HomeMy Public PortalAbout9606 LAS TUNAS DR_Certificate of Occupancy__ 76AW2-CE992 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 6Q
BUILDING
ADDRESS 9b OL [A-S TUNAS LOCALITY
�i NEAREST
CITY'- 87AA-F(_� CrrY
ZIP Gr( ] O CROSS ST. LSC
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE P ESS BY
TRACT S�� BLOCK LOT NO.TEL / a a A CON ZO
' OWNER Jt,Se 4 N'EIQI��S NO. (�(� �(� I USE20NE MAP
Ev—
/� NO.
' ADDRESS �O(I.3 14I Mo&QE7 ST / L SPECIAL
l— CONDITIONS
CIT'/E L MOIsJTE C. ZIP q(73'3 BLDG.SET BACK FROM
SIZE OF N0.OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING
PRESENT USE OF BUILDING VA-CAN-T— FRONT PROP. LINE HIGHWAY WIDTH a
+ = O
U
BLDG.SET BACK FROM•
NO.PARKING SIDE PROP.LINE OF (STREET) Z
SPACES PROVIDEDO
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE EXISTING
SIDE PROP.LINE HIGHWAY WIDTH U
W
REASON FOR INSPECTION REQUEST + a-
W
CORNER CUTOFF YES NO Z
OCCUPANCY GROUP Z� 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 ElAPPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. '/��• PARKING
SPACES REQ'D PROVIDED
SIGNATURE O / yU���� BY
APPLICANT FINAL
DATE
ADDRESSU/Lq)//3 /.�� `T/'�o�� SY_
W Within the scope of this inspection
ND VTE �j �T�`� the Building Official may approve
minor corrections or alterations of
ZIP an existing structure involving work
PERMIT FEE
CyC_6 of a building, plumbing, mechanical
PHONE .or electrical nature. ISSUANCE FEE
TOTAL FEE
APPLICATION VALIDATION CK. M.O. CASH
374��JIC 234u D ;jCjA