXIT
SPEC. KNOWL. ElN0. 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 O PROVIDED D
•
A
/�j.� FINAL � 'f BY
SI ATURE OF /r2 '' /'fPPLICANT '
DRESS 4931 _ RUIJ�(,VlGLOUd Within the scope of thisinspec-
tion the Building Official may
Temple City, CLC. 91180 approve minor corrections or
alterations of an existing struc-
ZIP ture involving work of a build- Permit Fee
ing, plumbing, mechanical or .
electrical nature. Issuance Fee
PHONE
Tota6Fee
No
APPLICATION VAL1,DATAOg as• M.0. CASH
OD C O r\)
i - O O .
76A662C-CE992B 11/75 4.-- - .
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