HomeMy Public PortalAbout9865 FLAHERTY ST_Certificate of Occupancy__ 76AW2-CE992 11/75
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY-OF LOS ANGELES
DEPARTMENT,OF COUNTY ENGINEER '
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
BUILDING (� 1•,� C�1�� C T. LOCALITY , '
ADDRESS I Y- d
CITY I CMP k-- .��, C-•f ZIP. C-7 0,o- CROSSSST. /
SIZE OF LOT NO.OF BLDGS. ASSESSOR'
VQ x I 3 NOW ON LOT MAP BOOK PAGE PARCEL
TRACT BLOCK LOT NO. Id S RIS NST. ZOIN P CES D BY
p q _ v � ten:
OWNER ) w cALWCHA-tu Ji NO. 4' USE
ZONE MAP
ADDRESS
X83! �_�,� Win., NO. � 3 00'� j f SPECIAL
CONDITIONS
CITY -r,--kA PL,^ C i ZIP ct 1 gp BLDG.SET BACK,FROM "
SIZE'OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES ( TOTAL SET BACK FROM TYPE OF EXISTING
PRESENT USE OF BUILDING C HIGHWAY + YARD = FRONT PROP. LINE HIGHWAY WIDTH }
tD�NCe' a
+ = C
BLDG.SET BACK FROM V
NO.PARKING SIDE PROP. LINE OF (STREET)
SPACES PROVIDED Z HIGHWAY + YARD= TOTAL SET BACK FROM TYPE EXISTING
SIDE PROP. LINE HIGHWAY
C
Y WIDTH U
W
REASON FOR INSPECTION REQUEST + = d
U:
: CORNER CUTOFF YES NO Z
OCCUPANCY GROUP L -7 OCCUPANT
AS VERIFIED 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. PARKING . REQ'D I PROVIDED=
SPACES—'
SIGNATURE OF T �J
APPLICANT - w VLJ L. V�- VWUIQ/ FINAL 1 / 7-7,71
BY
ADDRESS DATE (J
_ Within the scope of this inspection
TZM P L c C f T`� the Building Official may approve
Q " minor corrections or alterations of
4�Gi It ZIP l(, (� an existing structure involving work PERMIT FEE
of a building, plumbing, mechanical
PHONE f�r0� or electrical nature. ISSUANCE FEE
O FP-1C_—
TOT EE v
'APPLICATION VALIDAT N CK. M.O. CASH
.7. 7 5rJts�l 2 2.2 0 v.O.U•'�.8