HomeMy Public PortalAbout9832 LEMON AVE_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN- (Print orCOUNTY OF LOS ANGELES
type only) DEPARTMENT OF COUNTY ENGINEER
BUILDING BUILDING AND SAFETY DIVISION
ADDRESS
BUILDING
CITY -/'` ZIP !� ADDRESS ^ n /1/ ro
SIZE OF LOT NO. OF BLDGS. LOCALITY '
NOW ON LOT NEARE/J
TRACT �/� BLOCK LOT NII? CROSS ST. /V c
ASSESSOR
OWNER TEL.IfIY MAP BOOK - PAGE PARCEL
NO DISTRICT TYPE FIRE PROCESSED BY
ADDRESS /I I CONST. ZONE ,
CITY c.•. ZIPG w, _
7 Ubt ZONE MAP D
• SIZE OF NO. OF � N0. '
EXISTING,BLDG STORIES nr SPECIAL
G 1CONDITIONS
PRESENT USE OF B DING BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF XI•STIN
N0. PARKING
HIGHW Y + YARD = FRONT PROP. LINE HIGHWAY WIDTH
_
SPACES PROYIZ + _
BLDG. SETBACK FROM
REASON FOR INSPECTION'REQUEST SIDE PROP. LINE OF (STREET)
HIGHWAY + YARD
TOTAL SE FROM TYPE OF EXISTINGn.
= �
SIDE PROP. LI HIGHWAY WIDTH V
+ = O
V
CORNER CUTOFF YES NO pW..,
rn
Z
PROPOSED MAX. OCC. OCCUPANCY GROUP
_ AS VERIFIED =
OCCUPANT_
] HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. EXIT HARDWARE
4��L NO SPEC. KNOWL. ❑
� N0. OF EXITS
SIGNATURE OF
PANIC DEVICES ❑
APPLICANT pz�' -)
ADDRESS SPACESG
REQ'D PROVIDED
• _ ZIP
/'� 7'- MIN. Com '
PHONE
MAKE CHECKS PAYABLE TO-
FINAL T. BRANDY COUNTY ENGINEER FINAL BY
DATE �,-
APPLICATION -VALIDATION CK. M.O. CASH
` 7611662-CE992 0/7$
2 2 0
3 0.0 0 �'X