HomeMy Public PortalAbout8850 HERMOSA DR_Certificate of Occupancy__ 76AW2-CE99211n5 C'y w` .
APPLICATION FOR OCCUPANCY INSPECTION .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS 8S7e- w ( A
BUILDING c(2 Q�--Q �: �L'C" �,Y71 �� LOCALITY
ADDRESS fJ C/ �� '
�y
Cm �L%/`/PLLr L' iT� zIP d �0 NEAREST
CROSS ST.
SIZE OF LOT/cox 22J NO.OF BLDGS. ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PROLES BY
TRACT �G 2 3 BLOCK LOT NOJOL9 it�� CONST,/
�J l V ..�yL�"l.•
OWNER CNyQ SP/T 7,_1'7Q,L OL Z f7–2X7LI USE ZONE MAP
NO.
ADDRESS �J E3 O �{-G'�P/yC2_S/ �j nn
U ` �\ K. SPECIAL
CITY '��T/��`C Li j ZIP C?/ ��^(j CONDITIONS
BLOC. SET BACK FROM A/ _ c./
SIZE OF {- . �J N0.OF / FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES HIGHWAY + YARD – TOTAL SET BACK FROM TYPE OF EXISTING FRONT PROP. LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING �C�'//J��(,j 7yy[_ a
O
BLDG.SET BACK FROM U
NO.PARKING SIDE PROP. LINE OF (STREET) Z
SPACES PROVIDED Q
=
HIGHWAY + YARD TOTAL SET BACK FROM TYPE OF EXISTING
SIDE PROP. LINE HIGHWAY wIDTR U
W
REASON FOR INSPECTION REQUEST + – 6.
to
CORNER CUTOFF YES NO Z
?�CNe� 0 � � ��� OCCAS VERIFIED UPANCY OUPLzi—i OCCUPANT
V LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS NO SPEC. KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC.DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING REQ'D BY PROVIDED
SIGNATURE OF SPACES
APPLICANT FINAL BY 7
ADDRESS Q? G1�� �r' �� DATE �----
C% Within the scope of this inspection
the Building ;Official may approve
Z 9/;7 D minor corrections or alterations of
!O u an existing structure involving work PERMIT FEE
of a building, plumbing, mechanical
PHONE e �/ ` or electrical nature. ISSUANCE FEE
7 ZLI 7.� TOTAL FEE
APPLICATI �VALIDATION M.O. CAS
19No 30.00eu