HomeMy Public PortalAbout9723 GARIBALDI AVE_Certificate of Occupancy__ 76A652-CE992 6/71
;t � " APPLICATION FOR OCCUP NCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUI LDI NG 7�3
HARVEY"T. BRANDT, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY 11
FOR APPLICANT TO FILL IN NEAREST /
(Print or typo only) CROSS ST. C
DI TRICT N0. PROCESS�1�
BUILDING 7 0
ADDRESS �s
-�+/�-�T LO�[� BLOCK USE ZONE NOP ��(l
LOT N0. MA
i
TRACT 13ag OF LQT X D
T EL.
OWNER NO..
BLDG. SETBACK FROM
ADDRESS?172,7 6�llzlff4lorlepl FRONT PROP.LINE OF (9TREET)
[ �T EXISTINGT_YPff OF C.L HIGHWAY } YARD = TOTAL
CITY HIGHWAY WIDTHFROM
IZE OF N0. OF
EXISTING BLDG. TORIES + -
PRESENT USE OF BUILDING BLDG. SETBACK F
SIDE PROP.LINA OF (STREET)
i* P� TYPE QF EXISTING aeTSACK HIG YARD = TOTAL
i HIGHWAY WIDTH FROM C.L.
N0. OF EXISTING BUILDINGS
ON LOT AND USE .SSC" } _
CORNER CUTOFF YES NO
NO. PARKING
SPACES PROVIDED O
OCCUPANCY GROUP -Z 7`b C -3
W
PROPOSED USE OF BUILDING OCCUPANT LOAD 7 Z Z
EXIT HARDWARE:
No Spec. Knowl.
�. Panic Devices By
LC. PROPOSED MAX. OCC. NO. OF EXITS
PARKINS . REQ'O D PROVIDED
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS SPACES '
APPLICATION AND STATE
JTHAT.THhE,A COV�E�16�COR-
RECT• �,� �/� �//y Y�J`�..7 f/ > O 'iLL�Q�i/�J�'f.J
SIGNATURE
APPLICANT
ADDRESS �
`
ZIP 9/aV APPROVAL DATE INSPECTOR'S
PHONE FI.UAL APPROVAL
JOHN F. LEWIS, PRINCIP L S RUCTURAL ENGINEER
APPLICATION VALIDA N CK. M.O. CASH
7-5 '9 .3" AU6 17 2 2 D 1 ON
r
APPLICATION FOR OCCUPANCY INSPECTON �
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
n DEPARTMENT OF COUNTY ENGINEER
BUILDINGoZ 3 GAr�+6a /e BUILDING AND SAFETY DIVISION
ADDRESS BUILDING
CITY �1�\� ZIP 11 / 0 ADDRESS /
SIZE OF LOT �Lfo X o+J L NOW ON LOTS. LOCALITY C .r
cc,w� 11 _ NEAREST
TRACT a Jt[nIl� BLOCK - LO 0. CROSS 9T. W J
ASSESSOR
OWNER (A_ EL' P BOOK PAGE PARCEL
v 2 u ,?4-0 DISTRICT TYPE FIRE BY
ADDRESS + CONST. ZONE r �,
3 r► U
CITY e • ZIP -/� USE ZONE MAP
03
SIZE OF N0. OF / tRONTPROP.
SPECIAL
EXISTING BLDG. STORIES
DITIONS
PRESENT USE OF BUILDING FROM
INE OF (STREETTpTAL SETBACK FROM TYPE OF ISTINYARD = FRONT PROP. LINE HIGHWAY WIDTH
NO. PARKING
SPACES PROVIDED + _
S'
BLDG. SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) p
�L yq HIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF ]STINGW
SIDE PROP. LINE HIGHWAY WIDTH p..
+ . + = tZA
CORNER CUTOFF YLS NO
PROPOSED MAX. OCC. OCCUPANCY GROUP
AS VERIFIEDLOAD OCCUPANT
1 HERBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE:
RECT.
NO. OF EXITS NO SPEC. KNOWL. ❑
SIGNATURE OF PANIC DEVICES ❑
APPLICANT r
�+ PARKING REQ'D c� PROVIDED
ADDRESS �1 V }r � � SPACES •
cwImo'Yri• ZIP qlFL,
PHONE 70f1
MAKE CHECKS PAYABLE TO: ]�
HARVEY T. BRANDY OUNTY NGINEER FINALBY
DATE
APPL CATION ALIDATIO CK. M.O. CASH
76A662-CE99Z 3/73 4'4•7 '-23 22 D