HomeMy Public PortalAbout5271 SERENO DR_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION �]
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING BUILDING AND SAFETY DIVISION
ADDRESS 2 e O DrUB CITY ADOREBUILDS
Temple Cit
SIZE OF LOT NLOCALIT
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NEAREST
TRACT BLOCKCROSS U
IASSESSOR
aL "''1 MAP BOOK PAGE _ ARCEL
DISTRICT TYPE I FIRE SSE
ADDRESS ae� ,`JO CONSTI / / ZON.9
CITY USE ZONE MAP Y //N� `�
SIZE OF //•{ NO
EXISTING BLDG `r SPECIAL
CONDITIONS
ESENT USE OF BUILDING ,1 into_( BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING
NO PARKING FRONT PROP LINE HIGHWAY WIDTH
SPACES PROVIDED
BLDG SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP LINE OF (STREET) o
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XISTIN U
BusinessLicense _ Change of SIDE PROP LINE HIGHWAY WIDTH O
+ _
W
CORNER CUTOFF YES NO z
PROPOSED MAX OCC OCCUPANCY GROUP //�---
AS VERIFIED / OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LDAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT EXIT HARDWARE
NO OF EX;TS NO SPEC KNOWL ❑
H t PANIC DEVICES ❑
I PPL
PARKING RED D D PROVIDED D
ADDRESS • SPACES
ZIP
YY CJ f 2 PHONE
FINAL -� tel/ BY
DATE /4
APPLICATION VALIDATION CK M D CASH
��CIMM:Bn• 7 5.7�AUF-18 4 0 1�,� Q p ASO
APPLICATION FOR OCCUPANCY INSPECTION u
COUNTY OF LOS ANGELES a BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADORESS
271 Sereno Dr.
LOCALITY
Temple Cit a,w 91780 NEAREST
wo. CROSS ST
•LOT ASSESSOR
MAPSOOK PAGE PARCEL
TRACT Locw LO D STR T FI R SED B
Stephen Rohan �e` " 6o r/ CO !� : ZONE
On... 919 $o• 7th St U E ZONE NO
iTT
Terre Haute - IN C �oJ SPECIAL U
CONDITIONS =
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a=unN..Loo a.ow�o C~A
OCCUPANCY GROUP B�
Diva Ani,�pl Hos ital AS VERIFIED OCCUPANT y
LOAD-
EXIT
OAD EXIT HARDWARE
NO rARKINO NO OF EXITS NO SPEC KNOWL ❑
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PANICOEVICES ❑
PARKING REQ'D PROVIDED
SPACES
FINAL
DATE O OV U
PERMIT FEEWithin the scope Ofthit inspection
the Building Official maY approve
ISSUANCE FEE minor corrections or alterations
sof an-existing structure Involving
TOTAL FEEd 'U work of a building, plumbing,
•nowos.e Nwx acc mechanical or elactr cal nature
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION AND STATE THAT THE OVE IS COR
RECT
... 5271 Sereno dr.
Temple City TK, 287. 0527 �98725A
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