HomeMy Public PortalAbout6137 AVON AVE_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 ��7 BUILDING AND SAFETY DIVISION
( ADDRESS
BUILDING '
CITY ZIP ADDRESS ��
r SIZE OF LOT NOWOON LOTS. ` LOCALITY �*'� /+
5 c� x2s'�
NEAREST
TRACT BLOCK LOT NO. CROSS $T. /�j
`' `-'ASSESSOR '
OWNER 7 M �O O. NOL.�j 6� R) DIISTRMAP OICT TYPE FIRE PROCESSED BY
OK AGE ARCEL
ADDRESS 13� 4av6A)�f-6AJD CONST. ZONE v
CITY /V I�il STR ZIP[tl7V( USE Z NE OF NO. G
EX�STOIN�G BLDG. /frx 610 SOTORIES SPECIAL
3 � � CONDITIONS
PRESENT USE OF BUILDING BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWA .-}.,..,YARD = FRONT PROP. LINE HIGHWAY WIDTH
J NO. PARKING _
SPACES PROVIDED
04
BLDG. SETBACK FRO f
REASON FOR INSPECTION.REQUEST SIDE PROP. LINE OF (STREET) o
TOTAL SET FROM TYPE OF XISTIN V
HIGHWAY } YARD = SIDE PROP. LI HIGHWAY WIDTH tY
CD
+ = U
W
CORNER CUTOFF YES NO N
Z
_ PROPOSED MAX, OCC- FR OCCUPANCY GOUP
AS VERIFIED OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
R ECT. EXIT HARDWARE:
NO. OF EXITS NO SPEC, KNOWL. El
.T SIGNATURE OFw PANIC DEVICES ❑
APPLICANT
PARKING
ADDRESS SPACES
REQ'D PROVIDED-y Q
ZIP 9 7 I K� T/-;,-/J
PHONE e k6t'±f0 t
MAKE CHECKS PAYABLE TO:
r HARVEY T. BRANDY COUNTY ENGINEER FINAL BY
DAT€
APPLICATION VALIDATION CK. M.O. CASH
76A662-CE992 9/74
_ a,