HomeMy Public PortalAbout9662 LAS TUNAS DR_Certificate of Occupancy__ APPLICATION FORcOCCUPANCY INSPECTION {�
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BUILDING AND SAFETY DIVISION
R APPLICANT TO FILL IN BUILDING
(Print or type only) ` ADDRESS p� QQJ GC�2J
FADDRESS
/� i �.S T�J NAS .D� LOCALITY
b !� NEAREST
� � ZIP CROSS ST. -
N0. OF SLOGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PRO 4ESED
TRAC �/
BLOCK LOT N �'; (�C� CONST.1/ ZONE
OWNER U, g• STI�CALE 1� PI► N0. USE ZONEJ MAP
ADDRESS l/1• SPECIAL
CONDITIONS
CITY ZIP
BLDG. SETBACK FROM
SIZE OF N0. OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. (S) ' STORIES r TOTAL SETBACK FROM TYPE OF EXISTIN
HIGHWAY } YARD = FRONT PROP. LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING VC'LCet yl •r
t =
BLDG. SETBACK FROM
NO. PARKING SIDE PROP. LINE OF (STREET) p
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTIN C
HIGHWAY } YARD = SIDE PROP. LINE HIGHWAY WIDTH p
_ C
REASON FOR INSPECTION REQUEST + u
/I_ c CORNER CUTOFF YES NO t✓
Rl t.,S 1 xt SS ?
OCCUPANCY GROUP
S 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
SPACES REQ'D PROVIDED
•
FINAL BY
SIGNATURE OF 0 ' DATE /
APPLICANT L1-'L(�
ADDRESS S2 7 C � ,� Within the scope of this inspec-
tion the Building Official may
I-7-7 approve minor corrections or
alterations of an existing struc-
ZIP ture involving work of a build- Permit Fee
ing, plumbing, mechanical or
electrical nature. Issuance Fe
PHONE
Total Fee
APPLICATION VALIDATION CK. M.0. CASH
76A662C-CE9928 11/75 3 6 2 ra1°Y 9
APPLICATION FOR OCCUPANCY INSPECTION {�
BUILDING AND SAFETY DIVISION
F R APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS JW i
ADDREBUILDISS (�NG / LOCALITY /'>T
G�
CITY NEAREST
� •� �. ZIP Q� ': CROSS ST,
NO. OF BLDGS. v ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PROCESSED BY
TRACT BLOCK LOT NO. �0lo CONST. ZONES
OWNER O� L NOL USE ZONE MAP 7
N0.
ADDRESS Z SPECIAL
CONDITIONS
CITY ZIP
BLDG. SETBACK FROM
SIZE OF N0. OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES HIGHWAY t YARD = TOTAL•SETBACK FROM TYPE OF EXISTIN
FRONT PROP. LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING-3C C
J t _ fir•
BLDG. SETBACK FROM
NO. PARKING SIDE PROP. LINE OF (STREET)
SPACES PROVIDED ! C
HIGHWAY + YARD = OTAL SETBACK FROM ISTINC, C
SIDE PROP. LINE HIGHWAY WIDTH p
_ C
REASON FOR INSPECTION REQUEST +
u
CORNER TOFF YES NO
Ecvus " CSS A .� �N.
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
SPACES ' REQ'D O PROVIDED D
FINAL
SIGNATURE OF DATE
APPLICANT
ADDRESS 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
zl ing, plumbing, mechanical or
electrical nature. Issuance Fee
PHONE `
S% Total Fee
APPLICATION VALIDATION
3
76A662C-CE992B 1175 � �(• �� � .00 0JV