HomeMy Public PortalAbout5817TEMPLE CITY BLVD_Certificate of Occupancy APPLICATION FCFR OCCUPANCY .INSPECTION'
° ' BUILDING AND SAFETY DIVISION
rDN
OR APPLICANT-TO CANT TO FILL IN BUILDING
(Print or type only) 'ADDRESS �' 8 l
j�y /�/ I LOCALITY
L' �� ( /: /f/d,
NEAREST
w �,` �� / ZIP ! l ? C CROSS ST.
N0. OF BLDGS. ASSESSOR
LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT 'TYPE FIRE JPRD��SSEY
� S BLOCK f /LQT N0. J ('9 CONSTv/ ZONE ��
re l v V
�- r / TEL. r - � USE ZONE MAP
a Y �/ r'� ' O ��7 pZQ O 7N0.SPECIAL
CONDITIONS
ZIP BLDG, SETBACK FROM
H0. OF lFRONT PROP. LINE OF (STREET)
BLDG. , STORIES / HIGHWAY + YARD = "TOTAL-SETBACK FROM TYPE OF EXISTIN
FRONT PROP. LINE HIGHWAY WIDTH
ESENT USE OF BUILDING
t = •
/ 14i /7 Cl I ./}-1 BLDG: SETBACK FROM
NO. PARKING SIDE PROP. LINE OF (STREET) C
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTIN C
HIGHWAY f - YARD = SIDE PROP. LINE 1HIGHWAY1 WIDTH r
ASON FOR INSPECTION REQUEST + C
L
n C CORNER CUTOFF YES NO E
OCCUPANCY GROUP /�
,AS VERIFIED p[ OC.C:UPA.NT
LOAD
'EXIT HARDWARE:
PROPOSED MAX. OCC. NO SPEC. KNOWL., ❑.
NO. OF EXITS'
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING REQ'D D PROVIDED D
SPACES
�q FINAL ;BY ��
SIG ATURE OF r� ��(/ DATE
PLICANT �
RESS l/ ° Within the scope of this inspec-
tion the Building Official may
• / approve minor corrections or
alterations of an existing struc-
tu�e involving work of a build- Permit Fee
ZIP f7-?C!� ing, plumbing, mechanical.or
electrical.nature.. Issuance.Fee
e=�' ✓ ! G' s �P j .� Total Fee
APPLICATION VALIDATION CK. M.0. CASH
76A662C-CE9928 11/75 '