HomeMy Public PortalAbout5211 AGNES AVE_Certificate of Occupancy_5/1/1972_add tool shed 7610/69 v �//
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY-OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER _s MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING �-��` �• r7�R��s
JOHN A LAMBIE ICOUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
R APPLICANT TO FILL IN NEAREST ��i►'E
(Print or type only) kFRONT
BUILDING DISTRICT NO PROCESSED BY
ADDRESS �, ' 8
'� E MAP `
LOT NO S BLOCK NO
PECIAL
TRACT SIZE OF LOT CONDITIONS
TEL
OWNER NO
ADDRESS BACK FROM
S r ,yt OP LINE OF (STREET)
CITY AfHIGHWAYCE ISTINGDTH FROMACCK HIGHWAY + YARD - TOTAL
SIZE OF NO OF
EXISTING BLDG A TORIES ' + _
PRESENT USE OF BUILDING BLDG SETBACK FROM
SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY WIDTH FROM C L
NO OF EXISTING BUILDINGS
ON LOT AND USE + _
Y
CORNER CUTOFF - YES❑ NO ®/
NO PARKING �
U
SPACES PROVIDED
OCCUPANCY GROUP _� o
U
W
PROPOSED USE OF BUILDING1 N
OCCUPANT LOAD z
EXIT HARDWARE
No Spec Knowl ❑
Panic Devices ❑
PROPOSED MAX OCC NO OF EXITS
PARKING REQ D PROVIDED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES
APPLICATION AND STATE THAT THE ABOVE IS COR
RECT
SIGNATURE OF
APPLICANT
ADDRESS �z Z,
APPROVAL DATE /i �,�' NSPECTOR S
ZIP IGNATURE
PHONE FINAL APPROVAL
JOHN F LEWIS PRINCIPAL STRUCTURAL E�GI
APPLICATION VALIDATION CK M O� CASH
4 � 7749 JkOV2322 D 1500