HomeMy Public PortalAbout9246 KEY WEST ST_Certificate of Occupancy__ APPUCATION FOR CCUPWkY NSPECTM
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING .� �� ��„ BUILDING AND SAFETY DIVISION
ADDRESS'I
^ r1 BUILDING
CITY Q �� of ZIP '� V ADDRESS OG kj
SIZE OFLLOT / r� + NO OF BLDGS v LOCALITY
3 NOW ON LOT
NEAREST
TRACT �Lf,, BLOCK LOT NO CROSS ST
[[, ASSESSOR
OWNER . �y �Y� NQL ` Z MAP BOOK PAGE
/T PARCEL
V ��.///�/ DISTRICT TYPE FIRE P SSEO BY
ADDRESS .jq6 Ccl ' �'_ CONST/ ZO j
CITY i , ZIP USE ZONE NOP o' j
SIZE OF
EXISTING BLDG �7C0
NO OF
STORIES t)� SPECIAL
'10 CONDITIONS
PRESENT USE OF BUILDING .��ww...•/�R,0, ,A BLDG ETBACK FROM
FRO PROP LINE OF (STREET)
HI WAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING
NO PARKING FRONT PROP LINE HIGHWAY WIDTH
SPACES PROVIDED } _ >_
O
BLDG TRACK FROM U
REASON FOR INSPECTION REQUEST SIDE PRO T) CD
HIGHWAY } YARD - TOTAL SETBACK FROM I TYPE OF XISTIN
SIDE PROP LINE HIGHWAY WIDTH p_
C/J
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-
RECT EXIT HARDWARE
NO OF EXITS NO SPEC KNOWL El
SIGNATJRE OF i PANIC DEVICES ❑
APPLICANT
PARKING
ADDRESS ,,2 � � % SPACES REQ'D PROVIDED C�
c�� �,��,� ,y_7�—eV�r f��P� �w•�c-� 7'a
,vG 2I,
ZIP I�
PHONE
MAKE_ CHECKS PAYABLE TO
HARVEY T. BRANDY COUNTY ENGINEER FINAL
DATE
APPLIC ION VAL ATIO K � M O CASH
5 1.9 PR al) - 1 8.0 0 ,&-76A662-CE992 3/73 ,
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