HomeMy Public PortalAbout4857 CLOVERLY AVE_Certificate of Occupancy__ 76AB62-C E992 1 0/69
APPLICATION FOR OCCUPANC INSPEC ON
COUNTY OF LOS ANGELES
ASSESSOR
i DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE,ICOUNTY ENGINEER
COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY
R APPLICANT TO FILL IN NEAREST
(Print or type only) CROSS ST
DISTRICT NO PROCESSED BY
BUILDING /' r / I ter- D
ADDRESS 57 A (� ( ' ,
LOT NO BLOCK USE ZONE MAP
q NO (/ j
TRACT /� SIZE OF LOT'�e` x ! AL
0 (� CONDPECIT ONS (!-
OWNER , 1q � r NOL
-430�]�'r� BLDG SETBACK FROM
ADDRESS !� p FRONT PROP LINE OF (STREET)
CITY W fF e} /1 U HIGHWAY TYPE OFEWSDTHG FROM CCL HIGHWAY } YARD = TOTAL
SIZE OF
EXISTING BLDG STORIES +'
PRESENT USE OF BUILDING SLOG SETBACK FROM
Cie/7q SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWA YARD = TOTAL
HIGHWAY WIDTH FROM C L
NO OFF BUILDINGS
ON LOT AND USE } = d
O
Or r'? + CORNER CUTOFF YES❑ NO ❑ C1
NO PARKIN C=
SPACES PROVIDED D4:1
F-OCCUPANCY GROUP w
PROPOSED USE OF BUILDING OCCUPANT LOAD
a O
0'57.4-"40 .2 EXIT HARDWARE
No Spec Knowl ❑
Panic Devices El
ivls P_I AA.n
PROPOSED MAX OCC -f�mr j NO OF EXITS
PARKING REQ'D D PROVIDED D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT
SIGNATURE F J�Gj Qv �/�j�.V / SI
APPLICAN �•11.E
ADDRESS /Qd
We 41/
INSPECTOR'S
Call Q zip 9i yv APPROVAL DATE SIGNATURE
PHONE 3.30- 73 a? FINAL APPROVAL _ /
JOHN F LEWIS, PRINCIPAL STRU RAL ENGINEER
APPLICATION VALIDATION cK M 0 CASH
1 A�'f 8 4 7 1 4 AN2 5 2 2 D 1 5.0 0 N