HomeMy Public PortalAbout5430 ROSEMEAD BLVD_Certificate of Occupancy__ 76A662-CE992 11/75 —�—
APPLICATION FOR CCUPANCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS 36)
BUILDING
ADDRESS +�
�O o LOCALITY
NEAREST
CITY � �U ZIP CROSS ST.
SIZE OF LOT NO.OF BLDGS. ASSESSOR
NOW ON LOT / MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PROCESSED BY
TRACT // Q/ BLOCK L'OLT/�NO./3-/f/ G _GU CONSTTEL. ZONE
OWNE E Ao L_ NO.T 7(7_/6
/ So , USE ZONE NO.
DDRESS 3 v (2 �� SPECIAL
G�/ CONDITIONS
CITY f7 ZIP // 00�j BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES HIGHWAY + YARD = TOTAL SET BACK FROM TYPE OF EXISTING
PRESENT USE OF BUILDING FRONT PROP. LINE HIGHWAY WIDTH
+ _ a
_ - C
BLDG.SET BACK FROM U
NO..PARKING SIDE PROP. LINE OF (STREET) Z
SPACES PROVIDED
TOTAL SET BACK FROM TYPE OF EXISTING C
HIGHWAY + YARD= SIDE PROP. LINE HIGHWAY WIDTH
U
LL
REASON FOR INSPECTION REQUEST + = d
tr
0 L I = CORNER CUTOFF YES NO
OCCUPANCY GROUP OCCUPANT
S /0 AS VERIFIED ' LOAD
iT
04-0175 EXIT HARDWARE:
�^ PROPOSED MAX.OCC.
NO.OF EXITS NO SPEC. KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE TUAT THE ABOVE IS COR-
K PARKING
SPACES REQ'D F PROVIDED
SIGNATURE OF
,APPLICANT FINAL Q BY
DATE C/ f� /
ADDRESS J L L 2 Lw
c� — ����JJJp� Within the scope of this inspection
(/ the Building Official may approve
minor corrections or alterations of
ZIP an existing structure involving work
PERMIT F E
of a building, plumbing, mechanical
1 / p/ PHONES or electrical nature. ISSUANCE FEE
7y O /3 — L'1 a t0 ��D TOTAL FEE v
APPLICATION VALIDATION CK. M.O. CASH
76A662 CF992 6%71
APPLICATION FOR O(:CUPANCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ='
BUILDING AND SAFETY DIVISION BUILDING
HARVEY T. BRANDT, CO,IV,N,TY ENGINEER ADDRESS
COLEMAN W. JENKINS, Su�F-;OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST r
(Print or type only) CROSS ST.
DISTRICT NO. PROCESSED BY
BUILDING t7+ ) _.� -,,,i
ADDRESS FJI ftanc� qI _ftal,- T �• ._ .;; %'':,, ••% r
" r t USE ZONE MAP
LOT 0. J .wS �� r•
BLOCK � �. �- N0.PECIAL
I
TRACT SIZE OF LOT f CONDITIONS
TEL.
OWNER ,y tjoKoff et 141 N0. ------- -- ----
BLDG. SETBACK FROM
I ADDRESS 9.30 - 3rd Street --- FRONT PROP.LINE OF (STREET)
�. TYPE OF EXISTING SE TBAcN HIGHWAY } YARD = TOTAL
CITY '� Monica- HIGHWAY WIDTH FROM C.L.
SIZE OF �* NO. OF _
EXISTING BLDG. p STORIES }
PRESENT USE OF BUILDINGBLDG. SETBACK FROM
1 Contractor a SIDE PROP.LINE OF (STREET)
tyPE OF office HIGHWAY EX WIDTH G FROM SETBACK HIGHWAY } YARD = TOTAL
NO, OF EXISTING BUILDING �+
F ON LOT2
AND USE ) .[..--T } _ a
O
Tkpe III CORNER CUTOFF YES❑ NO ❑ U
NO. PARKING W
J
SPACES PROVIDED / u_
OCCUPANCY GROUP
I _ �
i' PROPOSED USE OF BUILDING
i t:. OCCUPANT LOAD
Lu
EXIT HARDWARE:
No Spec. Knowl. ❑
r Panic Devices ❑
I PROPOSED MAX. OCC. N0. OF EXITS
PARKING . REQ'D O PROVIDED I�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES
APPLICATION AND STATE TH/ TTtTHE ABOVE IS COR-
RECT.
SIGNATURE 0'
APPLICANT,
ADDRESS Chid 11, Banker & Co. as -
I4P
82 ants for the owner.
j 33 F rerr,ont A-ye.
/� k. APPROVAL DATE INSPECTOR'S
J-06 A;n 4 Ca• ZIP 90017 SIGNATURE
>..
PHONE FINAL APPROVAL
�.
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
APPLICATION VALIDATION CK. M.O. CASH
_� &L _ -