HomeMy Public PortalAbout9987 BOGUE ST_Certificate of Occupancy__ 76A662-CE992 11/75
APPLICATION FOR OCCUPANCY. INSPECTION
COUNTY OF LOS ANGELES ,
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
BUILDING
ADDRESS r3
ADDRESS U LOCALITY
CITY "reA.' �� G,) ZIP � 7 5�'V CROSS ST.
NO.OF BLDGS. �7 ASSESSOR
SIZE OF LOT �g x .Q 7 NOW ON LOT _ MAP BOOK PAGE PARCEL-
DISTRICT
ARCEL-DISTRICT TYPE FIRE IPROCES1
BY
TRACT % qp , BLOCK LOT NO
;� :O� • ZO '
-S�
OWNER Al A/t d 0 �l'� I! 0 � NO.�1'"0U I� USE ZONE MAP O.
Q O
ADDRESS �q f f 7 0 O.'r VAC SPECIAL
CITYC1J zip��7D CONDITIONS
BLDG.SET BACK FROM
SIZE OF N0.OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG.' ISTORIES TOTAL SET BACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP. LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING >
+ = a
C
BLDG.SET BACK FROM f.'
NO.PARKING SIDE PROP. LINE OF (STREET) Z
SPACES PROVIDED C
HIGHWAY + YARD= TOTAL SET BACK FROM, TYPE EXISTING
SIDE PROP. LINE HIGHWAY WIDTHILL
F-
REASON FOR INSPECTION REQUEST +xxi - d
.r "/1. O CORNER CUTOFF YES NO z
,L IL►` t OCCUPANCY GROUP OCCUPANT
f AS VERIFIED LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS NO SPEC. KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES, ❑
APPLICATION AND STATE THAT.THE ABOVE IS COR-
RECT.• PARKING : REQ'D PROVIDED=
SPACES
SIGNATURE OF
APPLICANT FINAL +� BY
DATE
ADDRESS
T-1
,) R Within the scope-of this inspection
VJ!7L1 the Building Official may approve
IP minor corrections or alterations of
an,existing structure involving work PERMIT FEE O
of a building, plumbing, mechanical
PHONE or electrical nature. ISSUANCE FEE
APPLICATION VALIDATIO CK. M.O. CASH
�3 '0-.0 0