HomeMy Public PortalAbout6326 ROSEMEAD BLVD_Certificate of Occupancy__ APPLICATION FOR OCCUPA CY INSPECTION
BUILDING A 5SAFETY DIVISI
R APPLICANT TO FILL IN BUILDING /f
(Print or type only) ADDRESS J� . a�vyLY l/K
B LDING / LOCALITY ? /.
DDRESS 3�1D S 'p V
NEAREST
Y• CITY ZIP �. CROSS ST,
NO. OF BLOGS.
ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK AGE PARCEL
DISTRICT TYPE FIRE P SSED BY
63 12, BLOCK LOT –,S y^ L� CONS ZONE
OWNER EL.. UU/SE ZONE NMA
OP
DRESS ! �'iZ/' SPECIAL
G CONDITIONS
TY L-_) ZIPCOOL_[/1 BLDG. SETBACK FROM
SIZE OFN0, OF 7 V _ FRONT PROP. LINE OF (STREET)
EXISTING BLD STORIES HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING
FRONT PROP. LINE HIGHWAY WIDTH
ESENT USE OF BUILDING
C } _
S �- I S Q BLDG. SETBACK FROM
NO. PARKING SIDE PROP. LINE OF (STREET) CD
pr•,
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTING Q>
HIGHWAY } YARD = SIDE PROP. LINE HIGHWAY WIDTH j=
O
_ H
EASON FOR INSPECTION REQUEST } w
it
CORNER CUTOFF YES NO Z
C Y -
OCCGROUP
AS
S VVERERI OCCUPANT
LOAD°�./–�—�'r.
LOAD
EXIT HARDWARE:
PROPOSED MAX. OCC.
N0. OF EXITS NO SPEC. KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THISPANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR- If
RECT. PARKING
SPACES REQ-0 PROVIDED
FINAL BY
SIGNATURE OF G� �L�� DATE
APPLICANT // rr��
DORESs '7�S' '; //Ja Within the scope of this inspec-
tion the Building Official may
approve minor corrections or
& alterations of an existing struc-
ture involving work of a build- Permit F e
ng, plumbing, mechanical or
electrical nature. Issuance Fee
PHONES"'C�,
Total Fee
APPLICATION VALIDATION CK. M.O. I CASH
2.1 15NiAY 14 U .00e�z
76A662C-CE9926 11/75 _,_ .