HomeMy Public PortalAbout6013 BARTLETT AVE_Certificate of Occupancy__ "APPLI-CATION FOR OCCUPANCY INSPECTION
FOff,CJPLICANT TO FILL. IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING BUILDING AND SAFETY DIVISION
ADDRESS r/,Jf // tL
CITY ZIP `/ r 77,5-
ADDRESSD
bRi E�
SIZE OF LOT 76 X 9 NOW ON LONO. OF TS LOCALITYNEAREST /�TRACT / p BLOCK LOT NCROSS ST. cLASSESSOR
TEL*OWNER G � - NO. MAP BOOKPAGE PARCEL
DISTRICT TYPE FIRE pR EDADDRESS r� tG�rri � CONST ZONE `
CITY � b/i�CL ZIP 9177 S US ONE MAP ���
SIZE OF. nn N0. OF NO.
EXISTING BLDG. M STORIES SPECIAL
CONDITIONS
PRESENT USE OF BUILDING - BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING
NO. PARKING FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED }
BLDG. SETBACK FROM yy..
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) a
HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING
t� S
�°d I" e- C SIDE PROP. LINE HIGHWAY WIDTH pc
S S � w
CORNER CUTOFF YES NO
0
PROPOSED MAX. OCC. OCCUPANCY GROUP
AS VERIFIED OCCUPANT
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
R ECT. EXIT HARDWARE:
NO. OF EXITS F-1 NO SPEC. KNOWL. ❑
SIGNATURE OF PANIC DEVICES ❑
APPLICANT
PARKING
ADDRESS M /� SPACES REQ'D ROVIDED
!� F- Z, 177x"
4tc IA. . tole!
/ k-60 q/ :C�.l(
PHONE J
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY N INEER FINAL BY
DATE
APPLICATION VALIDATION M.L. CASH
?6AOU-CEM 9/74 1 8 1 1 MAR 14 2 2 A 1 8.0 0