HomeMy Public PortalAbout6411 SULTANA AVE_Certificate of Occupancy__ APPLICATION F R OCC ANCY INSPECTION
BUILDING AND SAFETY DIVISION
PDNGL
R APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
LOCALITY
ADDRESS
NEAREST
&OUeg&affj Z 171 CROSS ST,
N OF BLDGS. ASSESSOR
d!+ ��1NOW F LOT MAP BOOK PAGE PARCEL.,,,...�//� r-j O DISTRICT TYPE FIRE PR CESS BY
TRACT�V 49 BLOCK S LOT NO. ��O� CONST ZONrEJ
OWNER/ ' nr GJ_� OS USE ZONE MAP .2-0 O3
ADDRESS SPECIAL
CONDITIONS
CITY�.� hT (Q �l ZI /"� BLDG. SETBACK FROM
E
SIZ`OFG� Z NO.. OF FRONT PROP. LINE OF (STREET)
EXISTING BLD • STORIES HIGHWAY f YARD - TOTAL-SETBACK FROM TYPE OF EXISTIN
FRONT PROP. LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING6ft -
+ -
BLDG. SETBACK FROM
NO. PARKING SIDE PROP. LINE OF (STREET) C
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTIN C
HIGHWAY + YARD = SIDE PROP. LINE HIGHWAY WIDTH C
_ C
REASON FOR INSPECTION REQUEST + t
L
CORNER CUTOFF YES 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 D PROVIDED O
SPACES •
FINAL
6Y
SIGNATURE OF DATE
APPLICANT
ADDRESS/_ Within the scope of this inspec-
C!/ tion the Building.Official may
approve minor corrections or
C�6I alterations of an existing struc-
ture involving work of a build- Permit.Fee
zIP ing, plumbing,. mechanical or
electrical nature. Issuance Fee
r ON'E
`` Total:Fee 3 U
APPLICATION VALIDATION CK. .0. CASH
76A662c-cE992B 11/75 6 5 6 C"tG 13 2 2 D 3 U. O ®4�