HomeMy Public PortalAbout9563 PENTLAND ST_Certificate of Occupancy__ APPLICATION FOR CUPAN • Y INSPECTION
7OR APPLICANT TO FILL IN (Print or type only) • COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER
BUILDING ��66 I BUILDING AND SAF DIVISION
ADDRESS LJ R N d
BUILDING
CI FEF M ` ZIP /7t-61 ADDRESS
SIZE OF LOT N0. OF LOT LOCALITY
�7 �a () iOJ NOW ON LOT
NEAREST
TRACT BLOCK) LOT NO. CROSS S
pp ASSESSO
OWNER V i A(r1 NO. _8,,o
08 �3 DAGE
TEL ASTROICT TYPE PFIRE PROCES D BY
ARCEL
.. CONST. ZONA 1
AODRESSc� /y1, RS � D
r
CITY _ ZIP E ZONE MAP
SIZE OF NO. OF N0. .�
EXISTING BLDG. STORIES �� : SPECIAL
y CONDITIONS
PRESENT USE OF BUILDING `OI/ 1p, BLDG. ETBACK'FROM
C FRON7 PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF XISTIN
N0. PARKING HIGH AY + YARD = FRONT PROP. LINE HIGHWAY WIDTH
SPACF,6 PROVIDED + _
BLDG. SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE,PROP. LINE OF (STREET) e
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XISTIN
L
, I 6,N SIDE PROP. LINE GHWAY WIDTH `
V +
CORNER CUTOFF YES NO
■
PROPOSED MAX. OCC. OCCUPANCY GROUP
AS VERIFIED OCCUPANT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS,COR- EXIT HARDWARE:
R ECT.
NO. OF EXITS NO SPEC. KNOWL. Q
SIGNATURE OF PANIC DEVICES ❑
APPLICANT
ApDRESSs h b d Y SPACES _PARKING REQ'D r.� PROVIDED
ZIP
PHONE
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER FINAL .r BY
DATE
APPLICATION VALIDATIO CK. M.O. CASH
AUG 5"�: 1 8..0:0 ®98
16AG52-CE992 12-73 �-