HomeMy Public PortalAbout9429 GARIBALDI AVE_Certificate of Occupancy__r_ f
76A06l-C E992 10-71 r '
�. ,,. Y APPLICATlO FOR 1 CUPANCY INSPECTION `'IILJI11
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
LOCALITY
NEAREST
PrInT or • only) CROSS ST
BUILDING o r DI C PRO E
ADDRESS f d
USE ZONE MAP
LOT NO. BLOCK N0.
TRACTtl � SIZE OF LOT MID T
TEL•
OWNER N0. LI O SD
•I r B 0. SETBACK FROM
ADDRESS ( J ONT PROP.LINE OF (STREET)
J FE OF [RIOTING e[TU.CK HIGHWAY + YARD = TOTAL
CITY U I' [ ' H WAY WIDTH FROM C.L.
gIZ 0. OF _
EXIST: DO TORI +
PRESENT USE UILDING BL00. SETBACK FR (STREET)
SIDE PROP.LINE OF
TYPE OF EXISTING SKTBACK HIGHWAY + YARD TOTAL
HI•HWAY WIDTH FROM C.L.
NO. OF EXISTING BUILDINGS
ON LOT AND USE + _
CORNER CUTOFF YES ElNO ig
N0. PARKING 8
SPACES :DED
OCCUPANCY GROUP � o
PROPOSED USE OF BUILDING OCCUPANT LOAD
Z
4 Hou EXIT HARDWARE:
-�-, No Spec. Knowl. ❑
Panic Devices ❑
PROPOSED MAX. OCC. NO. OF EXITS
PARKING . REQ'D D PROVIDED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES
APPUCATION AND DTATE THAT THE ABOVE IS COR- /
RECT. ,�],-� ¢�--7,3 11-LQ C-k4.
SIGNATURE OF ` `Si` /1 lllpv
APPLICANT �' 7
ADDRESS In
Qe L INSPECTOR'S
ZIP APPROVAL DATE SIGNATURE
PHONE L �Z r FINAL APPROVAL
APPLICATION VALIDATION CK. M.Q. CASH
I �f,_. 3 9 5 T3?3 DEC 4 2 2 D .0 01 7
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