HomeMy Public PortalAbout5835TEMPLE CITY BLVD_Certificate of Occupancy BA662-CEe9211EV.11178)2179
JIn APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
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FOR APPLICANT TO FILL IN BUILDING `
ADDRESS 4,1�
BUILDING �n f /Z� e' � I
A KESS Lr da //�1' `�c`�}:LOCALITY
cITYL 6r zip (/I , •tt NEAREST t�
�j^ NO.OF BLDGS., CROSS ST.
SIZE OF LOT G !ll NOW ON LOT ASSESSOR
MAP BOOK PAGE PARCEL
TRACT Y/ BLOCK LOT NO. �1 DISTRIC TYPE. FIRE PROCE D BY,
,GWNER v 16`r OL/ C� NOpG9♦' -q✓ 67 COI�,$T/ ZON
DRESS C) 4 4UCr.Al9'9-1 'q a*--. USE ZONE MAP
caU O
l d'
f CZ. ZIP �j't, /�/ SPECIAL
p CONDITIONS 12
SIZE OF 1 i NO.OF Ir
EXISTING BLDG. ` 7 SrORIES
OCCUPANCY GROUP
PRESENT USE 9PBUILDNG $ /�.cJ,2c�/� AS VERIFIED OCCUPANT
S
EXIT HARDWARE:
NO.PARKING NO.OF EXITS NO SPEC.KNOWL. ❑
SPACES PROVIDED
PANIC DEVICES ❑
PARKING REO'D. PROVIDED
REASON FOR SPACES:
MISPECTION REQUEST
FINAL 4TH / BY
DATE
PERMIT Within the scope of this in-
FEE pection the Building Official may
ISSUANCEapprove minor corrections or
FEE :iterations of an existing struc-
TOTAL .lure involving work of a building,
PROPOSED Max occ. FEE plumbing, mechanical or elec-
trical nature.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION ND STAT THAT THE ABOVE IS APPLICATION VALIDATION
CORRECT.
GNATURE OF
ERMITTEE
AUDKESS � 06 NGL -i C 1,64 �
CITY_�LJ 14,,r TEL;AS "01 2 14 37 A
NO
BLOG.SETBACK ft o O o a 40
FROM FRONT
PROP.LINE OF (STREET)
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
FRONT PROP.LINE HIGHWAY WIDTH �/ p p
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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