HomeMy Public PortalAbout9658-9660 LAS TUNAS DR_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING BUILDING AND SAFETY DIVISION
ADDRESS µmsµ,
BUILDING
CITY ��m ; ZIP GY h ADDRESS
SIZE OF LOT N0, OF BLD/GS. ! LOCALITY A
NOW ON LOT t _j
NEAREST
TRACT BLOCK LOT N0� C CROSS ST,
ASSESSOR
�OWNER NOL t C{EL MAP BOOK PAGE PARCEL
C b JJ DISTRICT TYPE FIRE p CESS BY
ADDRESS O ��O� CONSTJ ZQND
CITY �'� ZIP 91 d USE ZONE IMOAP " ��
SIZE OF NO. OF / (v
EXISTING BLDG. STORIES a'"' SPECIAL
CONDITIONS
PRESENT USE OF BUILDING
BLDG. SETBACK FROM
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
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) p
C
HIGHWAY f YARD = TOTAL SETBACK FROM TYPE OF XISTIN C.
SIDE PROP. LINE HIGHWAY WIDTH C
CHANGE OF OUNERSHIP C
t = C
u
0
CORNER CUTOFF YES NO b
e
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:
R ECT.
NO. OF EXITS NO SPEC. KNOWL. ❑
SIGNATURE OF
PANIC DEVICES ❑
APPLICANT
PARKING REQ'D PROVIDED
ADDRESS SPACES
Y,4s IlLd �yg
ZIP 9l/O
PHONE/
MAHESvc nna
FINAL BY
DATE
LE I
1 / APPLICATION VALIDATION CK. M.O. CASH
✓✓✓ C u 4 i t^nv J 4 j 0 J
76A662-CE992 9/74 I