HomeMy Public PortalAbout5727 SULTANA AVE_Certificate of Occupancy__ d
APPLICATION FOR. OCCU ANCY INSPECTION
BUILDING AND SAFETY.DIVISION u
FOR APPLICANT TO FILL IN BUILDING R_
(Print or type only) ADDRESS V 72 7 [.c.Q.�
BUILDING LOCALITY
ADDRESS �. N
NEAREST
CITY • ZIP CROSS ST,
NO. OF BLDGS. ASSESSOR
SIZE OF LOT. NOW ON LOT MAP BOOK PAGE 1PARCEL
DISTRICT TYPE' FIRE 7 BY
TRACT /37 BLOCK LOT NO. j� Q CONST.1 / Z0
OWNER pr NOL USE ZONE MAP •V `
G NO. Gj
ADDRESS D 4 SPECIAL.
CONDITIONS .r �/
l
CITY `� rp� zip d BLDG. SETBACK FROM
SIZE OF NO- OF FRONT PROP. LINE OF (STREET)
EXISTING.BLDG. 8' STORIES HIGHWAY } YARD - TOTAL-SETBACK FROM TYPE OF EXISTIN
FRONT PROP. LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING
' } _
BLDG. SETBACK FROM
NO. PARKING - t SIDE PROP.. LINE OF (STREET)
SPACES PROVIDED / TOTAL SETBACK FROM TYPE OF XIS TINC
HIGHWAY } YARD = SIDE PROP. LINE HIGHWAY WIDTH
.D.E C
REASON FOR INSPECTION REQUEST r°' } - t
/• CORNER CUTOFF YES NO rci
OCCUPANCY GROU-P
AS VERIFIED OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX. OCC. ,NO. O � NO SPEC. KNOWL.
• •
I HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS F EXITS PANIC DEVICES Q
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING
SPACES REQ'D D PROVIDED O
' •
I&Ld
SIGNATURE OF DATE�p`L�7
APPLICANT
or
ADDRESS �(Ij 2W Withinthescopeof•thisinspec-
II tion,the Building Official:may
LLam�// approve minor corrections or
G` alterations of an existing struc-
ture;involving,work of a build- "Permit.Fee
v`l ing,'plumbing, mechanical o_r
C // electrical nature.. Issuance Fee
28s�--2-46� PHONE
(r Total. Fee
0 5 &4P JP�IC TI VALIDATION C M.o,aa CASH
JV
76A662C-CE9929 11/79 _