HomeMy Public PortalAbout9202 LAS TUNAS DR_Certificate of Occupancy__ 78A862-C E992-(REV. 11/78) 1 1
APPLICATION FOR OCCUPANCY INSPECTION 'LJI
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS i
FITYR
ING '
ADD
LOCALITY v
It]
Tiei te IF NEAREST
NO OF BLDGS CROSS ST.
SIZE OF LOT NOW ON LOT ASSESSOR
MAP BOOK PAGE PARCEL
TRACT � LocK r� Lor no �- DISTRICT TYPE. FIRE PZCEED BY
� YS C' C'.T` TEL J{{� CONST ZONE_.
�
WNER l NO lJ ��L >_
Vv
DDRESS USE ZONE MAP p
NO. .2 V
OCITY
SPECIALC TIP
slzE OF No of CONDITIONS
EXISTING BLDG. STo RIES W
PRES SE OCCUPANCY GROUP ]�`•�/ d
UILTOIUNG �,� AS VERIFIED ( OCCUPANT Z
LOAD
EXIT HARDWARE
NO PARKING
SPACES PROVIDED NO.OF EXITS NO SPEC. KNOWL ❑
PANIC DEVICES ❑
RE ON FOR PARKING REQ'D PROVIDED
SPECT.ON REQUi\ESSPACE_T
S DATE
t PERMIT FEE Within the scope of this inspection
the Building Official may approve
ISSUANCE FE 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 ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT
O
PERMITTEE IE OP�1(� _TyML�n C'7.P• 1 � I\
DRESS 3 �r r]�(�C
l �� N ��/ a VI. �,L G V 0 4 A
BLDG SETBACK
PROM FRONT o n o o fI 0
ROP.LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING o o L o o _S
HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
+ _ 08 10-79
BLDG. SETBACK
FROM SIDE
PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD = SIDE PROP LINE HIGHWAY WIDTH
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APPLICATION FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGT BUILDING AND SAFETY DIVISION
ADDRESS 2 G / (�/J/ ,S
BUILDING
CITY � � ZIP 9/� � ADDRESS
SIZE OF LOT N0. OF SLOGS. LOCALITY
�L�1JOW ON LOT
NEAREST
TRACT BLOCKCROSS ST -
ASSESSOR
OWNER TEL. MAP BOOK PAGE PARCEL
O' DISTRICT TYPE FIRE OCE SED EJY
ADDRESS '�. CONS ZO
CITY ZIP
USE ZONE MAP
SIZE OF N0. OF NO.
EXISTING BLDG STORIES /Z+ SPECIAL
CONDITIONS
PRESENT USE OF BUILDING BLDG SETBACK FROM
FRONT PROP. LINE OF (STREET)
HIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF EXISTIN
N0. PARKING FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED /� + _
BLDG SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP LINE OF (STREET) d
O
HIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF EXISTINGU
SIDE PROP. LINE HIGHWAY WIDTH =
C)
+ = V
W
d
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- EXIT HARDWARE.
RECT
N0. OF EXITS � NO SPEC KNOWL. El
SIGNATURE OF � —. PANIC DEVICES ❑
APPLICANT
PARKING REQ'D PROVIDED
ADDRESS ��0 , S SPACES •
ZIP y� �O 4 /J
PHONE
MAKE CHECKS PAYABLE TO
[HARVEY T. BRANDY COUNTY ENGINEER FINAL BY
DATE
APPLICATION VALIDATION CK M 0 CASH
5 0 7 tlOAtc 5 4 U D .0 0 0v-
76A662-CE992 9/74 �/� ,