HomeMy Public PortalAbout9061 LONGDEN AVE_Certificate of Occupancy__ 76AW2-CM2 11175
APPLICATION , FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS 16 p
BUILDING'5ADDRESS fe �j / VD LOCALITY'ZIP a P CROSS ST c�Jj ,� M OA r2 PJ t✓
SIZE OF LOT 7 9 / NO OF BLDGS ASSESSOR
pC ( NOW ON LOT MAPBOOK PAGE PARCEL
DISTRICT TYPE FIRE PR ESS Y
TRACT Q BLOCK LOT NO. O O CONST ZONE
OWNER / TEL �r �J
NOtO - UynS�EZ NE NP
NO
4_00_3
ADDRESS D // � SPECIAL
O CONDITIONS
CITY' ZIP BLDG SET BACK FROM
SIZE OF N OFFRONT PROP LINE OF (STREET)
EXISTING BLDG STORIES HIGHWAY + YARD = TOTAL SET BACK FROM TYPE OF EXISTING
PRESENT USE OF BUILDING FRONT PROP LINE HIGHWAY WIDTH
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+ - _ a
- C
BLDG SET BACK FROM L
NO PARKING SIDE PROP LINE OF (STREET) Z
SPACES PROVIDED C
HIGHWAY + YARD- TOTAL SET BACK FROM TYPE EXISTING
. SIDE PROP.LINE HIGHWAY WIDTH
LL
REASON FOR INSPECTION REQUEST + - a
CORNER CUTOFF YES NO Z
(� OCCUPANCY GROUP L -•T OCCUPANT
AS VER IED ! LOAD
dM /I �—
EXIT HARDWARE
PR OSED MAX OCC
NO.OF EXITS � NO SPEC.KNOWL ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT PARKING
SPACES REQ'D F PROVIDED
SIGNATUR
APPLICANT v[�v�/ FINAL
DATE
ADDRESS 41
(/�/f/�_ -S / � 5 �l ¢�
Within the scope of this inspection
the Budding Official may approve
�qn minor corrections 'or alterations of ZIP
an existing structure involving work PERMIT FEE
of a budding, plumbing, mechanical l
PHONE or electrical nature. ISSUANCE FEE
TOTAL FEE
APPLICATION VALIDATION 60 M 0. CASH .'
99 21--OCT -28 22 D
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