HomeMy Public PortalAbout9403 LAS TUNAS DR_Certificate of Occupancy__ '-'_A
APPLICATION FOR CCUPACY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING BUILDING AND SAFETY DIVISION
ADDRESS 9 '03 E. Las Tunas Blvd.
BUI
CITY Temple City ZIP 91780 ADDRDEISS P
lots NO. OF BLDGS. 1 LOCALITY
SIZE OF LOT OW ON
NEAREST
TRACT 6561 BLOCK eT 0. r9 CROSS ST. '
.J2 ASSESSOR ..
OWNER TEL. MAP BOOK PAGE PARCEL
8alco NO.
DISTRICT TYPE FIRE P D BY
. ADDRESS 1001 S . San Gabriel Blvd. CONST, ZONE
CITY -' Gabriel ZIP 9177 USE ZONE MAP
SIZE OF N0. OF .�
NO. (�
EXISTING BLDG. STORIESI SPECIAL
CONDITIONS
PRESENT USE OF BUILDING furniture store BLDG. SETBACK FROM '
FRONT PROP. LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTIN
NO. PARKING FRONT PROP. LINE HIGHWAY WIDTH C
SPACES PROVIDED + _ V
BLDG. SETBACK FROM C
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) V
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTINGW
SIDE PROP. LINE HIGHWAY WIDTH d
Vl
CORNER CUTOFF YES NO
PROPOSED MAX. OCC, OCCUPANCY GROUP [:��
AS VERIFIED OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
E APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. EXIT HARDWARE:
NO SPEC. KNOWL. ❑
p N0. OF EXITS -
SIGNATURE OF
PANIC DEVICES ❑
APPLICANT
n �^+U PARKING .
- ADDRESS 1001 S . San Gabriel Blvd SPACES REQ'D PROVIDED
San Gabriel, Calif. .� u►iz�+�
zip 91776
PHONE
286-66
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER FINAL BY /
DATE --
A PPL I CA TI ON
-APPLICATION VALIDATION CK. M.O. CASH
9 :2. ,lUti 23-4 v .0 0 r8
76A662-CE992 I2-73 i' V ✓ - ..