HomeMy Public PortalAbout9252 KENNERLY ST_Certificate of Occupancy__ 76A662-CE992 105
�- APPLICATION FOR OCCUPANCY INSPECTION
:, ro COUNTY-OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDIN&
(Print or type only) ADDRESS 5
BUILDING
ADDRESS &A) k)jF
!2LOCALITY_. Zc
NEAREST
CITY���- ZIP G� f
5n
CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOTqk Z•/,9 n NOW ON LOT MAP BOOK PAGE S-3•' PARCEL f
DISTRICT TYPE FIRE ROCESSED BY.
TRACT 107�BLOCK. LOT NO. CONST-V ZONE t�
aO X17 t `
OWNER Cid . E 7 NO.L. USE ZONE MAP
1Z1�`c NO.
ADDRESS /)k) �/ SPECIAL
CONDITIONS
CITY ��r,yy� •�.� _ ZIP 17S'v BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. C7 STORIES TOTAL SET BACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING /' _ - }
+ _ a
C
BLDG.SET BACK FROM [� U
NO.PARKING �. SIDE PROP.LINE OF !v - (STREET) z
SPACES PROVIDED
HIGHWAY + YARD- TOTAL SET BACK FROM TYPE EXISTING
- SIDE PROP.LINE HIGHWAY
WIDTH
WIDTH �
U
ILL
REASON FOR INSPECTION REQUEST + = 0.
• CORNER CUTOFF YES NO Z
OCCUPANCY GROUP OCCUPANT
AS VERIFIED LOAD
44 d EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS NO SPEC. KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC ICES
APPLICATION AND STATE THAT THE ABOVE'IS COR-
RECT. PARKING REQ'D ROVID
SPACES
SIGNATURE OF
APPLICANT FINAL i00y
DATE t/
` ADDRESS
. /
Within the scope of this ins ion -
C. the Building Official may approve
ZIP minor corrections or alterations of
an existing structure involving work f
PERMIT FEE G�
of a building, plumbing; mechanical
PHONE or electrical nature. ISSUANCE FEE
O TOTAL FEE 30
APPLICATION VALIDATION cK. M.D.-. CASH
0 '8 4r"-NGV -2 2 2 -) 3-'