HomeMy Public PortalAbout9113 BLACKLEY ST_Certificate of Occupancy__ t Q76A642 CE992(REV 11/78)2/79
APPUCAT ON F OCCUPANCY SP TION
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
r
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
BUILDING
ADDRESS 7113 t � � LOCALITY
CITY ZIP NEAREST
NO OF BLOGS CROSS ST
SIZE OF LOT NOW ON LOT ASSESSOR
MAPBOOK PAGE PARCEL
TRACT BLOCK LOT NO DISTRICT TYPE FIRE PROC SSED BY
t TELo�d —WA �� �y CQNST/ ZONE
OWNE O Vl
ADDRESS 174USE ZONE MAP �/n C
NO / v
c' ZIP 0 SPECIAL
SIZE OF NO OF / CONDITIONS
EXISTING BLDG SrORIES V'
OCCUPANCY GROUP
PRESENT USE AS VERIFIED ® OCCUPANT
OF BUILDING
LOAD �
EXIT HARDWARE
NO PARKING - NO OF EXITS NO SPEC KNOWL ❑
SPACES PROVIDED
PANIC DEVICES ❑
REASON FOR
PARKING REQ'D PROVIDED INSPECTION REQUEST SPACESFINA /
DATE `O '� BY ci�
PERMIT Within the scope of this In
FEE pectlon the Building Official may
ISSUANCE approve minor corrections or
s, FEE alterations-of an existing struc
TOTAL ture Involving work of a building,
s PROPOSED MAX OCG FEE plumbing, mechanical or elec
tncal nature
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION AND STATE THAT THE ABOVE IS
CORRECT
SIGNATURE OF v
PERMITTEE ,
ADDRESS // y
"° �A20A
BLDG SETBACKFROM FRONT
,
PROP LINE OF (STREET) # O i O,O 'o 2'2
� 1
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
FRONT PROP LINE .HIGHWAY WIDTH 2,0,0,6 1.0 0
+ - 0 0 0"61,00
BLDG SETBACKFROM SIDE
/, p
PROP LINE OF (STREET) 0 6 0rµ-8 0
HIGHWAY + .YARD TOTAL SETBACK FROM TYPE OF EXISTING
SI DE PROP LINE HIGHWAY ,WIDTH /
®f
1 '