HomeMy Public PortalAbout9083 LAS TUNAS DR_Certificate of Occupancy__ I A662-CE9924REV 11178)2179
APPLIC N F OCCUPR Y INSPECTI N
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN : BUILDING n�
ADDRESS
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//O S LOCALITY � - ---�-
CITY 2 Vri P i ei Z!P NEAREST
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NO OF SLOGS CROSS ST
SIZE OF LOT NOW ON LOT ASSESSOR
MAPBOOK PAGEbA Rr2L
TRACT BLOCK LOT NO RICT TYPE FIR P BY
TEL C
.OWNER
RESS 1/ USE ZONE MAP Alg
NO s
cm Iia ZIP l0� / l�� SPECIAL
C/ CONDITIONS
SIZE OF NO OF
EXISTING BLDG SrORIES
NT USE OCCAS VERIFIED UP LAW OCCUPANT
F BUILDING
a C-A t1t LOAD is
is
EXIT HARDWARE
NO PARKING NO OF EXITS NO SPEC KNOWL ❑
SPACES PROVIDED '
PANIC DEVICES ❑
PARKING REO'D PROVIDED E
SON FOR y�w bus ,h e ss SPACES
SPECTION REQUEST
DA ELBY f
Z
PERMIT Within the scope of this In-
FEE pectlon the Building Official may
ISSUANC prove minor corrections or
FEE alterations of an existing struc-
TOTAL ture Involving work of a building,
PROPOSED MAX OCC FEE plumbing, mechanical or elec-
trlcal nature
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION AND STATE THAT THE ABOVE IS
CORRECT
ATURE OF
PERMITTEE //
DRESS
-GGGLGGV TEL
NO
BLDG SETBACK '
FROM FRONT '
PROP LINE OF (STREET)
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
FRONT PROP LINE HIGHWAY WIDTH A�
+ /Y
BLDG SETBACK `
FROM SIDE
PROP LINE OF (STREET)
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIDE PROP LINE HIGHWAY WIDTH
es
APPLICATION FOR OCCUPANCY INSPECTION {�
BUILDING SAFETY DIVIS
R APPLICANT TO FILL IN BUILDING a
(Print or type only) ADDRESS J
AD RESS k3 LDING 9, LOCALITY
NEAREST
CITY 2�1 ZIP J CROSS ST.
NO OF BLDGS ASSESSOR
SIZE OF LOT _ ),, —'NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE p SED BY
TRACT h G`�'�' BLOCK =LOTN a Q CONS/ Zt
NER_.J TEL. ,OU
NO USE ZONE MAP s�
A DRESS v'Q.. SPECIAL
'L CONDITIONS
CITY ZIP h
(/O BLDG SETBACK FROM
SIZE OF NO. OF FRONT PROP LINE OF (STREET)
EXISTING BLDG STORIES HIGHWAY } YARD = TOTAL SETBACK FROM I TYPE OF EXISTIN
FRONT PROP LINE 1HIGHWAY1 WIDTH
PR SENT USE OF BUILDING –
BLDG SETBACK FROM
NO PARKING SIDE PROP LINE OF (STREET) d
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTIN V
HIGHWAY } YARD = SIDE PROP LINE HIGHWAY WIDTH �.
_ O
REjASON FOR INSPECTION REQUEST } w
CORNER CUTOFF YES NO CCn
V
OCCUPANCY GROUP
AS VERIFIED L OCCUPANT
LOAD
EXIT HARDWARE
PROPOSED MAX. OCC. NO SPEC, KNOWL ElN0. OF EXITS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND'STATE THAT THE ABOVE IS COR-
RECT PARKING
SPACES REQ'D PROVIDED
•
FINAL Y
SIGNATURE OF r DATE /7
LICANT v
ADDRESS 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 Fe
S— ZIP Ing, plumbing, mechanical or
electrical nature Issuance
PHONE _
Total Fee
APPLICATION VALIDATION CK M 0 CASH
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