HomeMy Public PortalAbout9554 LAS TUNAS DR_Certificate of Occupancy__ •APPLICN OR CCUP ION
Y INSPECTION
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BUILDIN ND SAFETY DI
F R APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
B DING i _ _ LOCALITY
ADDRESS SG� �'+/��"� JN NEARESTC:.
CITY i 1_ ZIP CROSS ST.
% 1'�C.. N0. OF BLDGS. ASSESSOR -
SIZE OF LOT " x 0 NOW ON LOT MAP BOOK PAGE- PARCEL
DISTRICT TYPE FIRE PR D BY
TRACT /� L� r BLOCK L0 r_ CONST�ij' ZONF.i
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TEL. USE ZONE MAP
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NER�a �• tij NO. — 7' O
� N 0. CT�CJ
DDRESS `[w++J9 F)� SPECIAL
CONDITIONS
CITI i e.. ZIPcko BLDG, SETBACK FROM
SIZE OF NO. OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. J.7- ISTORIES1 TOTAL SETBACK FROM TYPE OF iEX ISTIN
HIGHWAY } YARD = FRONT PROP. LINE HIGHWAY WIDTH
RESENT USE OF BUILDINGJ�^ -
}
BLDG. SETBACK FROM
NO. PARRING SIDE PROP. LINE OF (STREET)
SPACES PROVIDEDTOTAL SETBACK FROM TYPE OF XISTIN V
HIGHWAY } YARD = SIDE PROP. LINE HIGHWAY WIDTH
_ C
EASON FOR INSPECTION REQUEST } V
W
.CORNER CUTOFF YES NO tom!]
OCCUPANCY GROUP
L C�1pJ�S� AS VERIFIED OCCUP NT
WARE:
PROPOSED MAX. OCC. KNOWL. ❑
NO. OF IT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS P ~ DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARK. R,4)y"1�1 PR VIDED
j SPACES
�IIIG�2G+Z� d FINAL B
SI NATURE OF ; DATE _
APPLICANT -
DRESS tl Within the scope of this inspec-
pay alt tion the Building Official ma
Q'ov`� approve minor corrections or
alterations of an existing struc-
ture involving work of a build- Permit Fee
ZIP.EI ing, plumbing, mechanical or
electrical nature. Issuance Fee
PHONE JI I
Total Fee VV
APPLICATION VALIDATION CK. M.O. CASH
` 979 :AUL 284v U .l� C)
76A662C-CE992B 1175
�,/APPLICATION FOR OCCUPANCY INSPECTION
BUILDING AND SAIFETYDIVISION
FOR ANT TO FILL IN BUILDING ,
(Print or type only)
B ,L..L.OING%i' - �. LOCALITY
ORES „ ..
r NEAREST s -
Cll"Y ZIP ,'f� ,. S� CROSS ST
!
N0. OF BLDGS, 4 ASSESSOR
SIZE OF LOT � NOW ON LOT f MAP BOOK PAGE' PARCEL
s � �"
DISTRICT TYPE FIRE
FIRE P,ROQ-ESSED BY
,,.
�Bf,.4�cK,l'_° e,J.SLOT NO.:..'e.`' CONST` ZONEOWNE! } k ti,
k. NO. i USE ZONE MAP
NO.
,ADDRESS, -- ty. f -SPECIAL
CONDITIONS
CITY:: - ,."� - '.',a
f• ; r'
7 " BLDG. SETBACK FROM
SIZE OF N0. OF FRONT PROP, LINE OF (STREET)
EXISTING BLDG. STORIES - TOTAL SETBACK FROM TYPE OF XIST1N
HIGHWAY } YARD = FRONT PROP. -LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING
} _
.fT
BLDG. SETBACK FROM
NO. PARKING SIDE PROP. LINE OF (STREET) V
SPACES PROVIDED - 'TOTAL SETBACK FROM TYPE OF XIS TIN Z
HIGHWAY } YARD = SIDE PROP. LINE HIGHWAY .WIDTH
1--
R'EASON FOR INSPECTION REQUEST }
U
CORNER CUTOFF..- YES NO
r OCCUPANCY GROUP'
� 4-4 L✓TV �F AS, VERIFIED OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX. OCC. NO"'SPEC. KNOWL. ❑
N0. OF EXITS _ .
f I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. _ - PARKING
REQ'D PROVIDED C�
- SPA
FINAL- BY
SIGNATURE t.f, .�,'t (,,�ry DATE-
APPLICANT +� ) '-,",. �?.-w•F
R *'
ADD X, 'y ,'y I Within the scope of this inspec-
tion the Building Official may
approve minor corrections or
alterations of an existing struc-
ture involving Work of a build- Permit Fee
QIP ing, plumbing, mechanical or Aw ••;
electrical nature. Issuance Fee
PHONE
Total Fee
I e APPLICATION VALIDATION CK. M.0. CASH
Afi {,•,� 141::.; y..5;;
76A662C-CE992B 11/75
I.