HomeMy Public PortalAbout5518 WELLAND AVE_Certificate of Occupancy__ 76A662-CE99.Y)REV. II/i9)
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF-LOS ANGELES 6 BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING i
X' ` I l ADDRESS
BUILDING
DD RESS ��/CJ U�/�j4�I� 1
N LOCALITY
CITY���pc E If z" /I Jr�v NEAREST
"D X �� 'NO.OF SLOGS. CROSS ST.
SIZE OF LOT NOW ON LOT ASSESSOR
MAP BOOK PAGE PARCEL
TRACT LOCK Lor No. DISTRICT TYPE. FIRE C SED Y
/f)�/�F N Pee
Iy' [?�� CONST. ZONE
OWNER • `•''`+�RIV^• � NOL•/ ��S'�//� � /�V'
AD13RESS USEZ(OJNE MAP a
NO. C
c� �p G
CITYZIP SPECIAL s
SIZE OF NO. OF CONDITIONS
F
EXISTING BLDG. STORIES C
OCCUPANCY GROUP 4
PRESENT USE Q
OF BUILDING AS VERIFIED OCCUPANT co
LOAD-
EXIT
OADEXIT HARDWARE:
NO. PARKING NO.OF EXITS NO SPEC.KNOWL. ❑
SPACES PROVIDE
PANIC DEVICES ❑
RewsoN FOR //���) PARKING REQ'D. PROVIDED
INSPECTION REQUEST/VOQ� I/ oO� IG�K Fly SPACES:
1 �/ A _
i�
FINAL _
Ae l ��Vnl� �^CP DATE
l?- Ge Y u � O PERMIT FEE � within the scope of th Is Inspection
the Building Official may approve
(�� ISSUANCE FEE minor corrections or alterations
C)tsl
ca-LG JT 14"e-5/Ca , ce of an existing structure involving
TOTAL FEE work of a building, plumbing,
PROPOSED MAX.OCC. mechanical or electrical nature.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION ND STATE THAT THE ABOVE IS COR- -
R ECT.
SIGNATURE OF
PERMITTEE 9 ..
ADDRESS 0 �v
CITY - NOL' YS-- t 5 9 7.3 A
BLDG.SETBACK 0 0 0 0 2
FROM FRONT
PROP.LINE OF )STREET)
TOTAL SETBACK FROM. TYPE OF EXISTING 2 O - 61.00
HIGHWAY+. YARD ? FRONT PROP.LINE HIGHWAY WIDTH
O O O-&� 1,00X
+ v
BLDG.SETBACK
0 .9.06-79FROM SIDE
PROP.LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY'+ YARD v SIDE PROP.LINE HIGHWAY WIDTH
+ _
1
76A662-CE992-'REV. It/)t) — 1
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES 6 BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING d
ADDRESS ✓ J
BUILDING � _ •f� w , -+ ',J
ADDRESS LOCALITY
clrY - 'r/�f ZIP � NEAREST
NO. OF BLDGS. CROSS ST.
SIZE OF LOT NOW ON LOT ASSESSOR
MAP BOOK PAGE PARCEL
[ITY
RACT LOCK Lor no. DISTRICT TYPE. FIRE PROCESSED BY
TEL. CONST,_ ZONE
WNER - .- .r 1_: v NO. .IV /
Y�
DDRESS ' jI ^'� USE ZONE MAP O
NO. V
Z
I z SPECIAL C
f CONDITIONS
SIZE OP NO. OF
EXISTING BLDG. STORIES
OCCUPANCY GROUP
PRESENTING
OF BUILDING AS VERIFIED �""''� OCCUPANT C..2
LOAD I=
V
EXIT HARDWARE:
NO. PARKING J% NO.OF EXITS I� NO SPEC. KNOWL. ❑
SPACES PROVID•$D
PANIC DEVICES ❑
REASON FOR -..� PSPACES:ARKING REQ'D. PROVIDED
INSPECTION REQUEST
FINAL
DATE _" ,-.
7 B
I J J
PERMIT FEEWithin the scope of this inspection
the Building Official may approve
+,.. ISSUANCE FEE minor corrections or alterations
c of an existing structure involving
TOTAL FEE a' work of a building, plumbing,
PROPOSED MAX. OCC. mechanical or electrical nature.
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION VALIDATION
APPLICATION 4ND STATE THAT THE;s 1lBBO.VE IS COR-
ECT. yjr
SIG NA TU RG OFLif•�''
,PERMITTEE SS
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TEL. ��7 1.�♦f'...•� f ,� f�.y�,f `II A+
CITY
BSETBACK
FROM ROM FRONT '
PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP. LINE HIGHWAY WIDTH
+ _
v41- PON
1Ry Qty[ ,►!I
BLDG. SETBACK
PROM SIDE
PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD - SIDE PROP. LINE HIGHWAY WIDTH