HomeMy Public PortalAbout6266 HART AVE_Certificate of Occupancy__ "76 A,662-C E992 1 0/69
` , ' APPLICATION FOR ocicuPANCY INSPECTfON
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COUNTY OF LOS ANGELES
• ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE,ICOUNTY ENGINEER i
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FORA PLICANT TO FILL IN NEAREST
(Print or type only)
CROSS ST.
DISTRICT.N0 PROCESS� Y `
BUILDING .pi,
ADDRESS ,`^7 Ir
LOT NO. 23 .BLOCK - USEnZONE MAP zoo
5904
TRACT SIZE OF LOT -r CONDI
TIONS
(/
L.
OWNER
ANIS M. CHAPPELL No. 573-3775
ADDRESS 172 W. WELLS STREET BLDG. SETBACK FROMFRONT PROP.LINE OF (STREET)
CITY SAN GABRIEL _ -, C TYPE OF' EXISTING SETBACK HIGHWAY + - YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
SIZE OF N0. OF .
EXISTING BLDG. STORIES + _
PRESENT USE OF BUILDING BLOG. SETBACK
RENTAL SIDE PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + RD = TOTAL
HIGHWAY WIDTH FROM C.L.
NO. OF EXISTING BUILDINGS
ON LOT AND USE + _
CORNER CUTOFF YES❑ NO d
❑ O
NO. PARKING U
SPACES PROVIDED
OCCUPANCY GROUP o
U
W
PROPOSED USE OF BUILDING a-
OCCUPANT LOAD
z EXIT HARDWARE:
No Spec. Knowl. ❑
Panic Devices.., ❑
PROPOSED MAX. OCC. NO. OF EXITS
•' - PARKING REQ'D OVIDED
I HERE BY'AC KNOWLEDGE AVE I HAVE READ THIS SPACES
APPLICATION AND STATE THAT-THE ABOVE IS COR- -
RECT.
/6/7 70 a„ Ale-
SIGNATURE
GSIGNATURE OF
APPLICANT /
�iC�J
ADDRESS 17 WEST WELLS - STREET
SAN GABRIELCALIFORNIA
ZIP 91776 APPROVAL DATE (NSP CTOR'S
S ATURE
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PHONE 573-3775 FINAL APPROVAL �� /9,7 6)
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER'
t � 7up 9'! L,��TI8N2V�L�AT lf��y}���/` M.O,. CASH