HomeMy Public PortalAbout9137 LAS TUNAS DR_Certificate of Occupancy__ 76A662-CE992 11/75
APPLICATION R OCCU NCY INSPECTION
COUNTY OF LOS GEL•ES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
.(Print or type only) ADDRESSUILDING
v
r[AD;DRESS / LOCALITY
NEARE
f/ ZIP �� CROSS ST.
SIZE OF LOT:
NO.OF BLDGS. / ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
_ DISTRICT TYPE FIRE P. D BY
TRACT �L � BLOCK LOT NO. �� CONS ZONE
OWNERjV TEL.
h' N0. U/S�E ZONE, NO.
ADDRESS �• SPECIAL
CONDITIONS
CITY ZIP BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES HIGHWAY + YARD TOTAL SET BACK FROM TYPE OF FRONT PROP. LINE HIGHWAY. WIDTH EXISTING
PRESENT USE OF BUILDING }
+ - 0-
- O
BLDG.SET BACK FROM U
NO.PARKING SIDE PROP. LINE OF (STREET) z
SPACES PROVIDED
HIGHWAY- + YARD= TOTAL SET BACK FROM TYPE EXISTING
SIDE PROP.LINE HIGHWAY WIDTH F—
U
REASON FOR INSPECTION REQUEST + — LL
CORNER CUTOFF YES NO z
OCCUPANCY GROUP l-—� OCCUPANT
AS VERIFIED" LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC.
NO.OF EXITS NO SPEC.KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ElAPPLICATIO D STATE THAT T BO IS COR-
RECT. PARKING REQ'D PROVIDED
SPACES
SIGNATOR
APPLI a FINAL J
BY
RF V DATE `1���[
ADDRESS
Within the scope of this inspection
the Building Official may approve
ZIP / minor corrections or alterations of
an existing structure involving work PERMIT FEE
of a building, plumbing,'mechanical
PHONE or electrical nature. ISSUANCE FEE
S TOTAL FEE
/sreb APPLICATION VALIDATION CK. M.O. CASH
l 2 7-4 i`AUG"`18 4 ci V.. .0.0 �