HomeMy Public PortalAbout9611 OLIVE ST_Certificate of Occupancy__ 76A662-CE992A-4/77 \ '
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APPLICATION FOR OC!11'1UPANCY' INSPECTION
w� COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER-
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
BUILDING
ADDRESS j / ' '� LOCALITY
CITY � � ZIP NEAREST
� p
�L•' C/ f CROSS ST.
SIZE OF LOT NO.OF'BLDGS. ASSESSOR
NOW ON LOT MAP BOOK: PAGE PARCEL
i DISTRICT TYPE FIRE P CE Day
T•RACT/yq �2 f K Lo CONST. IZO
EL. _!rot
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OWNER �PA & �,W.,VT0. USE ZONE MAP y /J p J �� NO. —Q Q .
ADDRESS Io,f I / .� LJ/ •f /7�. ECTAL
•-�-+� / ND IT 10 NS
CITY / �� j� / i ZIP BLDG.SET BACK FROM
SIZE OF f v NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES
HIGHWAY + YARD TOTAL SET BACK FROM TYPE OF ExwING
PRESENT USE OF BUILDING FRONT PROP.LINE HIGFWAY WIDTH
BLDG.SET BACK FROM
NO.PARKING SIDE PROP.LINE OF (STREET)I.
SPACES PROVIDED TOTAL SET BACK FROM TYPE OF OMWING
HIGHWAY + YARD= SIDE PROP. LINE HIGHWAY WIDTH
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REASON FOR INSPECTION REQUEST + -
-CORNER CUTOFF YES NO
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G z 9
/ 3 If, X / `11
OCCUPANCY GROUP �
AS VERIFIED' �/1T OCCUPANT
LOAD
CvY!/C�LI EXIT HARDWARE:
PROPOSED MAX.OCC.
NO.OEXITS NO SPEC. KNOW L. ElF
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE.ABOVE IS COR-
RECT.
PARKING. REWD PROVIDED=SPACES
SIGNATURE OF
APPLICANT L FINAL Jay �r^ Q�✓
DATE
ADDRESS /►��'�!' �6fff1/�/r/✓S �Gj ! G� .r •:� .
" Within the scope of this� inspec-
O '521 tiori the Building Official may
'approve minor .corrections or
ZIPalterations of an existing struc-
��� n ture involving work of a build'- PERMIT FEE
ing, plumbing, mechanical or
PHONE o'
electrical nature. ISSUANCE FEE
o o lVa TOTAL FEE
4- 0' QAP.PLIGATION VALIDATION CK. M.O. CASH
F -r- o S-)
,o C 0 N a v 3