HomeMy Public PortalAbout5541 ROSEMEAD BLVD_Certificate of Occupancy__r
POST IN CONSPICUOUS PLACE
CITY OF TEMPLE CITY
CERTIFICATE OF OCCUPANCY
Building Address 5541 P.Orth RossmmA Hoalerard,_Mle City
Permit No. 8556 Year s
Owner Q' Mail Address 3= Wate3la, Lam Alam"on
Permittee First F30ri" Blida. Culp. Mail Address 4590 U2 St. - BaYtharrie
This certifies that the building or structure or portion thereof,as described herein, located at the above address, complies
with provisions of the Building and Planning Codes for the following use(s) and occupancy group(s):
Use of Building (or Portion) Occupancy Group
Restaaraat B-3
No change shall be made in the character of occupancy or use of the building without approval of the Building Official
and Planning Director.
George Dragicevich, Planninqa Director Harvey T. Bran%--r-ity Engineer and Building Official
�
District_Engineer
APPLICATION FOR OCCUPANC-t INSPECTION
FOR APPLICANT TO FILL IN (P,Int R, type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILo1Nc BUILDING AND TY DIVISION
AOD KESS _
BUILDING
CITY ZIP ADDRESS
SIZE Or LOT NO O� / Y
BLDGS LOCALITY
L X ( y NOW ON LOT
NEAREST
TRACT BLOCK I/d. CROSS ST
ASSESSOR
OWNER1 NOL3 —279/ MAP BOOK PAGE PARCEL
v . DISTRICT TYPE FIRE PR BY
ADDRESS CONST ZON
0
CITY ZIP2,z 1 USE ZONE MAP
S1ZE OF NO OF '/I' NO G
E%15 TING BLDG STORIES SPECIAL
CONDITIONS
PRESENT USE OF BUILDING BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF FXISTIN
HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH
NO PARKING
SPAC PROVIpED R
+ _ V
BLDG SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF ISTIN
SIDE PROP LINE HIGHWAY WIDTH
+
CORNER CUTOFF YES NO
PROPOSED MAX OCC OCCUPANCY GROUP
AS VERIFIED OCCUPANT
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LOAD 0920
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT EXIT HARDWARE
NO OF EXITS O NO SPEC KNOWL ❑
( /
51GNATPANIC DEVICES ❑
APPLICANT
PARKING 40DAE55 REO•D O PROVIDED D
S SPACES
ZIP
11,7
PHONE
-Z33
eI
(.( FINAL Y
DATE
APPLICATION VALIDATION CK M 0 CASH
69 4v U � r.
76AQ62•Cf 992 12-73 ✓'� � •V O `�
APPLICATION FOR OCCUPANCY INSPECTION
BUILDIN ND SAFETY DIV ION
IN BUILDING Qe
(Print or type only) ADDRESS
fAA,DDRESS5
DING (� I OCALI TY
N VJe m V
y NEAREST
�,e Yq P el ( ZIP 0 D CROSSST//nJJNOOF BLOCS ASSESSOR
E OF L07 ��Q 1�1I 1 y NOW ON LOT MAP BOOK PAGE PARCEL
r 1 1 /] DISTRICT TYPE FIRErpR SED BY
TRACT 3 BLOCK LOT 0Q CONST Z0
INNER vI_ NOL V USE ZO( NJE MAP
NO
DO SPECIAL
CONDITIONS
CITY/' ��Lojja 'I ZIP q� 3 6 4 BLDG SETBACK FROM
SIZE OF NO OF FRONT PROP LINE OF (STREET)
EXISTING BLDG STORIES ( HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ESENT USE OF BUILDING � FRONT PROP LINE HIGHWAY WIDTH
} _
BLDG SETBACK FROM
NO PARKING SIDE PROP LINE OF (STREET)
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF ISTIN
HIGHWAY } YARD = SIDE PROP LINE HIGHWAY1 WIDTH tY
O
ASON FOR INSPECTION REQUEST }
W
d
aT11S
CORNER CUTOFF VES NOCUPANCY GROUP �AS VERIFIED OCCUPANT
LOADE%IT HARDWARE
PROPOSED MANO OF E%ITS NO SPEC KNOWL ❑
1 HEREBY ACKNOWLEDGE THAT I HAVPANIC DEVICES ❑APPLICATION AND STATE THAT THE ARECT RKING
ACES REO D PR VIDEO
IJ ALBV
SIGNATURE OF TELICANT
DRESSrI _7 / . ithin the scope of this Inspec
on the Building Official may
pprove minor corrections or
lterations of an existing struc
re Involving work of a build Permit Fee
g Plumbing, mechanical or
lectrial nature Issuance Fe
Total Fee�
APPLICATION VALIDAftN. Cr QD 0 CASH
W • • N
I
is • L ✓
Tu.uc-CK•IID 11/75 J •_ 'D
.O • O D>
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