HomeMy Public PortalAbout9108 LAS TUNAS DR_Certificate of Occupancy__ r
A C
-PPLI ATION FO.R OCCUPANCY INSPECTION
R APPT:TC'ANT Tn FTT.T. TN' ,(Print or:type only) ; COUNTY OF LOS ANGELES
FY1
DEPARTMENT-OF COUNTY ENGINEER
BUi�DING h (^/, BUILDLNG AND SAFETY DIVISION
ADDRESS V Q - �^ /,�GG+'Y.L�u� /�J.
- /rye BUILDING,
11
CITY -'Y ZI p ADDRESS. / ✓"- `r -
SIZE'OF_ LOT c� Nd. OF,BL GS. LOCALITY -
� R.�. _.NOW,ON-LOT
NEAREST
TRACT �ia� BLOCKLOT NO!-,S3 CROSS ST.. - -
ASSESSOR. __ -
OWNER // TEL. o AP BOOK 1 PAGE - PARCEL
-�a diJ� NO: O ✓ �- DISTRICT ]TYPE IFIRE p SS BY
ADDRES �/ � -�� -���_ `v� CONST./�' _ ZONE
CITY ZIP USE-ZONE MAP -
SIZE OF NO. OF Z NO:�a U
-
EXISTING'BLDG. - _ STORIES "3 SPECIAL
CONDITIONS'
PRESENT.USE OF BUILDING BLDG, SETBACK FROM _
FRONT PROP: LINE O.F-' (STREET).
_ HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING
NO. PARKING FRONT PROP.:LINE HIGHWAY WIDTH
SPACEf PROVIDED }
. BLDG. SETBACK.FROM
REAS FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET)
HIGHWAY } ygRp = TOTAL SETBACK FROM TYPE OF XISTIN c
SIDE PROP. LINE HIGHWAY � WIDTH
. t +. _ W
Us
CORNER CUTOFF YES NO - Z
PROPOS ED.MAX, OCC. OCCUPANCY GROUP _
AS VERIFIED OCCUPANT
I HEREBYC
AKNOWLEDGE THAT I HAVE READ THIS • - LOAD
APP.LICATION,AND STATE THAT THE ABOVE IS COR- EXiT HARDWARE:
RECT.. -
f NO. OF EXITS NO SPEC: KNOWL. ❑
SIGNATURE'OF s ' "'� I PANIC DEVICES-' '❑
APPLICANT
(� PARKING.
• REQ'D PROVIDED,"
ADDRESS _/j'^ SPACES .
112
ZIP
® .
P ONE
s
MAKE CHECKS PAYABLE TO:
HARVEY T. BRAFINAL BY
NDY ' COUNTY ENGINEER ??
DATE�7
APPLICATION VA:LI TIO M.O. CASH'
76A662-CE992 12-73 � �_ �D-i'Atit" 3 "!V Dr. ;A, .. -