Loading...
HomeMy Public PortalAbout5919TEMPLE CITY BLVD_Certificate of Occupancy 76AG62-CE992-6/77 APPLICATION FOR OCCUPANCY INSPECTION FOR APPLICANT TO FILL IN BUILDING / (Print or type only) ADDRESS BUILDING _ ` ADDRESS LOCALITY c! !� . CITY r / Ip. 96 7, NEAREST (� CROSS ST. SIZE.OF LOT NO.OF BLDGS. ASSESSOR NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT TYPEFIRE PPI-713 BY TRACT BLOCK LAT NO. CONS ZONE OWNER /rJ TEL. K/ NO: USE ZONE MAP ADDRESS �/ 3 NO �00 SPECIAL COND°ITIONS CITY ZIP BLDG.SET BACK FROM SIZEOF NO,OF FRONT PROP.LINE OF (STREET) EXISTING BLDG. STORIES HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF IX DTH PRESENT USE OF BUILDING FRONT PROP.LINE HIGHWAY WIDTH BLDG.SETBACK FROM NO. PARKING - SIDE PROP.)LINE OF (STREET)I, C SPACES PROVIDED HIGHWAY + YARD- TOTAL SET BACK FROM TYPE OF IXISIING C SIDE PROP. LINE HIGHWAY WIDTH _ F REASON F INSPECTION REQUEST + G 0 CORNER CUTOFF YES NO e OCCUPANCY GROUP -� OCCUPANT AS VERIFIED LOAD EXIT HARDWARE: PROPOSED MAX.OCC. NO.OF EXITS NO SPEC.KNOW L. ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑ APPLICATION AND STATE THAT VE IS COR- RECT. Q PARKING: SPACES REQ'D PROVIDED SIGNATURE OF .�� APPLICANT E .v�-2— —// 1 .L / ! BY DA ADDRESS 3� .a Within the scope of this inspec- tion the Building Official may approve minor corrections or ZIP alterations of an existing struc- ture involving work df a build- PERMIT FEE zwor'53 nj, plumbing, mechanical or PHONE 7''77 electrical nature. ISSUANCE FEE TOTAL FEE e APPLICATION'VAr-IDATIONNo CK. M.O. CASH — o o — C)I 0 0 CA 0 0 N OD. 0 d NS