HomeMy Public PortalAbout5665 ROSEMEAD BLVD_Certificate of Occupancy__ APPLICATION INSPECTION
R APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
Eum DEPARTMENT OF COUNTY ENGINEER
ADDLDING RESS Jr ,y BUILDING AND SAF IVISION
BUILDING
CIT ZIP ADDRESS
NO. OF BLDGS. LOCALITY V
SIZE OF LOT NOW ON LOT
NEAREST
TRACT S LOT NO. CROSS ST.
�.� 'ASSESSOR
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SIZE OF N0. OF NO. 670 is
EXISTING BLDG. STORIES0/ SPECIAL
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PRESENT USE OF BUILDING ) / G _
BLDG. SETBACK FROM
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HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
N0. PARKING FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED
-F =
BLDG. SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET)
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D C SIDE PROP. LINE HIGHWAY WIDTH O
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OCCUPANT
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PROPOSED MAX. OCC, OCCUPANCY GROUP J
AS VERIFIED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
,4k
OR- EXIT HARDWARE:
NO. OF EXITS NO SPEC. KNOWL. ❑
SIGNATURE OF
PANIC DEVICES ❑
APPLICANT
ADDRESS GGA
PARKING REQ'D D PROVIDED O
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MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEERIJ FINAL BY
DATE
APPLICATION VALIDATION CK. M.0.. CASH
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76A662-CE9929/74 � � ����'„�� _ .O 0.
APPLICATION FOR OCCUPANCY INSPECTION �
`FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
.BUILDING BUILDING ANP-SAFETY DIVISION
ADDRESS
BUILDING
CITY ZIPADDRESS
SIZE OF LOT OF BLD S. LOCALITY
OW ON LOT
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TRACT LOT N0. CROSS ST.
v 'ASSESSOR
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TEL MAP BOOK PAGE PARCEL
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BY
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SIZE OF '-a N0. 0 NO. aQV
EXISTING BLDG. STORIES SPECAL
CON DIT ONS
PRESENT USE OF BUILDING BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTIN
NO. PARKING FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED
BLDG. SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) i
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XISTIN <
SIDE PROP. LINE HIGHWAY WIDTH r
C
+ = C
L
' C
CORNER CUTOFF YES NO
s
PROPOSED MAX. OCC. OCCUPANCY GROUP
AS VERIFIED �Zi OCCUPANT
I HEREBY ACKNOWLEDGE THAT I. HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. EXIT HARDWARE:
NO. OF EXITS NO SPEC. KNOWL. ❑
SIGNATURE OF � 1
PANIC DEVICES ❑
APPLICANT r •
ARCING REQ'D PROVIDED
ADDRESS � SPACES •
i
ZIP
PHONE
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER . FINAL 6Y
DATE
APPLICATION VALIDATION CK. M.Q. CASH
76A662-CE992 9/74 - ,
is
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APPLICATION FOR CC N Y I ECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTYTF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING �Av �IV BUILDING AND DIVISION
ADDRESS
' 7 &79177 BUILDING
CITY 1 ZIP ADDRESS
i
SIZE OF LOT NO. OF BLDGS. LOCPLITY
NOW ON LOT
NEAREST J
TRACT LOT NO. CROSS ST.
ASSESSOR
OWNER TEL. "' MAP BOOK PAGE PARCEL
NO. jj DISTRICT TYPE FIRE p ES ED BY
ADDRESS�a, CO ZONE
L
CITY C� ��nf/±� / r+ ZIP 060 9 .. USE ZONE MAP
SIZE OF v V C� N0. OF N0.
EXISTING BLDG. STORIES SPECIAL
CONDITIONS
PRESENT USE OF BUILDING hQ BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
le— HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTIN
N0. PAR KING FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED + _
BLDG. SETBACK FROM
REASON FOR INSPECTION REQUEST . SIDE PROP. LINE OF (STREET)
c
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XISTIN
a ! SIDE PROP. LINE HIGHWAY WIDTH `
R,57-All- + _ F
S A � /� T
CORNER CUTOFF YES NO c
s
PROPOSED MAX. OCC. OCCUPANCY GROUP
AS VERIFIED _ OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION TATE E B VE IS COR- EXIT HARDWARE:
R ECT.
NO. OF EXITS NO SPEC. KNOWL. ❑
O
SIGNA U
PANIC DEVICES ❑
APPL
• PARKING REQ'DO PROVIDED D
ADDRESS,q/ti SPACES
VV Ave.Q `
NJ ;?
ZIP
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JI�JQ -ao00 7 PHONE �� � J 7 .� o
M FINAL BY
DATE
APPLICATION VALIDATION CK. M.Q. CASH
76A662-CE992 9/74 Y 1 N
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POST IN CONSPICUOUS PLACE
� I •
CITY OF TEMPLE CITY
CERTIFICATE OF OCCUPANCY
Building Address 5665 North Rosamead.
Permit No. 056 Year 105,75
Owner T��re. D�� _ Mail Address 4 + 3 1 Menem, I -eTNt d:
Permittee B. G. a Mott— Mail Address 9920 la. C3:etega
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
Retail Sales
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, Planning Director Harvey T. B dA,City Engineer and. of.f 'ng Official., 1*
By �- ` Byer. .
District Engineer
Date Issued 8/12/76 i