HomeMy Public PortalAbout6320 ROSEMEAD BLVD_Certificate of Occupancy__ BUILDIN ND SAFETY DI ION•
R APPLICANT TO FILL IN BUILDING
,(Print or type only) ADDRESS
BUILDING LOCALITY
ADDRESS �3�� /tI- OSE -NEAREST • ,
CITY ZIP / CROSS ST, ;
y7-5
NO OF BLDGS ASSESSOR - _
SIZE OF LOT / 6��� MAP BOOK PAGE, _ PA•RCEL -
J6 X. NOW ON LOTof DISTRICT TYPE IFIRE PIR ED�BY
r� T
RA BLOCK LOT NO �� CONS
` O Q � ZON '
OWNER• ,/D EL USE ZONE/ MAP
V NO Q
ADDRESS O:/ SPECIAL
CONDITIONS
CITY��/ �„/�/� ZIP BLDG SETBACK'FROM
SIZE OF �V C.. NO OF FRONT PROP LINE OF (STREET)
EXISTING BLDG - - STORIES HIGHWAY } YARD = TOTA L,SETBACK FROM TYPE OF EXISTIN
_ FRONT PROP LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING ./ �•
V }
BLDG SETBACK FROM
NO PARKING - - - SIDE PROP LINE OF -' (STREET) 0-
SPACES
SPACES PROVIDED TOTAL SETBACK FROM • -TYPE OF XISTIN U
HIGHWAY } YARD, _ '-SIDE PROP LINE HIGHWAY WIDTH Q
H
REASON FOR INSPECTION REQUEST +
.CORNER CUTOFF-% YES- -A "NO Z
OCCUPANCY GROUP',
AS VERIFIED _ OCCUPANT
LOAD
EXIT HARDWARE
PROPOSED MAX. OCC
NO OF EXITNO SPEC KNOWL
S ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - PANIC DEVICES ❑
APPLICATION AND�STATE THAT THE ABOVE IS COR- _
RECT' r PARKING
` •- SPACES REQ'D D .s' VI DED ,
' FINAL BY
SIGNATURE OF DATE J
APPLICAN -
ADDRESS// Within the scope of this inspec-
tion the Building Official may
1114 approve minor corrections or
alterations of an exlsting'struc-
ture Involving work of'•a build- Per 1 e
ZIP Ing, plumbing,.mechanlcaI or
electrical'nature Issu ce
PHONE - C3 • TO IFee
sn o o hin
APPLICATION:VALOID&TION cK M 0 CASH
i a o
v O : CD
76A662C-CE9928 11/75 G
NS
APPLICATION F® 6RICY INSPECTION LLJ
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING _ BUILDING AND 5A4ZETY DIVISION .
ADDRESS a o
• • A;
ZIP EI
NG
CITY � ADDRESS � �v`
SIZE OF LOT NO OF BLDGS LOCALITY
NOW ON,LOT
NEAREST
TRACT - CK LOT NO CROSS ST
ASSESSOR
TE
OWNER J s �j NO �l MAP BOOK
DISTRICT TYPE PFIRE PR SED BY AGE ARC EL -
ADDRESS s / " CONST - ZONVE
CITY - ZIP USE ZONE MAP
SIZE OF 0. OF MA `
EXISTING BLDG. STORIES / j �i�.LNO,
ECIALDITIONS
PRESENT USE OF BUILDING BLDG. SETBACK FROM
FRONT PROP.'LINE OF r (STREET) '
TOTAL SETBACK FROM TYPE OF EXISTIN
�,fes` 7� / /' HIGHWAY + YARD'
=N 0- P�:K IFRONT PROP. LINE HIGHWAY WIDTH
OWN/ �,✓�/ y I��rV/t�j./
SPAROVNGIDED - +
)Ta--/— ad
BLDG. SETBACK FROM -
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF - (STREET)
TOTAL SETBACK,FROM TYPE OF XISTIN
HIGHWAY + YARD = SIDE PROP.,LINE HIGHWAY WIDTH
_ Vf
+ _
•� - - - - CORNER CUTOFF - YES, - NO - - - -
PROPOSED MAX, OCC. OCCUPANCY GROUP r
AS VERIFIED 1 /� OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE-READ THIS �! LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. EXIT HARDWARE
NO, OF EX NO SPEC KNOWL
TS ❑
•� '
PANIC DEVICES
SIGNATURE OF ❑
APPLICANT �! -
_ PARKING REQ'D PROVIDED
ADDRESS A +SPACES
/ZIP C
.. PHONE ,.. /6
MAKE_ CHECKS PAYABLE-TO
HARVEY T. BRANDT COUNTY ENGINEER FINAL BY
DATE
APPLICATION VALIDATION CK M 0 CASH
x,6;.0-,� 1 18 4 U ®. = .0 0 ° •
76A662-CE992 12-73 - e%r