HomeMy Public PortalAbout6324 ROSEMEAD BLVD_Certificate of Occupancy__ �J R J�
76A�62=CE992 10/69 -
' APPLICATION OR OC PANCY INSPECTION
COUNTY OF LOS ANGELES _.
- . ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE,ICOUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS
(PrinT or type only) CROSS ST.
DISTRICT NO. P SED BY
BUILDING' J
ADDRESS ,3,9
USE ZONE PMAP
LOT N0. BLOCK No
CIAL
TRACT SIZE OF LOT .- DITIONS
/' TEL• �/
O W N E R, M>O /9 0.
ADDRESS6,3.:) OSe we,4 a �t%IiVO LOG. SETBACK FROM
RONT PROP.LINE OF (STREET)
�/ ' / — /' �/� ® YPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY �N/PGe C (r� i GHWAY WIDTH FROM C.L.
SIZE OF NO. OF _
EXISTING BLDG. STORIES +
PRESENT USE OF BUILDING BLDG. SETBAC
SIDE PROP.LINE OF (STREET)
TYPE OF EXISTINGJ SETBACK HIGHWAY + YARD TOTAL
HIGHWAY WIDTH FROM C.L.
NO, OF EXISTING BUILDINGS
ON LOT AND USE + _ a—
O
CORNER CUTOFF YES❑ NO ❑ U
C
N0. PARKING O
SPACES PROVIDED l I—
OCCUPANCY GROUP / L 0-
PROPOSED
PROPOSED USE OF BUILDING OCCUPANT LOAD
667.9# ^ EXIT HARDWARE:
No Spec. Knowl. ❑
Panic Devices'. ❑
PROPOSED MAX. OCC. NO. OF EXITS
PARKING . REQ'D PRO DED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES -
APPLICATION AND STATE-THAT THE ABOVE IS COR-
RECT. _
SIGNAT
APPLICANT /���� C.•�•G'/iL
ADDRESS
ZIP APPROVAL DATE - INSSjP ATORE
PHONE
,26/-0 f FINAL APPROVAL
fF. LEWIS, PRINCI AL TRUCTURAL ENGINEER
APCATION VALIDATION CK. M.O. CASH
• APPLICATION FO OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER '
BUILDING - _ BUILDING AND S= DIVISION
ADDRESS
BUILDING
CITY TeM - -rt? ZIP ADDRESS _�pC
SIZE OF LOT NO, OF SLOGS. LOCALITY '
NOW ON LOT
NEAREST
TRACT BLOCK LOT NO. CROSS ST -
ASSESSOR _
OWNER TEL' `/ Q MAP BOOK PAGE PARCEL
9LkQAaW b-/ DISTRICT TYPE FIRE ROCESS D BY
ADDRESS C2 Q CONST ZONE
uu 0 --
CITY I e I ZIP 7
4-4 iT USE ZONE MAP
SIZE OF NO. OF 110.
EXISTING BLDG. STORIES , 2— SPECIAL
CONDITIONS
PRESENT USE OF BUILDING _ BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
'LA
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTIN
NO. PARKING FRONT PROP. LINE HIGHWAY WIDTH O
SP.ACF,S PROVIDED } _ V
9s
BLDG. SETBACK FROM Q
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) V
HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF XISTIN W
SIDE PROP. LINE HIGHWAY WIDTH
- Vf
} = Z
CORNER CUTOFF YES NO
PROPOSED MAX. OCC. OCCUPANCY GROUP [ Z OCCUPANT
�
AS VERIFIED
LOAD
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE:
R ECT.
NO. OF EXITS NO SPEC, KNOWL. El
SIGNATURE OF /// PANIC DEVICES ❑
APPLICANT
/ ^ PARKING
ADDRESS ?k� �`9iJr ; / //�+ ,/ SPACES REQ'D PROVIDED
1 a� V ���LLL�"fi�� /• N�
ZIP G
• C1 r� �PHONE `
Y gJ
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER FINAL BY
DATE .// r 7 �
APFLICA7I01� VOALIDATION �MmQ CASH
6 4 8'Nuu i
76A662-CE992 12-73