HomeMy Public PortalAbout9744 WOOLLEY ST_Certificate of Occupancy__ APPLICATION I F OUP CY•INSPECTION �\
O O CC
'OR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING BUILDING AND SAFETY DIVISION
ADDRESS
BUILDING' .Q
CITY `,.. C ZIP /zx ADDRESS c
SIZE OF LOT NO, OF BLDGS. LOCALITY
NOW ON LOT
NEAREST
TRA TRAC BLOCK LOT NO. CROSS ST.
/ ASSESSOR
OWNER 4C J(^ TEL' MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE ROCE SED BY
ADDRESSG ` CONST. ZONE
4 / 6� 0S
CITY •G ZIP USE ZONE MAP (�
SIZE 0 NO. OF N0.
EXISTING G. ST ES SPECIAL
CONDITIONS
PRESENT USE 0 ILDING BL SETBACK FROM
F ONT PROP. LINE OF (STREET)
H
GH
+ YARD - TOTAL SETBACK FROM TYPE OF EXISTING8
N0. PARKING FRONT PROP. LINE HIGHWAY WIDTH C
SPACF,6 PROVI + _ L
BLDG. SETBACK F e'
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET)
HIGHWAY + YARD = TOTAL SE_T_8-X15KFROM TYPE OF XISTIN Y
r SIDE PROP. LI HIGHWAY WIDTH Q
b
+ _ •�
CORNER CUTOFF YES NO' •
PROPOSED MAX. OCQ. OCCUPANCY GROUP'
AS VERIFIED OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE:
RECT. _
N0. OF EXITS NO SPEC. KNOWL. C1SIGNATURE OF - PANIC DEVICES ❑
APPLICANT
ADDRESS l PARKING. REQ PROVIDED
& SPACES
ZIP
PHONE
61AKE CHECKS PAYABLE TO
HARVEY T. BRANDY COUNTY ENGINEERFINAL r� y� eY
DATE " rst" r1. _+�„'Ls•,-:A
APPLICATION VALIDATION cK. 0. CASH
4 .1.7 SO 222 1 :18.00x98.
i6A662-CE992 12-73 -