HomeMy Public PortalAbout5344 PARMERTON AVE_Certificate of Occupancy__ mwsez cennzw - �/n �
APPLICATION FOR OCCUPANCY INSPECTION ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,ul
a BUILDING AND SAFETY DIVISION
FOR APPLICANTTO FILL IN BUILDING
(Print or type only) ADDRESS-Z!!53 !9"
!� BUILDING , LOCALITY -
ADDRESS !{
NRES
CITY '�, ZIP CRA OSS ST T
-
SIZE OF LOT � ASSESSOR ,
f NO OF SLOGS t
/p0 X I U (] NOW ON LOT MAP BOOK PAGE' PARCEL
DISTRICT TYPE IFIRE I PGCIEESSED BY
TRACT 1 BLOCK LOT NO CO Nom_ ` ZONE
TEL CJS L 1
OWNER 2 NO US ZONE MAP �l
EJ NO V
ADDRESS S3',/ SPECIAL ^
'Yr/U CONDITIONS
CITY7e e C ZIP BLDG SET BACK FROM
SI (STREET)OF i . NO OF , FRONT PROP LINE OF (STREET)
EXIS NG BLDG 1 STORIES
HIGHWAY + VAR07TOTALSETBACKFROM TYPEOF ex>srrt+c
PRESENT L. OF BUILD IN - FRO WPROP UNE HIG HvVAYj mores
r
+SET BACK FM
_
NO PARKI & ^ , SIBOEPROP LJEOFRO a
(STRE6T)I
SPACES OVIDED o
HIGHWAY + YARD- TOTASIDE PLSETBACKFROME
TYPE OF exsreva U
ROP UNHIGHWAY morn Z
O
REASON FO NSPECTION REQUEST + U
W
CORNER CUTOFF VES NO �-
Z
OCCUPANCY GROUP -
AS`VERIFIED Q3 OCCUPANT
Ca LOAD
EXIT HARDWARE
ED
PROPOSMA OCC
NO OF EXITS NO SPEC KNOWL -❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ` PANIC DEVICES ❑
APPLICATION'AND TE THAT THE ABOVE COR
RECT
PARKING REQ-0 PROVIDED
SPACES
SIGNATURE OF
APPLICANT /) FINAL BV
3 , - _ DATE�^ / -
ADDRESS F
With,. the scope of this m5pec '
ban the BwldIng Official may
approve minor corrections or f
ZIP alterations of an existing struc-
ture in`volv,ng work of a bund PERMIT FEE
t ing, plumbing mechanical, or
PHONE electrical nature S ISSUANCE FEE
TOTAL FEE
APPLICATION VALIDATIO c M O CAS a H-
o-
2 2 2�-AUG 10 2 2 P 6 1.0.0 wx