HomeMy Public PortalAbout9155 LAS TUNAS DR_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION
BUILDI AND SAFETY DI ION
OR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
BUILDING
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ADDRESS ql.5��. A.5 /(�L;F/g5 A, LOCALITY
/� G NEAREST
CITY /6. �/_' C ZIP X17*a CROSS ST.
/ 0. OF BLDGS. ASSESSOR
SIZE OF LOT a� x ia� NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE p S D BY
TRACT BLOCK LOT NO. L �j CONST.. ZON
OWNER cc TEL. UUSSE.ZOlNNE MAP—'�V/'—
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ADDRESS ��� •�, 1y�A-7.5 ��L SPECIAL '
p CONDITIONS
CITY �P+ C .� ZIp ! l ''p 0 BLDG. SETBACK FROM
SIZE OF 2 NO'. OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. ✓� STORIES TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY } YARD = FRONT PROP. LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING �F'��C--
BLDG. SETBACK FROM
NO. PARKING ..� SIDE PROP. LINE OF (STREET) 0
SPACES PROVIDED - TOTAL SETBACK FROM TYPE OF XISTIN U
HIGHWAY } YARD = SIDE PROP. LINE HIGHWAY WIDTH j=
O
=
REASON FOR INSPECTION REQUEST } Ufy
C..
` CORNER CUTOFF YES NO Z
OCCUPANCY GROUP
AS VERIFIED OCCUPANT
LOAD
\EXIT HARDWARE:
PROPOSED MAX. OCC. NO SPEC. KNOWL. ❑
N0. OF EXITS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR=
RECT. PARKING REQ'D O PROVIDED D
SPACES
FINAL 7� BY
SIGNATURE APPLICANT OF . DATE /
ADDRESS ¢�S� Within the scope of this inspec- .
tion the Building Official may .
approve minor corrections or
(� L alterations of an existing struc-
ture involving work of a build- Permit Fe
ZIP ! 7� ing, plumbing, mechanical or
electrical nature. •Issuance Fee
PHON
Z -2-0 7 Total Fee
APPLICATION VALIDATION CK. M. CASH
76A662C-CE992B 11/750 5 7JAi/75 _
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