HomeMy Public PortalAbout9509 WEDGEWOOD ST_Certificate of Occupancy__ PPLICATION FORC /VAANCY NSPECTION
FOR APP L' 'ANT TO FILL IN (Print or type only) I, COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILdING O O BUILDING AND SAFETY DIVISION
ADDRESS
BUILDING
CITY t�M. 10L F. l ZIP P7j?,6 ADDRESS
SIZE OF'LOT / N0. OF BLDGS. D LOCALITY
NOW ON LOT- ( ✓ f'_
NEAREST
TRACT /,Z-/S0 BLOCK a LOT N0tp� . Q CROSS.ST.
(� 'ASSESSOR
OWNER #TEL MAP BOOK PAGE' PARCEL.
DISTRICT TYPE FIRE P CES ED BY
ADDRESS �!"� dQ CONST. ZONE I "
7.0
CITY 1 j ZIP
?/,76 d USE ZONE MAP
I`
SIZE OF N0. OF N0.
EXISTING BLDG. STORIES r ISPECAL
DIJ CONDTIONS
PRESENT USE OF BUILDING Q / B G. SETBACK FROM
C FONT PROP.•LINE OF (STREET)
HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING
N0: PARKING FRONT PROP. LINE HIGHWAY WIDTH
SPACES`PROVIDED
BLD • TBACK FROM
REA$ON.•FOR INSPECTION REQUEST SIDE PRO (STREET).
` = HIGHWAY F YARD = TOTAL SETBACK FROM OF ISTIN C
S/ r i,} SIDE PROP. LINE HIGHW
_ WIDTH C%
L C.: _ C
+ F
G:
-CORNER CUTOFF YES NO n
- Z
PROPOSED MAX. OCC. OCCUPANCY GROUP
Ag-VERIFIED, OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THISLj�-- ] LOAD
APPLICATION AND STATE THAT THE ABOVE IS'COR- a R ECT. EXIT HARDWARE:
NO. OF EXITS NO SPEC. KNOWL. ❑
SIGNATURE•OFPANIC DEVICES ClAPPLICANT -
ADDRESS PARKING REQ'D. PROVIDED D
SPACES.
7Q �r
ZIP 2._ Z7-
MAKE CHECKS PAYABLE TO:
[HARVEY T. BRANDY COUNTY ENGINEER [DA
INAL BY
TE
APPLICATION- VALIDATION CK. M.0.. CASH
2 J. 0'00- Im., 2 2 0 J 0.0 0 At�u
76AG62-CE992 6/75 '