HomeMy Public PortalAbout5030 ENCINITA AVE_Certificate of Occupancy__ 76A662-C E992
APPLICATION F®R OCCUFPANCV I'NSPECTI®N
FOR APPLICANT-TO FILL= INBUILDING
'(Print"or type only) AD#DREss
BUILDING LOCALITY
ADDRESS 5030 Enc in ita
CIT - NEAREST
Y.: Temp le 'C l t ZIP 91 786 v• CROSS ST
SIZE OF LOT NO'bF`BLDGS. ASSESSOR, _
=NOW`ON LO_ T �' ,a MAPBOOK' PAGE PARCEL
DISTRICT TYPE- • FIR'E PROCESSED BY
TRACT BLOCK LOT Nd.' 'CON ZONE n�t_{`/�
TEL �� �, ACV 1�o(:LNYvti"�-
OWNER'Ko and V!],son NO. USE ZONE MAP
NO:
ADDRESS , 2_.1 0 E. I8th SPECIAL '
• CONDITIONS � ''
CITY COS ta. e CA ' ' ZIP, 262 BLDG.SET BACK FROM
SI ZE O F = NO.OF FRONT PROP,LINE OF (STREET)
EXISTING BLDG`. STORIES
HIGHWAY. + YARD = TOT AL SET.BACK FROM TYPE OF ExLSTwG
FRONT'PROP.LINE HIGHWAY //WIDTH
-PRESENT USE OF BUILDING
BLDG.SET BACK FROM
NO. PARKING SIDE PROP. 'LINE OF' (STREET)1 O
SPACES PROVIDED, V
TOTAL'SET BACK,FROM TYPE OF Exlsrwc
HIGHWAY'',+ YARD= SIDE PROP LINE HIGHWAY WIDTH
O
REASON FOR INSPECTION�REQUEST + - W
.CORNER CUTOFF - YES " ' NO
Business License iris ection ' - - - =Z
.00CUPANCY GROUP
AS VERIFIED OCCUPANT
LOAD
_ ," • EXIT HARDWARE
,',PROPOSED MAX.OCC' �� –
NO.OF EXITS _ /,,NO WL.
OWL. ❑
.I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS '��> - - _ '• PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE,IS CO'R=� ' =
RECT. PARKING
- SPACES REQ'D P IDED'
SIGNATURE OF '
APPLICANT Whack-0-Construction
01.NAL BY
DATE
y
ADDRESS 5030` Enc in i to Ave.-
Within the scope of this inspec-
tion the Building Official may
p-mPe—C CA
approve minor .corrections or
• - -
zip ' 9f.780,'- alterations of an,exi.sting struc-
ture involving work of a build- PERMIT FEE
•+ ' o' Ing, plumbing, 'mechanical or .
PHONE 207,^052• electrical nature ISSUANCE FEE
o; o 1% TOTAL FEE
C)APPL I�gT4ON VALIDATION CK. M.O. CASH
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APPLICATION FO , CCUPICY ,INSPECTION
FOR APPLICANT TO FILL IN (P,ri*nt.or.type only) y COUNTY OF. LOS-ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING n - BUILDING AND SAFETY DIVISION
ADDRESS - t -
CITY ZIP 'l,,dJ� ADDRESS"• (/ - �t,.yL,�� �f�- ,
S.
SIZE OF LOT N0: OF-BLDG ' LOCALITY,
GjO NOW ON LOT . • - '
NEAREST a
TRACT ,,eo BLOCK LOT-NO CROSS ST
ASSESSOR
oTEL. MAP BOOK PAGE PARCEL
OWNER �^ �x00 NO. _
DISTRICT TYPE FIRE pR SED BY ,
ADDRESS ,'O CONST - ZOD '
- CITY ca> 6 - ZIP USE ZONE �NO
'
SIZE OF NO. OF -EXISTING BLDG. A, STORIES 1CIALDITIONS
PRESENT USE OF BUILDING a - - BLDG, SETBACK FROM,
FR NT PROP. LINE OF (STREET)
` _ HIG WAY + YARD = TOTAL SETBACK FROM TYPE-OF ISTIN O
N0. PARKING FRONT PROP. LINE HIGHWAY WIDTH'
SP PROVIDED `3 + _ (�
BLDG, SETBA C
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) to
L SETBACK FRO TYPE OF XISTIN (a
v HIGHWAY + YARD = TOTASIDE PROP L NE IGHWAY WIDTH o
+ _ _
CORNER CUTOFF YES NO
PROPOSED MAX, OCC. OCCUPANCY_ GROUP
r,AS VERIFIED !(/--44�_ JJIII OCCUPANT
_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. EXIT HARDWARE
NO SPEC _KNOWL>>- E]— R�
� N0: OF EXITS -
" PANIC DEVICES ❑
- SIGNATJRE OF � _ ,,,� y��-��-`-""F"- -
APPLICANT s=- -
_ PARKING -
=ADDRESS � O SPACES REQa�'D�/C� PROVIDED
O ,
ZIP•9 / c
PHONE
-3 0�
MAKE CHECKS PAYABLE TO
HA-RV.EY_ T. BRANDY COUNTY ENGINEER FIDANTE' -AL BY
/�
APPLICATION VALID ION ' CK M '0 CASH
i;MAY _9'4 u .0''0 �y8
76A662-CE992 12-73 -- �'
APPLICATION OR CUIPACY INSPECTION
FOR APPLICANT TO FILL IN (Print or type-only) - COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
.BU ILID ING `` � BUILDING AND,SAFETY DIVISION
ADORES S
N '
-BUILDING
`
CITY , \ zipt/7. ADDRESS
SIZE OF LOT N0. OF-BLDGS. LOCALITY
NOW ON LOT
NEAREST
TRACT BLOCK, LOT NO. CROSS ST... _
ASSESSOR
�NER � NOL'.- �1., ,�7/ MAP BOOK PAGE RCEL
G VL DISTRICT TYPE - FIRE P ESS BY
-ADDRESS CONST ZONE
� �: �� O
CITY .0 Q.•td .41 a-
J r , ZIP USE ZONE IMOAP - OI
SIZE N0. _
-EXISTING
G BLDG. ���1 Jam' j, STORIES SPECIAL '
r
RESENT USE OF BUILDING � CONDITIONS
�r• ��� ^DG. SETBACK FROM
FRONT PROP. LINE OF' (STREET)
-
l4nk e Ak'.S � r D TOTAL SETBACK FROM TYPE OFiEXISTIN
NO. PARKG HIGHWAY } YARD = FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED } -
BLDG.'SETBACK FROM' -�
EASON FOR INSPECTION EQUEST DE PROP. LINE OF (STREET) a
CD
TOTAL SETBACK FROM- TYPE OF EXISTING V
to I HWAY } .,YARD = SIDE PROP. LINE HIGHWAY WIDTH CD
v } U
_ Lu
a
CORNER CUTOFF ,YES NO Z
c1 iY .. -
- ROPOSED MAX. OCC. OCCUPANCY GROUP -
AS VERIFIED OCCUPANT
I_HEREBY ACKNOWLEDGE THAT I-HAVE READ THIS �` -- -LOAD --
APPLICATION AND STATE THAT THE ABOVE IS COR- c'' EXIT HARDWARE
R ECT.
-•� NO SPEC, KNOWL
NO. OF EXITS •❑
JAPPLICANT GNATURE OF "
PANIC DEVICES ❑a
—
PARKING
DDRESS SPACES REQ'DPROVIDED
ZIP2`�o•PHONE
FINAL /� _ J/ BY��
DATE
APPLICATION VALIDATION CK M 0 `,CASH
98 '29 4,0 0-
.0 0
76A662-CE992 9/74 A -