HomeMy Public PortalAbout9615 LAS TUNAS DR_Certificate of Occupancy__ 76A662-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
BUILDING / � �� LOCALITY V
ADDRESS !<J
CITY � f ZIP NEAREST
O CROSS ST.
SIZE OF LOT NO.OF BLDGS. ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIREP ES BY
TRACT {�j s(,y/ BLOCK LOT Nfy�B_g ✓� 4 CONST. ZONE :
U
OWNER TEL.
N0. USE ZONE MAP
NO. �, 007
ADDRESS , SPECIAL
CONDITIONS
CITY. ZIP BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING.BLDG. STORIES TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING � �
+ = C
C
BLDG.SET BACK FROM
NO.PARKING SIDE PROP.LINE OF (STREET)
SPACES PROVIDED TOTAL SET BACK FROM TYPE OF EXISTING
HIGHWAY + YARD= SIDE PROP.LINE HIGHWAY WIDTH C
U
REASON FOR INSPECTION REQUEST + = 0
U
!'J CORNER CUTOFF YES NO
!ti OCCUPANCY GROUP F- 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 ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING
SPACES REQ'D PROVIDED=
SIGNATURE OF
APPLICANTadIf,/ FINAL "'7 /,s 72 BY� �^
DATE
DDRESS /17
Within the scope of this inspection
the Building Official may approve
minor corrections or alterations of
21P
an existing structure involving work PERMIT FEE
of a building, plumbing, mechanical
p�
PHONE or
/� or electrical nature. ISSUANCE 33�'!/ / �� TOTAL FEE
APPLICATION VALIDATION CK. M.O. CASH
0 2 6 E-JUN 2.5 4 .0 0
76A662-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
BUILDING LOCALITY 1'
ADDRESS
CITY •� ,!� fj'1! ZIP - I� NEAREST r Q
d CROSS ST. �J
SIZE OF LOT' NO.OF BLDGS. ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PROCESSED BY
TRACT S`r , BLOCK LOT NO.I� [�//� CONST. - ! ZONE _
OWNER TEL(y1 J- . J l/ 0 V � I 'V
O g`o SSB
NO( C USE ZONE MAP
NO. v
ADDRESS /_3j & �La, ! P",so..O —2 SPECIAL
CITY ' 4c� L� ZIP Val 1J BLDG.SET BACK FROM CONDITIONS
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES TOTAL SET BACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP:LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING }
+ -
O
BLDG.SET BACK FROM U
NO.PARKING SIDE PROP. LINE OF (STREET) Z
SPACES PROVIDED 0
HIGHWAY + YARD,= TOTAL SET BACK FROM TYPE EXISTING
SIDE PROP. LINE HIGHWAY WIDTH U
W
REASON FOR INSPECTION REQUEST + = 0-
fn
CORNER CUTOFF YES NO Z
OCCUPANCY GROUP n 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 ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-.
RECT. , PARKING
SPACES REQ'D BY By PROVIDED=
SIGNATURE OF
APPLICANT FINAL
DATE
ADDRESS p G��vej„ /.
�, ! Within the scope of this inspection
Le lam/ the Building Official may approve
minor corrections or alterations of
ZIP an existing structure involving work PERMIT FEE
of a building, plumbing, mechanical
PHONE or electrical nature. [TOTALSSUANCE FEE
FEE
APPLICATION VALIDATION CK. M.O. CASH
A-6