HomeMy Public PortalAbout5811-5811 1/2-5813TEMPLE CITY BLVD_Certificate of Occupancy i yp -
76F662-CE992-4/77
APPLICATION FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN BUILDING 7 •
(Print or type only) ADDRESS UILDING
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ADDRESS '� I q T .�(4/!J G' g LOCALITY -r
CITY 7_j�-IA4A - Gj'arJ ZIP C1 EAREST
CROSS ST.
SIZE OF LOT NO.OF BLDGS. ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PROCESSED BY
TRACT BLOCK LOT NO. CONST.Wd ZONE
J
NER I , 1., i 9221 NO - SE ZONE MAP �D
W NO.
ADDRESS44.0&/� (i� �- ,2 SPECIAL
ONDITIONS
CITY�� j0ej,4
I s� c �j BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREE0
EXISTING BLDG. SYORIES
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF '151"
,RKESENT USE OF BUILDING A 1 t Q FRONT PROP.LINE HIGHWAY WIDTH
V c^� + -
NO.PARKING SIBLDG.
PROP.LINE OF SET BACK FROM
(STREET))
SPACES PROVIDED
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF E7OSrING ,
SIDE PROP. LINE HIGHWAY WIDTH
F
REASON FOR INSPECTION REQUEST + - L
CORNER CUTOFF YES NO �
OCCUPANCYGROUP
AS VERIFIED aZ OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS NO SPEC. KNOWL. El
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑ '
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
ACESPARKING .
S REQ'DPROVI `+
GNATURE O
APPLICANT FINAL BY
DATEo
ADDRESS e4ss
I il
Within the scope of this inspec- R
tion the Building Official may
approve minor corrections or
ZIP -7''7/ alterations of an existing struc- _
/ f
!"D ture involving work of a build- PERMIT FEE
Ing, plumbing, mechanical or
¢
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�5�66 L� electrical nature. IS�UAf�CE FEE
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TO7TAL F�
APPLICATION VALIDATION oCKP £D M.O. CASH
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