HomeMy Public PortalAbout5106 SULTANA AVE_Certificate of Occupancy__ APPLICATION FOR CUPANCY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING / MLOT
BUILDING AND SAF TY DIVISION
ADDRESS b
BUILDING
CITY ADDRESS
LOCALITY
SIZE OF LOT NEAREST
TRAC y, BLOCCROSS ST
ASSESSOR
OWNER MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE D BY
ADDRESS fUSE
OCONST ZO!j
CITY ZIP ZONE MAP -'1SIZE OF NO OF IFALXISTING LDG STORIESSPECIAL
CONDITIONS
PRESENT U OF BUILDING BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
HIGHWAY } YARD o TOTAL SETBACK FROM TYPE OF ISTIN
NO PARKING FRONT PROP LINE HIGHWAY WIDTH
SPACES PR ED }
U
SLOG SETBACK FROM �
REASON FOR INSPECTION REQUEST SIDE PROP LINE OF (STREET) p
HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF XISTIN U
S1DE PROP LINE HIGHWAY WIDTH OW..
N
} _ Z
CORNER CUTOFF YES NO
PROPOSED MAX OCC QCCUPGROUP
VERIFIED
AS VERIFIED 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 El
SIGN
PANIC DEVICES ❑
APPLI Y
PARKING
A R SPACES REO,Dr_� PROVIDED
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HARVEY T BRANDY COUNTY ENGINEER FINAL By
DATE 10-17-7,411
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76A662 CE992 3/73 / y