HomeMy Public PortalAbout5638 LOMA AVE_Certificate of Occupancy__ 76A662-CE992 1.0/69 .. QUO gp ®0
- APPLICATION, ®R ®CCU.PANC INNSPECMION.
COUNTY OF LOS ANGELES AssessoR
DEPARTMENT OF. COUNTY ENGINEER. MAP.BOOK PAGE PARCEL
BUILDING AND SAFETY_ DIVISION BUILDING
ADDRESS �j �
JOHN A. LAMBIE,I,COUNTY ENGINEER J
' COLEMAN W. JENKIN$, SUPT OF BUILDING - .LOCALITY
FOR APPLICANT TO FILL IN NEAREST
-(Print or type only) CROSS ST.
BUIL ,� '
DISTRI
DING IT .N0PROCESSE D BY
ADDIRESS /O. �..,1 • .Q G..
USEZONE MAP - O
. LOT. NO.. BLOCK NO. -
SPECIAL
TRACT '` SIZE OF LOT CONDTIONS
TEL
OWNERtf,eq N0.
_ . BLDG. SETBACK FROM'
ADDRESSez 31 f! FRONT PROP.LINE OF _ (STREET)
��r. TYPE.OF EXISTING SETBACK - HIGHWAY + YARD = TOTAL
CITY CIO"PL 4: ("� - HIGHWAY WIDTH FROM C.L.
SIZE OF - N0. OF _
EXISTING BLDG. STORIES -� + -
PRESENT USE OF BUILDING - - BLDG. SETBACK FROM - -
SIDE PROP.LINE OF - (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + D = TOTAL
7a. HIGHWAY WIDTH FROM C.L.
NO. OF EXISTING BUILDINGS
ON LOT AND USE +
CORNER CUTOFF YES,❑ NO ❑
NO. PARKING
SPACES PROVIDED
I OCCUPANCY GROUP I I o
w
PROPOSED USE OF BUILDING - OCCUPANT LOAD - C/o
Z.
EXIT HARDWARE:
U AA ` p / No Spec. Knowl. El
Panic Devices-
PROPOSED MAX. OCC. - NO. OF EXITS
PARKING .
[ HEREBY, ACKNOWLEDGE THAT I• HAVE"RE.A'D THIS 'SPACES REQ'D PROVIOED. ��. ..
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. 0 - -
SIGNATURE 0 -
APPLICANT -
ADDRESS _
APPROVAL. DATE. INSPECTOR'S
ZIP �� GJ SIGNATURE.`
PHONE��7-3 FINAL.-A APPROVAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
APPLICATION VALIDATION CK: M.-O. CASH
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