HomeMy Public PortalAbout8711 WENDON ST_Certificate of Occupancy__ 1
APPLICATION FOR .00CUPANCY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING 7 _j S TVA BUILDING AND SAFETY DIVISION
ADDRESS �,
BUILDING
CITYciry ZIP 1717 ADDRESS J_ mai
NO. OF BLDGS. LOCALITY
SIZE OF LOTt�x // b NOW ON LOT
N EST
TRACT + , BLOCK LOT N0�
ASSES
OWNER �+ TEL; MAP B OK PAGEPARCEL
Q L' %eg,f NO' DISTRICT TYPE / FIRE OC ' D BY
ADDRESS ..�D� CONST. ZON�
CITY ZIP USE ZONE MAP
SIZE OF NO. OFN0.
EXISTING BLDG. STORIES � SPECIAL
CONDITIONS
PRESENT USE OF BUILDING G._ . r+ BLDG. SETBACK FROM -
I�O FRONT PROP. LINE OF (STREET)
HIGHWAY t YARD = TOTAL SETBACK FROM TYPE OF ISTIN
NO. PARKING FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED
BLDG. SETBACK FROM
REASON FOR INSPECTION REQUEST 'S SIDE PROP. LINE OF (STREET)
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF XISTIN
SIDE PROP,LINE IHIGHWAY WIDTH
CORNER CUTOFF YES NO
PROPOSED MAX. OCC. OCCUPANCY GROUP
AS VERIFIED OCCUPANT
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
R ECT. EXIT HARDWARE:
a
NO. OF EXITS NO SPEC, KNOWL. ❑
SIGNATURE OF PANIC DEVICES ❑
APPLICANT
ADDRESS �' ^� PARKING REQ'D PROVIDED
({ � .f,q/� SPACES
ZIP
HON
A1AKF_ CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER FINAL BY
7 ,� BY
DATE ,
APPLICATION VALIDATION CK. M.0. CASH
372"'JAN -4,1 ) .. °0 0 ��c5
'6A682-CE992 I2-73
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