HomeMy Public PortalAbout9921 DAINES DR_Certificate of Occupancy__ 76A662-CE992 10/69
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,---APPLICATION FOR OCCUPANCY INS CT ON .
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING 21
I JOHN A. LAMBIE,ICOUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
LC, T tJ
(Print or type only) CT NO PROCESSED BY
BUILDING /1ADDRESS 2.t_w�• 0 -
NE MAPLOT NO BLOCK NO
PECAL
TRACT SIZE OF LOT &j�J LCONDITIONS
TEL.
OWNERe7 LDG SETBACFROM
NO
ADDRESS FRONT PROP LANE OF (STREET)
TYPE OF I N G SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WID ROM C L
SIZE OF NO OF _
EXISTING BLDG ISTORIES 'F
PRESENT USE OF BUILDING BLDG SETBACK FROM
SIDE PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACKHIGHWAY + YARD = TOTAL
HIGHWAY WIDTH FROM C L
NO OF EXISTING BUILDINGS
ON LOT AND USE + = d
O
CORNER CUTOFF YES❑ NO G.7
NO PARKING =
SPACES PROVIDED
OCCUPANCY GROUP _'� w
a
z_
PROPOSED USE OF BUILDING OCCUPANT LOAD
- EXIT HARDWARE:
No Spec. Knowl. ❑
Panic Devices ❑
PROPOSED MAX OCC NO. OF EXITS
PARKING REQ'D o ROVI ED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES '
APPLICATION` A'NO STATE THAT THE ABOVE IS COR- `
RECT 7�
SIGNATURE OF
APPLICANT
ADDRESS
APPROVAL DATE INSPECTOR'S
ZIP SIGNATURE
PHONE _ ® FINAL APPROVAL /
JOHN F. LEWIS-PRINCIPAL STRUCTURAL ENGINEER
�/f /� L L a APPLICATION ,VALIDATION M.0 CASH
5 MIA 2 4 2 2 D 1 5.0 0- 4"