HomeMy Public PortalAbout9623 VAL ST_Certificate of Occupancy__ 76A:52-05992 6/71 '
_ . APPLICATION FOR OCCUPAN Y INSPE ION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
HARVEY T BRANDT, COUNTY — ADDRESS
UILDING
COLEMAN W JENKINS, SUP T OF BLOCALITY
FOR FPLICANT TO FILL IN NEAREST
(Print or type only) CROSS ST
ffRACT -7
DI�ICT N PR ESSEO BY�f►Kp J� d .�BLOCK USE ZONE MAPO ONOSIZE OF LOT ONO TL CTEL
NO
ADDRESS L BLDG SETBACK FROM
FRONT PROP LANE OF (STREET)
TYPE OI EXITING 6ETBACR HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C L
SIZE F NO OF
EXISTING BLDG STORIES +
PRESENT USE OF BUILDING BLDG SETBACK FROM
SIDE PROP LINE OF (STREET)
TYrE OTEXI6T1H0 SETBACK HIGHWAY + YARD = TOTAL
NO OF EXISTING BUILDINGS HIGHWAY WIDTH FROM C L
ON LOT AND USE + _
CORNER CUTOFF YES E] NO ❑ OO
NO PARKING U
SPACES PROVIDED K
OCCUPANCY GROUP CD
W
PROPOSED USE OF BUILDING I 1
OCCUPANT LOAD
' "4A EXIT HARDWARE
No Spec Knowl
Panic Devices ID
PROPOSED MAX OCC NO OF EXITS
PARKING REQ-0 PROVIDED O
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES
APPLICATION AND STATE THAT THE ABOVE IS COR
RECT
SIGNATURE OF
APPLICANT
ADDRESS 11.444
r
APPROVAL DATE INSPECTOR'S
ZIP Q GNATURE
PHONE S FINAL APPROVAL �i
JOHN F LEWIS, PRINCIPA S RUC URAL ENGINEER
APPLICATION VALID CK M 0 CASH
L,'Co 5 8 9 8 N MAY 55 2 2 D 8.0 0IN