HomeMy Public PortalAbout5004 ENCINITA AVE_Certificate of Occupancy__ 7 6 A 66 2-C E 9 9 2 10-71 ) Qpp® r-- %A FA II^gip pya Y N p+ Ip��gp
/ COUNTY OF LOS ANGELES
�J DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS Q� 1
LOCALITY
FOR APPLICANT TO FfL—I IN NEAREST
(Print or type only) CROSS ST /
DIS�81CCU 0 C'� SS�D BY
BUILDING �`//..�J�J, S ,_JJl
ADDRESS
LOT NO , BLOCK USE ZONE MAP /
NO
TRACTZZ SIZE OF LOT 6,�)( /l�5 CPECAL
ONDIT ONS
A TEL (!
OWNER �A NO v
l BLDG SETBACK FROM
ADDRESS ZE FRONT PROP LINE OF (STREET)
TYPE O EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY �� HIOHW Y WIDTH FROM C L
SIZE OF NO OF
EXISTING BL STORIES + _
PRESENT USE 0)1,,BUILDINGZ BLDG SETBACK FROM
SIDE PROP LINE OF (STREET)
TYPE OF 1EXISTING SETBACK HIGHWAY YARD = TOTAL
NO OF EXISTING B D GS HIGHWAY WIDTH FROM C L
ON LOT AND USE + _
CORNER CUTOFF YES❑ NO ❑ ate.
NO PAR G
SPACE PROVIDED U
OCCUPANCY GROUP
0
PROPOSED USE OF BUILDING W
OCCUPANT LOAD N
D EXIT HARDWARE:
No Spec Knowl ❑
Panic Devices ❑
PROPOSED MAX OCC NO OF EXITS
PARKING REQ'D PROVIDED L-J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES '
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT
i90✓sI6-L 01-0CcS !(,Oit,IKLs9-
SIGNATURE OF
APPLICANT
ADDRESSG-
G 1
APPROVAL ' DATE INSPECTOR'S
ZIP SIGNATURE
PHONE FINAL APPROVALG�7,
O !
(, APPLICATION VALIDATION CK M o (CA!!)
,`4 9 7 R APR 12 2-2 0 1 8.0 0AW