HomeMy Public PortalAbout9319 SPARKLETT ST_Certificate of Occupancy__ 76ASS2 CE992 11!76
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS 93
BUILDING
ADDRESS ' LOCALITY
CITY �' �p NEAREST
U CROSS S7
SIZE OF LOT NO OF BLDGS ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PROCE ED BY
TRACT (O.V-�� BLOCK LOT NO O CONST V ZONE
OWNER 0 C E O 5,.� E MAP •�
NO d 0/ {p
ADDRESS — S Vgf L — rr R--� SPECIAL
O CONDITIONS
CITY ZIP BLDG SET BACK FROM
SIZE OF NO OF FRONT PROP LINE OF (STREET)
EXISTING BLDG STORIES
HIGHWAY + YARD - TOTAL SET BACK FROM TYPE OF EXISTING
PRESENT USE OF BUILDING FRONT PROP LINE IHIGHWAY WIDTH
Y
+ _ a
0
NO PARKING BLDG SET BACK FROM (J
SPACES PROVIDED SIDE PROP LINE OF (STREET) Z
HIGHWAY + YARD TOTAL SET BACK FROM TYPE OF MS;r C
SIDE PROP LINE HIGHWAY WIDTH H
U
REASON FOR INSPECTION RE-QUEST UEST 1w
U.
CORNER CUTOFF VES NO Z
OCCUPANCY GROUP
SI OF OCCUPANT AS VERIFIED T 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 RED D PROVIDED=
SIGNATURE OF
APPLICANT FINAL ADDRESS DATE
15Y Z4�
2
Whhm the aoope of tm hnapapbUn
the Buddmq Official may approve
ZIP "nor cortecoona w altetattpna of i
an U"np ttbuctun molonp work PERMIT FEE
of a buidtnp• PktmbuNh mechanical
PHONE w electrical naw a ISSUANCE FEE
TOTAL FEE
APPLICATION JAODATION CK MO sH
7 6 39APR 18 22 0
_ 3 0.0 0 esu