HomeMy Public PortalAbout6340 ROSEMEAD BLVD_Certificate of Occupancy__ 7CA662-C E992-9 77 do_
APPL�CATMN FOR OCCUPANCY MSPECTMN
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS 61 ' -60 X? 10 LY-11.
BUILDING LOCALITY /7
ADDRESS 6340 N. Ros.emead Blvd.
CITY San Gabriel ZIP 91"775 NEAREST v
CROSS ST.
SIZE OF LOT NO. OF BLDGS. ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
DI�RICT I TYPE FIRE PR CES BY
RtZT'� e� LOCK
LOT-N07 � CONST. ZE J
�11NNER FEDERATED ELECTRONICSoL. 670-0616 USE ZONE NOP �.!:O
DD 5330 102nd W_ Str et �y G~ SPECIAL
I�TY LOS An eles ZIP 800%.5 CONDITIONS
g BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG, STORIES
HIGHWAY + YARD = TOTAL SET BACK FROM TYPE OF oasrwc
PRESENT USE OF BUI LPI Vacant FRONT PROP.LINE HIGHWAY WIDTH
-
BLDG.SET BACK FROM d
NO. PARKING SIDE PROP.LINE OF (STREET)) V
SPACES PROVIDED
HIGHWAY + YARD - TOTAL SET BACK FROM TYPE OF EKISTwc z
- SIDE PROP. LINE HIGHWAY WIDTH O
REASON FOR INSPECTION REQUEST + - w
a
CORNER CUTOFF YES NO C/)
New business going in.
OCCUPANCY GROUP '1 OCCUPANT
AS VERIFIED CJ-�
LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS NO SPEC. KNOWL. El-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
PARKING REQ'D� LP,OVIDED�
SPACES '
SIGNATURE OF �
,,APPLICANT �/ �1" FINALpn 6?� BY
DRESS
5330 W 102nd Street
Within the scope of this inspec-
LOS Angeles, California tion the Building Official may
approve minor corrections or
ZIP 90045 alterations of an existing struc-
ture involving work of a build- PERMIT FEE
ing, plumbing#tmechanical or
PHONE electrical noture. �• ISSUANCE FE
670-0616 O o o TOTAL FEE
APPLICATION VALIDATION CK. M.O. CASH
J 0 T-- 01
00 o O a
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