HomeMy Public PortalAbout5515 SANTA ANITA AVE_Certificate of Occupancy__ r
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7ewe62-ee99z-(Rev. ++178) APPLICATION FOR CCUPANCY INSPECTION
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
A-DD RESS J t
BUILDING Q /� C��/J A/,to
woDRess �J• �7 LVG�j LOCALITY
CITY ( �GV �+4 2+P //'�v NEAREST
�^ 1 t (/ NO.OF eLOGS. CROSS ST.
SIZE OF LOT J x//Jr "���5 t NOW ON LOT ASSESSOR ,
MAP BOOK PAGE PARCEL
RACT LOCK LOT No. DISTRICT TYPE. FIRE SSED BY
T L. CONST Znw
[0
OWNER r /' NO. A ;� �j-
ADDRESS ���� lAk/7.0 �r✓��! USE ZONE MAPS ,1 a
No.CITYL ZIP C/•'7 ( tQ SPECIAL `
SIZE-OP CONDITIONS
NO.OF C
eXISTING BLDG. STORIES
PReseNT USE OCCUPANCY GROUP LL
OF BUILDING R(�S/�J• Cijc L- AS VERIFIED OCCUPANT v
LOAD 2
EXIT HARDWARE:
NO. PARKING NO.OF EXITS NO SPEC.KNOWL. ❑
SPACES PROVIDED
PANIC DEVICES ❑
1•�
REASON FOR .7 JR �eS� PARKING SPACES: REQ'D. PROVIDED
T
INSPECTION REOUE9 `}�` '
FINAL )
DATE �/�
PERMIT FEE Within the scope of this inspection
the Building Official may approve
ISSUANCE FEE /7 minor corrections or alterations
of an existing.structure involving
TOTAL FEE work of a building, plumbing,
PROPOSED MAX.OCC. •/ mechanical or electrical nature.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION AND STATE THAT THE ABOVE IS .COR-
R ECT.
PE MITTEE OF -/DTYW A '''/C�R//W\.
ADDRESS � g• j4m • � •yO•
CITY j f!�'? G!Ti' Nod Dnp @ 6 0 Q 4 A
BLDG.SETBACK
FROM FRONT # a - 22
PROP.LINE OF (STREET)
TOTAL SETBACFRONT PROPKLINK' HIGHWAY FROM TYPE OFEWIDT14 2,o - 61.00
NIGNWAY+ YARD =
_
D n D-61.00�
BLOG.SETBACK Qr��{ 8 Q_7 9[�
FROM SIDE O to 0 1
PROP.LINE OF (STREET)
TOTAL SETBACKPROM TYPE OF EXISTING '
NIGNWAY+ YARD = SIDE PROP.LINE HIGHWAY WIDTH
+ s