HomeMy Public PortalAbout9211 LAS TUNAS DR_Certificate of Occupancy__ 76A662-CE992 10/69 [� '
APPLICATION FOR OCCUPANCY INSPECTION IIuII
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE,ICOUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
R APPLICANT TO FILL IN
(Print or type onI ) CROSS STn ]NEAREST
DISTRICT NO PR SSED BBUILDNG
ADDREISS 'T S 7�//t/Ff 0 Q�USE ZONE ONO
AP
LOT NO BLOCK O5PECAL
TRACT SIZE OF LOT � ITIONS
TEL•
OWNERLDG
FRO
ADDRESS oZ� G ,I S 7 VA1,9 FRONT PROPA LANE OF
/-,I (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
CITY G/ L9 "-/ Lg HIGHWAY WIDTH FROM C L
SIZE OF N0. OF _
EXISTING BLDG STORIES +
PRESENT USE OF BUILDINGBLDG. SETBACK N Z IV SIDE PROP.LINE OF OM (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY WIDTH FROM C L
NO OF EXISTING BUILDINGS
ON LOT AND USE + - Y
O
CORNER CUTOFF YES❑ NO ❑ U
NO PARKING =
SPACES PROVIDED �
OCCUPANCY GROUP w
C/
cn
z_
PROPOSED USE OF BUILDING Al�Gd/S 41' OCCUPANT LOAD
EXIT HARDWARE:
No Spec. Knowl. ❑
Panic Devices ❑
PROPOSED MAX OCC. NO. OF EXITS
PARKING . REQ'D o PROVIDED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT
SIGNATURE Ol/
APPLICANT
ADDRESS 0 r
INSPECTOR'S
ZIP O O APPROVAL DATE 6 SIGNATURE
PHONE �6 j 3 FINAL APPROVAL
JOHN F. LEWIS, PRINCIPAL STRU T RAL ENGINEER I
APPLICATION VALIDATION M.o c,,.,;--
6
ASH6 5 3 APR 23 4 0 D .0 (D A.)8 1
APPLICATION FOR OCCUPANCY INSPECTION
7
BUILDING AND SAFETY DIVISION
R APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
B ILDISS 9�-/' L A �+ j� •%JP LOCALITY
DDRESS / /rV /y (l
j I �/ !1 NEAREST
CITY / ZEPIPIP V CROSS ST
t L
NO OF BLDGS ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PR ESS BY
TRACT C9 S a / BLOCK LOTtJ3 7 -7 CONST` ' Z01�
0 NER IV W'L NOL P ( USE ZONE MAP V
WW lJ
NO.
DRESS ,^',. �✓ — -/ 3`"� C SPECIAL
r CONDITIONS
CITY ZIP
BLDG SETBACK FROM
SIZE OF NO OF FRONT PROP LINE OF (STREET)
EXISTING BLDG STORIES HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTIN
f SS _ FRONT PROP LINE HIGHWAY WIDTH
P SENT USE OF BUILDING A/C IH ` r A A/I -
BLDG SETBACK FROM
NO. PARKING SIDE PROP LINE OF (STREET)
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTIN CJ
HIGHWAY } YARD = SIDE PROP LINE HIGHWAY WIDTH
C
O
- V
ASON FOR INSPECTION REQUEST } taJ
a
Gl-f�tl ' � Or Q �,�WE R S'1-1 j > CORNER CUTOFF YES NO �
OCCUPANCY GROUP
AS VERIFIED OCCUPANT
LOAD
EXIT HARDWARE
PROPOSED MAX OCC
NO OF EXITS NO SPEC KNOWL ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION STATE THAT THE ABOVE IS COR-
RECT PARKING REQ-0
D PROVIDED
SPACES •
FINAL 5— i 2 BY
SIGNATURE F DATE
APPLICANT
AD KESS / �� �L ✓� Within the scope of this inspec-
(lJ tion the Building Official may
/J L /� 1 approve minor corrections or CG/4 • alterations of an existing struc-
ture involving work of a build- Permit Fee
ZIP
ing, plumbing, mechanical or
PHONE
electrical nature Issuance Fe
3 9 8.9E Total Fee
3 6Fft149ykTI§N4VIAL�f DATION CK M O CASH
76A662C-CE992B 1175