HomeMy Public PortalAbout9822 LAS TUNAS DR_Certificate of Occupancy__ iewaarce 2-1REV '11/7a)` APPLICATIF OCCUP CY INSPWT10N
COUNTY OFLOS ANGELES •` BUILDING AND SAFETY
FOR APPLICANT TO FILL,IN BUILDING
ADDRESS
B LDI NG -
ODREss. LOCALI,
CITY ZIP •9� „NEAREST
NO.OF BLOGS CROSS ST.
SIZE•OF LOT ' NOW ON.LOT ASSESSOR
MAP BOOK PAGE P RCEL
TRACT _ BLOCK ' LOT No DISTRICT TYPE. FGRE PR LEB Y
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NO V
CITY _ 1 _ - 'ZIPS -_ / / SPECIAL
L/ 'CONDITIONS
SIZE OF v- NO. OF /
EXISTING BLDG. STORIES V'
I OCCUPANCY GROUP - N
RESHNT USE
_euiL.nlNc ed/C ,/G� 4• AS VERIFIED OCCUPANT Z
fd
LOAD
-EXIT HARDWARE
O'PARKING - n NO OF EXITS NO SPEC.KNOWL. ❑
SPACES PROVIDED 1 �J
PANIC DEVICES ❑
PARKING REQ'D PROVIDED
R ON POR SPACES:
SPEC TI ON REOU EST
FINAL-j/A419 p-0 BY
DATE
PERMIT FEE• Within the scope of this Inspection
4. the Building Official may approve
ISSUANCE FEE'"' 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 ��/'�yI�'a. APPLICATION VALIDATION
APPLICATION AND STATE THAT THE ABOVE IS COR- r°
RECT
NATURH OF •� � , , -
P@RMITTEE
AD O RESS ^;�I1/��� �.. 'tel �/ /✓X7J A/I.� `4• M^ d•' - ` �r
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CITY �• ` ��' NO.*
O.
BLnG SETBACK - „ `` R 7 ,
FROM FRONT " f �rg;g'`^/1
PROP.LINE OF (STREET) t O I 4� -
TOTAL SETBACK FROM TYPE OF EXISTING I
HIGHWAY + YARD FRONT PROP. LINE HIGHWAY WIDTH - - O O O;O' O O O' ,
_+ 0222.-80
BLDG. SETBACK
FROM SIDE
PROP LINE OF (STREET)
' TOTAL SETBACK,FROM TYP@ OP' EXISTING - -
HIGHWAY + YARD n SIDE PROP. LIN@ - H16M WAY WIDTH
APPLICATION FOR OCCUPANCY INSPECTION {�
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING r
(Pr,int or type only) ADDRESS
BUILDINGLOCALITY
ADDRESS 9822 Las Tunas Drive J '
NEAREST
CITY Temple •City ZIP 9"1780 cRoss•sT .�.N-���Cs'--✓L
NO OF BLDGS ASSESSOR '
SIZE OF LOT NOW-ON LOT MAP BOOK - PAGE - PARCEL
DISTRICT TYPE FIRE pROC SED
�-1CONST. / ZON _a�„�
TRACT BLOCK LOT NOTE
OWNER George Shlma NOL USE ZONE' MAP 60
`
NO
ADDRESS.9822 Las Tunas Drive - C SPECIAL V -
• CONDITIONS
CITY TeiUp le C•ty, CA
ZIP91780 BLDG SETBACK FROM
SIZE OF NO. OF FRONT PROP LINE OF (STREET)
EXISTING BLDG STORIES -TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY t YARD = FRONT PROP LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING Doctor's office
BLDG SETBACK FROM '
NO PARKING SIDE PROP LINE OF (STREET)
SPACES PROVIDED 'TOTAL SETBACK FROM TYPE OF EXISTINGU
HIGHWAY + YARD = SIDE PROP LINE ' HIGHWAY WIDTH
O
_ I--
REASON FOR INSPECTION REQUEST + w
a
CORNER CUTOFF YES NO rA
New doctor going into business —
OCCUPANCYGROUP ® "
" AS VERIFIED '
SERIOCCUPANT
LOAD
EXIT HARDWARE.
PROPOSED MAX OCC '
NO OF EXITS NO SPEC KNOWL ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT _ PARKING REQ'0 D PROVIDED O
SPACESFINAL '
BY_
SIGNATURE OF DATE
APPLICANT Dr.-Clifford M. Winchell
ADDRESS Within the scope of this inspec-
l 4G Greenfield P 1 ,
tion the Building Official may-'
approve minor corrections or
Arcadia; CA' alterations of an existing struc-
ture involving work of a build- Permit Fee
ZIP,
ingz plumbing, mechanical or
elmr�Ical nature t% Issuance Fee '
PHONE 285-993 0 o" o= (.,4 -
- o, oCn - Total Feet
APPLI:CArTION VALIDATION CK M 0 CASH
,O ,o N D
NS
76A662C-CE992B If/79