HomeMy Public PortalAbout5909-5927 CLOVERLY AVE_Certificate of Occupancy__ a
76A68OC EBB2(R EV 11/]4)
,APPLICATION *FOCC&PANIC SP CTION
COUNTY OF LOS ANGELES • BUILDING AND SAFE'TYY/�J,
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
B LDING ' a
DO RESS LOCALITY
CITY zv Igo NEAREST
NO OP BLDGS CROSS'ST
SIZE OF LOT I NOW ON LOT ASSESSOR
MAPBOOK PAGE P CEL
TRACT I LOCK Lor No I1 DI RICT TYPE FIRE i PR BY
EL CJI CONSr[
OWNER Oj7,27 L?2
/ i /
DRESS � � S USE ZONE MAP
NO TM Qa� O
U
L,-,TY I"
SPECIAL Z
/ CONDITIONS O_
SIZE OF NO OF
EXISTING SLOG STORIES t
P 9HNT USE OCCUPANCY GROUP ' LAJ
P BUILDING + , AS VERIFIED _ OCCUPANT COO
z
EXIT HARDWARE
O PARKING ' > NO OF EXITS NO SPEC KNOWL ❑
SPACES PROVIDED i
PANIC DEVICES ❑
PARKING REQ'D PROVIDED
rR 'SON FOR SPACES
SPECTION RCGU EST e-i-1
61./ !
FINAL _ / Ci BY t �
-p i� i DATE
11 (p T
PERMIT FEEWlthln the scope of this inspection
the Building Official may approve
ISSUANCE F k. minor corrections or alterations
of an existing structure Involving
TOTAL FEE work of a building, plumbing,
PROPOSED MAX OCC mechanical or electrical nature
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS -� '✓ '" '�"�"� APPLICATION VALIDATION
APPLICATION AND STATE THAT THE ABOVE IS COR-
NATURH �� ����
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HIGHWAY + YARD v FRONT PROP LINE HIGHWAY WIDTH
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FROM SIDE
PROP LINE OF STREET'
TOTAL SHTOACK FROM TYPE OF EXISTING • I
HIGHWAY + YARD a BIDE PROP LINE HIGHWAY WIDTH 1
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APPLICATION FOR OCCUPANCY INSPECTION ,
D BUILDING AND SAFETY DIVISION
R APPLICANT TO FILL IN BUILDING � `
(Print or type only) ADDRESS
BUILDING LOCALITY
ADDRESS
NEAREST
CITY e4kn 00 lee ZIP CROSS ST
NO OF SLOGS ASSESSOR Q
SIZE OF LOT NOW ON LOT MAP BOOK PAGE
I' DISTRICT
/ PARCEL
TYPE FIRE PROCES ED BY
TRACT J( BLOCK LOTH O �O r/ CONST ZONE
N E R G No ar k o USE ZONE MAP �O^
NO C/
DRESS ;
o, / 4 C/ SPECIAL _
CONDITIONS
TY = ZIP
Q BLDG SETBACK FROM
SIZE OF NO OF FRONT PROP LINE OF (STREET)
EXISTING BLDG STORIES TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY } - YARD = FRONT PROP LINE HIGHWAY WIDTH
,41RESENT USE OF BUILDING
G Vj Gaild1hr,7 } _
BLDG SETBACK FROM
NO PARKING SIDE PROP LINE OF (STREET)
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTIN V
HIGHWAY } YARD,= SIDE PROP LINE HIGHWAY WIDTH =
O
} _ U
EASON FOR INSPECTION REQUEST w
a
CORNER CUTOFF YES NO Z
OCCUPANCY GROUP
AS VERIFIED OCCUPANT
LOAD
EXIT HARDWARE
PROPOSED MAX OCC
NO OF EXITS NO SPEC KNOWL El
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT PARKING
SPACES REQ'D 1 :1 PROVIDED
FINAL GD BY yI'll
GNATURE OF DA TE�'
APPLICANT
DRESSA&
Within the scope of this Inspec
tion the Building Official may
approve minor corrections or
lye a 0-dy eL` alterations`of an existing struc
ture Involving work of a build Permit Fee
Gi ZIP C-oc Ing plumbing, mechanical or
4 electrical nature Issuance Fee
PHON
Total Fee
APPLICATION VALIDATIONwo- - oM NO CASH
C o'
76A882C-CE9928 11/75
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]6A662-CE992-(REV. 11/]8) s
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES • BU
_ILDING,I AND SAFETY
�
FOR APPLICANT TO FILL IN BUILDING
ADDRESS � ,
BUI NG 5- ^/ e� s�-
RESS � / O U LOCALITY
CITY e ' z I F �RQ NEAREST /
CROSS ST.
NO. OF BLDG S.
SIZE OF LOT NOW ON LOT ASSESSOR
MAPBOOK PAGE PARCEL
TRACT LocK Lor No. DISTRICT TYPE. FIRE PROCES D BY
V NEL, CONST/ ZONE111
OWNER NO. Cq'
CL
USE DDwess USE ZONE MAP
t N O. ��7 Vi
CITY IP ��lL
SPECIAL C
SIZE OF NO,
OF CONDITIONS CD
EXISTING BLDG. STORIES W
PR ENruNsEG �J OCCUPANCY GROUP
F BUILDIAS VERIFIED OCCUPANT z
LOAD
EXIT HARDWARE:
NO. PARKING NO.OF EXITS NO SPEC.KNOWL. ❑
SPACES PROVIDED
PANIC DEVICES ❑
REASON FOR
PARKING REQ'D. PROVIDED
SPACES:
ECTION REQUEST
FINAL BY
44 DATE
L. PERMIT FEE Within therscope of this inspection
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. OCC. mechanical or electrical nature.
I LI
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VADATION
APPLICATION AND STATE THAT T ABOVE IS COR-
RECT.
SIGNATURE OF �V
ERMITTEE / {i/1✓�
DRESS /`�33 Clokes.s
ITV I� �Ti V/�✓"�\ •z Cel( NOL L C V S A
BLDG.SETBACK. ' O O.O O 2 Z
FROM FRONT
PROP.LINE OF (STREET) 1 ,
TOTAL SETBACK FROM TYPE OF EXISTING O O o D 0 0'0
HIGHWAY + YARD = FRONT PROP. LINE HIGHWAY WIDTH ,
+ _
0204-80
BLDG. SETBACK
FROM SIDE
PROP. LINE OF (STREET(
TOTAL SETBACK FROM TYPE OF EXISTING '
HIGHWAY'+ YARD v SIDE PROP. LINE HIGHWAY WIDTH
+
79AM2-CE992-'REV 11176) v ,�
Y' APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
BUILDING
ADDRESS LOCALITY -
z
CITY �/ r Lcaq IP NEAREST `
No of BLocs
CROSS ST
SIZE OF LOT NOW ON LOT ASSESSOR
MAPBOOK PAGE PARCEL
TRACT LOCK LOT No _ DISTRICT TYPE FIRE PROCEE$SED BY
J
CONST ZONE
OWNER � /
ST
I`,5'Mu USE ZONE MAP
oDRess �.. � d `
NO
CITY ZIP �/ / SPECIAL
Z
CONDITIONS O_
SIZE OF NO OF
SXl6 TING BLDG 6TORIe6
PR H9ENT use 1 1l � OCCUPANCY GROUP Y W
OF BUILDING �/W�y AS VERIFIED . OCCUPANT , N
L LOAD-
y
EXIT HARDWARE
NO PARKING i NO OF EXITS NO SPEC •KNOWL ❑
SPAC E6 PROVIDED - I
PANIC DEVICES ❑
REA6ON FOR L_ 1 1 PARKING REQ'D PROVIDED
INSPECTION REQUEST fSPACES a
`N DATEL BY
PERMIT FEE Within the scope of this Inspection
a 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 OCC mechanical or electrical•nature
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ���L^ .alt r�� -� C� APPLICATION VALIDATION
APPLICATION AND STATE THAT THE ABOVE IS COR
RECT
'SIGNATU R6 F V1 k° i
PERMITTEE
ADDRESS c.lDl)� ✓✓ ,,,��• ////��� H / �A O1A
CITY • NOS • ' 1 1
O O,O O 2 2
� 1
BLDG SETBACK { {
FROM FRONT OTO 010 O 0 O
PROP LINE OF (STREET) 9 a
v TOTAL SETBACK FROM TYPE OF EXISTING O +
HIGHWAY + YARD t O �, }�
FRONT PROP LINE HIGHWAY WIDTH 7 (J
+ a L
BLDG SETBACK
FROM SIDE
PROP LINE OF ' (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD SIDE PROP LINE HIGHWAY WIDTH
' � M
+
78A662-C E992-(REV. 11/]6) �
APPLICATION OR OCCUR66-Y INSPECTION
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS 0�.
BUILDING
DDRESS ►C( LOCALITY
CITY'TrMPL- I zIP R NEAREST ��j•
/
NO. OF BLOcs. CROSS ST.
SIZE OF LOT NOW ON LOT ASSESSOR _
MAP BOOK PAGE. PARCEL
TRACT - LOCK Lor No. DISTRICT TYPE. FIRE P ES ED B
TEL. Nr
OWNER----RS
8 %6'M NO. /
/
ADDRESS _ICtG� USE ZONE MAP p
No. �O V
CITY 'TTri►v-,P J_e T1/ ZIP C(i p l I SPECIAL
It CONDITIONS
SIZE OF NO. OF U
EXISTING BLDG. STORIES
III
OCCUPANCY GROUP 00-
RESENTUSE AS VERIFIED OCCUPANT Z
OF BUILDING LOAD
EXIT HARDWARE:
ND. PARKING NO.OF EXITS NO SPEC. KNOWL. ❑
S PACES PROVIDED
PANIC DEVICES ❑
PARKING REQ'D. PROVIDED
REASON FOR SPACES:
INSPECTION REQUEST
w FINAL
Wru� `Bost tj r--,es rr kJL;t>tO. DATE
• PERMIT FEE Within th scope of this inspection
19 0 the Building Official may approve
ISSUANCE F .E minor corrections or alterations
of an existing structure involving
TOTAL FEED 'IV work of a building, plumbing,
PROPOSED MAX. OCC. mechanical or electrical nature.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS U APPLICATION VALIDATION
APPLICAT4OF
STATE THAT THE ABOVE IS COR-
RECT. t
SIGNATURE PERMITTEE (C� /
ADDRESS
CITY A�V i/f^ ` • NOL
BLDG. SETBACK 76 Jrt 1 A
FROM FRONT
PROP.LINE OF (STREET) # Q O O-O 4;0
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP. LINE HIGHWAY WIDTH
(O 0 0 0 0 0'0'!,D
11,0-7-79
BLDG. SETBACK '
FROM SIDE
PROP.LINE OF (STREET)
TOTAL SETBACK FROM TYPEOF EXISTING
HIGHWAY-, YARD = SIDE PROP. LINE_ HIGHWAY WIDTH