HomeMy Public PortalAbout9016 BROADWAY_Certificate of Occupancy__ ]6 A662G E99210/69 � / y� �i� � �I
APPLICATION R OCCUPA CY INSPECTION �'ILllll
COUNTY-OF LOS ANGELES
ASSESSOR --
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILot NG n
7 l ii-(7
JOHN A. LAMBI E,I000NTV ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDINGLOCALITY
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FOR APPLICANT TFILL IN NEAREST /1
(Prior or type only) CROSS ST.
BUILDING., _ DISTRICT N0. PROCESSED BY
ADDRESSrq -
.1
LOT N0. USE ZONE MAP
BLOCK /,.^v �J NO
TRACT a 'I SIZE OF LOT fir w7 CONDITIONS_
TEL
OWNER N0. _Q
ADDRESS S, BLDG. SETBACK FROM
.�` FRONT OP.LINE OF (STREET)
2CR D TYPE OF E%1 SETBACK HIGHWAY } YARD = TOTAL
CITY NIGMW AY WIDTH OM C.L.
SIZE IN NO. OF
EXISTING BLDG. STORIES I } _
PRESENT USE OF BUILDING BLDG. SETBACK FROM
SIDE PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY VA Ro = TOTAL
HIGHWAY WIDTH FROM C.L.
NO. OF EXISTING BUILDINGS
ON LOT AND USE }
O
CORNER CUTOFF VES❑ NO ❑ U
NO. PARKING O
SPACES PROVIDED
OCCUPANCY GROUP
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PROPOSED PO
OF BUILDING OCCUPANT LOAD
m ® EXIT HARDWARE:
y '�Y. No Spec. Knowl. ❑
Panic Devices ❑
PROPOSED MAX. OCC. NO. OF EXITS
PARKING . REQ'0 D PROVIDED D
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS SPACES
APPLICATION D STATE THAT THE ABOVE IS COR-
RECT.
SIGNATURE F ',.- G ) -T/ �////
APPLICANT L^C'✓W L' 1 �� I l�I Gl N / C,�L'Ltt?/C-(/,/
ADDRESS (j 30 /J/�(7/)/ j.•t.:e_ C'GC/GI "' "^^'
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APPROVAL DATE INSPECTOR'S
ZIP SIGNATURE
i] PHONE Y 6'v 3oS FINAL APPROVAL
JOHN F. _EW, S, PRINCIPAL STRUCTURAL ENGINEER
APPLICATION VALIDATION CK. M.01. AS
IAr, 9386r IAR2522 D 15.00
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