HomeMy Public PortalAbout9128 LONGDEN AVE_Certificate of Occupancy__ ]6A681-C E992- REV 11/]!),- , 1
APPLICATION F R OCCUPANCY INSPECTION IIL'11
r COUNTY OF LOS ANGELES 9 BUILDING'AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
BUILDIN (^�
9 iADDRESS
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ADDRESS LOCALITY ,
CITY Z., , 7 V c) NEAREST
! w, NO OF BLDGS. CROSS ST
y SIZE OF LOT' N W ON LOT ASSESSOR
0' MAP BOOK PAGE PARCEL
RACT••�.J�t� Lock LOT Np. DISTRICT TYPE
CONST Z �J
FIRE I FR OCZSSD BY
TEL. ij G`"n` �¢-•P�
OWNER il. /ry 0
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ADORESs fJ /�Uyd�p/� /�-�v',- USEZONE MAP '
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NO. a
CITY 4,6 r/ •-zIP q /7 D y`� SPECIAL .0
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CONDITIONS p
Size OF NO, OF '
EXISTING BLDG. STORIES I
PRESENT USE,
'OCCUPANCY GROUP V
' ' W
OF BUILDING-
AS VERIFIED OCCUPANT
t -
LOAD y
EXIT HARDWARE.
NO PARKING NO OF EXITS 1 NO SPEC KNOWL ❑
SPACES PROVIDED
PANIC DEVICES ❑
REASON-FOR PARKING REQ'D.� PROVIDED
INSPECTION REQUEST SPACES
FINAL
l r DATE
PERMIT,FEE ate' Within fhe scope of this inspection
• / the Building Official may approve
ISSUANCE F minor corrections or alterations
of an existing structure involving
TOTAL FEE % work of a` building, plumbing,
PROPOSED MAX. OCC Ks e' / mechanical or electrical nature
I HEREBY ACKNOWLEDGE THAT I HAV READ'THIs - ' APPLICATION VALIDATION
APPLICATION A TATE THAT THE FJBOVE IS COR-
RECT
SIGNATURE OP ' 71
• •�� '
'PERMITTEE '
' .
ADDRESS
TEL /,IEL • 1I "V• I•VI�I� �I �T6;6Y/'
A
CITY NO
BLOG.-S_R
TBACK # O.O.O o 2 2�
FROM RONT
PROP LINE OF (STREET) 2,o
TOTAL SE
HIGHWAY + YARD K FROM YEXISTING 6 11.O Q
TBACa TYPE OF g / 7 ,
FRONT PROP, LINE HIGHWAY WIDTH
BLDG SETBACK , 0,(,J,31 / 9
FROM SIDE
PROP LINE OF )STREET) I
TOTg
HIGHWAY`+ YARD L SETBACK FROM TYPE OF' EXISTING
v
SIDE PROP LINE HIGHWAY WIDTH