HomeMy Public PortalAbout5615-17 GRACEWOOD AVE_Certificate of Occupancy__ 76► A662-CE99W 10!69 l-l�/ {�
j� 0�' APPLICATION FOR OCCUPANCY- INSPECTION-' IJ
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING ) A
JOHN A. LAMBI E,COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
(Print or type only) CROSS ST.
DISTRICT NO. PROCES Y
BUILDING S.
ADDRESS — Temple Cit J .0�
LOT N0. Parce LWW- USE ZONE MAP
�//� NO.
TRACT Book 20 Pg. 3 SIZE OF LOT Ej0 }� 1,80 !7" SPECIAL
CONDITIONS
OWNER Irene GiLbert TE-209-539-2411
NO
BLDG. SETBACK FROM
ADDRESS 3399nlabP DriveFRONT PROP.LINE OF (STREET)
TYPE OFSETBA
CITY P v Calif. 2 ('7 HSG WAY EXIWIDTHSTING FROM CCS HIGHWAY } YARD = TOTAL
SIZE OF NO. OF
-EXISTING BLDG3 B•R'•+ 2—LB•R'•s ISTORIES 1 } _
PRESENT USE OF BUILDING BLDG. SETBACK FROM
Regi SIDE PROP.LINE OF (STREET)
TYPE OFEXISTING SETBACK HIGHWAY } YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
NO. OF EXISTING BUILDINGS
ON LOT AND USE Thrp :::]
— ,r id nces } _
The third is a garage and guest house CORNER CUTOFF YES❑ NO ❑ O
NO. PARKING
SPACES PROVIDED a double Car arae o
OCCUPANCY GROUP L
( v/i
z_
PROPOSED USE OF BUILDING OCCUPANT LOAD
guest house and garage. EXIT HARDWARE:
No Spec. Knowl. ❑
Panic Devices ❑
PROPOSED MAX. OCC. NO. OF EXITS
PARKING REp'O PROVIDED D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
SIGNATURE OF
APPLICANT Jx/ C Ill.y�
I ADDRESS . ` n // ' 44'LG�,L 3-329.5 r
APPROVAL DATE INSPECTOR'S
ZIP 1. SIGNATURE
PHON,2Og-539-241-1- FINAL APPROVAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
APPLICATION VALIDATION_JM.0... CASH
1 9 p- 49 42 2 0 1 5.0 O�