HomeMy Public PortalAbout5056 SULTANA AVE_Certificate of Occupancy__ APPLICATION FOR Od-661PA�Y INSPECTION
F09 APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
B
UZ" O v L BUILDING AND SAF DIVISION
DRESSBUILDING
F. �� NO 0 ZIP ADDRESS �/V CZE OF LOT 7x /� NOW ON LOT 5 LOCALITY
NEAREST
AC S _SIL_L3 BLOCK irp / CROSS ST
ASSESSOR
OWNER N C U n�E NEL MAP BOOK PAGE PARCEL
'G DISTRICT TYPE FIRE PR BY
ADDRESS U L_7-4_$) `O� CONST ZONE/
CIT G Cl ZIP UJSE ZONE No
U/
SIZE OF A_ t NO OF _�
EXISTING BLDG �� 7- -7 STORIES SPECIAL
CONDITIONS
PRESENT USE OF BUILDING
BLDG ETBACK FROM
�w FRO PROP LINE OF (STREET)
J,A F ep HI WAV } YARD = TOTAL SETBACK FROM TYPE OF ISTIN
NO PARKING - FRONT PROP LINE HIGHWAY WIDTH
SPACES PROVIDED
}
BLDG SET BA
REASON FOR INSPECTION REQUEST SIDE PROP LINE OF (STREET)
TOTAL SETBACK FROM E OF ISTIN d
HIGHWAY } YARD = SIDE PROP LINE HIG Y WIDTH V
} = O
�T
CORNER CUTOFF YES NO
a
rn
PROPOSED MAX OCC OCCUPANCY GROUP _
AS VERIFIED L OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE
RECT
NO OF EXITS NO SPEC KNOWL ❑
SIGNATURE OF -
PANIC DEVICES ❑
APPLICANT
PARKING REQ-0 D PROVIDED D
ADDRESS O SPACES
C
S--ri2vc 7v 215 2Er440v&—�
ZIP
— /
PHONE
,HARE CHECKS PAYABLE FO I
HARVEY T BRANDY COUNTY ENGINEER FINAL BY
DATE
APPLICATION VALIDATION c' mo CASH
6 1 4 ADR c9 2 2 D 30.C) 0 sz;D
76AS62-CROOZ 8/75
lJ V /,
/69
TGA662-CE00210APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING V L
ADDRESS V
JOHN A LAMBIE (COUNTY ENGINEER
COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL INNEAREST
(Pnnf or type o.1y) CROSS ST
BUILDING
DISTRICT NO PROCESSED B6k I Y
ADDRESSoSa" w �
LOT NO Y J_ /"L USE ZONE MAP
oyBLOCK
BLOCK (J
/n
TRACT/<S JZ-/2 _/ IZE OF LOT c�i l� / / CNO
I
ONDTIONS
TE
OWNER M� NOLO?S
8 LOG SETBACFROM
ADDRESS_!5-0 L//. A / � FRONT PROP LANE OF (STREET)
CITVTIIE .1/`�'/r'/g!21:,-
�G �/` x10NwAv EWIIDTHTI.O r•ROM CL HIGHWAY } YARD = TOTAL
SIZE OF NO OF
EXISTING BLDG TORIES } _
PRESENT USE OF BUILDING /VP r L BLDG IDE PROP LLNE OF M (STREET)
TYPE OF EMIHTINO SETpACK HIGHWAY } YARD = TOTAL
HIGHWAY WIDTH FROM C L
NO OF EXISTING BUILDINGS
ON LOT AND USE } _
T
CORNER CUTOFF YES❑ NO ❑
O
NO PARKING V
SPACES PROVIDED
OCCUPANCY GROUP o
W
PROPOSED USE OF BUILDING h
OCCUPANT LOAD z
EXIT HARDWARE
No Spec Knowl ❑
Panic Devices ❑
PROPOSED MAX OCC NO OF EXITS '
PARKING REO'D D PROVIDED
HEREBY ACKNOWLEDGE THAT HAVE READ THIS SPACES
APPLICATION AND STATE THAT THE ABOVE IS COR (� U
RECT
SIGNATURE OF
APPLICANT
ADDRESS '� S1b . /.ii r.(M�_V_ � Y�O/�JG R.R.����V�I•rT.
INSPECTOR'S
ZIP T I APPROVAL DATE SIGNATURE
PHONE 2- :? —` 33 9 FINAL APPROVAL
JOHN F LEWIS, PRINCIPAL STRU T AL ENGINEER
APPLICATION VALIDATIO !M 0 CASH
L 2282 SEP 822 D 18.00" o