HomeMy Public PortalAbout9475 LAS TUNAS DR_Certificate of Occupancy__ 76A662-CF992 11/75
-, - - �.
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
BUILDING LOCALITY
ADDRESS '� rrv,
CNEAREST
CITY ZIP
�Q CROSS ST. /
SIZE OF LOT / / Q /NO.OF BL GS. ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE �]CESPBY
TRACT .�a BLOCK LOT N01 . 5— CONST ZO
OWNER NO. 762e-?— USE.ZONE MAPTEL
U
O.
ADDRESS C SPECIAL
CONDITIONS
CITY ZIP BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDTOTAL SET BACK FROM TYPE OF EXISTING
PRESENT USE OF BUILDING
HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
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a
+ _ C
BLDG.SET BACK FROM U
NO.PARKING SIDE PROP. LINE OF (STREET) Z
SPACES PROVIDED C
HIGHWAY + YARD= TOTAL' SET BACK FROM TYPE EXISTING
SIDE PROP. LINE HIGHWAY WIDTH '
LL
REASON FOR INSPECTION REQUEST + _
CORNER CUTOFF YES NO 2
OCCUPANCY GROUP . OCCUPANT
AS VERIFIED 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
SPACES REQ'D� / PROVIDED .
SIGNATURE OF
APPLICANT FINAL ^� BY
DATEr� - C
ADDRESS.
Within the scope of this inspection
the Building.Official may approve
ZIP minor corrections or alterations of
an existing structure involving work- PERMIT F
of a building, plumbing, mechanical
PHONE or electrical nature. ISSUANCE FEE
/3r TOTAL FEE -
APPLICATI VALIDATION CK. M.O. CASH
X2.01 =