HomeMy Public PortalAbout6012 KAUFFMAN AVE_Certificate of Occupancy__ L
:APPLI'76A662-CE992 11 f75 C IOIV ; OR OCC PANCY. INSPECTION
COUNTY OF LOS ANGELES
` DEPARTMENT OF COUNTY ENGINEER;
.,BUILDING AND SAFETY DIVISION I"
FOR APPLICANT TO FILL IN. BUILDING, ,
(Print or type only) , ADORES
BUILDING' ,' LOCALITY'
ADDRESS
�jQ-�'
ZIP NEAREST
d CROSS ST: ;
SIZE'OF LOT NO.OF LDGS. ASSESSOR
C7r) NOW ON LOT MAP BOOK PAGE PARCEL'
DISTRICT TYPE FIRE PR D BY
TRACT ! BLOCK - LOT NO./ y,^ CONST,r, ZONE
OWNER '.... TEL.
Q' 0 USE ZONE MAP
No.
' ADDRESS-` a ` 1 : SPECIAL `
CONDITIONS
CITY r' ZIP �� �' BLDG.SET BACK FROM'
SIZ OF' N F. — F T PROP. LINE OF (STREET)
EXISTING 11.
BLD ORIES HI HWAY + YARD = TOTAL'-SET BACK.FROM 'TYPE'OF EXISTING
FRONT PROP,LINE HIGHWAY WIDTH
PRESENT USE OF BUIL
+ —
t BLDG.SET U
NO.PARKING SIDE PROP. LINE OF (STREET) 2
SPACES,PROVIDED
i' TOTALtSET B OM. TYPE OF EXISTING
HIGHWAY + YARD= SIDE PROP:LINE ' HIGHWAY WIDTHLL
U
REASON-FOR INSPECTION REQUEST +
CORNER CUTOFF YES No Z
OCCUPANCY'GROUP -OCCUPANT.
AS VERIFIED 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
` SPACES REQ'D,� P,ROVIDED�
SIGNATURE' F
'APPLICAN .•• FINALBY
DATE �./ �J / / 1�o '
ADDRESS�•�
Within the'scope of-this-inspection
� ' the Building Official may approve
minor corrections',dr alterations of; ..:
ZIP - '
an existing structure involving-work PERMIT FEE
of a building, plumbing, mechanical
PHONE or electrical nature. ISFEE
TOTAL FEE v
APPLICATION VA0D"A710 < : CK: :' M.O. CASH w
�6 4 S'�DEC S 2.2 3,0,.0 � �'.