HomeMy Public PortalAbout5820-5820 1/2TEMPLE CITY BLVD_Certificate of Occupancy (2) APPLICATION FOR OCCUPANCY INSPECTION �]
FOR'APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDIN 58202 TEMPLE CITY BLVD. BUILDING AND SAFETY DIVISION
BUILDING 62�2
CITY TEMPLE CITY z I P' 91780 AD DRESS �
OF
SIZE OF LOT NO. OF SLOGS. LOCALITY /1
NOW ON LOT
NEAREST' )
TRACT BLOCK LOT NO. CROSS ST. (�(/
ASSESSOR
OWNER MRS. CfIARLOTTE RHODC- 286-0680 MAP BOOK PAGE PARCEL
DISTRICT TYPE IFIRE PROCESS D BY
��. Og CONS
ADDRESS 802 GOI.DENWF�T AVE• �7 _ .
CITY TEMPLE CITY zip 91180 USE ZONE MAP
NO. —2,00
SIZE OF N0. OF one �r� SPECIAL
EXISTING BLDG. STORIES
CONDITIONS
PRESENT USE OF BUILDING SERVICE: INCOME TAX BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
AND B0003WING TOTAL SETBACK FROM TYPE OF ISTIN
N0PARKING HIGHWAY + YARD = FRONT PROP. LINE HIGHWAY WIDTH
. -
SPACES PROVIDED 2 + _
BLDG. SETBACK FROM
REASON FOR INSPECTION REQUEST Req. SIDE PROP. LINE OF (STREET) C
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING C.
New business going in. SIDE PROP. LINE HIGHWAY WIDTH p
c
u
n
CORNER CUTOFF YES NO to
PROPOSED MAX, OCC, 10.. OCCUPANCY GROUP
• AS VERIFIED L OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-: EXIT HARDWARE:
R ECT.
- N0. OF EXITS NO SPEC. KNOWL. ❑
SIGNATURE OF
PANIC DEVICES ❑
APPLICANT
PARKING
ADDRESS 58202. TI.iIi P CITY BLAZ SPACES REQ'D PROVIDED
TEMPLE CITY' CA. 91780
ZIP
PHONE 2851633
MAKE CHECKS PAYABLE TOi
[HARVEY BYT. BRANDY COUNTY ENGINEER DATE 7�
APPLICATION VALIDATION CK-. M.O. CASH
76A662-=992 9/74 �/�' 0 0 2 h sFF 3 4 0 O .0 0