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HomeMy Public PortalAbout5822TEMPLE CITY BLVD_Certificate of Occupancy (2) 76A66271 n5 Y APPLICATION FOR OCCUPANCY INSPECTION COUNTY OF•LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING (Print or type nly) ADDRESS �� 7, �� �_��►��, FDDRES LOCALITY S �/ [� ZIP NEAREST CROSS ST. OF LOT NO.OF BLDGS. ASSESSORIII NOW ON LOT MAP BOOK PAGE PARCEL vp DISTRICT TYPE FIRE PROCESS TRACT BLOCK LOT N0.Sdd CONST. ZONE 5r. .5,001 1� 3 WNE P, TEL. USE ZONE MAP /7 NO. c OO 7 DDR AG G' SPECIAL c� CONDITIONS CITY a ZIP / BLDG.SET BACK FROM SIZE OF N0.OF FRONT PROP.LINE OF (STREET) EXISTING BLDG. STORIES HIGHWAY + YARD = TOTAL SET BACK FROM TYPE OF EXISTING P ESENT USE OF BUILDING FRONT PROP.LINE HIGHWAY WIDTH / + _ r C BLDG.SET BACK FROM N0.PARKIN SIDE PROP.LINE OF (STREET) SPACES P ID TOTAL SET BACK FROM TYPE OF EXISTING HIGHWAY + YARD= SIDE PROP.LINE HIGHWAY WIDTH f ON FOR INSPECTION REQUEST '� + = C CORNER CUTOFF YES NO e OCCUPANCY GROUP OCCUPANT AS VERIFIED LOAD EXIT HAD ARE: PROPOSED MAX.OCC. NO.OF EXITS NO SPE .KNOWL. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ElAPPLICATION AND STATE THAT THE ABOVE IS COR- " RECT. PARKING SPACES RE&D PROVIDED SIGNATURE OF BY PLICANT FINAL i ��! ADDRESS � DATE AL Within the scope of this inspection the Building Official may approve OOF minor corrections or alterations of ZIP ¢ an existing structure involving work PERMIT FEE of a building, plumbing, mechanical PHONE or electrical nature. ISSUANCE FEE TOTAL FEE 5 APPLICATION VALIDATION— Co. ?* M.O. CASH •tel 0 R .f V -O o p b N_