HomeMy Public PortalAbout9726 LAS TUNAS DR_Certificate of Occupancy__ 76A662-CE99211/75
ti APPLICATION FOR OCCUPANCY INSPECTION
' ' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
[ADDRESS
ILDING
LOCALITY
CITY ZIP NEAREST n L
CROSS ST. �j
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PROCESO BY
TRACT 40 BLOCK LOT N(1�� (, �� CONST/ ZONE_? lex J
OWNER j/G� T USE ZONE MAP �/ C3
ADDRESS
,�trle / 70 7�Ca. NPECIAL O. O O
i CONDITIONS
CITY �' ZIP - / Q BLDG.SET BACK FROM
SIZE OF N .OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES TOTAL SET BACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING C
+ _
BLDG.SET BACK FROM C
NO.PARKING SIDE PROP.LINE OF (STREET) e
SPACES PROVIDED
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF EXISTING
SIDE PROP.LINE HIGHWAY WIDTH
L
REASON FOR INSPECTION REQUEST e + — t
CORNER CUTOFF YES NO
OCCUPANCY GROUPOCCUPANT
AS VERIFIED _______j LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS I I NO SPEC.KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION D STATE TH T THE ABOVE IS COR-
RECT. PARKING :
SPACES REQ'D PROVIDED=
SIGNATURE OF /
APPLICANT FINALDATE / BY
ADDRESS
Within the scope of this inspection
the Building Official may approve
$
ZIP minor corrections or alterations of
an existing structure involving work '
PERMIT FEE
of a building, plumbing, mechanical
PHONE.?, or electrical nature. ISSUANC E
�v TOTAL FEE
APPLICATION V DATION CK. M.O. CASH
3.9-it tZ AUG 24 40 � � .0 0 Ata