HomeMy Public PortalAbout9025 OLIVE ST_Certificate of Occupancy__ SA662E992-(REV.11178)Z79
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
BUILDING Da J LOCALITY 7!"j e -
SS
ADDREJ
CITY 777 a ZIPNEAREST
NO.OF BLDGS. • CROSS ST.
SIZE OF LOT NOW ON LOT ASSESSOR -
- - MAP BOOK. 'PAGE PARCEL
TRACT / eLocKy LOT No, DISTRICT TYPE.' FIRE PROCE ED BY
! f/�EfJ Ate/4C1 No 3' CONST ZON
OWNER /� //� +,
ADDRESS el a.1 v 1) V r- S T - •� : r -USi Z�NE MAP a,0
CITY �Gi� �G� V1 i ZIP��T. / .� I
SPECIAL
CONDITIONS cm
SIZE OF NO.OF to
EXISTING BLDG. srORIEs P�
OCCUPANCY GROUP
PRESENT USE AS VERIFIED• ._OCCUPANT y
OF BUILDING LOAD,
EXIT HARDWARE:
NO..PARKING- NO.OF EXITS ' NO SPEC:KNOWL. _
SPACES PROVIDED - '
PANIC DEVICES '
PARKING REQ'D. PROVIDED'
REASON FOR p+ SPACES: .
INSPECTION REQUEST
6 r �f BY
DA EL .o d( U h' �..r
• PERMIT Wit n the scope of this in-
FEE v pection the Building Official may
ISSUANCE approve minor corrections or
r. v, i¢ i {�es� i� E alterations of an existing struc-
�' T L lure involving work of a building;
LZl' PRo D FEE ." plumbing, mechanical or elec-
trical nature.
I HEREBY AC WLEDGE THAT.I HAVE R AD THIS
APPLICATIO PjSTATEJTHAT THE ABOVE IS APPLICATION VALIDATION.
CORRECT.
SIGNATURE OF
PERMITTEE
TEL. '
CITY NO.
BLOG.SETBACK _
FROM FRONT �0 7 4;O A
PROP.LINE T (STREET) �•
HIGHWAY + YARD - TOTAL SETBACK
M TYPE OF EXISTING
FRONT PROP.LINE .HIGHWAY WI
# o o•o oGr�
2
+ 2 • '6 1.0 0
BLDG.SETBACK '
FROM SIDE 6 1.0 0
PROP.LINE OF (STREET) •0 0 0
HIGHWAY + YARD TOTAL SErBACK FROM TYPE OF EXISTING
SIDE PROP.LINE HIGHWAY WIDTH 0613-80
as
78A862-C E992-(R E 11 V. 7 f/78) � O`
APPLIC TION F OCCUPANC S TION
COUNTY OF LOS ANGELES 9 BUIL G AND SAFETY.
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
ADDRES/S oz S-- &4L l i�L� .s %� LOCALITY
CITY /E/��, /C �j /I`� ZIP
12 df,71 O NEAREST
NO.OF SLOGS. CROSS ST. �pi�L.C�
SIZE OF LOT NOW ON LOT ASSESSOR
MAPBOOK PAGE CEL
TRACT LoeK LOT NO. DISTRICT TYPE. FIRE PRO E D�BY
TEL, CONS ZO
OWNER
A///14F& /fCNTELL ND. 2 BS'-8s' r,� /-67 -i
Q
ADDRESS
S�/'J� %t S R�� �L= IUSE ZINE MAP. C
NO. Q
CITY ZIP / 0 SPECIAL
CONDITIONS C
SIZE OF NO. OP 1�
EXISTING BLDG. STORIES u
PRESENT USE OCCUPANCY GROUP G
OF BUILDING AS VERIFIED OCCUPANT W
LOAD
EXIT HARDWARE:
NO.PARKING NO.OF EXITS NO SPEC.KNOWL. ❑
5 PACES PROVIDED
PANIC DEVICES ❑
REASON FOR
PARKING REQ'D. PROVIDED
SPACES:
INSPECTION REQUEST '+ _
C 0 V-4,9e R'o T/Q X /`�,`. Ly DA EL F..� BY
/
PERMIT FEE Wlthin the scope of this Inspection
r theBuilding Official may approve
ISSUANCE FEE minor corrections or alterations
r of an existing structure Involving
TOTAL FEE. work of a building, plumbing,
PROPOSED MAX.OCC, mechanical or electrical nature.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION ANPtIFITATE THAT TX AO&VE IS COR-
RECT. •
SIGNATURE OF
PERMITTEE
ADDRESS' ___. //q� 2 //'J�I iPz rte`/Ir"/��7 L(.. L O - OA�
CITY -2• e/ /,.�_ V/� NOV�(JJ W'0,O O.O 2G
BLDG.SETBACK 2'- D 6 1;0 0
FROM FRONT (STREET)
Pp OP.LINE OF
TOTAL SETBACK FROM TYPE OF EXISTING 'D O O.6 1,0 O U
HIGHWAY+ YARD v FRONT PROP.LINE HIGHWAY WIDTH
+ e
Oa0'680
SLOG.SETBACK
FROM SIDE
PROP.LINE OF (STREeT)
TOTAL SETBACK FROM TYPE OR I EXISTING
HIGHWAY+ YARD v SID.
PROP.LINE HIGHWAY WIDTH
+ v -