HomeMy Public PortalAbout4331 1/2 TEMPLE CITY BLVD_Certificate of Occupancy__ APPLICATION FOR OCCUPANCY INSPECTION
' BUILDIN NO SAFETY DIVISI
0 N BUILDING
(Print or type only) ADDRESS
B 3 L '41LOCALITY
DRESS G n
CITY LE ZIP 6O CROSS ST.
NO. OF BLOOS. ASSESSOR
SIZE OF LOT MAP BOOK PAGE PARCEL
NOW ON LOT DISTRICT TYPE FIREp BY
TRACT BLOCK LOT NO. •D CONST. 20 tom.
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HE D NoL' USE ZONE MAP
DDRESS 3 /�e O N L- SPECIAL
CONDITIONS
CIggf `ZIP OD yY FRONT PROP.CK LINE DAF (STREET)
SIZE OF NO. OF
EXISTING BLDG. STORIES TOTAL 5ETBACN FROM TYPE OF ISTIN
HIGHWAY } YARD = FRONT PROP, LINE HIGHWAY WIDTH
P ENT USE OF BUILDING
/ /�J Q/ } -
G u� e.~r 0� 4VJr� BLDG. SETBACK FROM
NO. PARKING SIDE PROP. LINE OF ISTREETI
SPACES PROVIDED TOTAL SETBACKFROM TYPE OFJEXISTIN
HIGHWAY } YARD = SIDE PROP. LINE HIGHWAY WIDTH G
O
ASON FOR INSPECTION REQUEST }
W
aWWaUT T f/N[TCORNER CUTOFF YES NO
OCCUPANCY GROUP
AS VERIFIED OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX. OCC. O NO SPEC. KNOWL. ❑
M0. OF EXITS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING
SPACES REO•DPROVIDED
G
(GNAT E OF DATE FINAL B
f-1,2-.7O
AP LICA
AD 00, Within the scope of this inspec-
tion the Building Official may
approve minor corrections or
alterations of an existing struc-
ture Involvig Work of a build- Permit Fee
TIng, plumbing, machaniml or
nn electrical nature. Issuance Fee
PHONE �
Total Fee
APPLICATION VALIDATION CK. M.O. CASH
90OtAPd 1340 0 .00AU
TeAssse-came a/Ts - — .