HomeMy Public PortalAbout9174 LAS TUNAS DR_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION {�
BUILD G AND SAFET (VISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
BUILDING C1 2! /� LOCALITY
ADDRESS / L S e N,4 S NEAREST
CITY ZIP / H /
�� CROSS ST
NO OF BLDGS / C ASSESSOR
SIZE OF LOT',,2_t� /� NOW ON'LOT MAP BOOK PAGE PARCEL
/1�/ DISTRICTTYPE FIRE PR BY
TRACT it� BLOCK L T NO 7 CONST ZONE
OWNER S� ,`^�/ TEL
f4i- 5 USE ZONE MAP
K�V a7 NO.
ADDRESS J�O� �O �d� e / •—L SPECIAL
//////������ ��11 L- CONDITIONS ,
CI TYRO Le ' / ZIPI-gA BLDG SETBACK FROM
SIZE OF NO OF FRONT PROP LINE OF (STREET)
EXISTING BLDG �•-+ STORIES HIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF EXISTIN
/►��'T FRONT PROP LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING
BLDG SETBACK FROM
NO PARKING SIDE PROP. LINE OF (STREET)
SPACES PROVIDED CD
TOTAL SETBACK FROM TYPE OF ISTING Cj
HIGHWAY + YARD = SIDE PROP LINE HIGHWAY WIDTH
OC
_ C7
REASON FOR INSPECTION REQUEST + V
W
�+.('� CORNER CUTOFFYES NO CSA
� I�J V 5 1 E'$ •.� z
OCCUPANCY GROUP
AS VERIFIED OCCUPANT
LOAD
EXIT HARDWARE
PROPOSED MAX OCC
NO OF EXITS NO SPEC KNOWL ❑
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT PARKING REQ'D O PROVIDED D
SPACES •
F _ BY
SIGNATOR OF � - DATE
G� /
APPLICAN
ADDRESS 74
/ rtVVlN q 5 Within the scope of this
inspec-tion the`Bullding Official may
approve minor corrections or
alterations of an existing struc-
ture Involving work of a build- Permit Fee
T C ZIP9�7a 0 Ing, plumbing, mechanical or
o electrical nature Issuance Fee
Total Fee
APPLICATION VALIDATION CK M 0 CASH
056'rj--'JAN 114 .00d
76A662C-CE992B 1175 • .
7•�e•z-cE••z-(Rev. li��•) APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
LDI NG
DORess / [�.C/*__ LOCALITY Cl -
clTv zIP O NEAREST
NO.of BLOCS. CROSS ST.
SIZE OF LOT NOW ON LOT ASSESSOR
MAPBOOK PAGE PARCEL
TRACT LOCK LOT No DISTRICT TYPE FIRE PROCESSED BY
NER _ TEL
,j Oyu �9 CONST ZONE '
KESS /� C� USE ZONE MAP �•� CD
NO .1 4 V
TY zIP / �� SPECIAL • Z
SIZE OF CONDITIONS
NO. OP F�
EXISTING BLDG. STORIES W
P eNT • OCCUPANCY GROUP YC./ n - , G-
usE
P BUILDING AS VERIFIED OCCUPANT N
LOAD ?
G u TF,4 IT E.
-�-r / D�1-y,
NO. PAR I. IMO EXITS— NO SPEC. KNOWL '❑
SPACESPROVIDED _ _
PANIC DEVICES ❑
PARKING
SPACES.' REQ'D.� PROVIDED
soN FOR /
INSPECTION RHOU EST
FINALJiV c BY
y,
DATE `�/ r J .
PERMIT FEE Within the scope of this Inspection
Y the Building Official may approve
ISSUANCE FEE minor corrections or alterations
Of an existing structure Involving
TOTAL FEE work of a building, plumbing,
PROPOSED MAX OCC. mechanical or electrical nature.
V
I HEREBY ACKNOWLEDGE THAT I HAVE R AD THIS APPLICATION VALIDATION .
APPLICATION A ST H THE ABO IS COR-
R ECT
-RECT
SIGNATU RH OP
PERMITTEE //��CC�/�/
ADDRESS A LS1 .• - A
TEL. O V ,O K,-II 1• ,
•C N O
BLDG. SETBACK
FROM FRONT
PROP LINE OF , (STREET)
TOTAL SETBACK FROM TYPE OP EXISTING { '
HIGHWAY + YARD v FRONT PROP. LINE HIGHWAY WIDTH 1
HLDG SETBACK
FROM SIDE '
PROP.LINE OF (STREET)
TOTAL SETBACK FROM TYPE'OF EXISTING _
HIGHWAY + YARD o SIDE PROP LINE HIGHWAY WIDTH a
+ v
APPLICATION FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING N 6 + 7_9011Y
BUILDING AND SAFETY DIVISION
ADDRESS BUILDING
CITY 1 / e Gone ZIP �1 7�/ ADDRESS -
SIZE OF LOT ` N0. OF BLDGS. LOCALITY NOW ON LOT
NEAREST
TRACT BLOCK LOT NO. CROSS ST
ASSCSSOR
OWNER TEL. MAP BOOK PAGE PARCEL
/ NO. DISTRICT TYPE FIRE PROCESSED BY
ADDRESS CONST ZONE `
CITY O� ZIP USE ZONE MAP'
NO �j
SIZE OF NO. OF �
EXISTING BLDG. STORIES / SPECIAL
CONDITIONS
PRESENT USE OF BUILDINGy BLDG SETBACK FROM `
_ FRONT PROP LINE OF (STREET)
HIGHWAY. + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
NO. PARKING FRONT PROP LINE HIGHWAY WIDTH
SPACE,S PROVIDED
BLDG.SETBACK FROM A
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET)
Q HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XISTIN W
�T SIDE PROP LINE HIGHWAY WIDTH N
T + = Z
CORNER CUTOFF YES NO
PROPOSED MAX, OCC. OCCUPANCY GROUP
AS VERIFIED [:�
OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. EXIT HARDWARE
N0. OF EXITS � NO SPEC KNOWL El
SIGNATURE OF
PANIC DEVICES ❑
APPLICANT
_
PARKING REQ'D PROVIDED
ADDRESS p - SPACES
J
/� - 7•-SL-lI ZIP
(JL4-ttk �i7 PHONE
MAKE CHECKS PAYABLE TO
HARVEY T. BRANDY COUNTY ENGINEER FINAL BY
DATE
APPLICATION VALIDATION CK M 0 CASH
570Ic'-'A l 84c U- .00 a='�
76A662-CE992 12-73 / -