HomeMy Public PortalAbout4821 CLOVERLY AVE_Certificate of Occupancy__ 76 A,652-C E 1 0/69
_ APPLICATION FOR OCCUPANC INSPE TION
COUNTY OF LOS ANGELES
ASSESSOR '� \
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE,ICOUNTY ENGINEER ADDRESS
COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT T FILL IN NEAREST
(Print or type only) CROSS ST
BUILD �/ DIST R CT NO RO ESSED BY
-ADDRESS <fLo Y� F—R TF7 D.7
USE ZONE MAP
LOT NO BLOCK NO
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TRACT ,[!��/, SIZE OFLjOT� (J CONDIT ONS
OWNER /` ✓V lJ/No
(y /'') '/ BLDG SETBACK FROM
ADDRESS p2 o (�[�. y Z� FRONT PROP LINE OF (STREET)
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[TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY , HIGHWAY WIDTH FROM C L
SIZE OF NO OF
EXISTING BLDG C9 C7 -S / STORIES +RI nc.
_
PRESENT USE OF BUILDING ,61��i1/�BJyl �Lj SIDE PROP LINE M (STREET)
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TYPE OF EXISTING SETBACK HIGHWAY + D = TOTAL
el-V-AQ' HIGHWAY WIDTH FROM C L
NO OF ID UING BUILDINGS
ON LOT ANUSE
A '6/�/ s + -
/`(✓s��'' C�1 `/t' CORNER CUTOFF YES ❑ NO ❑ V
NO PARKING
SPACES PROVIDED D F-
OCCUPANCY GROUP w
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PROPOSED USE OF BUILDING (3��!` D,7 OCCUPANT LOAD '
/ EXIT HARDWARE
ai1v gaelvs PG( ore' No Spec Knowl ❑
Panic Devices El�r PROPOSED MAX OCC "t NO OF EXITS
PARKING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
SPACES REQ'D O PR I ED D
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT 515-1,70
SIGNATURE OF 4
APPLICANT I
ADDRESS
4
ZIP
APPROVAL DATE INSPECTOR
—T7
PHON 66//2 FINAL APPROVAL 'o/'791
JOHN F LEWIS, PRINCIPAL STRUCTURAL ENGINEER
-APPLICATION VALIDATIONCK M 0 CASH
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