HomeMy Public PortalAbout5837-5837 1/2 OAK AVE_Certificate of Occupancy__ i 76A662-CE992A -4/77
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION z
FOR APPLICANT TO FILL IN BUILDING +,
(Print or type only) ADDRESS
ADILDING
DRESS ..+. -
LOCALITY ..,,.:- +'• I
CI ZIP NRF ESTEAREST ST.Ct'
SIZE OF LOT NO.OF BLDGS• ASSESSOR
NOW ON L T MAP BOOK PAGE PARCEL
tw DISTRICT TYPE FIRE, JPROCESSED,BY
TRACT �� �� / BLOCK LOTr , CONST: ZONE
iy
f lF
OWNER 1� TEL.- yr;
NO sj _ " USE ZONE MAP
NO., { t
ADDRESSfAAJ t SPECIAL
C11 `"`'^ P j. CONDITIONS
BLDG.,SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BL G., STORIES
HIGHWAY + YARD TOTAL SET BACK-FROM TYPE OF EitsrwG
' RRESENT.USE'OF-BUILDI, G ` FRONT PROP. LINE HIGHWAY vnorH
BLDG.SET BACK FROM
NO. PARKING SIDE PROP.LINE OF (STREEI)1 V'
SPACES PROVIDED
- HIGHWAY +"YARD– TOTAL$Ef BACK FROM TYPE OF E kisrrm �
SIDE PROP. LINE HIGHWAY winrrr
BEASON FOR INSPECTIOhkREQUEST + –
(� CORNER CUTOFF YVS NO
OCCUPANCY GROUP
OCCUPANT
Ll yt r In , AS VERIFIED LOAD
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'✓ ` ,. EXIT..HARDWARE; '
PROPOSED MAX.OCC'.
NO.OF EXITS NO SPEC. KNOWL ❑
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVEIS COR-
RECT.
PARKING :
SPACES REQ'D PROVIDED
�,,.. -
SIGNATURE OF
APPLICANT �- - y, ""E
"" .w y FINAL BY
`DATE.
i
ADDRESS .tom
Within the_srope of this inspec, 1
n I tion the Building Official may
approve minor Corrections or
Zip alterations.of an..e•xisting struc-
ture involving wank of a build PERMIT FEE
ing,. plumbing, mechanical ,or
PHONE p electrical nature. ISSUANCE FEE
TOTA FEE
APPLICATION VALIDATION CK. t M.O. CASH