HomeMy Public PortalAbout5812 MUSCATEL AVE_Certificate of Occupancy__ 76A66&CEM 11/75
* APPLICATION FOR CCIJPANCV INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS f,
BUILDING LOCALITY `
ADDRESS �►—'
CITY NEAREST
Ls ZIP C Ci CROSS ST.
SIZE OF LOT NO.OF BLD S. ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE SED BY
TRACT 3 BLOCK - CONST. ZONE
' ' TEL. _ � % f �
OWNER q /u c' t A SE ZONE NOP
ADDRESS L SPECIAL
CONDITIONS
CITY ZIP BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES TOTAL SET BACK FROM TYPE OF EXISTING
PRESENT USE O
HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
F BUIL G
00
+ — L
BLDG.SET BACK FROM C
NO.PARKING SIDE PROP.LINE OF (STREET)
SPACES PROVID C
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF EXISTING
SIDE PROP.LINE HIGHWAY WIDTH F
C
REAf
SON FOR INSPECTION REQUEST + -
L
L
d CORNER CUTOFF YES NO
OCCUPANCY GROUP OCCUPANT
AS VERIFIEDz-- i
LOAD
EXIT HARDWARE:
PROPOSED 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 PROVIDED
SIGNATURE OF.
FINAL BY !i'
ADDRESS DATE
Within the scope of this inspection
the Building Official may approve
ZIP minor corrections or alterations of l/ t
an existing structure involving work PERMIT FE� ! J
of a building, plumbing, mechanical !�
PHONE or electrical nature. ISSUANCE FEE V
TOTAL FEE
APPLICAT' N ALIDATION CK. M.O. ASH
4 ?SPR
22 9 3 0.0 0 •93
.76A662-CE992 11175
APPLICATION FOR CCUPANCY INSPECTION
- ' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDINGn_ _
(Print or type only) ADDRESS r 4i.6
BUILDING .
ADDRESS — LOCALITY
CITY, ZIP O NEAREST
CROSS ST.'
NO.,OF BLD.S. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE SED BY
TRACT BLOCK -~ CONST. ZONE
OWISER. TEL. J�•D� �
SE ZONE MAP
NO. � �
ADDRESS L SPECIAL
CONDITIONS
CITY , ZIP
"BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP,-LINE OF (STREET)
EXISTING BLDG. STORIES HIGHWAY + YARD = TOTAL SET BACK FROM TYPE OF EXISTING
PRESENT USE OF BUIL G FRONT PROP.LINE HIGHWAY WIDTH
+ C
IL
BLDG.SET BACK FROM
NO.PARKINGSIDE PROP.LINE OF (STREET)
ID e
SPACES PROVC
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF EXISTING
SIDE PROP.LINE HIGHWAY WIDTH F
REA§ON FOR INSPECTIOLj
N REQUEST' + ' -
d CORNER CUTOFF YES NO e
OCCUPANCY GROUP
AS VERIFIED / OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. ^ ❑
- NO.OF EXITS I I NO SPEC.KNOWL.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES C:1APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. .PARKING•: REO'D� PROVIDED=
' 'SPACES
SIGNATURE OF '
APPLICANT Lea. FINAL BY
DATE '
ADDRESS
Y �!�
' Within the scope of this inspection
the Building Official may approve
ZIP minor corrections or alterations of
an existing structure involving work PERMIT FA
of a building, plumbing, mechanical
PHONE or electrical nature. ISSUANCE FEE"
TOTAL FEE (�
APPLICAT N lALIDATION CK.- M.O. ASH
q. :'.. � .. . �.: . !; 3. 0.E:0 .d►58