HomeMy Public PortalAbout5355 WELLAND AVE_Certificate of Occupancy__ 76A�62-CE992 6/71
. APPLICATION FOR OCCUPAN Y INSPECTION
'COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY-DIVISION BUILDING i!,✓
HARVEY T. BRANDT, COUNTY ENGINEER. ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
L'rlR APPLICANT TO FILL IN NEAREST'
IT 3S (Print or type on I'y) CROSS ST.
BUILDING 1 DISTR T 0 PROCESSED BY
ADDRESS E `
LOT NO. (- 2 7 BLOCK ZONEffu
MAP
NO. '0.
TRACT C) SIZE OF LOT `y Q CONDIT PECONS
TE -OWNER C� MrL l' NOL J —1
ADDRESS BLDG: SETBACK FROM
FRONT PROP.LINE OF (STREET)
_ TYPE OBA
F EXISTING SETCK HIGHWAY } YARD = TOTAL
CITY • I/� HIGHWAY WIDTH FROM C.L.
SIZE OF N0. OF
EXISTING BLDG. STORIES •(• _
PRESENT USE OF BUILDING \\tas SIDE PROPBLINE OFM (STREET)
TYPE OF EXISTING SETBACK HIGHWAY '+ YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
NO. OF EXISTING BUILDINGS
ON LOT AND USE +
CORNER CUTOFF YES❑ NO ❑ c
NO. PARKING _
SPACES PROVIDED C
• OCCUPANCY GROUP_ C
u
PROPOSED USE OF BUILDING v
OCCUPANT LOAD z
^ C WkIck i b W EXIT HARDWARE:
(VA fL 66L„�`• No Spec. Knowl. ❑
Panic Devices ❑
PROPOSED MAX. OCC. NO. OF EXITS
PARKING . REQ'D ROVID
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS SPACES
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. P %
SIGNATURE OF ?�'l/�Z � G�ZG')ZL•d/_t..�✓L�yL f;)t �J�s``'
APPLICANT
ADDRESS ( � v DS2 /� LL't�+/I�.Lt--1���i.:2Lc ,L•(�'1�/J-l2 ��
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ZIP C:Q $ APPROVAL DATE (NSPECTOR
SIGNATURE
PHONE R FINAL APPROVAL
1'YriC/
JOHN F. LEWIS, PRINCIPALS UCT RAL E GINEER
APPLICATION VALIDATIO CK. M.O. ASH
LACo 4 2 4 7 FEB 2 2 2 D 18.00-
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