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HomeMy Public PortalAbout5918TEMPLE CITY BLVD_Certificate of Occupancy (2) 76A662-CE99211/75 ( \ APPLICATION FOR CUPANCV INSPECTION COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING (Print or type only) ADDRESS BUILDING � �� �l� 9(1 ADDRESS. ` LOCALITY QQ. NEAREST CITY _ Ca ZIP CROSS ST. SIZE OF LOT NO.OF BLDGS. ASSESSOR ZCJ l� NOW ON LOT t MAP BOOK PAGE PARCEL DISTRIIC`T TYPE FIRE PR 'vY TRACT BLOCK LOT NO. CONST. ZONE�®dy OWNER TEL. NO. USE ZONE MAP "7 NO. �G / ADDRESS Z SPECIAL CONDITIONS CITY ZIP BLDG.SET BACK FROM SIZE OF NO.oF FRONT PROP.LINE OF (STREET) EXISTING BLDG. 2 tO© STORIES TOTAL SET BACK FROM TYPE OF EXISTING PRESENT USE OF BUILDING HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH > + _ a C BLDG.SET BACK FROM L NO.PARKING SIDE PROP.LINE OF (STREET) 2 SPACES PROVIDED C P � TOTAL SET BACK FROM TYPE OF EXISTING L.s1 G ��(� HIGHWAY + YARD= SIDE PROP.LINE HIGHWAY WIDTH IL REASON FOR INSPECTION REQUEST + = 0 L n.n CORNER CUTOFF YES NO e Lr4S 'VI OCCUPANCY AS VERIFIED UP " 2� OCCUPANT LOAD EXIT.HARDWARE: PROPOSED MAX.OCC.,?-3. NO.OF EXITS NO SPEC.KNOWL. ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ElAPPLICATION AND STATE THAT THE ABOVE IS COR- RECT. PARKING SPACES REQ'D PROVIDED SIGNATURE OF ' APPLICANT INALBY DATE _���� ADDRESS � ' /� Within the scope of this inspection �rl I �� the Building Official may approve minor corrections or alterations of ZIP V an existing structure involving work PERMIT FEE of a building, plumbing, mechanical PHONE or electrical .nature. ISSUANCE FEE TOTAL FEE APPLICATION VALIDATION CIS. M.O. V CASH 16 8 LJAN 17 4 0 0 ,0 0 ,�