HomeMy Public PortalAbout5219 DOREEN AVE_Certificate of Occupancy__ /69
]6A662-CE9921°APPLICATION FOR OCCUPANCY INSPECT[bN
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE,ICOUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUP'T of BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
(Print or type only) CROSS ST.
BUILD(NG e+�� hD �t N' DISTRICT NO. PROCESSED BY
ADDRESS
USE ONE MAP
LOT NO. BLOCK NO, pF--
f/ P IAL
TRACT SIZE OF LOT I CONDITIONS
TEL �y
OWNER NO. (/
BLDG. SETBACK FROM
ADDRESS
FRONT PROP.LINE OF (STREET)
��o- ` TYPE OF E%(STING SETBACK HIGHWAY } YA RD = TOTAL
CITY E _ HIGHWAY WIDTH FROM C.L.
SIZE OF N0. OF
EXISTING BLD . IS
}
PRESENT USE OF BUILDING BLDG. SETBACK FROM
SIDE PROP.LINE OF (STREET(
TYRE OF EXISTING SETBACK HIGHWA } YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
NO. OF EXISTING BUILDINGS
ON LOT AND USE } _
Y
CORNER CUTOFF YES❑ NO ❑
O
N0. PARKING U
SPACES PROVIDED T
OCCUPANCY GROUP rtl o
U
W
PROPOSED USE OF BUILDING
OCCUPANT LOAD z
EXIT HARDWARE:
No Spec. Knowl. ❑
Panic Devices ❑
ROPOSEO MAX. OCC. NO. OF EXITS
PARKING
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES REO'D PROVIDED
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
SIGNATUREC�!E \ C� f`. �/• (J(_/(�//%v
APPLICANT ,F
ADDRESS
4A/J r�
DATE I SPECTOR'S
ZIP //,, IGNATU E
PHONE7� V7903 FINAL APPROVAL CIZ '7/
JOHN F. LEWIS, PRINCIPAL STRUCTURAL R
APPLICATION VALIDATION CK. M. CAS
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