HomeMy Public PortalAbout9511 LAS TUNAS DR_Certificate of Occupancy__ APPLICATION. FOR OCCUPANCY INSPECTION
BUILDIN D SAFETY DI ION
FOR APPLICANT TO FILL IN BUILDING 4�
(Print or type only) ADDRESS
BUILDING LOCALITY
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ADDRESS J 1` AT TNAr NEAREST
CITY1_ ZIP 1•� zo CROSS ST
1 ASSESSOR
NO. OF SLOGS.
SIZE OF LOT - NOW ON LOT MAP BOOK PAGE PARCEL
' DISTRICT TYPE FIRE P CES ED BY
TRACT IG% BLOCK lnma7f' og CONST ZONE
OWNER TEL. ip
flop
��. NO.; � '�/�3 USE ZONE MAP �1
No*
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ADDRESS - �S SPECIAL
Q CONDITIONS
o CITY r l.//` BLDG. SETBACK FROM
SIZE OF NO. OF u FRONT PROP. LINE OF (STREET)
EXISTING BLDG. ^ STORIES HIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF EXISTIN
PRESENT USE OF BUILDING -/ ('�/�/b .,/ FRONT PROP. LINE HIGHWAY WIDTH
(•/F,1`/ BLDG. SETBACK FROM
NO. PARKING SIDE PROP. LINE OF - (STREET) per„
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTIN V
HIGHWAY -F YARD = SIDE PROP. LINE HIGHWAY WIDTH
REASON FOR INSPECTION REQUEST + v
w
.CORNER CUTOFF YES NO CAI
OCCUPANCY GROUP
AS VERIFIED OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX, OCC.
NO SPEC. KNOWL. ❑'
NO. OF EXITS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR- -
RECT, PARKING REQ'D PROVIDED D
SPACES
FA -7, 6
--2 -7� BY
SIGNATURE OF DATE. 6
APPLICANT
ADDRESS .0Within the scope of this inspec-
t/ r tion the Building Official may
approve minor corrections or
alterations of an existing struc-
n ture involving work of a build- Permit Fee
ZIP Y ing, plumbing, mechanical or
electrical nature. Issuance Fee
U / ��(✓
PHONE
Total Fee
APPLICATION VALIDATION CK. 0. CASH
g 7 1 DICT: -:1 4
76A662C-CE9920 11/15 +