HomeMy Public PortalAbout10602 KEY WEST ST_Certificate of Occupancy__ \� I
78 662-G'E"992A-4/77
w APPLICATO®W�OR OCd PANCY NSP[ CMN_
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS /,/Ij� -2,
BUILDING LOCALITY <77
ADDRESS
CITY m�/-'1/'„r }�� ZIP��7p NEAREST
C1 �rt�/ G(� CROSS ST
��NO OF BOF BLDGS ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PR SSED,B
TRACT jja 90 BLOCK LOT NO J �'1CONSTjJ" ZONE
OWNER +� Y���NOL`ty��� U1SJ ZONE NOP��/�_
ADDRESSJ060, W-S �/ SPECIAL
�'` !✓' CONDITIONS
CITYr,, 014,F /;T ZIP9f)g� BLDG SETBACK FROM
SIZEOF C_ NO OF FROM PROP LINEOF (STREET)
EXISTING BLDG` STORIES
HIGHWAY + YARD - TOTAL SET BACK FROM TYPE OF ExsriNG
PRESENT USE OF BUILDING - FRONT PROP UNE HIGHWAY WIDTH
+ -
BLDG SETBACK FROM
NO PARKINGSIDE PROP LINE OF (STREE7)I Q
SPACES PROVIDEP,/""'
HIGHWAY + YARD = TOTAL SIDE P OP LINE
TYPEOF WIDTH
G
SIDE PROP UNE HIGHWAY WIDTH =
O
REASO OR INSPECTION REQUEST + - t
w
CORNER CUTOFF YES NO C'
w1 �_ 71 z
jQ 0OCCUPANCY,GROUP 1
X— AS VERIFIED OCCUPANT
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 BY PROVIDED1
SIGNATURE OF " '
APPLICANT / FINAL BY
— DATE
ADDRESS,/ a
�~ 01 Within the scope of this inspec-
tion the Building Official, may
approve minor corrections r
/
ZIP [1/L�T alterations of an existing uc-
7 V ture involving work of a Id- E MIT FEE
Ing, plumbing, mechani or
PHONE electrical nature ISSUANCE FEE
TOTAL FEE
APPLICATION VALIDATION�`M O CASH
0 1 3 °A 10 2 '2 1) 6 1.0 0
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