HomeMy Public PortalAbout9428 LOWER AZUSA RD_Certificate of Occupancy__ 761.6624CE992 10/69r""' `� ""'� U w •' CL;zlL
APPLICATION FOR OCCUPANCY INSPrTION
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY.ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING p�
JOHN A. LAMBIE,ICOUNTY ENGINEER ADDRESS �J
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
(Print or type only) CROSS ST.
BUILDING DISTRICT NQ, PROCESSED BY
ADDRESS ,� t 7—,
�J r
LOT NO. USE ZONE MAP 01—
TRACT / SIZE OF LOT rG �(j�,� I CONDITIONS
OWNER
NOL '/�
ADDRESS )� BLDG. SETBACK FROM
1 FRONT. PROP.LINE OF (STREET)
TYPE OP EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
SIZE OF N0. OF
EXISTING BLDG. STORIES + _
PRESENT USE OF BUILDING BLDG. SETBLIC
DEPNE OF—M (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
N0. OF EXISTING BUILDINGS HIGHWAY WIDTH FROM C.L.
ON LOT AND USE + _
O
CORNER CUTOFF YES❑ NO❑ U
NO. PARKING o
SPACES PROVIDED
U
OCCUPANCY GROUP W
a
z_
PROPOSED USE OF BUILDING OCCUPANT LOAD
n a EXIT HARDWARE:
No Spec. Know[. ❑
Panic Devices ❑
PROPOSED MAX. OCC. NO. OF EXITS
PARKING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
SPACES • REQ'D PROVIDED
APPLICATION AND STATE THAT THE ABOVE IS COR- �7
RECT. �'l1,//1
SIGNATURE OF
APPLICANT
ADDRESS P
APPROVAL DATE INSPECTOR'S
ZIP GNATURE
PHONE . � �d FINAL APPROVALJiff / I %%eZ4.
JOHN F. LEWIS, PRINCI AL STRUCTURAL ENGINEER
I APPLICATION VALIDATIO � M.O.. CASH
fP�'�9354c'---' MAR 2422 D 1500 . Q