HomeMy Public PortalAbout10525 1/2 DAINES DR_Certificate of Occupancy__ 76A662—CE992 6/71
APPLICATION FOR ,®CCUPAN Y INSPE ON - L1
COUNTY OF LOS ANGELES
DEPARTMENT'OF COUNTY ENGINEER
BUILDING AND SAFETY-DIVISION' " BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER I
COLEMAN W JENKINS, SUPT OF BUILDING" LOCALITY ,
FOR APPLICANT TO FILL IN NEAREST
! (Print or type only)
t '' CROSS ST
BDf DIST IC,7 Npay''_ pROCESSE BY
UILING _ o
ADDRESS - f!� i
" 1 , USE ZONE MOAP O '
LOT NO BLOCK
N .
P CIAL
TRACT ��ryry / /^ SIZE OF LOT,— _ J CONDITIO,TENS
OWNER ,fh.0 4 r�(C ,.tL
No
��1/�40
ADDRESS %�3O1/ FROSETBACKOM
FRONN T PROP LINE'OF (STREET)
TYPE OF' EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITYd c rPL�. c:•(T� HIGHWAY WIDTH FROM C L
SIZE OF NO OF
EXISTING BLDG STORIES + _
PRESENT USE OF BUILDING • .* BLDG SETBACK FROM,
SIDE PROP LINE OF `(STREET)
TYPE OF EXISTING SETBACK HIGHWA YARD = TOTAL '
` HIGHWAY WIDTH FROM C L '
,NO OF,EXISTING BULLDINGS „
ON LOT AND USE +
` CORNER CUTOFF YES❑ NO ❑, '
NO PARKING U
SPACES PROVIDED
OCCUPANCY GROUP �
PROPOSED USE OF BUILDING ` t +' C"
OCCUPANT LOAD z_
-5 42/2 s`h/ED EXIT HARDWARE:
T/ y
No,Spec Knowl El '
F 'Panic{ ,Devr'ces ❑
" PRO POSED;MAX OCC _ NO OF'EXITS �❑ ' y
-V ..F `+ .'-•c .PARKING . s
SPACES .REQ'D ° �P OVIDED`
L' O
I HERE BY;A,CKNOWE'DGE THAT-1',HAVE READ,THIS-
'APP,LICATION AND STATE THAT THE ABOVE IS ,COR— H Y, �j q ,
REC , ' 7
SIGNATURE,OF%
APPLICANT Q�' ��, S �• � � `
ADDRESS`A!5"J!'X - .v •h• J�' � { V Y`' 3 �� _
AV
' / GJn� INS CTOR'S,,
— ;IP
01: ' , APPROVAL DATE r > NATURE
PHONE NAL FINAL APPROVAL
" JOHN F LEWIS, PRINCIP L TnK
URAL ENGINEER
APPLICATION V,A• ID N M 0 CASH.
5 , ,(,N AU s�15'.a 2 'a 8.4.0 a