HomeMy Public PortalAbout4816TEMPLE CITY BLVD_Certificate of Occupancy (2) APPLICATION FOR OCCUPANCY INSPECTION
BUILDING AND SAFETY DIVISION
Tortype
LL BUILDING
ADDRESS4 .4VBUILDING , n LOCALITYDORESS dALt
CItYZIP CROSS ST /JSLOGSASSESIZE OF LOTN LOT MAP BOOKPAGE RCEL
DISTRICT TYPE FIRE PRO SS BYTRACT .yF,yLLOT NO 08 CONSTTE
OWNER r I NOL USE ZONE MAP Y
NO a o
DDRESS a� SPECIAL
CONDITIONS
CITY ZIP BLDG SETBACK FROM
SIZE OF J OF FRONT PROP LINE OF (STREET)
EXISTING BLDG STORIES TOTAL SETBACK FROM TYPE OF XISTIN
PRESENT USE OF BUILDING
HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
+ _
BLDG SETBACK FROM i
NO PARKING SIDE PROP LINE OF (STREET) py
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF ISTIN S
HIGHWAY + YARD = SIDE PROP LINE HIGHWAY WIDTH
O
L
R INSPECTION REQUEST N 1 r +
CORNER CUTOFF YES NO i
S§
o / r
OCCUPANCY GROUP =
AS VERIFIED OCCUPANT
LOAD
EXIT HARDWARE
PROPOSED MAX OCC O
� NO OF EXITS NO SPEC KNOWL ❑
Y ACKNOWLEDGE THAT HAVE READ THIS PANIC DEVICES ❑
TION AND STATE THAT THE ABOVE IS COR
PARKING REO 0 D PROVIDED
SPACES
FINAL 3 /-Z� BY .
F DATE /S
Within the sco
peof this Inspec
tion the Building Official may
approve minor corrections or
AlaIk o/T alterations of an existing strut
ZIP tura Involving work of a build Permit Fee
gir ing plumbing, methane®I or
electrical nature Issuance Fee
PHO#
Total Fee
APPLICATION VALMATION CK M D CASH
)6A.e.C-tag„:B rens 4 0 Off EB 1 4 v .0 0 •-z