HomeMy Public PortalAbout9110 LAS TUNAS DR_Certificate of Occupancy__ T6A662-C E992-(REV. 11/]11)
APPLICATION FOR CUPANCY•1 PECTION ,
COU,NTY.OF LOS'ANGE,L-ES,,,*:,BUILDING;AND SAFETY'r rr
FOR APPLICANT TO FILL IN BU,i�o1NG
ADDRESS
DIiE4s - A, LOCALITY
. -
CITY*,. / ZIPNEAREST
-' no. oP OLDs. CROSS ST.',- -
SIZE OF LOT 'J NOW ON„LOT ASSESSOR. '
MAP BOOK PAGE r: PARCEL.
TRACT � LOCK - Lor,no. DISTRICT TYPE. ..' FIRE P-ROCESSED�:BY.
_ CONST. ZONE'”
TEL.��/y�. }yea I/�1 R `•
WNER �(/O/�7 Y��-" NO.IVV� y /J/• i.IID(/'., `� - .. /'
USEiZONE, MAP p
ADDRESSNO
Y - zIP 0 �? [� SP N IA'.- �r p
SIZE OF \/ , '' GO D-.. ONS L/'�,'. /' ./�-
NO. OF
EXISTING,BLDG. STORIES + - - _ W
OCCUPANCY GROUP
PRESENT USE, ".' : (/)
_ - AS VERIFIED" OCCUPANT
-•BUILDING Z
t: LOAD'
EXIT HARDWARE:
NO. PARKING NO:OF EXITS NO SPEC.KNOWL. ❑
SPACES PROVIDED * v,
PANIC DEVICES ❑
.PARKING 'REQ'D. PROVIDED
REA SON FOR SPACES:. . -
INS ECTION,REOUE ST ' -
.,FINAL BY '
DATE
V.
•PERMITFEE - 'Withthe scope'"of thisinspection
• ..the Building.Official may approve
" - ISSUANCE'.,F minor corrections or alterations'
7. - - of an existing structure involving
? TOTAL
`FEE`, work of a building, plumbing,
PROPOSED'MAX. OCC. mechanical or electrical nature.
I HEREBY AC KNOW`LEDGE-.T,HAT 'I HAVE.READ;THIS.; .1 ' APP'L'ICATION VALIDATION
APPLICATION AND STATE THAT TH ABOVE IS COR "
'SIGNATURE
PERMITTEF� v�' Y
ADORES/
NOL , .,
BLDG. SETBACK s
FROM.FRONT
PROP.LINE OF '.t O,Of O'O O,�O O
E z
�STRET�'" -
TOTAL.SETBACK'FROM TYPE OF EXISTING "
'HIGHWAY + YARD' FRONT PROP. LINE HIGHWAY WIDTNi " „ ,0 -3'-7�9 r'
SLOG. SETBACK. +• - '" - -
FROM SIDE 1 -
PROP. LINE OF - " STREET)
% TOTAL SETBACK FROM. TYPES OF EXISTING
HIGHWAY ,+: YARD'S= SIDE PROP. LINE HIGHWAY WIDTH' - " ,
a
UN_ - _ J: '
F-OR.APPLICANT'TO FILL IN. .. (P,,int.or.type only). COUNTY..OF LOS ANGELES, p
APPLICATION FO OCC CY oIVSPECT.�ON.
`DEPARTMENT.OF COUNTY ENGINEER.
BUILDING ;' `BUILDING AND SAFETY DIVISION
ADDRESS 9110- Loi3---iunasDrive.
.. . .. ..
CITY,- Tem'.le C.lt ZIP 91780.1 .ADDRESS
S4ZE�`OF-LOT NO OF''BLDGS: .LOCALITY
. :N'OW,ON'Lot
- 'NEAREST
'CROSS-ST
TRACT •;.,„ .,, BLOCK. _ COT N0.•_ - - '
_.
SESSO ;
OWNER TEL'. MAP"BOO I K. - PAGE - PARCEL
-John M®:=Conover No.
DISTRICT, TYPE FIRE. PR SSE BY.
ADDRESS_ i`... o
, CONST ��' ZONE �
CITY .'Arcadia,. Ca• °Z_91006 � -USE-,ZONE- MAP- -
S,IZ.E-OF. _ _N 0. OF,, NO. 21- p
EXISTING BLDG. STORIES SPECIAL
- CONDITIONS
PRESENT USE OF BUILDING ..+6f fiC BLDG._SETBACK FROM
for 'FRONT.;PROP. LINE OF. (STREET)
TOTAL SETBACK FROM TYPE OF-EXISTING,
2. HIGHWAY _+ YARD �= •FRONT PROP. LINE . HIGHWAY. WIDTH
NO. PARKING • - _
SPACES PROVIDED - .. + _ -Am
-- �.
BLDG, SETBACK FROM .
REASON` FORANSPECTION'REQUEST SIDE'PROP. LINE OF (STREET)
_ HIGHWAY }. YARD = NOTAL SETBACK FROM ,TYPE OF XISTIN
W I 2SS' SIDE PROP. LINE HIGHWAY WIDTH
Vl
• - CORNER CUTOFF -YES NO. '
PROPOSED MAX OCC OCCUPANCY ,GROUP
.AS VERIFIED
OCCUPANT
I,HEREBY'ACKNOWLEDGE THAT I' HAVE READ THIS - LOAD
APPLICATION AND STATE THA"T THE'ABO.V-E IS COR - -
" - 'L, .. E'X IT. HARDWARE:
.RECT..
NO SPEC. K•NOWL,
- NO OF EXITS -
SI GNATU.RE OF .;� ' ..-. PANIC DEVICES. ❑
APPLICANT. (2a4r, ,��zr�
PARKING'• - -
.ADDRESS - SPACES REQ'D. � • .PROVIDED C�
.. 1242 E. Edna Place
Covina. 'Ca. 91724 3.-. .� f Cry- E.
_
' 41P
a
2-13-331-0108 : PHONE
FINAL
BY
/��
APPLICATION VALIDATION ,+ .CK. M.0; CASH
.0
C}
V
76A662-CE992 12-73