HomeMy Public PortalAbout4850 GOLDEN WEST AVE_Certificate of Occupancy__ ^� c
76A662-C E992 10-71 �
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APPLICATION FOR OCC PANCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDREJt
S !J
LOCALITY A
FADDRESS
OR APPLICANT TO FILL IN NEAREST
(Print or type only) CROSS ST
c� DISTRICT NO. PRO SED a U C�oL.Tj-: L LUSE ZONE MAPBLOCK •,� N0.SPEC
AL
SIZE OF LOTffO X (o.3 `� u CONDITONSTEL• �J.0 - LCs NO. BLDG. SET CK FROM
FRONT PRO .LINE OF (STREET)
TYPE OFEx ING SETBACK HIGHWAY } YARD = TOTHIGHWAY D FROM C.L.
NO. OF BLDG. STORIES +
PRIES T USE OF BUILDING BLOG. SETBACK F W (STREET)
SIDE PROP.LINE OF
TYPE OFEXISTING SETBACK HIGHWAY YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
N0. OF EXIS G BUILDINGS
ON LOT AND US
CORNER CUTOFF YES❑ NO ❑
NO. PARKING c:)SPACES PR IDED CJ
OCCUPANCY GROUP
o
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LJ
PROPOSED USE OF BUILDING �
OCCUPANT LOA �
z
rA L — EXIT HARDWARE:
No Spec. Know].VOW ❑
rt Panic Devices ElPROPOSED MAX. OCC. NO. OF EXITS ❑
PARKING .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES REQ'D O PROVIDED
APPLICATION AND STATE THAT THE ABOVE IS COR- �) A�*� S,y„A
R E C T. � P.r° ,•*
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SIGNATURE OF / zt—J /� 7 y Digs, r', C o (F
APPLICANT t� (�,y
ADDRESS j
APPROVAL DATE INSPECTOR'S
ZIP SIGNATURE
PHONE /I FINAL APPROVAL
APPLICATION VA IUATION C(. % M.O. CASH
5 92iP'FEB 522 1 $.00 •