HomeMy Public PortalAbout5839 OAK AVE_Certificate of Occupancy__ 76A66' CE992A 4/77
• APPLICATION FOR CCUPA CY INSPECTION
COUNTY OF LOS ANGELES f�
DEPARTMENT OF COUNTY ENGINEER lul
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING SV�
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SIZE OF LOT NO OF BLDGS ASSESSOR11
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ADDRESS
��/� CONDITIONS
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SIZEOF NO OF FRONT PROP LINE OF (STREET)
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HIGHWAY + YARD = TOTAL SET BACK FROM TYPE OF IXLST9VG
PRESENT USE OF BUILDING FRONT PROP LINE HIGHWAY w10TH
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BLDG SETBACK FROM
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SPACES PROVIDED
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REASON FOR INSPECTION REQUEST +
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AS VERIFIEDL6�3 OCCUPANT RL12 C79
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 � L—n
APPLICANT FINAL = ' �,7� BY p� /�
DATE _ _ L J V
ADDRESS��
l Within the scope of this inspec
Cr i C-V 51 C240 tion the Building Official may
approve minor corrections or
ZIo1rj/ alterations of an existing struc
ture involving work of a build PERMIT FEE
ing plumbing mechanical or
PHONE electrical nature LTOTTAL
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76ASQ2-CE 92A-4/77
APPLICATION FOR OCCUPA CY INSPECTION
COUNTY OF LAS ANGELES
DEPARTMENT OF COUNTY ENGINEER /
BUILDING AND SAFETY DIVISION q '7 _ 3.7�z,
FOR APPLICANT TO FILL IN BUILDING
15(Print or type only) ADDRESS q 3
BUILDING
ADDRESS9V3 LOCALITY
CITY ZIP NEAREST
CROSS ST
SIZE OF LOT NO OF BLDGS ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT CTYPE FI RE ONST ZONE PRO SE Y
TRACT (p 5(O BLOCK LAT ie 3 Q f
OWNER No`o�?$ NO � O O USE ZONE MAP V
ADDRESS
v� SPECIAL
CITY ^,� CONDITIONS
�( BLDG SET BACK FROM
SIZE OF NO OF
FRONT PROP LINE OF (STREEn
EXISTING BLDG STORIES
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF ExrsTwo
PRESENT USE OF BUILDING FRONT PROP LINE HIGHWAY WIDTH
BLDG SET BACK FROM
NO PARKING SIDE PROP LINE OF (STREET)1 d
SPACES PROVIDED
HIGHWAY + YARD— TOTALSETP OP LINE
TYPE OF WIDTH
— SIDE PROP LINE HIGHWAY WIDTH �
C_
REASON FOR INSPECTION REQUEST +
� W
CORNER CUTOFF YES NO a
V7
Z
OCCUPANCY GROUP
AS VERIFIED OCCUPANT uau - LRUL-1
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 ROVIDED�
SIGNATURE OF
APPLICANT FINAL BY
ADDRESS
DATE S 9,
OT
' Within the scope of this inspec
tion the Building Official may
approve minor corrections or
ZIP alterations of an existing struc
ture involving work of a build PERMIT FEE
ing plumbing mechanical or
PHONE electrical nature ISSUANCE FEE
TOT EE
APPLICATION VALI A I N cK MO CASH
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