HomeMy Public PortalAbout5819-5819 1/2TEMPLE CITY BLVD_Certificate of Occupancy (2) I' - Q
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APPLICATION FOR OCCUPANCY INSPECTION -
COUNTY. OF LOS ANGELES • BUILDING AND SAFETY
.FOR APPLICANT TO FILL IN BUILDING
BUILDING �f
ADDRESS CJ IJ
•��
ADOREss ,� LOCALITY
CITY _per ZIP // NEAREST _ J '
CROSS ST. ljtJf/
NO.OF OLE G3.
SIZE OF LOT NOW ON LOT ASSESSOR
MAP BOOK PAGE PARCEL
TRACT '''' //�� el.•ofcK r' LOT No. DIISST`RICT��//'TYPE. FIRE PROCE ED Br-
OWNER 1:+ K. l�� V I� NOL ✓ CANS ZONE
ADDRESS USE•ZONE MAP - a
NO.
CITY ZIP SPECIAL C
SIZE OF NO.OF CONDITIONS {�
EXISTING BLDG. S[ORIES W
OCCUPANCY GROUP
PRESENT USE AS VERIFIED OCCUPANT GO
OF BUILDING (3.6o e L N LOAD
EXIT HARDWARE:
NO.PARKING NO.OF EXITS NO SPEC.KNOWL. ❑ .
SPACES PROVIDED
PANIC DEVICES ❑
PARKING REQ'D. PROVIDED E
REASON FOR ��J SPACES:
INSPECTION REQUEST a• A /,
rFINAL BY 1`
PERMIT Within the scope of this in-
FEE ' pection the Building Official may
ISSUANCE. approve minor corrections or
FEE f alterations of an existing struc-
TOTAL ture involving work of a building,
PRoaoseD MAX.occ. FEE plumbing, mechanical or elec-
trical nature.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION AND STATE THAT THE ABOVE IS
CORRECT.
SIGNATURE OF
PERMITTEE .� q 4 z 5 n
ADDRESS IS Qq/ - # O 0 0 0 4 0
CITY�•�`�" NO. 0 0 0 0 0 0 0
BLDG.SETBACK 0 7, 28-80
FROM FRONT
PROP.LINE OF (STREET)
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
FRONT PROP.LINE HIGHWAY WIDTH
BLDG.SETBACK
FROM SIDE
PROP.LINE OF (STREET)
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIDE PROP.LINE HIGHWAY WIDTH
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