HomeMy Public PortalAbout5595 ROSEMEAD BLVD_Certificate of Occupancy__ 10 y
APPLICATION FO O OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
UILOING BUILDING AND SAFETY DIVISION
ADDRESS
BUILDING
ITV Temple CJ 4v CA ZIP 91780 AD04ES5
SIZE OF LOT NO OF BLDGS LOCALITY
NOW ON LOT
NEAREST
TRACT/� BLOCK LOT NO� CROSS ST
In pp �� ASSESSOR
,OWNER MERmeONSS INC. 10 DISTRICT MAP BOOK PAGE PARCEL
tt JJ DISTRICT TYPE FIRE p SS BY
DORESS P.O. Box 20 744], r eo co"PAI �OHGA
TY Boise Idaho ZIP 83726 OUSE ZONE/ NO o7-Q�`'T
SIZE OF NO OF n
EXISTING SLOG STORIES SPECIAL
CONDITIONS
RESENT USE OF BUILDING Retail. Groce BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
Supermarket HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF ISTIN
NO PARKING
FRONT PROP LINE HIGHWAY WIDTH
SPACES PROVIDED
BLDG SETBACK FROM yy
ASON FOR INSPECTION REQUEST S10E PROP LINE OF (STREET) y
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF ISTIN S
New Store S10E PROP LINE HIGHWAY WIDTH O
+ - U
W
d
CORNER CUTOFF YES NO �
LPROPOSED MAX I
OCCUPANCY GROUP
AS VERIFIED F� OCCUPANT
CKNOWLEDGE THAT I HAVE
LOAD
AND STATE THAT THE ABOVEXIT HARDWARE
IBERTWpiNO OF EXITS NO SPEC KNOWL
EVICE ❑
PANIC DEVICES ❑
yo I�iCeSPACESG REO'DFPROVIDED
. Box 20 BoiseZIPHOC CHECKS PAYABLE (
INAL BY
ATE L%
APPLICATION VALIDATIO M 0 CASH
76A&52-CE992 9/74 " �^
758'rRM 184V 0 U ,00A�Ib