HomeMy Public PortalAbout9008 PENTLAND ST_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGC)d BUILDING AND SAFETY DIVISION
ADORE SS
Q - BUILDING
CITY l i ��` ZIP ADDRESS
SIZE OF LOT NO OF SLOGS LOCALITY
NOW ON LOT
NEAREST
TRACT ' BLOCK LOT NO CROSS ST Sd' A
ASSESSOR
OWNER TEL MAP BOOK PAGEPARCEL ,
N DISTRICT TYPE FIRE PROC EO BY
ADDRESS d CONST _ ZONE
CITY ZIP USE ZONE MAP �y J
SIZE DF NO OF NO
EXISTING BLDG STORIES —3 SPECIAL 4
CONDITIONS
PRESENT USE OF BUILDING BLDG SETBACK FROM
n' �( FRONT PROP LINE OF (STREET)
�is HIGHWAY } YARD = TOTAL TRACK FROM TYPE OF EXISTINGd
NO PARKING - NT PROP LINE HIGHWAY WIDTH 8
SPAC PR DIVIDED } QVC
a.
BLDG SETBACK FROM Q`V
REASON FOR INSPECTION REQUEST SIDE PROP LINE OF (STREET)
HIGHWAY } YARD = TO AL SETBACK FROM TYPE OF XISTIN eed pevfv) ;:t on 6fW
IDE PROP LINE HIGHWAY WIDTH
N
} = z
CORNER CUTOFF YES NO
PROPOSED MAX OCC OCCUPANCY GROUP
LOAD
AS VERIFIED OCCUPANT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS COR-
C EXIT HARDWARE
RECT
' NO OF EXIT NO SPEC KNOWL ❑
SIGNATURE PANIC DEVICES ❑ •j
APPLICANT
PARKING vr•
A DpRE55 SPACES RE PROVIDED
ZIP ffA2,d�Do�rS ,�� �c! wi�PiNFi�v
NEg7
A1AAL CHECKS PAIAHLE /O C�
HARVEY T BRANDY COUNTYENGINEER FINAL _ '� / BY �w
DATE / R99
APPLICATION VALI A ION CK' M o CASH
76A662-CE992 12-73 215 5P JUL 5 `` 2 2 D V Tl8 0 0 ��