HomeMy Public PortalAbout6009 IVAR AVE_Certificate of Occupancy__ I
ARPUCAMN- FOR bCCUPAh& NSPECTION
FOR APPLICANT TO FILL IN (Print or type-only) 'COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING // BUILDING AND SAFETY DIVISION
ADDRESS Eve,r 4.
BUILDING
CITY - ZIP ADDRi ESS
'N 0. OF BLDGS. LOCALITY
SIZE OF•-LOT 1 NOW ON LOT
l M NEAREST -
.TRACT - 1.�' BLOCK LOT N0. ! = CROSS ST.
' !. ASSESSOFY
OWNERL C, TEL MAP[BOOK PAGE PARCEL
aa N0. DISTRICT TYPE FIRE _ OCES ED BY
ADDRESS
r CONST. . ZONE
CITY(' ZIP US ' ONE I LSP
SIZE OF N0: OF -
. EXISTING BLDG. STORIES ' CIALDITIONS
`PRESENT USE OF BUILDING 1
�Qe 11{ { BLDG, SETBACK FROM -
FRONT PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY; } YARD =
NQ'. PARKING FRONT PROP. LINE HIGHWAY WIDTH
SPAC .PROVIDED
BLDG.-SETBACKFROM
REASON FOR INSPECTION REQUEST SIDE-PROP. LINE OF (STREET) .�
^ (
HIGHWAY -} YARD TOTAL SETBACK FROM TYPE OF XIS 1N6
SIDE PROP. LINE HIGHWAY WIDTH D_
}
' CORNER CUTOFF YES, NO (SOB
OPO MAX. OCC. OCCUPANCY GROUP
` - AS VERIFIED OCCUPANT
I' HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
.APPLICATION AND STATE.THAT THE ABOVE IS COR- EXIT HARDWARE: --
RECTI
NO. OF EXITS NO SPEC. KNOW.L. El
SIGNATURE OF-' PANIC. DEVICES` [jAPPL.I CAN T
T -.,PARKING
ADDRESS O Or4h T 7 Var.'. SPACES REQ'D PROVIDED
T. �1 OY`�l ::GLI
/6 'i�.a' 7y Ir-4 r p-s s.�l� ��
ZIP f�7f0 �
.'
PHONE1794 ,
MAKE_ CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER [FINAL qq ex
DATE _; 2
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APPLICATION VALIDATION CK. " M.0. ' CASH
.d W :152:2.`10 1 8.0::0 &k
76A662-CE992. 12-73