HomeMy Public PortalAbout9166 LA ROSA DR_Certificate of Occupancy__ I
76A662-CE992 1 0/69 �'
APPLICATIO F OCCU NCY INSPECTION IJ
COUNTY OF LOS AN ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAM BIE,IcouNTY ENGINEER ADDRESS l
COLEMAN W. JENKINS, SUPT OF BUILDING LOCA LITY'
OR APPLI7ANT TO FILL IN NEAREST
(Print or type onI ) CROSS ST.
BUILDING DIST�CT NO. PCC OCE SE Y
ADDRESS I c)"c?'
i
U ZONE MAP
LOT N0. BLOCK N0.
TRACT SIZE OF LOT SP I L
. �� CONDITIONS
OWNER llsw filum.,
BLDG. SETBACK FROM
ADDRESS sCt� FRONT P •LINE OF - (STREET)
CITY -C TYPE 04 EXISTING SETBACK HIGHWAY + YARD = TOTAL
_
H IGHWAf WIDTH FROM C.L
SIZE OF N0. OF
EXISTING BLDG. ISTORIES + =
PRESENT USE OF BUILDING BLDG. S ACK FROM
SIDE PROP. E OF (STREET)
W
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
-
N0. OF EXISTING BUILDINGS HIGHWAY IDTH FROM C.L
ON LOT AND USE +
O
• CORNER CUTOFF YES ❑ NO ❑ U
NO. PARKING =
SPACES PROVIDED IBJ O
_ U
' OCCUPANCY GROUP Z W
a
vi
z_
PROPOSED USE OF BUILDING p OCCUPANT'LOAD
O S !L/1-�C�rrC EXIT HARDWARE:
No Spec. Knowl. ❑
b�¢ Panic Devices ❑
PROPOSED MAX. OCC. NO. OF EXITS'
PARKING
IHEREBY ACKNOWLEDGE THAT-1'HAVE READ THIS SPACES REQ'D PROVIDED
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT
SIGNATURE OF
APPLICANT t
ADDRESS
APPROVAL DATE INSPECTOR'S
ZIP 0 SIGNATURE
PHONE FINAL APPROVAL C
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
APPLICATION VALIrk TION CK. M.O. CASH
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