Loading...
HomeMy Public PortalAbout4938 PERSIMMON AVE_Certificate of Occupancy__ 76A662-CE99211/75 �rZ APPLICATION FOR" OCCUPANCY INSPECTION COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING ��}} p ¢(Print or type only) ADDRESS BUILDING ADDRESS `T' / 3C� /JeSi�vI�VI©/U A o' LOCALITYNEARE CITY rralo e Cll✓ T'/ ZIP Y/78 0_ CROSS ST. SIZE OF LOTNO.OF BLDGS. ` ASSESSOR �G X 1 3 5 NOW ON LOT MAP BOOK PAGE PARCEL TRACT i �, BLOCK LOT NO. S DISTRICT CONTYP [FF�IREJJPPO"'ary BY CONST 'OWNER,4,4i'6/V AN'"4tj1A/U #44' TEL. NO. USjE NOPQ�3r� ADDRESS 4 15 PY-501V SPECIAL ®66 CONDITIONS CITY E(, 'Aj[f/Vrk_ p ZIP I1 7.2 43LDG.SET BACK FROM SIZE OF . 7 p NO.OF FRONT PROP. LINE OF (STREET) EXISTING BLDG. i6 / 5� STORIES j TOTAL SET BACK FROM TYPE OF EXISTING PRESENT USE OF BUILDING HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH �'4�'S/�`�N��• > + = C C BLDG.SET BACK FROM NO.PARKING SIDE PROP. LINE OF (STREET) e SPACES PROVIDED C = TOTAL SET BACK FROM TYPE EG HIGHWAY + YARD SIDE PROP. LINE HIGHWAY WIDTH WIDTHHC REASON FOR INSPECTION REQUEST yp SN� + G NT CORNER CUTOFF YES NO OCCUPANCY GROUPL-1-1i OCCUPANT AS VERIFIED LOAD ,1 EXIT HARDWARE: PROPOSED MAX.OCC. NO.OF EXITS NO SPEC.KNOWL. ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑ APPLICATION AND STATE THAT THE ABOVE IS COR- RECT. PARKING SPACES REQ'D PROVIDED SIGNATURE OF 5-�/ '� 7 BY 1 APPLICANT GL 2-aT� FINAL DATE ADDRESSY1 '0yS0ry n�� _ Within the scope of this inspection the Building Official may approve minor corrections or alterations of ZIP an existing structure involving work PERMIT FEE of a building, plumbing, mechanical PHONE or electrical nature. ISSUANCE FEE �4V'23.5 TOTAL FEE 30 APPLICATION VALIDATION CK. M.0. <__�H H 3 3 6 1 MAY 18 2 2 9 3 O.0 0 •