HomeMy Public PortalAbout5910 TEMPLE CITY BLVD_Certificate of Occupancy (2) APPLICATION FOR OCCUPANCY INSPECTION
BUILDING A D SAFETY DIV
OR PPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS Q
eu
B ING /J LOCALITY
DDR SS „� 2j/v `�NJ�`C �/ 4643
.•� ' �O NEAREST
CITY /�M/pLC CST G/�L ZIP g17�� CROSS ST.
NO. OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE ROC SED BY
CONST. ZONE
TRACT BLOCK LOT N0. �o♦
OWNER TEL. USE ZONE MAP
f�PTN&PZ S} leci- NO.
NO.
DRESS IZ17,el 7EA/Ay fTifZ�CTA � SPEC.:AL
CONDITIONS
CITY ZIP BLDG. SETBACK FROM
SIZE OF N0. OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
FRONT PROP. LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING
EST1:?L/7Zl?h•lr_ BLDG. SETBACK FROM
NOPARKING SIDE PROP. LINE OF (STREET) p
PACES PROVIDED
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XISTIN C.
SIDE PROP. LINE HIGHWAY1 WIDTH in
C
JR-
EASON FOR INSPECTION REQUEST + t
u
a
CORNER CUTOFF YES NO co
OCCUPANCY GROUP
AS'VERIFIED �--L OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX. OCC. NO SPEC. KNOWL. ❑
NO. OF EXITS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. tPARKING
�O�rv. y4 - aa-b SPACES REQ'D� PROVIDED
FINAL _-�����j BY
SIGNATURE OF101&_
/� DATE PLICANTCX. �&� . -
ADDRESS /�z Within the scope of this inspec-
tion-the
nspec-
tion.the Building Official may
'�Jf%Oi€/TCLF!40 e�L•, approve minor corrections
alterations of an existing struc-
c-
ture involving work of a build- Permit Fee
ZIP V1763ing, plumbing, mechanical or
electrical nature. Issuance Fee
.71�oNE � I-I 6 Total Fee
APPLICATION VALIDATION CK. M.O. CASH
207�MiRR 2.24`3 o .00a
78A882C-CE992B 1 t X79 .. _ •