HomeMy Public PortalAbout5837-5839TEMPLE CITY BLVD_Certificate of Occupancy (2) APPLICATION FoR (OCU PANCY INSPECT ON
FOR APPLICANT TO FILL IN (P COUNTY OF LOS ANGELES
"riot or type only) DEPARTMENT OF COUNTY ENGINEER
BUILDING
ADDRESS �$ !Qi(N{ L' ��S�V b. BUILDING AND SAFETY DIVISION
�p�n BUILDING
CITY TZMPL& 60 ZIPT-7 ADDRES ' 3
SIZE OF LOT X419(96 ARM. NOWOON LOTS, ` LOCALIT
j ! NEAREST J
TRACT BLOCK CROSS ST, ate/
L7 r(O '�p/�AP`' 'ASSESSOR
OWNERL&NAP-D ACTA4{� 6rL.Se NOL'(•�(�2,3'�'�f�_ DISTRICT TYPE P BOOK PFIRE p SS BAGE YARCEL
ADDRESS b�'� t CONS y ZONL}j
CITY ZIP USE ZONE MAP
SIZE OF ryN0NO.
. OF r/I� •
EXISTING'BLDG. hSTORIES ` SPECIAL
ry CONDITIONS
PRESENT USE OF BUILDING � P� BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF.EXISTING
NO. PARKING
FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED +
BLDG. SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) }
HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF XISTING
C
1j/ W 6 Va l✓GI SIDE PROP. LINE HIGHWAY WIDTH L
+ _ FCC-
L
t CORNER CUTOFF YES NO a
Z
-
PROPOSED'MAX. OCC. OCCUPANCY GROUP
AS VERIFIED OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS �' LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE:
R ECT.
NO. OF EXITS NO SPEC. KNOWL. ❑
SIGNATURE OF PANIC DEVICES C3APPLICANT. mo
ADDRESS �JI/(� �J , PARKING REQ'D PROVIDED
SPACES C�
1C 1rDr; V,1,E A-/7_ �; it c!q-�
ZIP qI 0 6
PHONE
MAKE CHECKS PAYABLE TO: 4/ i
HARVEY T. BRAN.DT COUNTY ENGINEER FINAL
DATE "�f f3Y 1'
f r/ ( !O
APPLICATION VALIDATION CK. M.O. CASH
/ vl� ID A98
76A862 CE992 875 _._ -