HomeMy Public PortalAbout5714 MUSCATEL AVE_Certificate of Occupancy__ APPLICATION F OCCUP CY INSPECTION �]
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
r DEPARTMENT OF COUNTY ENGINEER
BUILDING $� j° FEL
AND SAFETY DIVISION
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ADDRESS 1 8 1.
BUILDING
CITY `"T y ZIP ADDRESS C
SIZE OF LOT NO. OF BLDGS. LOCALITY
/°L- PA. NOW ON LOT
A - NEAREST
TRACT /��� BLOCK • LOT N0. CROSS ST,
YYY✓✓✓ ASSESSOR
TEL MAP BOOK 11-PAGE PARCEL
OWNER el L N0. DISTRICT TYPE FIRE PROCES D BY
ADDRESS CONST. ZONE
12 �
CITYQjj 16 77' � ZIP 6 ,A USE ZONE MA
SIZE IN N0. I �df
EXISTING•BLDG. STORIES /"I SPECIAL
CONDITIONS
PRESENT USE OF BUILDING D rkRAE'- BLDG. SETBACK FROM
FRONT PR INE OF (STREET)
C HIGHWAY YARD'= TOTAL SETBACK FROM TYPE OF EXISTING
N0. PARKING FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED + = o
C
C
BLDG. SET CK FROM c
REASON FOR INSPECTION REQUEST SIDE PROP. L F (STREET)
. F
HIGHWAY + YARD •– TOTAL SETBACK FRO TYPE OF XISTIN u
A) – SIDE PROP. LINE HIGHWAY WIDTH p
AE _RjE �1� co
+ _ e
CORNER CUTOFF YES -. - NO
PROPOSED.MAX. OCC, OCCUPANCY GROUP e�
AS VERIFIED ! /—Z, OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS •(J LOAD
APPLICATION AND STATE THAT.THE ABOVE IS COR- EXIT HARDWARE:
7—
RECT.
N0. OF EXITS NO SPEC. KN-OWL. Cl
SIGNATURE OF PANIC DEVICES El
ADDRESS /3 / �`� PARKING REQ'D 7 PROV.IDED'
�
DD (� ( ¢ SPACES
W •
ZIP
PHONE -
MAKE CHECKS PAYABLE TO: '
[HARVEY T. •BRANDY COUNTY ENGINEER FINAL BY
t 1 c�14 s
DATE °`Zd� / / or Vr
APPLICATION VALIDATION CK. M.0. CASH
82.'O-,FEB 2540 ` .00esa
D:
76A662-CE992 3./73-