HomeMy Public PortalAbout4914 BALDWIN AVE_Certificate of Occupancy__ (2) 76A662 CE992 6/71
APPLICATION FOR OCCUPANCY INSPECTION r
COUNTY OF LOS ANGELES',„ *>
DEPARTMENT OF,COUNTY ENGINEER, "
BUILDING AND SAFETY DIVISION ADDRESS
HARVEY T BRANDT COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING ° LOCALITYk'Tv_y k_
FOR APPLICANT TO'y) IN CROSS sT 1.�x G� Yi '_A,, Pl
(Print or type only) 1 � "'" "
BUILDING DISTRICT NO PR CESS D BY r
I ADDRESS
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M � p� �`` '' " USE ZO MAP
JJ LOT NO �-Ct C"L�c. U�J *7t�CK NO Z� Q
PECIAL _
TRACT SIZE OF LOTx '4317
ADDRESS
CONDITIONS
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1/ r r a
OWNER�� L �7/T'T�/' N0 /(/ / Y
ADDRESS �/VC(/t�T �t7 BLDG SETBACK FROM
�^ O FRONT PROP LINE OF (STREET)
1 TYPE OF EXISTING SETBACK HIGHWAY
CITY 7— HIGHWAY WIDTH FROM C L + YARD = TOTAL
t
SIZE OF NO OF a
EXISTING BLDG ISTORIES t =
PRESENT USE OF BUILDINGJ�`�+ .r BLDG SETBACK FROM
Yom^ SIDE PROP LINE OF (STREET)
r n TYPE OF EXISTING SETBACK HIGHY4 + YARD = TOTAL
HIGHWAY WIDTH r FROM C L
NO OF EXISTING BUILDINGS
ON LOT AND USE t } = Y
i >_CORNER C OFF YES'[:] NO E] C:)
NO PARKING Ci
SPACES PROVIDED
OCCUPANCY GROUP o
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PROPOSED USE OF BUILDING pp N
I/US-¢L-� OCCUPANT LOAD z_
/ d14 EXIT HARDWARE I`
F No Spec Knowl ❑
Panic Devices ❑
PROPOSED MAX OCC NO OF EXITS
PARKING REQ'D PROVIDED D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES
APPLICATION AND STATE THAT THE ABOVE IS COR r
RECT
SIGNATURE OF
APPLICANT
ADDRESS
s
ZIP APPROVAL DATE INSPECTOR SSIGNATURE
'PHONE
FINAL APPROVAL
JOHN F LEWIS PRINCIPAL STRUCTURAL EN
APPLICATION VALIDATION CK M 0 CASH
L,� 97 I� u1022 D ' 1800- fu
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