HomeMy Public PortalAbout6336 ROSEMEAD BLVD_Certificate of Occupancy__ 76A662-C E992 1 0/69
APPLICATION FOR OCCUPANCY 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, SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
(Print or type only) CROSS ST.DISTRICT NO PRO(S! B
BUILDING J /
ADDRESS -►tet{
USE ZONE MAP -�
LOT N0. BLOCK
TRACT SIZE OF LOT 2 {�/� CONDIT
f� TEL*
OWNER �r�(� -� ��e, NO.
BLDG. SETBACK FROM
ADDRESS L(J ' .� k-2 7 FRONT PROP.LINE OF (STREET)
TYP OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGH AY WIDTH FROM C.L.
SIZE OF N0. OF
EXISTING BLDG. ISTORIES +
PRESENT USE OF BUILDING OL �,�.G�.- Sh p BLDG. 5
SIDE PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + ARD = TOTAL
HIGHWAY WIDTH FROM C.L.
NO. OF EXISTING BUILDINGS
ON LOT AND USE + _ a
O
CORNER CUTOFF YES❑ NO ❑ U
NO. PARKING O
SPACES PROVIDED H
OCCUPANCY GROUP w
cn
r z_
PROPOSED USE OF BUILDING _ �/y �jZv LF% OCCUPANT LOAD
EXIT HARDWARE:
No Spec. Knowl. ❑
Panic Devices ❑
PROPOSED MAX. OCC. NO. OF EXITS ❑
PARKING REQ'D D PROVIDED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES '
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
SIGNATURE OF• �
APPLICANT •,/{��
ADDRESS D �Jt n U Jt !-�L'V
CLL L C Q. L t1
(� '1 3 APPROVAL DATE INSPECTOR'S
ZIP 'L/ L V _ _ SIGNATURE
PHONEY� 3 �� � 7� FINAL APPROVAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
APPLICATION VALIDATION CK. M.Q. CASH
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76A662.10*5992-(REV.11178)2179
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
-DING "
ADDRESS 3�
DDRESS &M LOCALITY T
CITY —rrzIP cl I U NEAREST
CROSS ST. C d--.✓
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT ASSESSOR
MAP BOOK PAGE PARCEL
TRACT BLOCK LOT No. DISTRICT TYPE. FIRE JPRO:C�EEKSSD B�,ER NoTEL. C) CONSTQWMf ./ ZO L� L
KESS USE ZONE MAP G
NO. v
CITY ZIP SPECIAL F
SIZE OF NO.OF CONDITIONS
ExISTING BLDG. SrORIER
' PRESENrusE OCCUPANCY GROUP
BUILDINGRE P AS VERIFIED O OCCUPANT y
LOAD
EXIT HARDWARE:
I
NO.PARKING NO.OF EXITS NO SPEC. KNOWL. ❑
SPACES PROVIDED
PANIC DEVICES ❑
FPECTREASON FORPARKING REQ'D. PROVIDED
ION REQUEST SPACES:
FINAL BY f `
DATE FI L:�, Sf2'
PERMIT
Within the scope of this in-
FEEpection the Building Official may
ISSUANCE approve minor corrections or
FEE alterations of an existing struc-
TOTAL ture involving work of a building,
PROPOSED MAX.OCC. FEE plumbing, mechanical or elec-
trical nature.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS APPLICATION VALIDATION
CORRECT.
GNATURE OF ..
IPRMITTEE
i r..
DRESS
42 TEL Z.Lf/� 3 d- }.�/3•'LL.' Z_G /Y2! [ e 0 9 5 0 A
CITY NO. O
BLDG.SETBACK j }y� /1 0n
FROM FRONT ♦t • • • • 4
PROP.LINE OF (STREET)
HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING • • • • • • •
FRONT PROP.LINE HIGHWAY WIDTH
+ _ 0625-80
BLDG.SETBACK
FROM SIDE
PROP.LINE OF (STREET)
HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING
SIDE PROP.LINE HIGHWAY WIDTH
+
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76A662-CE992-477
APPL�CATMN FOR OCCUPANCY MPECTMN
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS t6 6 Al
BUILAr&OR ENG o LOCALITY ze
R SSNEAREST
nI`
CITY n p ZIP 1
77 CROSS ST.
SIZE OF LOT [NO. OF BLDGS. ASSESSOR 671
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PED BY
TRA BLOCK LOT NO. Q� CON ZONE
�/
OWNER DL,,J 'd TEL P USE ZONE IMOAP ,
DRESS
SPECIAL
aw
�JTY ea ZIP 81774 BLDG SET BACK FROM
SIZE OF NO.OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF oasrwc
'ESENT USE OF BUILDING FRONT PROP. LINE HIGHWAY WIDTH
BLDG.SET BACK FROM a
NO. PARKING SIDE PROP.LINE OF (STREET)I V
SPACES PROVIDED
HIGHWAY + YARD - TOTAL SET BACK FROM TYPE OF Ex[STING Z„
SIDE PROP. LINE HIGHWAY WIDTH
I.—
SON FOR INSPECTION REQUEST + — W
a.
r CORNER CUTOFF YES NO V�
Z
OCCUPANCY GROUP
AS VERIFIED OCCUPANT
LOAD
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)
�,�`,+'� FINAL / p
SIGNATURE OF
PLICANT Y/�' - �� BY�
DATE
ADDRESS
Within the scope of this inspec-
tion 4 the Building Official may
approve minor corrections or
ZIP alterations of an existing struc-
ture involving work of a build- pERMI E
ing, plu mbin9, mechanical or
PHONE electrical nature. ISSUANCE F
TOTAL FE
V 9 v APPLICATION VALI&AT4ONb WK. M.O. V CASH
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