HomeMy Public PortalAbout9664 LAS TUNAS DR_Certificate of Occupancy__ APPLICATION OR OCCUPANCY INSPECTION
BUILD] ND SAFETY ISION
R APPLICANT TO FILL IN BUILDIN
(Print or type only) ADDRESS
UILOING j LOCALITY
ADDRESS �1 [, _J�
NEAREST
CITY, — l� C/OfZIP CROSS ST.
NO. OF BIL S. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PR D BY
TRACT BLOCK LOT Nby� � Q CONSJ� ZONE
" s '�//
.OWNER C--� C _ S( NE MAP /'
D NO. V
SPECI
DDRESS --2�. CONDITIONS
1TY� ZIPir
[.� BLDG. SETBACK FROM
SIZE dF N0. OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY } YARD = FRONT PROP. LINE HIGHWAY WIDTH
.APRESENT USE OF BUILDING
BLDG. SETBACK FROM
NO. PARKING SIDE PROP. LINE OF (STREET)
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTIN C
HIGHWAY } YARD = SIDE PROP. LINE HIGHWAY WIDTH O
_ C
ASON FOR INSPECTION REQUEST }
CORNER CUTOFFYES NO G
s
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 REQ'D O PROVIDED =
SPACES •
/ r FINAL BY
SIGNATURE04 DATE /Z .e�—77
-APPLICANT/ 6`2,f_,�
ADORES 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
/> ZIP 7
ing, plumbing, mechanical or
electrical nature. Issuance Fee
HONE
Total Fee
APPLICATION VALIDATION CK. M. CASH
76A662C-CE992B 11/75 2
6 l r�164 �"� 4 v 0 •v `) A