HomeMy Public PortalAbout10229 LOWER AZUSA RD_Certificate of Occupancy__ l #
76A662-C ES:2-4/77 G'
APPUCAMN FOR OCCUPANCY MPECTMN
2
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
BUILDING r� n�+ 1-911z-Cao
/f LOCALITY
AD D R ESS �0� .2/ ./��vti t, /—f aziCao .-9,
CITY /V ZIP 9/ NEAREST `
Y Q Mo CROSS ST.
NO. OF BLDGS. ASSESSOR
SIZE OF LOT' Zi� "Z/ NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE_ FIRE P ED BY
i+
TRACT BLOCK � LOT NO.'�,E�3 CON ZONE
TEL 6,
OWNER� ,v /li NO. Y USE ZONE MAP _
— 0 NO.
ADDRESS ld_o171; / SPECIAL
CITY / ZIP UBLD
CONDITIONS
LC BLDG.SET BACK FROM
SIZEOF NO.OF FRONT PROP. LINE OF _(STREET)
EXISTING BLDG. STORIES
l HtG HWAY + YARD —_ TOTALSETBACK FROM TYPE A WIDTH[STIN
PRESENT USE OF BUILDING a/ FRONT PROP.LINE HIGHWAY �YIDTH
V �
BLDG.SEI-BACK FROM p
NO. PARKING SIDE PROP.LINE OF (STREET)) O
SPACES PROVIDED �C+�J Ca
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF ExL4191IG
SIDE PROP. LINE HIGHWAY WIDTH _
F'-
REASON FOR INSPECTION REQUEST + w
a
CORNER CUTOFF YES NO N
OCCUPANCY GROUP
GcsSfvG @4/ je AS VERIFIED OCCUPANTLOAD
EXIT HARDWARE:
PROPOSED MAX. OCC. NO.OF EXITS NO SPEC. KNOWL. C1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
PARKING .
SPACES REQ'D PROVIDED
SIGNATURE OF p/
APPLICANT tG�d FINAL BY
DATE 7
ADDRESS
Within the scope of this inspec-
tion the Building -Official may
approve minor corrections or
ZIPalterations of an existing struc-
7(50 ture involving work of a build- PERMIT FEE
ing, plumbing; mechanical or
PHONE electrical nature. ISSUANCE FEE
TOTAL FEE
APPLICAT-48N CK. M.O. CASH
0 0
-0 0 0 CA
o o. N
o N
00 0 O
NS