HomeMy Public PortalAbout9042-9046 LAS TUNAS DR_Certificate of Occupancy__ APPLICATION FOR CCCUP CY INSPECTION
FOR APPLICANT TO FILL IN (Pint or type only COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING
0 a. S''r-�/1f�S ,(S ( �'� BUILDING AND SAFETY DIVISION
AD
BUILDING
CITY r7G� Cj� ��� ZIP 96
ADDRESS'Fi4
SIZE OF LOT f ¢ N0. OF BLDGS. LOCALITY v
JC NOW ON LOT /G
NEAREST
TRACT L� BLOCK LOT N0. CROSS ST
✓ ASSESSOR
OWNER MAP BOOK PAGE PARCEL
NO DISTRICT TYPE FIRE LO;CE�S� DBY
ADDRESS ���' `1' � ��" ��DCONST. ZON
CITY �'�. C� OAL ZIP 9() O 3 USE ZONE MAP "5
SIZE OF NO. OF NO. '
EXISTING BLDG. STORIES ��3 SPECIAL ,
CONDITIONS
PRESENT USE OF BUILDING BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF XISTIN
HIGHW Y t YARD = FRONT PROP. LINE HIGHWAY WIDTH A
NO PARKING 8SPAC PROVIDED 1\1+ _
BLDG. SETBA •RG.U_ O
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET)
• HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XI 'F W
�WS'i/�'`�S SIDE PROP LINE HIGHWAY WI DT p,
t- 6� &cCORNER CUTOFF YES NO
Affb 'R7-5n PROPOSED MAX. OCC. OCCUPANCY GROUP
' AS VERIFIEDOCCUPANT
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT EXIT HARDWARE
NO. OF EXITS NO SPEC KNOWL. ❑
SIGNATURE OF, -
PANIC DEVICES ❑
APPLICANT
ADDRESS PARKING
SPACES REQ-0 PROVIDED
f
Z I 9/77J
PHONE ;r f-7_6fb
AIA KF' CHECKS PAYABLE TO
HARVEY T. BRANDY COUNTY ENGINEER FINAL BY
DATE
APPLICATION VALIDATION CK. M 0 CASH
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76A662-CE992 I2-73 -
APPLICATION FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGQa f j S, �� BUILDING AND SAFETY DIVISION
ADDRESS / h.
BUILDING
CITY�"�' ZIP ADDRESS
SIZE OF LOT 0. OF BLDGS. LOCALITY
NOW ON LOT 71
NEAREST
TRACT jQ IS ,7 BLOCK LOT NO. CROSS ST.
ASSESSOR
NER M /� t+�,+ TEL. MAP BOOK PAGE PARCEL
hj � 1, `OOOVEkNO. DISTRICT ITYPE FIRE pR0 SE Y
RESS l i AVE
_ ✓UQ CONST.K Z03 ,L2lr�
CITY PGA�l f4 CA ZIP q Ipb6 USE ZONE MAP {�' ,
SIZE OF NO OF �� NO. .2006
EXISTING BLDG. STORIES C 3 SPECIAL
]' CONDITIONS
-RESENT USE OF BUILDING CA R Mr STOP BLDG. SETBACK FROM ,
1 FRONT PROP. LINE OF (STREET)
N STA 1,�,�1Ti nN5 HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF ISTIN
NO. PARKING FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED ,
} _
BLDG SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP LINE OF (STREET)
Y
TOTAL SETBACK FROM TYPE OF XISTIN a
HIGHWAY } YARD = SIDE PROP. LINE - HIGHWAY WIDTH V
41Z AZ 6:69
(7- } _ CD
O
H
U
�y �B CORNER CUTOFF YES NO W
(.(&
C...
h
Z
PROPOSED MAX. OCC, OCCUPANCY GROUP
AS VERIFIED OCCUPANT
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. EXIT HARDWARE:
NO. OF EXITS NO SPEC. KNOWL. El
e
GNAOF 4y
PANIC DEVICES ❑
6. APPLICANT /V✓�/
PARKIN
ADDRESS &Z lW . 1.A SIERRA :bR SPACESG-' REQ'D PROVIDED
A RCA-DI A CA
ZIP 9 1'00�
PHONE
LV.W
T lr,..k,T DATE BY
�
APPLICATION VALIDATION CK M 0. CASH
2,2 14-SEP _.0 {11 ezd
76A662-CE992 8/75