HomeMy Public PortalAbout4933 WILLMONTE AVE_Certificate of Occupancy__ 76A662-cE992 1in5
:r APPUCATI®N E®� ®CCUPA Y INSPECTION �1
COUNTY OF LOS ANGELES LJ
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print.or type only) ADDRESS e1q33
BUILDING LOCALITY
ADDRE ei
CITY ZIP ''� NEAREST
CROSS ST. ,
SIZE OF LOT NO.OF BLDGS. ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE P SED BY
TRACT `., BLOCK,frLOT NO. ,��+�L CONST.
OWNER ' NO: ZONE MAP `
NO. Q�6
ADDRESS y� -�� — � SPECIAL
CITY ZIP CONDITIONS
BLDG.SETBACK FROM
SIZE0 NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES TOTAL SET BACK FROM TYPE OF EXISTING
F BUILDING
HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
PRESENT USE O �
C
+ = C
BLDG.SET BACK FROM G
N0.PARKING SIDE PROP.LINE OF (STREET) e
SPACES PROVIDED C
= TOTAL SET BACK FROM TYPE EXISTING
HIGHWAY + YARD
SIDE PROP.LINE HIGHWAY WIDTH �
L
REASON FOR INSPECTION REQUEST + = C
G
CORNER CUTOFF YES NO
OCCUPANCY GROUP OCCUPANT
AS VERIFIED LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS NO SPEC.KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING
SPACES RED!D I PROVIDED=
SIGNATURE OF -
APPLICANT FINAL BY
DATE c
ADDRESS 3 i
1 Within the scope of this Inspection
7Z—�--rV.y'L.I0 the Building Official may approve ~
�ominor corrections or alterations of
ZIP l an.existing structure involving work PERMIT FEE U
of a building, plumbing, mechanical
PHONE or electrical nature. ISSUANCE FEE --- ^
TOTAL FEE 36
APPLICATION VALIDATION CK. M.O. CASH
1 0. 01ZSEP 28 9 2- D 30.0 0 Az-i