HomeMy Public PortalAbout9230 OLIVE ST_Certificate of Occupancy__ 76A662-CF99ZA-4/77
APPLICATION FOR -OCCUPANCY I,(VSPECTION
COUNTY OF LOS AIV.GELES
DEPARTMENT'OF COUNTY ENGINEER
BUILDING AND SAFETY'DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS ;Z 3 plc Ve_, Id-t, .
BUILDING D Q� _ LOCALITY T� 1e G`
ADDRESS
CITYHP) ZIP 2 78O CROSS ST. rY-A,$.
SIZE OF LOT ' �//' NO.OF BLDGS. ASSESSOR.
/ ^/-"NOW ON LOT MARBOOK PAGE PARCEL
DISTRICT TYPE FIRE PR E D BY
TRACT J�� 9P,2p� BLOCK t� LOT NO.�e,�•
CONST. ZON
OWNER�R A/ ST ^. 10,4,U/.AfF0aNOL ,??-a36-1. USE ZONE MAP
NO.
ADDRESSf��b '
�® 6�r �, SPECIAL �0
-ry 111��1 CONDITIONS
CITY Zip �J / �� BLDG.SET BACK FROM 9 / ��- O L���
SIZE OF NO.OF FRONTVROR LINEOF (STREET)
EXISTING BLDG'S 2_100-1 i=r STORIES
HIGHWAY +�ifft4tB'= TOTAL SET BACK FROM TYPE OF oasrau6:
PRESENT USE OF BUILDING FRONT PROP.LINE HIGHWAY WIDTH
�'iS%� 11�77f�'�— q
! � �"
- + = C!TLiet
BLDG.SET BACK FROM C? f v
NO. PARKING /VO t� SIDEPROP..LINEOF v (STREET)1 2C
SPACES PROVIDED �j
F F+6i WpAY + YARD- TOTSIDE P BACK FROM TYPE OF EXOMG
- SIDE PROP. LINE HIGHWAY WIDTH e
� C
REASON FOR INSPECTION REQUEST c+ay APaF_ -
L
CORNER CUTOFF YES NO
iA-?i d -- D Er:N u 6S T Roo H _
l3/ T19 OCCUPANCY GROUP
A-kj1> JAJJJRK540P &0AIAVERIFIED C ANT
LOAD
WM4 UI P-r-msA1/$ OF Ritosbr L3)5rp/a EXIT HARDWARE:
S P OPqjF D M' OCE! NO.OF EXITS ® NO SPEC. KNOW L., ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
SPACESG ° REQ'DPROVIDED
SIGNATURE OF
APPLICANTFINAL BY ) 'r .(�
DATE
ADDRESS �y .ry��y �i � OC/� V 1 -
1 W4 L'J Within the scope of this.Inspec-
t?/'�® tion the Building Official may n
approve minor corrections or .#10'0 0 0 2 2
1 ZI rry alterations of an existing struc- l
/ GX lure involving work of a build- PERMIT F Ef o•0,
In
plum ng, mechanical or
PHONE 'q o N electric ature. ISSUANCE FEE
N P. 0- . Q c No TOTAL FEE- '
/
o• IDVAT10N VALID T N CK. M.O. CASH
oQ
O N O N
'O O` 'N,O N �70,