HomeMy Public PortalAbout10663 KEY WEST ST_Certificate of Occupancy__ APPLICATIONF OCC ANCY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES"
DEPARTMENT OF COUNTY ENGINEER
BUILDING �(O - BUILDING AND SAFETY DIVISION
ADDRESS BUILDING //' yam+
CITY F � ZIP q f:7: ADDRESS {G-� ,l_3 C_ _ r
SIZE OF LOT C N0. OF BLDGS. LOCALITY
d NOW ON LOT
NEAREST
TRACT / BLOCK LOT NO. 17 CROSS ST.
ASSESSOR - -
OWNER T
TEL_ MAP BOOK PAGE PARCEL
yG' S NO.Al ,�� DISTRICT TYPE FIRE OCES D BY
ADDRESS 1 ,r_ CONST Z0� 1
CITY -� ZIP !.✓ USE ZONE MAP
II
S I Z Jr_ N0. OF ( N0. v
EXISTIN DG. - STO 1 �, SPECIAL
\/ CONDITIONS
PRESENT USE 0 LDING - BLD . SETBACK FROM
FRONT PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
N0PARKING HIGHWAY t YARD = FRONT PROP. LINE HIGHWAY WIDTH
.
SPACES PRO D +
O
BLDG. SETBACK FROM _ V
EASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) p
HIGHWAY f YARD = TOTAL SETBACK FROM TYPE OF XISTIN w
SIDE PROP. LINE HIGHWAY WIDTH p..
N
+ = Z
CORNER CUTOFF YES NO
PROPOSED MAX, OCC. OCCUPANCY GROUP �
AS VERIFIED OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
R ECT. EXIT HARDWARE:
N0. OF EXITS NO SPEC. KNOWL. ❑
SIGNATURE OF
PANIC DEVICES El
APPLICANT _
PARKING REQ'D PROVIDED
ADDRESS / SPACES
ZIP U^
PHONE !
BIAKE CHECKS-PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER FINAL BY
DATE /Q +
APPLICATION VALIDA ION CK. ' M.O. CASH
3 6.2 OGT..16 2 2' 8- 1 8.0 0
76A662-CE992 3/73 _ '