HomeMy Public PortalAbout10217 LOWER AZUSA RD_Certificate of Occupancy__ TE
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CITY OF TEMPLE CITY ` N j
BUILDING AND SAFETY/COMMUNITY DEVELOPMENT
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This certifies that the building or structures or portion thereof, as described herein, complies with provision
of the Building Code for the following uses(s) and occupancy groups(s). No change shall be made in the
character of occupancy or use of the building or structures without approval of the Building Official and
Community Development.
BUILDING ADDRESS: 10217 LOWER AZUSA ROAD TEMPLE CITY
PERMIT NUMBER: BL 0508 1404300061
OWNER: DR. JIMMY CHOI, DDS.
ADDRESS: 10217 LOWER AZUSA ROAD, TEMPLE CITY, CA 91780
PERMITEE: T H N ENTERPRISES INC.
ADDRESS: 2751 SATURN STREET SUITE B, BREA, CA 92821
OCCUPANCY GROUP USE OF BUILDING (OR PORTION)
B TENANT IMPROVEMENT FOR DENTAL OFFICE
ISSUING OFFICE
CITY OF TEMPLE CITY
9701 LAS TUNAS DRIVE
TEMPLE CITY, CA 91780
COMMUNITY DEVELOPMENT DIRECTOR. BUILNG O FICIAL"
DATE ISSUED: SEPTEMBER 23, 2014
APPLICATION FOR O&�UPAN2Y INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING r1 BUILDING AND SAFETY DIVISION
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BUILDING �� � -
CITYZIP ADDRESS
SIZE OF LOT NO. OF BLDGS., LOCALITY - -
NOW ON LOT
NEAREST
TRACT BLOCK LOT NO. CROSS ST, .
ASSESSOR
OWNER TEL. AP BOOK PAGE PARCEL _
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CONST. ZONE
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SIZE N0. �� SPECIAL
EXISTING
G BLDG. STORIES
CONDITIONS
PRESENT USE OF BUILDING BLDG. SETBACK FROM
ilk FRONT PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP. LINE HIGHWAY WIDTH
N0. PARKING
SPAC PROVIDED + = Q.
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BLDG. SETBACK FROM V
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) 1119
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
SIDE PROP. LINE HIGHWAY WIDTH
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+ - W
CORNER CUTOFF YES NO Z
PROPOSED MAX. OCC. OCCUPANCY GROUP [:�
AS VERIFIED OCCUPANT
LOAD
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE:
R ECT.
N0. OF EXITS NO SPEC. KNOWL. El_ SIGNATURE OF PANIC DEVICES ❑
APPLICANT Z
PARKING
ADDRESS :b SPACES REQ'D /� PROVIDED _
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MAKE_ CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER FINAL BY �gp sr
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APPLICATION VALIDATION CK. M.0'. CASH
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