HomeMy Public PortalAbout9644 LAS TUNAS DR_Certificate of Occupancy__ APPL. CATION FOR OCCUPANCY INSPECTION �1
COUNTY OF LOS ANGELES IJ
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS , �_���
BUILDING ' ^ ,�F
ADDRESS L�y� (r'/Vf� LOCALITY /✓f�G j c� s
CITY ZIP CROSS ST .
SIZE OF LOTy NO.OF BLDGS. ASSESSOR
C7 !\ !I O NOW ON LOT MAP BOOK PAGE PARCEL
_ DISTRICT TYPE FIRE PROC ED BY
TRACT"� BLOCK LOT NO.G� ,) 5p CONST ZONE 1
OWNER TEL. 5C
�i I`r✓1 NOp.3JUSE ZONE NO 2—CJ2
ADDRESS 4/0/ o f� — SPECIAL
CITY /�G //I ZIP L I` BLDG.SET BACK FROM ONDITs
SIZE OF NO.OF J FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES / HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
PRESENT USE OF BUILDING v /J-� FRONT PROP.LINE HIGHWAY WIDTH
+ _ \
57;4-7_--A1
BLDG.SET BACK FROM
NO.PARKING SIDE PROP.LINE OF (STREET)
SPACES PROVIDED
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF EXISTING
SIDE PROP.LINE HIGHWAY WIDTH
REASON FOR INSPECTION REQUEST + - L
E-Y ` CORNER CUTOFF YES NO :
'OCCUPANCY.GROUP OCCUPANT
��i AS VERIFIED L___j LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS NO SPEC.KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES E]APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING
-SPACES REQ'D PROVID D�
SIGNATURE OF + ,/��
APPLICANTS r%t„ FINAL BY
DATE
ADDRESS
/,?,v Within the scope of this inspection
the Building Official may approve {V
ZIP minor corrections or alterations of
an existing structure involving work PERMIT FEE
of a building, plumbing, mechanical
PH
ONE or electrical nature. ISSUANCE FEE —
TOTAL FEE
APPLICATION VALIDATION CK. M.O. CASH '
5 3 9 i=Jilt 2 2 3 U.0 0 �
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