HomeMy Public PortalAbout5414 CLOVERLY AVE_Certificate of Occupancy__ 76A662-CE9at(REV'71/7.) APPLICATION FOR OCCUPANCY'INSPECTION
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COUNTY OF LOS ANGELES • BUILDING AND SAFETY
- FOR APPLICANT TO FILL IN BUILDING
ADDRESS
BUILDINGr
DDRESs LOCALITY
CITY NEAREST
� xY� ow�I CROSS ST f
v No oP LOT BLDcs
SIZE DF LOT v - Non ASSESSOR
MAPBOOK PAGE, PARCEL
TRACT LOCK^ Lor no DISTRICT TYPE FIRE PROCE SED BY
TEL CONY Z01 `
OWNER Q- 4 (�E NO /O S `
ADDRESS J
USE ZONE MAP �
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NO �a6 (l,- -r U
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CITY 1 ejT z1F /�1,200 SPECIAL z
size OF NO OF CONDITIONS CD
EXISTING BLDG FL STORIESr U
C
OCCUPANY GROUPW
PRESENT USE AS VERIFIED OCCUPANT CL.
OFBUILDING Cn
LOAD-
EXIT
OAD EXIT HARDWARE
NO PARKING ; �' NO OF EXITS_ NO SPEC KNOWL ❑ "E
SPA ES PROVIDED
PANIC DEVICES ❑
PARKING- REQ'D PROVIDED
REASON FOR i SPACES
INSPECTION REQUEST
FINAL dl�A BY
DATE
_ PERMIT FEE ; WI In the scope ofthlsinspection '
the Building Official may approve
ISSUANCE FEE minor corrections or alterations
` of an existing structure Involving
° TOTAL FEE work of a building, plumbing,
" PROPOSED MAX DCC mechanical or electrical nature
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION AND STATE THAT THE ABOVE IS COR
RECT
SIGNATURE OF + yf ^
PERMITTEE
ADDRESS
1' �� TEL
CITY �! � � ` NTEO
BLDG SETBACK
PROP LINE"OF (STREET) 0 1.6 5 A
TOTAL SETBACK FROM TYPE OF EXISTING o22
HIGHWAY + YARD .FRONT PROP LINE HIGHWAY WIDTH ' I O`O`O
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+ 20a6100
BLDG SETBACK
FROM SIDE
' PROP LINE OF (STREET) ` I - 'o:0
O 6 1, 006'
+
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD u SIDE PROP LINE HIGHWAY WIDTH
0601 -80