HomeMy Public PortalAbout5801-5803-5805TEMPLE CITY BLVD_Certificate of Occupancy (2) Ij • -
7sAW2-C finis
~ .
APPLICATION F® OCC O ANCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING ,
(Print or type only) ADDRESS ��0�
BUILDINGA
ADDRESS LOCALITY U 3 ^�
e NEAREST
CITY G ZIP �O CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT X / 7 NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE P BY
TRACT �y BLOCK LOT N CONST. ZONE
OWNER TEL.
NO. USE ZONE MAP
NO.
ADDRESS SPECIAL
CITY ZIP CONDITIONS
BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES HIGHWAY + YARD = TOTAL SET BACK FROM TYPE OF EXISTING
PRESENT USE OF BUILDING sm O FRONT PROP.LINE fG7IDTH C
C
BLDG.SET BACK FROM
NO.PARKING SIDE PROP.LINE OF (STREET) e
SPACES PROVIDED C
= TOTAL SET BACK FROM TYPE EXISTING
HIGHWAY + YARD
-, SIDE PROP.LINE HIGHWAY WIDTH �
u
REASON FOR INSPECTION REQUEST +
- G
S CORNER CUTOFF YES NO s
OCCUPANCY GROUP L OCCUPANT
AS VERIFIED LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO:OF EXITS NO SPEC.KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LL����lll PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING
SPACES REQ'D PROVIDED
SIGNATURE O
APPLICANT FINAL BY
DATE
ADDRESS
Within the scope of this inspection
(� the Building Official may approve
minor corrections or alterations of
U an existing structure involving work PERMIT-FEE
of a building,,plumbing, mechanical
PHONE or electrical nature. ISSUANCE FEE
TOTAL FEE
APPLICATION VALIDATION CK. M.O. ' CASH
9 5 4r--DEC 29 4 0 0 .0 0 A-98