HomeMy Public PortalAbout5616 ROSEMEAD BLVD_Certificate of Occupancy__ ruuncana (w.v 1117.)
APPLICATION R OCCUPA CY INSPECTION LI
COUNTY OF LOS ANGELES + BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
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saT ASSESSOR
MAPSOOK PAGE PARCEL
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OCCUPANCY GROUP O 6.
L AS VERIFIED OCCUPANT
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LOAD
EXIT HARDWARE
.wov�o.o NO OF EXITS NO SPEC KNOWL ❑
PANIC DEVICES ❑
a,.on.ow PARKING REG'D P IDED
non naov oT 0h N[ J SPACES
FINALy
NPA DATE
PERMIT Within the scope o/this inspectlon
N. Building Official may approve
ISSUANCE minor corrections or alterations
of an existing structure Involving
TOTAL FEE" work of a building Plumbing
.no.o.ab rw: occ Mechanical or electrical nature
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION ANI STATE HAT THE ABOVE IS COR-
RECT
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APPLICATION FOR OCCUPANCY INSPECTION
Y
BUILDING AND SAFETY DIVISION
APPLICANTFOR TO FILL IN BUILDING
+ (Print or type only) ADDRESS 5616 N. Rosemead Blvd.
BUILDINGADDRESS 45616 N'.i Rosemead ,B1 . LOCALTV Temple' City -
CITY _Templ`e City zip 91780 CROSS ST - Las Tunas -
NO OF IASSESSOR _
SIZE OF LOT, _ W NOW ON LOTS MAP,BOOK PAGE PARCEL
DISTRICT TYPE FIRE PRO SS BY
TRACTSunny •VieW BLOCK LOTRor•13 5 .08 CONSTV
ZONE
OWNER EV$' +Lee ' TEL
USE ZONE, NMA
OP V 2007 '
ADDRESS N, , , C-3 SPECIAL
CONDITIONS T
CITY a ZIP BLDG SETBACK FROM - r
SIZE OF NO OF FRONT PROP LINE OF (STREET)
EXISTING BLDG STORIES HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF XISTIN
FRONT PROP LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING vacant ' _ _
BLDG SETBACK FROM '
NO PARKING S10E PROP LINE OF (STREET)
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF ISTIN U
HIGHWAY }• YARD - SIDE PROP LINE HIGHWAY 'NIDTH
C
d
REASON FOR INSPECTION REQUEST ' } U
a
• CORNER CUTOFF YES NO =
Dental Lab —
_ OCCUPANCY GROUP _
t AS VERIFIED OCCUPANT
LOAD
_ EXIT HARDWARE '
O
-PROPOSED MAX OCC -. • NO SPEC KN
'13NO OF EXITS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS s " s PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT , r PARKING
r _ SPACES REO�O PROVIDED
�' • \ FINAL �7 �/ BY
SIGNATURE OF '- ) DATE -(i9-/7
APPLICANT ' L/
ADDRESS Al. Within the scope of this mspec
_tion the Building Official may
approve minor corrections or
alterations of an existing struc .�
ture involving work of a build Permit Fee '
Zip Ing plumb)ng mechanical Or
electrical nature Issuance Fee
ONE
Total Fee
APPLICATIONNALIDATION DK M0 CASH
87e0�DEC 284O 'D - .00A-is
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