HomeMy Public PortalAbout9675 LAS TUNAS DR_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION
BUILDING AND SAFETY DIVISION
R APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
PDRE
LOCALITY
9675 Rast. Tag Timas Drive
Q NEAREST
ZIP UO CROSS ST.
N0. OF BLDGS. ASSESSOR
y 1 O NOW ON LOT `� MAP BOOK PAGE PARCEL
L DISTRICT TYPE FIRE PROCE SED BY
ONST. ZONA
BLOCK Qyl� LOT N0. 120 L'/) j�/—L,.',
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TEL. �' 688 USE ZONE MAP
U NO.
9675 E. Las TwAs Dr• '_ L SPE IAL
CONDITIONS
mple City, Calif. zIP 91780 BLDG. SETBACK FROM
N0. OF FRONT PROP. LINE OF (STREETi
BLDG. STORIES TOTAL SETBACK FROM TYPE OF EXIS7IN
HIGHWAY } YARD = FRONT PROP. LINE HIGHWAY WIDTH
y,aESENT USE OF BUILDING Dental Office
t =
BLDG. SETBACK FROM '
NO. PARKING SIDE PROP. LINE OF (STREET) p
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTIN C
HIGHWAY } YARD = SIDE PROP. LINE HIGHWAY WIDTH C
_ C
SON FOR INSPECTION REQUEST + u
a
CORNER CUTOFF YES NO �
t
OCCUPANCY GROUP
_
AS VERIFIED OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX. OCC. NO SPEC. KNOWL. ❑
NO. OF EXITS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING
)l SPACES REQ'D D PROVIDED D
! '
FINAL
BY
SIGNATURE OF � DATE
-
PLICANT
ADDRESS Within the scope of this inspec-
tion the Building Official may
approve minor corrections or
Los Angeles., Calif• 9006 alterations of an existing struc-
ZIP ture involving work of a build- Permit Fee
ing, plumbing, mechanical or �
electrical nature. Issuance F
PHONE 879-0390 Total Fee
U
APPLICATION YALIDATION CK. M.O. CASH
8 1 2,wAPR 104x-4J ® .0 v Ada
76A662C-CE992B II/75 -