HomeMy Public PortalAbout5822TEMPLE CITY BLVD_Certificate of Occupancy • _r= T,
'6A662-CE992-(REV.11178)2179
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING �--
ADDRESS vZ� T, i
I'M
�1i•
ADDRESS J 6 LOCALITY 7
CITY ZIP , 7000 NEAREST
No.of eLDGs. CROSS ST.
SIZE OF LOT NOW ON LOT ASSESSOR
MAP BOOK PAGE PARCEL
TTR�RACT BLOCK LOT NO. DISTRICT TYPE. FIRE PRICE ED By
'OWNERNCA
�1 T A % (,y J S
p/ CON , ZON'S
1CDDRESS •`,ao dlr I J'([/UT/�(/ !(l /T 1/fUSE ZON9YE MOPp�D7 C2
CITY ZIPv
�' ✓Z SPECIAL
SIZE OF NO.OF CONDITIONS
EXISTING BLDG. - SrORIES ca
'PRP�gENT USE -� �/� OCCUPANCY GROUP F IQB.af
�PPSUILDING 6&64&6:)W
6:) AS VERIFIED• OCC LOAD g
EXIT HARDWARE:
NO.PARKING NO.OF EXITS NO SPEC.KNOWL. ❑
SPACES PROVIDED
PANIC DEVICES ❑
eON FOR �J/fin a�p SPACES:PARKING REO'D. PROVIDED
SPECTION REGUEST
DA EFINAL BY
PERMIT Within the scope of this in-
FEE pection the Building Official may
ISSUANCEapprove minor corrections or
FEE alterations of an existing struc-.
TOTAL ture Involving work of a building,
PROPOSED MAX.OCC. FEEplumnature.bing, mechanical or elec-
trlcal
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION AND STATE THAT THE,'ABOVE IS '
CORRECT.
GNATURE OF `
PERMITTEE `/
DDRESS Mle el �+^' ^'• ��
ITY G No '1 -d 1 4 3 b A
0
,BLDG.SETBACK # o:0 0 0 [4
,FROM FRONT
PROP.LINE OF (STREET) 0 0 0 0 0 0 o Z
HIGHWAY + YARD - TOTAL
SETBACK FFROM
EXISTING
FRONT HIGHWAY WIDTH
07,28-80
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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