HomeMy Public PortalAbout10017 LA ROSA DR_Certificate of Occupancy_1/23/1974_covered patio APPLICATION FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
Bm LDmc OQ/,7 �� xo f� �w .BUILDING AND SAFETY DIVISION
DDREss
q/ // BUILDING
CITY �'W' LC' C: /T zIP %/ 0 ADDRESS�G0/
SIZE OF LOT 'G X 9� NOW OF BLOTS. LOCALITY
NEAREST
TRACT A9'I
- BLOCK A LOT'N O. CROSSSOR
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✓ DISTRICT TYPE FIRE OCESSED BY
ADDRESS C- N CONS^ ZO�
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CITY ��IILG/D� GB.Cgv.CHA ZIP��Q�L6 USE ZONE NOP /
SIZE 0 N0. OF (f
EXISTING BLu S IES SPECIAL "
CONDITIONS
PRESENT USE OF BUIL B OG. SETBACK FROM
_ RONT.PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE.OF EXISTING
N0PARKING IGHWAY + YARD .= FRONT.PROP. LINE HIGHWAY WIDTH
. _
SPACES
- CO
U
BLDG. SETS .. ROMIt .
EASON FOR INSPECTION REQUEST -1;( SIDE PROP. LINE 0 "TREETI p
HIGH WAV + YARD .. OT L SETBACK FROM TYPE 0 XIS. 4 w
E
�,m f �/x A�p���f y� �6 CV/e SIDE PROP. LI E" HIGHWAY WIDT I
C'PM/T aR �✓�'�d Pi9Tia + z
CORNER CUTOFF YES NO
'PROPOSED MAX. OCC. OCCUPANCY GROUP .
- - _ AS VERIFIED' OCCUPANT
LOAD
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS -
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE:
RECT.
r
NO SPEC. KNOW
,. - N0. OF EXITS' L'.
❑
, / PANIC DEVICES ❑
.4�ATURE OF /// ,�
APPLICANT 4�'
ADDRESS
PARKING REQ:D= PROVIDED �.
G 7�.- Ci �.ur - SPACES
PHONE4/"77/1
MAKE CHECKS PA}"ABLE TO:
HARVEY T. BRANDY COUNTY ENGYNEER FINAL" '�`/ av .. F
11 DATE
PPLICATION VALIDATION CK. M.O. CASH
22 p $p�p ams
76A662-CE992,3/73 -