HomeMy Public PortalAbout5414 SULTANA AVE_Certificate of Occupancy__ 76AM CEIM 11/76
APPLICATION FOR 6CCUPANCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
Print or type only) ADDRESS
BU
ADDRESSILDING
y/ q, Q LOCALITY
CITY L t C T ZIP ?80 CCROSS ST
` NO OF BLDGS ASSESSOR
SIZE OF LOT o 7' NOW ON LOT MAP BOOK
AGE PARCEL
T TYPE FRE ED BY
TRACT 2 1 r BLOCK LOT NO P-Z Z �0 Q CONST 20
OWNER r ` M7TTEOL 2P6 3,712. ZONEv
ADDRESS S / 5 4 V .-( SPECIAL
CONDITIONS
CITYLf Gig ZIP 9 7 O 11 DO ACK FROM
SIZE OF NO OF FRONT PROP LINE OF (STREET)
EXISTING BLDG STORIES
HIGHWAY + YARD - TOTAL SET BACK FROM TYPE OF EH1G
PRESENT USE OF BUILDING FRONT PROP LINE HIGHWD
WAY WIDTH
0.
+ O
NO PARKING BLDG SET BACK FROM U
SPACES PROVIDED SIDE PROP LINE OF (STREET) Z
HIGHWAY + YARD a TOTAL SET BACK FROM TYPE OF DDSTNG
SIDE PROP UNE HIGHWAY WIDTH
REASON FOR INSPECTION REQUEST . + 0.
CORNER CUTOFF YES NO Z
OCCUPANCY GROUP .►j" OCCUPANT
AS VERIFIED /� LOAD
EXIT HARDWARE
PROPOSED MAX OCC
NO OF EXITS � NO SPEC KNOWL ❑
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR
RECT PARKING
SPACES REO DPROVIDE00
SIGNATURE OF
APPLICANT
DATE
7—I/�7 7
ADDRESS �
WMm the rape of this wwwoon
If the Budduq Official may approve
ZIP IF/ 7,0 or rmnor conecooru or aka ns of ,
an exntmp atrucwrs vwoNkq work PERMIT FEE (�
M e truddlnp, pkunowq mxTenlml
y/PHONE ar electrical nawn ISSUANCE FEE �1
TOTAL FEE 3 v
APPLICATION VALIDATION Mo CASH
4991`jJL 112210 3 0.0 0