HomeMy Public PortalAbout9546 LAS TUNAS DR_Certificate of Occupancy__ APPLICATION FOW OCC JPANCY INSPECTION
FOR APPLICANT'TO FILL IN (Print or type only COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING BUILDING AND SAFETY DIVISION
.J BUILDING
CITY )7 ZIP ` go ADDRESS
GO .L
N6. OF BLDGS. 8 LOCALITY
SIZE OF LOT NOW ON LOT -
NEAREST
TRACT BLOCK LOT NO. CROSS ST.
ASSESSOR
TEL. MAP BOOK PAGE PARCEL
OWNER '7-,z-- '7l y� k NO DISTRICT TYPE FIRE OCESSE BY '
ADDRESS 35--�'�S- �Ez Q Al cs �. 'Fo CONST ZONE
CITY � _ ZIP USE ZONE MAP /'
SIZE OF N0. OF ///'��� NO. ® (/ 7
EXISTING BLDG. STORIES ® / j/ SPECIAL
CONDITIONS
PRESENT USE OF BUILDING BLDG. SETBACK FROM
�\+ - FRONT PROP. LINE OF (STREET)
7-0 P__ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTIN
NO. PARKING FRONT PROP. LINE HIGHWAY WIDTH
SPACF,G PROVIDED + _
BLDG. S K FROM 0
REASON FOR INSPECTION REQUEST SIDE PROP. LIN (STREET)
HIGHWAY + YARD = TOTAL SETBA TYPE OF XISTIN
S j SIDE PROP. LINE AY WIDTH
/J CJ + _ W
CORNER CUTOFF YES NO Lop
a
PROPOSED MAX., OCC.. OCCUPANCY GROUP `--f-�
AS VERIFIED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
OCCUPANT
APPLICATION AND STATE THAT THE ABOVE IS COR-
R ECT. EXIT HARDWARE:
NO. OF EXITS NO SPEC. KNOWL. ❑
PANIC DEVICES
SIGNATURE OF ❑
APPLICANT
/.� PARKING REQ'D D PROVIDED D -
ADDRESS /V .d ,, / SPACES
ZIP
PHONE
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER F114AL BY
DATE �� �/l - -/ r L,
APPLICATION VALIDATION CK. M.O. CASH
4'7 "NUI 7 4_U �, .C) G i,
76A662-CE992 12-73 - • -