HomeMy Public PortalAbout10559 DAINES DR_Certificate of Occupancy__ /69
76'f'52-CE99ZIDAPPLICATION FOR OCCUPAN�PEON
COUNTY OF LOS ANGELES Assess oR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING n
JOHN A. LAMBIE,ICOUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPL CA T'TO FILL IN NEAREST =JEwo,
(Print or t e only) CROSS ST. L
BUILDING B/f DISTRI�ClT NO. PROCESSED B
ADDRESS �V
LOT NO. BLOCK US ZONE MAP �y
TRACT SIZE OF LOT 8 Z`� / CON OITIONS
TEL
OWNER 2 N0.
BLDG. SETBACK FROM
ADDRESS �- FRONT PROP.LINE OF ��1/CS (STREET)
. TYPE OF TINGFREOTM ACC.L. + YARD TOTAL
CITY ca r OTN
IHIGHWAY
SIZE OF OF /
EXISTING BLOC. - TORIES �L 60 + /LTJ = ZKJ
PRESENT USE OF BUILDING BLOC. SETBACK FROM
SIDE PROP.LINE OF (STREETI
/e..� i _ POOTYFE of E%ISTINc SETBACK HIGHWAY + YARD = TOTAL
`�✓"�/✓"� HIGHWAY WIOTM FROM GI_.
NO. OF EXISTING BUILDING
ON LOT AND USE +
O
CORNER CUTOFF YES ❑ NO ❑ U
N0, PARKING O
SPACES PROVIDED
OCCUPANCY GROUP
N
PROPOSED USEFF BUILDING
Z
Y J OCCUPANT LOAD
AIV EXIT HARDWARE:
No Spec. Knowl. ❑
Panic Devices ❑
PROPOSED MAX. OCC. NO. OF EXITS
PARKING . REO'D DF PROVIDED D
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES l
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
SIGNATURE OF
APPLICANT
ADDRESS
DDRRREEESSSCAI
ZIP /^A APPROVAL DATE IN GNC TURES
EC TO PHONE FINAL APPROVAL
JOHN F. LEWIS, PRINCI AL RUCTURAL ENGIN R
APPLICATION VALIDATION CK. M.O. CASH
ar 6 8 7 9R;.SEP 23 2 2 D 1 5.00- v
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