HomeMy Public PortalAbout9553 LAS TUNAS DR_Certificate of Occupancy__ APPUCATION FOR OCCUPANCY INSPECTION
.FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
_.. DEPARTMENT-OF COUNTY ENGINEER
BULLDiNG _ �/ BUILDING AND SAFETY DIVISION
ADDRESS S / Y41,4S
CITYNG
ZIP ADDREISS �
T� L f c 9f D
SIZE OF LOT NO. OF SLOGS. '; L 0 C A L I V
NOW ON LOT
NEAREST
TRACT /�/ BLOCK y N CROSS ST.
L� "Y
ASSESSOR _
OWNER f.. C ® NEL' _ S,17
� > MAP BOOK PAGE PARCEL .
h J DISTRICT TYPE FIRE �PRDet'a6ED BY
_11ADDRESS V .� CONST. ZONE
lag
CITYS�L•��f'/J �j ZIP USE ZONE NOP ..
SIZE OF „ NO. OF /
EXISTING BLDG. STORIES ,. �._L, SPECIAL
.CONDITIONS
PRESENT USE OF BUILDINGp C4/Y ! BLDG. SETBACK FROM
A FRONT PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF:EXISTING
HIGHWAY + YARD = FRONT PROP. LINE HIGHWAY WIDTH
NO. PARKING
SPACES PROVIDED + _
BLDG. SETBACK FROM V
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTINGQ
ET/^7/ / /J (" - SIDE PROP. LINE HIGHWAY WIDTH
L. C�/5 J + _ W
O.
CORNER CUTOFF YES NO H
PROPOSED MAX. OCC. OCCUPANCY GROUP
AS VERIFIED - OCCUPANT
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. ❑
PANIC DEVICES ❑
SIGNATURE OF _
APPLICANT -
r PARKING
ADDRESS / 1 O. C /�' �� SPACES - REO'D /�r{E� PROVIDED
C7 1/ (J- •.�,��'���LC.�iL.�.Lf Ui'4/tiff.�� ��I.�G� .^v...-�'�-11 -
S/, �nA /�lr9d��r ZIPS/4
3��-���• PHONE
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDT COUNTY ENGINEER FINAL By
t� _ 1
DATE �i3U •'--7s— ,/
APPLICATION VALIDATION CK. M.0. CASH
1 33C12"MAY 13 4J ,Q0
76A662-CE992 12-73 `•