HomeMy Public PortalAbout5835TEMPLE CITY BLVD_Certificate of Occupancy (2) ,76A662-CE992-4/77
APPLICATION FOR OCQ�JPANCY INSPECTION
FOR APPLICANT TO FILL BUI NG
(Print or type only) ADDRESSDING `
BDff
DRESS3 f LOCALITY
CITYNEAREST
� et jvcc '� `�� ZIP � CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE.OF LOT' NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE P ED BY
TRACT BLOCK LOT NO. CONST. ZONE
TEL ei L
INNER06tCIt NO. 7-3X USE ZONE )VAP
'adNO. C=; Q
DRESS &OR h Al (/�`� 0—Z SPECIAL
OP
�. CONDITIONS
ITY ALC `p ZIP ® BLDG.SET BACK FROM
SIZE OF i NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF EXISTING
ESENT USE OF BUILDING FRONT PROP.LINE HIGHWAY WIDTH
+.
�C L/ SD W.�G Sr70 P BLDG.SET BACK FROM
NO. PARKING SIDE PROP.LINE OF (STREET)l p
SPACES PROVIDED v
HIGHWAY + YARD— TO TAL SET BACK FROM TYPE OF EXISTING
SIDE PROP. LINE HIGHWAY WIDTH 0
LPIKSON FOR INSPECTION REQUEST + — W
o_
AI` 0(�d� CORNERCUTOFF YES IVO y
L►fj1/ Z
OCCUPANCY,GROUP OCCUPANT
AS VERIFIED L LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC.
NO.OF EXITS NO SPEC. KNOWIL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT:
PARKING: REQ'D ROVIDED�
� SPACES
SIGNATURE OF� ,
PPLICANT FINAL v�u 13Y ,
DATE I/
ADDRESS t�'� r �EM Air CST �1L11 O
d / Within the scope of this Inspec-
tion the Building Official may
approve minor corrections or
Z.lp. n� alterations of an existing strut:
d ture involving work of a build- PERMIT FEE
ing, plumbing, mechanical or
PHONE electrical nature. ISSL{ANCE FE
TOTAL FEE
APPLICATION VALIDATI.ONoK. M.O. ASH
C o N
o o N
( o n ^.