HomeMy Public PortalAbout9214-9216 LAS TUNAS DR_Certificate of Occupancy__ APPLICATION F R OCCUPANCY INSPECTION
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"A:•OR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING )� a1b s rc�A)AS D2. BUILDING AND SAFETY DIVISION
ADDRESS /
CITY �/"/- ZIP / 7 O ADDREISS �NG 6 v,2,2
SIZE OF LOT S-0 ^ / NO OF BLDGS. LOCALITY
NOW ON LOT
NEAREST
TRACT BLOCK9�00 LOT NO,/'70 CROSS ST.
J ASSESSOR
OWNER Cap-F NOL: ��6 DIISTRMAP OOK ICT TYPE PAGE FIRE P ESS D BYARCEL
ADDRESS L11,45 /(//D//(C � , ` 8 CONSV ZON'7
CITY 'f-J- �,�,� C1ZIP / USE ZONE MAP VV ~7
SIZE OF v 1 NO OF NO. U
EXISTING BLDG STORIES -d'" SPECIAL
��',,,/// CONDITIONS
PRESENT USE OF BUILDING /V/ / /fL OG /C 1 BLDG. SETBACK FROM
,-I ! FRONT PROP. LINE OF (STREET)
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING
NO. PARKING L FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED }
BLDG SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) 0
HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF XISTIN V
1 SIDE PROP. LINE HIGHWAY WIDTH cz
CD
4 } _
V
W
CORNER CUTOFF YES NO N
Z
PROPOSED MAX. OCC. OCCUPANCY GROUP
AS VERIFIED OCCUPANT
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE
R ECT.
N0. OF EXITS NO SPEC KNOWL ❑
SIGNATURE OF
PANIC DEVICES ❑
APPLICANT
• PARKING REQ'D PROVIDED
ADDRESS 9214 LAS TUNAS DR. SPACES
TEMPLE CITY, CALIF. 91780
ZIP
PHONE
as- /0
MAKE CHECKS PAYABLE TO �
[HARVEY T. BRANDY COUNTY ENGINEER FINAL rj ry �7 ® 6Y
DATE t �•
APPLICATION VALIDATION CK M 0 CASH
MAP 1 4µv v U A"d
76A6W-CE992 9/74 l�
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