HomeMy Public PortalAbout9858 LEMON AVE_Certificate of Occupancy__ APPL ICAT IO �FOOCCUPICY INSPECTION
FOR APPLICANT TO FILLJN (Print or type only COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING / BUILDING AND SAFETY DIVISION
ADDRESSBUILD
ING
CITY ZIP /CJS ADDRESS
NO. OF BLDG S LOCALITY
SI
TZE OF LOT (/v • NOW ON LOT
NEAREST
BLOCK LOT N0. CROSS ST
ASSESSOR
OWNER // NOLX70, 'MAP BOOK PAGE PARCEL
P14,4 DISTRICT TYPE FIRE PROCES D BY
ADDRESS '� /l 1 CONST ZONH
CIT ZIP USE ZONE P
NO - _
SIZE OF NO OF
EXISTING BLDG STORIES �1 SPECIAL
CONDITIONS
PRESENT USE OF BUILDING J� _� t BLDG SETBACK FROM .
S •�T�/ FRONT PROP LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH O
NO. PARKING
SPAC PROVIDED + _
BLDG SETBACK FROM Q
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) u
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF XISTIN W
SIDE PROP LINE HIGHWAY WIDTH N
+ _ x
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-
EXIT HARDWARE
RECT
d NO. OF EXITS NO SPEC KNOWL ❑
SIGNATURE OrF1 ��//~ff PANIC DEVICES ❑
APPLICANT
PARKING REQ'D PROVIDED
ADDRESS SPACES
ZIP ffU US T�/ C.TJ J/i
,�•�G�' � Ara 0A�t��9 S���T�"� "��\�--
PHONE �'�'/TG.-yam. O�/1 �/"►I�(/ ���• � '
MAKE CHECKS PAYABLE TO
6 ovd
HARVEY T. BRANDY COUNTY ENGINEER FINAL- BY
DATE
APPLICATION VALIDATION CK M O CASH
7, 9.';8'tu2 JUN 17 2,2 D 1 8.0 0 o�8
76A662-CE992 12-73 ,