HomeMy Public PortalAbout5345 PARMERTON AVE_Certificate of Occupancy__ ;A662 cEB92 fins
APPLICATION FOR,�OCCUPAN,CY INSPECTION
COUNTY OF LOS ANGELES ,
" DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION P
FOR APPLICANT TO FILL IN BUILDING
jj (Print or type only) ADDRESSBUILDING
• f
ADDRESS ffj ��P.�f/E.e�� LOCAUTY _ • .
cl E iNPL e e e i T ZIP %i7,?d c OSSSST '
SIZE'OF LOT - NO OF BLDGS ASSESSOR _ a
NOW ONILOT ,'�( MAPBOOK PAGE f PARCEL+t
y ISTR CT TYPE FIRE P D BY
TRACT`v / BLOCK LOT NO T � CONST, ZO
p L
DINNER r r ' NOTrL yea-ap6d _-E MOP �\5� .
ADDRESSj-3'/ xIa-2-9/,c) SPECIAL
C �CZIP 'D CONDS
CITU ��LE, ACK FROM
SIZE OF „ + NO FRONT PROP LINE OF (STREET)
EXISTING 8LD w IES TOTAL SET BACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP UNE HIGHWAY WIDTH
IPRESENT,USE OF BUIL G c 0.
a
r• ,may _ -
NO PARKING ” BLDG SET BACK FROM U
,
SPACES PR D SIDE PROP UNE OF (STREET) Z
F ; , HIGHWAY , + YARD- TOTAL SET BACK FROM TYPE OF EXISnNG
- SIDE PROP LINE + HIGHWAY WIDTH U
LL
REASON FOR INSPECTION REQUEST + *+ - CL
CORNER CUTOFF YES NO, - .L Z
OCCUPANCY GROUP - �-
AS VER IFlED OCCUPANT
LOAD
_ 'EXIT HARDWARE
' S PROPOSED MAX OCC t
I NO OF IXrfS NO SPEC KNOWL r"
- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS � � ., PANIC DEVICES �
rAPPUCATION ND STATE THAT THE ABOVE IS COR-
RECT p /r i _ PARKING
SIGNATURE OF yr' SPACES C�' RE-0 D PROVIDED
APPLICANT ,t 'G / FlNAL BY
DATc
ADDRESS y
G{• �� •� r[�� Within the scope of thn mspecnon
i /7D the Buddha Official may approve • ' s
minor corrections or afteratlona of Z '
an eXreLng structure mvoMng Wp4 PERMIT,FEE Y U
of a bulldog Plumbdng mechanical
t_ PHONE or elaclncal nature ISSUANCE FEE
• t . ' , TOTAL FEE
APPLICATION VALIDATION cK Mo' CASH'
5,.0'7—FEB 7 2 U 3,0.0 0 AiJ-
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