HomeMy Public PortalAbout5018 PAL MAL AVE_Certificate of Occupancy__ 76A662-CE922 6/71 1e %✓i_--' `, L ( . �
APPLICATION FOR OCCUPANCY INSPECTION .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS
HARVEY T. , COUNTY ENGINEER
COLEMAN W. JENKINSNKINS, SUPT OF BUILDING LOCALITY
;FOR APPLICANT TO FILL IN NEAREST
CROSS ST(Print or type only)BUILDING DISTRICT NO ROVSSED BYADDRESS Q- C• USE ZONE MAPC;Z OLOT N0. Cs BLOCK !f
N0.
PECIAL
TRACT C3� SIZE OF LOT CONDTIONS
TEL,
OWNER N0.
BLDG. SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
TYPE OF
CITY HIGHWAY EXIWSDTHG FROM CCL,HIGHWAY + YARD = TOTAL
SIZE OF N0, OF
EXISTING BLDG. STORIES / +
PRESENT USE OF BUILDINGBLDG. SETBACK FRO
j QI N SIDE PROP.LINE 0FM (STREET)
TYPE OFEXISTING SETBACK HIGH 'F YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
NO. OF EXISTING BUILDINGS ,
ON LOT AND USE
CORNER CUTOFF YES❑ NO ❑ C
NO. PARKING C
SPACES PROVIDED
G
OCCUPANCY GROUP c
C.
Li
PROPOSED USE OF BUILDINGv
OCCUPANT LOAD
'tib EXIT HARDWARE:
G No Spec. Knowl. ❑
pr
Panic Devices El
PROPOSED MAX. OCC. Uri NO. OF EXITS
PARKING . REQ'0 PR IDED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
SIGNATURE OF9/��. C///vC /4fL�
APPLICANT ol
ADDRESS
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ZIP �j� APPROVAL DATE Iri NSPECTOR'S
PHONE z��—/��� FINAL APPROVAL
JOHN F. LEWIS, PRINCIPAL S U R ENGINEER
APPLICATION VALIDATIO CK. 0. CASH
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