HomeMy Public PortalAbout9215 FLAHERTY ST_Certificate of Occupancy__ t
76A662-CE992 6/71
I` APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES R3
I
DEPARTMENTOF COUNTY ENGINEER
BUILDING ND SAFETY DIVISION BUILDIADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT T FILL IN NEARESSS T
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(Print or type only)
BUILDING ,„
DISTRICT N0. R BY
ADDRESS
LOT NO. w BLOCK USE ZONE MAP „
1 NO.
!SPECIAL
,. TRACT SIZE OF LOT ` 1 l CONDITIONS
TEL.
OWNER . §, ✓ NO.
BLDG. SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
CITY HEXISTING
NFROM C.L.IG SETBACK
HIGHWAY + YARD - TOTAL
IGHWar
CI SIZE OF N0. OF
h' _
EXISTING BLDG. STORIES + —
�' PRESENT USE OF BUILDING BLDG. SETBACK FROM
SIDE PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
NO. OF EXISTING BUILDINGS
ON LOT AND USE + _
a
O
CORNER CUTOFF YES❑ NO U
NO. PARKING Lu
SPACES PROVIDED J
W LL
OCCUPANCY GROUP
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PROPOSED USE OF BUILDING
OCCUPANT LOAD
VQj.- '"`✓ ( EXIT HARDWARE:
No Spec. Knowl. ❑
Panic Devices ❑
k
t PROPOSED MAX. OCC. NO. OF EXITS
i
PARKING .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES REQ'D PROVIDED �]
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
SIGNATURE OF
APPLICANT c "
ADDRESS _ <.
APPROVAL DATE INSPECTOR'S
ZIP SIGNATURE
PHONE JINAL APPROVAL
JOHN F. LEWIS, •PRINCIPAL STRUCTURAL ENGINEER
APPLICATION VALIDATION CK. I M.Q. CASH