HomeMy Public PortalAbout9557 LAS TUNAS DR_Certificate of Occupancy__ APPLICATI N 0 '_ WiANCY INSPECTION,
FO'R APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES ,
DEPARTMENT OF COUNTY ENGINEER
BUILDING BUILDING AND SAFETY DIVISION
ADDRESS 7 rJ
BUILDING'
6 (2,IT ZIP 7 o .ADDRESS �./:
_ NO. OF SLOGS. / LOCALITY
SIZE OFCOT �f �J--X/ NOW ON LOT. /
• NEAREST _
TRACT BLOCK LO'I'AO'. � CROSS ST_
��/ ASSESSOR
OWNER �//ff TEL ' MAP 800K ;PAGE PARCEL
/.►�/��LE / /TZTO
NO.
DISTRICT. TYPE FIRE PRO D BY ,
ADDRESS CONST ZONE i
CITYm�Z�._ �. l--r- - ZIP ( v, USE ZONE. MAP
SIZE OF. _ _ NO. OFy NO. ��•-�7
EXISTING BLDG. STORIES ` - SPECIAL
0-3 CONDITIONS
PRESENT USE OF BUILDING. -� CL �J � Ojc BLV%. SETBACK FROM -
FR NT PROP. LINE OF (STREET).
•TOTAL SETBACK FROM TYPE OF EXISTIN
' HI WAY } YARD = FRONT PROP. LINE HIGHWAY WIDTH
N0: PARKING
SPACES PROVIDED - +
BLDG. SETBACK F -
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF. (STREET) o�
O
/ HIGHWAY- + YARD = TOTAL SETBACK FROM TYP F EXISTINGU
0dAAJe,E 07 �LJiVr CSI( �P SIDE P.ROP..LINE HIGHWA WIDTH
11 0 O'
- T - U
LLJ
CORNER CUTOFF -YES NO N
Z
PROPOSED-MAX. OCC, OCCUPANCY GROUP
_ AS VERIFIED : OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR_' EXIT HARDWARE:
RECT. -NO. OF EXITS NO SPEC.'KNOWL. ❑
SIGNATURE OF -
PANIC DEVICES ❑•
APPLICANT AO
.
PARKING REQ'D PROVIDED
ADDRESS Z Z ; \ S SPACES _
G cc
• ZIP
PHONE _ ..
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY'ENGIN EERJ FINAL BY
DATE
APPLICATION VALIDATION q.K. M.01. CASH
76A662-CE9929/74 V' 2 6�C: E�f`l L:�� 4.V �...