HomeMy Public PortalAbout9522 LAS TUNAS DR_Certificate of Occupancy__ APPUCATM F P OCCUPANCY-4NSKZT10N
OR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGBUILDING AND SAFETY DIVISION
ADDRESS BUIL�
NG
CITY _r ZIP �� "ADDRESS
LOT '-7 �.�// /
10. OF BLDGS. LOCALITY
SIZE OF -
!.' Jam-t`1 C+ NOW ON LOT
TRACT. - LdT N6 NEAREST
BLOCK
�� CROSS ST. 4:
ASSESSOR
OWNER - TEL. MAP BOOK PAGE PARCEL
7 -a 12 ,L� .�rn NO. DIST T TYPE ��� FIREP S D BY
` ADDRESS CONS ZONE
CITY ZIP- USE ZONE MAP
SIZE OF }} NO. OF `\ NO,
�C, -
EXISTING BLDG. I�(J STORIES 1 -Z SPECIAL
fir• CONDITIONS
PRESENT USE OF BUILDING BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
N0. PARKING FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED + _
.BLDG. SETBACK FROM '
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) 0
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTINGV
SIDE PROP. LINE HIGHWAY WIDTH rY
CD
+ = U
W
Q.
'j CORNER CUTOFF YES NO N
PROPOSED MAX. OCC. OCCUPANCY GROUP [= OCCUPANT
AS VERIFIED
LOAD
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
- APPLICATION AND STATE THAT THE ABOVE IS COR- - EXIT HARDWARE:
R ECT.
N0. OF EXITS NO SPEC, KNOWL. Eli �.
SIGNATURE OF
PANIC DEVICES ❑
( � -
APPLICANT n•
PARKING REQ'D PROVIDED
ADDRESS C'�f=� �% /f SPACES '
PHONE
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER rD
NAL BY
ATE
APPLICATION VALIDATION CK. M.0.. CASH
4 5:;9�;: t $.4 C}.a o
98 76A662-CE992 4/74 _ ~�-