HomeMy Public PortalAbout9158 LAS TUNAS DR_Certificate of Occupancy__ 76A662-CE992 11/75
APPLICATION FOW��lP Y INSPECTI®N
COUS AN LES
DEPARTMENT OF COUNTY-ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or.type only) ADDRESS
BUILDING LOCALITY
DRESS �r� C
CITY ZIP NEAREST
CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE IFIRE OCES D BY
TRACT BLOCK LOT �� CONST' ZOyF�� i
O, NE TEL.
NO.
US
EZONE MAP
7i 6 Ab
DRESS i SPECIAL
CONDITIONS
CITY ZIP SET BACK FROMSIZE OF NO.OF PROP.LINE OF (STREET)
EXISTING BLDG. STORIES + YARD _ TOTAL SET BACK FROM TYPE OF EXISTING
RESENT USE OF BUILDING
FRONT PROP.LINE, HIGHWAY WIDTH }
a
+ = C
A06 �� BLDG.SET BACK FROM L;
NO.PARKING SIDE PROP.LINE OF (STREET) Z
SPACES PROVIDED C
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE EXISTING
SIDE PROP. LINE HIGHWAY WIDTH
LL EASON FOR INSPECTION REQUEST + - d
tr
Z�
CORNER CUTOFF YES NO -
OCCUPANCY GROUP OCCUPANT
AS VERIFIED LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS NO SPEC.KNOW L. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING
SPACES REO'D PROVIDED=
SIGNATURE OF ��`,j��
A15PLICANT. DATE BY��C�
ADDRESS �z
_ a Within the scope of this inspection
the Building Official may approve
ip minor corrections or alterations of
an existing structure involving work PERMIT FEE
of a building, plumbing, mechanical
PHONE n-512.0 e) or electrical nature. ISSUANCE F1 I
TOTAL FEE ly
APPLICATION VALIDATION CK. M.O. CASH
5'6:.:9 JtIL. 14 4. .( -0 ASL
. 3