HomeMy Public PortalAbout9651 LAS TUNAS DR_Certificate of Occupancy__ 76A662-GE992-4(77
APPLICATION FOR OCCUPANCY INSPECTION
u
FOR APPLICANT TO FILL IW BUIL N /�r/
(Print or type only) ADDRESS (V
BUILDING
ADDRESS LOCALITY
CITY ZIP NEAREST
9-Z 7X9 CROSS ST.
SIZE OF LOT NO.OF BLDGS. ASSESSOR
//0 NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE ROC SSE BY
TRACT / BLOCK LOT NO./'3'0P/ / CON!r ZZ
OWNERCCC/// / TEL ��I__
NO. USE ZONE MAP NO.
V
ADDRESS C-2/ SPECIAL
p CONDITIONS
CIT ZIP p Q BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF IXlsrwc
PRESENT USE OF BUILDING FRONT PROP. LINE HIGHWAY WIDTH
BLDG.SET BACK FROM C
NO. PARKING SIDE PROP.LINE OF (STREET)) c
SPACES PROVIDED
HIGHWAY + YARD - TOTAL SET BACK FROM TYPE OF HIGHWAY IXlsrwG C
SIDE PROP. LINE WIDTH
F
REASON FOR INSPECTION REQUEST + V
O
CORNER CUTOFF YES NO s
i
67
OCCUPANCY GROUP
AS VERIFIED OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS NO SSC. KNOWL.
� ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS l ANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. � /'�(S ! PARKING
SPACES EQ'D r�' � OVITQ�`Q ;1
SIGNATURE OF �(���1 /\�J
PLICANT \ �..Q1�J FINAL ..//�� B11
DATE f� , . �
ADDRESS / f De-WE
O J Within the scope of this i, pec-
r ` I" 'P G _ tion the Building Official may 1/ _
approve, minor corrections or
ZIP alterations of an existing struc-
ture involving work of a build- PERMIT FEE
ing, plumbing, mechanical or
L I I
PHONE.235_-6 y7 electrical nature. ISSUANCE FE
TOTAL FEE
APPLICATION VAUD IO CK. M.O. CASH
CD •
00 • . N
�7 • O`
Co • (D _n
NS