HomeMy Public PortalAbout10608 DAINES DR_Certificate of Occupancy__ /76A662-CE992 ti'm
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS /0&U
BUILDING
ADDRESS E(�I f VG' LOCALITY
NEAREST /
CITU _ �. �.. " ZIP CROSS ST.
SIZE OF LOT C� NO.OF BLDGS. ASSESSOR
�O/ NOW ON LOT cT MAP BOOK PAGE PARCEL
�,p DISTRICT TYPE FIRE PROCESSED BY
TRACT-76 Y"'a BLOCK LOT WOE~L 3; Z7� CONST; / ZONES ��J
OWNER TEL. CONST,
�J
O.cy 7y- /USE ZONE MAP
NO. � 0 O
ADDRESS M �'� SPECIAL
CITU - 7d Z{ONDITIDNB
Ci I ZIP BLDG.SET BACK FROM
SIZE OF N0.OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES
HIGHWAY + YARD = TFRONT PROP.LINE HIGHWAY WIDTHOTAL SET BACK FROM TYPE EXISTING
WIDTH PRESENT USE OF BUILDING >
+ = a
O
BLDG.SET BACK FROM U
NO.PARKING SIDE PROP.LINE OF (STREET) Z
SPACES PROVIDED C
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE EXISTIRG
SIDE PROP. LINE HIGHWAA Y WIDTH F
L
+ W
REASON FOR INSPECTION REQUEST - a
CORNER CUTOFF YES NO Z
/J OCCUPANCY GROUP - OC
CUPANT
Lwt: AS VERIFIED . --y LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS NO SPEC.KNOWL. ❑
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING
SPACES REO'D PROVIDED
SIGNATURE OF •
APPLICANT FINAL BY
DATE
ADDRESS .w�o �J C /C.
Within the scope of this inspection
06/1a 4/V G the Building Official may approve
minor corrections or alterations of
ZIP av an existing structure involving work
PERMIT FEE 3
of a building, plumbing, mechanical
QPHONE or electrical nature. ISSUANCE FEE
TOT E (j
APPLICATION VALIDATION CK. M.O. CASH
i n
0.0 0
9..8 7-�APR 28 22