HomeMy Public PortalAbout5000 ENCINITA AVE_Certificate of Occupancy__ APPLICATION FOR &CCUPCY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILD ING `f,, (� - BUILDING AND SAFETY DIVISION
ADDRESS
V 0 Gk BUILDING
CITY_I ZIP �� y ADDRESS 1 000 /1/-
SIZE
-SIZE OF LOT ` NO OF BLDGS o LOCALITY
NOW ON LOT
/ NEAREST
TRACT BLOCK ✓ LOT NO CROSS ST
ASSESSOR
O-NERJ,144
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DISTRCT TYPE FRE�PSSEBYl
ADDRESS L `` /� vp CONST FR
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P
SIZE OF NO OF EXISTING BLDG STORIES / � ECIAL
NDITIONS
PRESENT USE OF BUILDING (cj� /j?SCG-' BLDG SETBACK FROM
7 FRONT PROP LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
NO PARKING
SPAC PROVIDED � ��'� — + _ _
BLDG SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XISTIN Q
SIDE PROP LINE HIGHWAY WIDTH
+
N
CORNER CUTOFF YES NO
PROPOSED MAX OCC OCCUPANCY GROUP
AS VERIFIED OCCUPANT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE
R ECT
/ NO OF EXITS NO SPEC KNOWL ❑
SIGNATURE OF / /off/'_� PANIC DEVICES ❑
APPLICANT
PARKING
ADDRESS
C�
ADDRESS y 7� � �� SPACES REQ'D PROVIDED
v
ZIPOVA
PHONE 11, ,16
-76
MAKE_ CHECKS PAYABLE 70
HARVEY T. BRANDY COUNTY ENGINEER FINAL BY
DATE
APPLICATION VALIDATION CK M 0 CASH
76A662-CE992 12-73 C\ 7 -
✓�._�
APPLICATION FOR OCCUPANCY INSPECTION
t '
BUILDING AND SAFETY DIVISION
R L A T TO FILL IN BUILDING
(Print or type only) ADDRESS J�DOU C(,(�t1Ci
BUDING LOCALITY
DRESS �� 0 O �(J �"A
NEAREST
CITY T�rh ` e ZIP lJ CROSS ST �j ✓
NO OF BLDGS ASSESSOR -
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PRO SSE BY
TRACT BLOCK LOT N0 � 05 CONSTV ZOt� V� �
E 1 \
TEL
USE ZONE MAP Y b/
V NO
DRESS560Q .\�� ��*" / SPECIAL
N/ CONDITIONS
CITY ZIP
BLDG SETBACK FROM
SIZE OF - NO OF FRONT PROP LINE OF (STREET)
EXISTING BLDG STORIES HIGHWAY t YARD - TOTAL SETBACK FROM TYPE OF EXISTING
FRONT PROP LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING
+ _
BLDG SETBACK FROM
NO PARKING SIDE PROP LINE OF (STREET) per„
,SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTIN U
HIGHWAY } YARD = SIDE PROP LINE i HIGHWAY WIDTH I=
_ O
.ASON FOR INSPECTION REQUEST } U
W
CORNER CUTOFF YES NO C�/J
CH 1L a w A)
IrLOCCUPANCY GROUP
D AS VERIFIED OCCUPANT
t LOAD
194 oao ~� EXIT HARDWARE
PROPOSED MAX OCC
NO OF EXITS NO SPEC KNOWL ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR
r
;Ea PARKIN
SPACESGREQ'D DPROVIDEDFINAL, ' BY
SIGNF DATEAPPL
ADDRE / Within the scope of this inspec-
tion the Building Official may,
�^ approve minor corrections or
SCJ alterations of an existing struc-
ture Involving work of a build- Permit Fee
ZIP Ing, plumbing, mechanical or
��,/// `' electrical nature Issuance Fee t
PHONE�y7_y
I I Total Fee
APPLICATION VALIDATION CK M 0 CASH
76A662C-CE992B 11/75 6 Z b,bLL 12 4 V ,v �, ••.� -
R j ,
76A662-CE992-477
APPLICATION FOR OCCUPANCY ONSPECT�ON
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
Bi DING r� �r LOCALITY
1DDRE55 50001+ A Enc inita Ave
CITY Temple lrl t Ca ZIP C�170o NEAREST
O CRN ST
NO OF BLDGS ASSESSOR
SIZE OF LOT /r Q NOW ON LOT 1 MAP BOOK PAGE PARCEL
(� DISTRICT TYPE FIRE CE ED BY
TRACT O BLOCK LOT NO� CONj^ ZONE
WNERLph Qerna NO 286-4914 USE ZONE MAP /� A
DDRESS J L3�
Prospect Ave ��1 SPECIAL
� ! CONDITIONS
c.ITY San Gabriel Ca ZIP 91776 BLDG SET BACK FROM
SIZE OF NO OF FRONT PROP LINE OF (STREET)
EXISTING BLDG STORIES
HIGHWAY + YARD = TOTAL SET BACK FROM TYPE G
FRONT PROP LINE HIGHWAY
WIDTH
WIDTH
ESENT USE OF BUILDING
Warehouse & Sales of Fittings BLDG SETBACK FROM
NO PARKING SIDE PROP LINE OF (STREET)) p
SPACES PROVIDED rJ
HIGHWAY + YARD— TOTALSIDE PR
ACK FROM TYPE OF ISTENG
SIDE PROP LINE HIGHWAY WIDTH
O
EASON FOR INSPECTION REQUEST + W
a
CORNER CUTOFF YES NO N
New Business going in
OCCUPANCY GROUP K�Zs OCCUPANT
r AS VERIFIED LJ LOAD
EXIT HARDWARE
PROPOSED MAX OCC
NO OF EXITS NO SPEC KNOWL ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT DD-- PARKING
p�cl')!SL SPACES REQ'D [__PROVIDED
SIGNATURE OF
PLICANT FINALDATE �� BY
ADDRESS 03 Prospect Ave
Within the scope of this inspec-
San Gabrie(h tion the Building Official may
approve minor corrections or
Calif. ZIP 91776 alterations of an existing struc-
ture involving work of a build- PERMIT FE
mg, plumbing, mechanical or
PHONE 570-904
nature ISSUANCE FE
TOT2AL.FEE
APPLICATION VALIDA No �K N MO CASH
1 0 0 (V
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OD o O D
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