HomeMy Public PortalAbout5449 ROSEMEAD BLVD_Certificate of Occupancy__ 78AEB2�EI�2 11/'75 '
APPLICATION F 0 9P NCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print Or.type only) ADDRESS i
NG m
ADDRESS
L
ADDRESS
NEAREST
CITYiLG <i' ZIP NEAREST
CROSS ST.
SIZE OF LOT NO.OF BLDGS LASSESSORNOW ON LOT AGE PARCEL
DiSTFUCT TYPE RRE ED BY
�� 3 /ZCONST ZONE
OWNER 'NO.
EL..
N O. MAP
NO.
ADDRESS / ► . SPECLAL
CONDnIONS
CRY BLD ET BACK FROM
SIZE OFNO.OF FRONT PROP. LINE OF (STRE£n
EXISTING BLD Q O STORIES / HIGHWAY + YARD - TOTAL SET BACK FROM TYPE OF F7a8THiG
PRESENT USE OF BUILDING FRONT PROP. LINE HIGHWAY WIDTH
+ 0
��-¢i7r BLDG.SET BACK FROM U
NO.PARKING SIDE PROP.LINE OF (STREET) Z
SPACES PROVIDED 0
HIGHWAY + YARD– HIGHWAY
WDTH
AL SET BACK FROM TYPE a
SIDE PROP. LINE HfGFY WIDTH
REASON FOR INSPECTION REQUEST + – TOT a
f!1
CORNER CUTOFF YES NO Z
OCCUPANCY GROUPLOCCUPANTAS
VERIFIED —Z� LOAD
a/Dr� �rL EXrr HARDWARE:
PROPOSED MAX OCC. NO.OF EXITS NO SPEC.KNOWL_ ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT OVE IS COR-
RECT. PARKING
SPACES REWD F PROVIDED=
SIGNATURE
APPLI FINAL � .
DATE
ADDRESS
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PHONE � or eiectrfal nature. ISSUANCE FEE
TOTAL FEE
APPLICATION VAUDATION CK- M•O• V CASH
a 22cNOV 1b 4a U L0k-3;