HomeMy Public PortalAbout6040 AVON AVE_Certificate of Occupancy__ 76A662 CE992 10/69
APPLICATION FOR OCCUPANCY NSPECTI
COUNTY OF LOS ANGELES
ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE (COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
F APPLICANT TO FILL IN NEAREST
(Print or ty e onl ) CROSS ST
BUILDING �/ n DISTRICT N PRO SED Y
ADDRESS V V , U/V i p
USE ZONE MAP
LOT NO BLOCK
NO ,2_00 cot
PECIAL
TRACT 9 SIZE OF LOT CONDTIONS
TEL _ ��
OWNER NOI.
BLDG SETBACK FROM
ADDRESS FRONT PROP LINE OF (STREET)
TYPE of EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HIGHWAY I WI TH FROM C L
SIZE OF J NO OF
EXISTING BLDGdd STORIES + _
PRESENT USE OF BUILDING BLDG SETBACK FROM
SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGH + YARD = TOTAL
HIGHWAY WIDTH FROM C L
NO OF EXISTING BUILDINGS
ON LOT AND USE }
� Y
CORNER CUTOFF YES❑ NO ❑ a
NO PARKING
SPACES PROVIDED
OCCUPANCY GROUP o
U
W
PROPOSED USE OF BUILDING °� OCCUPANT LOAD rn
Z_
EXIT HARDWARE
No Spec Knowl ❑
Panic Devices ❑
PROPOSED MAX OCC NO OF EXITS
PARKING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS { SPACES REQ D PROVIDED
APPLICATION AND STATE THAT THE ABOVE IS COR
RECT p/�oP
SIGNATURE OF ov1ro'',gAl.sro-o m
APPLICANT /-.,/j /11&_
ADDRESS
O 'v-C J4 Ia S A/'0 G C) A'g C_' "o/+��
4/0 A0^j,S-f_v C,-' Gj1ff A/Gr.S,
INSPECTOR S
ZIP APPROVAL DATE SIGNATURE
PHONEa��-ag� rp FINAL APPROVAL —7/ Qy(g�y
JOHN F LEWIS PRINCIPAL ST G URA
E✓'NGINEER
APPLICATION VALIDATION CK M o CASH
4
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