HomeMy Public PortalAbout5008 ENCINITA AVE_Certificate of Occupancy__ APPLICATION FO OCrUP NCY INSPECTION
BUILDING AND SAFETY DIVISION
R APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS
S
DING LOCALITY
ADDRESS 50019 Encinita Ave. Te=le M&P
NEAREST 'l
CITY ZIP Q CROSS ST �
Temple City
NO OF BLDGS U ASSESSOR I��
SIZE OF LOT L�y10 .L NOW F LOT �• MAP BOOK PAGE 0 1• PARCEL003
vVV�n V DISTRICT T E FIRE PROCES BY
a CONST ZON
TRACT /d 9 V, BLOCK L T NO J_ i,j of
StL1CCO 3
N E R -JAMEST. GILAIIDE USE ZONE NMA0(4OP 0 h' /
�
RESS 8 Encinita Ave. / SPECIAL
CONDITIONS
_CITY ZIP 80
___ VlJ BLDG SETBACK FROM
SIZE OF oppp__OF FRONT PROP LINE OF (STREET)
EXISTING BLDG la Off20MIS RIES 1 TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY } YARD = FRONT PROP LINE HIGHWAY WIDTH
P ENT USE 0 BUI
00, 2
BLDG SETBACK FROM
NO PARKING SIDE PROP LINE OF (STREET) a
SPACES PROVIDED
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF XISTIN U
SIDE PROP LINE HIGHWAY WIDTH
CD
_ I--
SON FOR INSPECTION REQUEST + w
a
+ CORNER CUTOFF YES NO rn
Z
OCCUPANCY GROUP
AS VERIFIED ILIA OCCUPANT
r LOAD
J EXIT HARDWARE
PROPOSED MAX OCC
NO SPEC KNOWL ElNO OF EXITS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT PARKING
SPACES REQ'D D PROVIDED
r
FINAL �� BY
ATURE OF � DATELee
ICANT
ss Encinita Ave. Within the scope of this inspec-
tion the Building Official may
approve minor corrections or
Tn=19 City., Calif. alterations of an existing struc-
ture involving work of a build- Permit Fee
ZIP 91780 Ing, plumbing, mechanical or
electrical nature Issuance Fee
PHONE
285-1131 Total Fee
APPLICATION VALIDATION CK M O CASH
' 0 4 9r--JUN 204-0 U .0 (D e�1%
76A882C-CE992B 11/75