HomeMy Public PortalAbout9153 LAS TUNAS DR_Certificate of Occupancy__ 76A862 CE992;4wv. 11/78'
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES •' BUILDING AND SAFETY
FOR.APPLICANT TO FILL IN BUILDING /
'ADDRESS '✓/� Gf—Q. /
.UI INGF / -
RESS- / , ,(6 LOCALITY ;
CITY ei7 ZIP / 7✓ NEAREST
CROSS ST.
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT ASSESSOR , - -
{r �+ / MAP BOOK PAGE PA EL
RAC ® LOCK � LOT NO.�"/ I
TDISRICT TYPE.. FRE PR -ESS BY '
TEL9 //�� T C CONST. Fiy
DRESS - USE ZONE MAP 'O
AD
w Oo -
l N O. LTA) C-1.)CITY ZIP •�O)-- SPECIAL Z
O
SIZE.OF - No, of CONDITIONS _
EXISTING BLDG. STORIES LLJ
U
OCCUPANCY GROUP g N
PRESEi4T USE. AS VERIFIED +�✓ OCCUPANT -
o uILOINc
LOAD—
EXIT
OAD EXIT HARDWARE:
NO. PARKING NO.OF EXITS �— NO SPEC. KNOWL. 0
SPACES,PROVIDED _ -
PANIC DEVICES 0
PARKING REQ'D. PROVIDED
REA FOR - SPACES:
1 ECT ON REQUEST ' s�
FINAL BY
DATE
PERMIT FEE Within thescope of this inspection
the'Building Official may approve .
ISSUANCEFFEE minor corrections or alterations
of an existing structure involving
TOTAL FEE work of a building, plumbing,
PROPOSED MAX. OCC. mechanical or electrical nature.
I HEREBY ACKNOWLED H T I HAV.E.READ THIS APPLICATION VALIDATION
APPLICATION AND ST TTITHE.ABOV IS COR-
RECT.
SIGNATURE OF
pd
RMITTEE
Agra �- :)7S
�} TEL.
CITY r NO. -
BLDG. SETBACK -
FROM FRONT,-
PROP. LINE OF )STREET) -
TOTAL SETBACK FROM -TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP. LINE HIGHWAY WIDTH
1. . 1 2 0,.3'q
BLDG. SETBACK - # OO.O
FROM SIDE ' -
PROP.LINEOF (STREET) .000'OO.,OO.
TOTAL-SETBACK FROM TYPE OF EXISTING ' !'
HIGHWAY'+. YARD SIDE PROP. LINE HIGHWAY WIDTH
071 '1 ;-8'0.
APPLICATION F0i�OCCUiACY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only COUNTY OF LOS ANGELES
DEPARTMENT OF-COUNTY ENGINEER
[ADDRESS
ILDING `�- �U�t 1�1 .� BUILDING AND SAFETY DIVISION -
DRESS �V�7
/+ BUILDING 7 t
TY/� ! ZIP ADDRESS _
N0. OF BLDGS. LOCALITY -
ZE OF LOT
NOW ON LOT
EAREST
ACT. D BLOCK LOT NO CROSS ST.
// //�� ASSESSOR
NE
���� NOL MAP,BOOK PAGE PARCEL
DISTRICT TYPE FIRE PR BY
-i CONST— ZONE
CITY z USE ZONE MAP
SIZE OFN0. OF NO. G! -
EXISTING BLDG. TORIES --�� SPECIAL
CONDITIONS
PRESENT USE OF BUILDING fJU LDG. SETBACK FROM
/�• FRONT PROP. LINE OF (STREET)
HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTIN
NO. PARKING / �/ FRONT PROP. LINE HIGHWAY WIDTH V
SP4 CE,S PROVIDED (/L/ _
BLDG. SETBACK FROM C
REAS N FOR NSPECTION REQUEST SIDE PROP. LINE OF (STREET)
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE'OF. XISTIN W
SIDE PROP. LINE HIGHWAY WIDTH
1 _ Vl
CORNER CUTOFF YES NO
PROPOSED MAX. OCC. OCCUPANCY GROUP ��
AS VERIFIED �T 1— OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE:
RECT,
N0. OF EXITS
NO SPEC. KNOWL. El�~
SIGNATURE PANIC DEVICES El�G
APPLICANT - r�
ADDRESS /,/A/ PARKING SPACES REQ'D PROVIDED
. H O
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDT COUNTY ENGINEER FINAL BY
DATE .....
APPL TION VALIDATION. CK. M.O. CASH
6 4�4,fit ' 9 2 24,D _ 0 '� � "L
76A662-CE992 f2-73 / -�• • '
APPLICATION FOR ONSPECTION
,FOF#"AP,PLCANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING / --�-^ _ SBUILDING AND SAFETY DIVISION
ADDRESS /�— J BUILDING
CITY GZIP ADDRESS
v - NO. OF BLDGS.S ' LOCALIT -
SIZE OF LOT NOW ON LOT v
NEAREST
TRACT �� BLOCK LOIf '�t CROSS ST..
'ASSESSOR
OWNER TELI14 . MAP BOOK PAGE PARCEL
N0. DISTRICT TYPE FIRE OCESSE BY
ADDRESS �/ CONST. ZONE
(! 67Q v°
CITY ZiP USE ZONE MA
P -OG
SIZE OF G' F� N0. OF
EXISTING BLDG. STORIES l� SPECIAL
���/// NO
CONDITIONS
PRESENT USE OF B ILDING
BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTIN
HIGHWAY } YARD = FRONT PROP. LINE HIGHWAY WIDTH
NO. PARKING
SPACES PROVIDED
} _
BLDG. SETBACK FROM ..
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) o�
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING U
SIDE PROP. LINE HIGHWAY WIDTH =
CD
} U
W
CORNER CUTOFF YES NO C/)
z
PROPOSED MAX..00C.' OCCUPANCY GROUP
AS VERIFIED ��� { J,�{ OCCUPANT
I HEREBY. ACKNOWLEDGE THAT 1 HAVE READ THIS
L—'--� LOA D
APPLICATION AND STATE THAT THE ABOVE IS COR-
R ECT. EXIT HARDWARE:
NO. OF EXITS NO SPEC. KNOWL. ❑
SIGNATURE OF PANIC DEVICES ❑
APPLICANT
PARKING REQ'D PROVIDED o
ADDRESS �� �/ SPACES
1 d
A/0 � j/�o/il$!� TZ-13
/ ZIP t,7
,1"' - _/. •�'
1� PHONE /'- " �
o
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER FINAL BY I
DATE
APPLICATION VALIDATION CK. M.0.. CASH
6
G
76A662-CE992.9/74 Pj O aqD G.;� 4. i.i .C' 0 A-98
76A662-CE992-4/77
I
APPLICATION FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN BUILOIN
(Print or type only) �y ADDRESS
BUILDING 915 3 I /�S 7-r, of(R C b'1 LOCALITY
-ADDRESS (�Tl lJ I1� J
NEAREST
CITY �roP CIT'( ZIP �1'7W(:) CROSS ST.
SIZE OF LOT NO.OF BLDGS.
SSESSOR .
NOW ON LOT MAP BOOK PAGE I PARCEL
r, DISTRICT TYPE FIRE P CESS BY
j-�/� --� BLOCK LOT NO. CONST. ZONE
TRACT
OWNER / NO. 12 lfl� USE ZONE MAP
DDRESS C - r` NO.
�. Z' SPECIAL
CONDITIONS
I� 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 ISING
FRONT PROP. LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING
VA coiH T
BLDG.SET BACK FROM pr
NO. PARKING SIDE PROP.LINE OF (SrREET)I U
SPACES PROVIDED
HIGHWAY + YARD= TOTSIDE PR ACK FROM TYPE A IXLSrwG
SIDE PROP. LINE HIGHWAY WIDTH O
F;-
,12.EASON FOR INSPECTION REQUEST + w
d
CORNER CUTOFF YES NO
OCCUPANCY GROUP
AS VERIFIED L OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC.
NO.OF EXITS � NO SPEC. KNOW L. ❑
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. y
r PARKING
� SPACES REQ'D PROVIDED�
SIGNATURE OF (X� / B�
PPLICANT v FINALDP.TE' v 6��7� F
ADDRESS Ir Jl Sl Af C� „„ ���
Within the scope of this i
(`S,'•�� tiori the Building Officialt may may
approve minor corrections or
(s �� ZAP alterations of an existing struc- �yy
ture involving work of a build- "'PERMIT FEE
7 ing, plumbing, mechanical or
3 h PHONE electrical nature. ISSUANCE F
ccc✓✓✓ TOTAL FEE
APPLICATION VALgAMN'.. NICK. M.O. CASH
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