HomeMy Public PortalAbout5033 FRATUS DR_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY MSPECTMN
FOR APPLICANT TO FILL IN, (Pant or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGQ 4_4 - BUILDING AND SAFETY DIVISION
ADDRESS BUILDING
CITY 'U7 /
&Nple d ADDRESS f � �
NO OF BLDGS LOCALITY ✓ �� �`rZ
SIZE OF LOT NOW ON LOT /
NEAREST
TRACT i BLOCK LOT NO CROSS ST
ASSESSOR
OWNER �!, ,TEL f 7MAP BOOK PAGE PARCEL
C1 G 1 ��i
T TYPE FIRE PROCESSED BY
ADDRESS CONST // ZONE
CITY ZIP USE ZONE MAP
SIZE OF NO OF NO G L![
EXISTING BLDG _ STORIES SPECIAL
CONDITIONS
PRESENT USE OF BUILDING BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
d pu I ��% TOTAL SETBACK FROM TYPE OF EXISTIN
HIGHWAY } YARD = FRONT PROP LINE HIGHWAY WIDTH
NO PARKAG
SPACESPROVIDED + _
BLDG SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP LINE OF (STREET)
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF XISTIN C
L TJ
/ � SIDE PROP LINE HIGHWAY WIDTH V + = W
ez tk e- N
CORNER CUTOFF YES NO
PROPOSED MAX OCC OCCUPANCY GROUP
AS VERIFIED OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE
RECT
NO OF EXITS NO SPEC KNOWL ❑
SIGNATURE OF
° PANIC DEVICES ❑
APPLICANT 2k
PARKING
ADDRESS 1SPACES
REQ-0 PROVIDED
'ZIP Lam' d dG
PHONE ql('���?O
77J /
AlAKL- CHECKS PAYABLE TO
HARVEY T. BRANDY COUNTY ENGINEER FINAL S
DATE
APPLICATION VALIDATION CK M 0 CASH7)
o. 3 c- 20 2 2 0 1 8.0 0
76A662-CE992 I2-73