HomeMy Public PortalAbout5233 MCCLINTOCK AVE_Certificate of Occupancy__ 76A662-CEW 11/75
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF L•OS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
BUILDING LOCALITY
ADDRESS "GL./N?-o /7`iJ
NEAREST �J� ,
CITY / C-m PLL. _/ ZIP � '' CROSS ST. TT
SIZE OF LOT NO.OF BLDGS. ASSESSOR
NOW ON LOT a— MAP BOOK PAGE PARCEL
DISTRICT 4TYPE FIRE PRO SSED
TRACT BLOCK LOT NO. S�c/ CONS' ZO!w?
OWNER _-TEL. USE ZONE NOP �/ �� S,
J H/v b � �2-i roa
ADDRESS S�-3 �C C/N�G(C E � SPECIAL
CONDITIONS
CITY �Em�J GIiTL ZIP BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES TOTAL SET BACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING e � GARAGE 111;_S d
f Gr2rv►cP_ oFFrcE + = C
A• M S AA%b G(;OsrRFV BLDG.SET BACK FROM
NO.PARKING SIDE PROP.LINE OF (STREET) 2
SPACES PROVIDED C
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF EXISTING
SIDE PROP.LINE HIGHWAY WIDTH L
REASON FOR INSPECTION REQUESTo + - u
�C FffGh� 00 U
br- S(�EPiN6 ` CORNER CUTOFF YES NO
OCCUPANCY GROUP OCCUPANT
AS VERIFIED LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS NO SPEC.KNOWL. ❑
A%' amass
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS RM PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING .
SIGNATURE OF
SPACES REQ'D� PROVIDED
APPLICANT - FINAL �/7.77 BY
ADDRESS DATE
�t�tJrDc� F
7. Within the scope of this inspection
'
/L;/J7,4eE iree �' the Building Official may approve
minor corrections or alterations of
ZIP an'existing structure involving work
PERMIT FEE
of a building, plumbing, mechanical
PHONE ��/` r/ or electrical nature. ISSUANCE FEE
I�Q TOTAL FEE
APPLICATION VALIDATION CK. M.O. CASH
4 8 6 fNU6 2 2 D