HomeMy Public PortalAbout4343 TEMPLE CITY BLVD_Certificate of Occupancy__ APPLICATION FOOCCUPANCY INSPECTION
C O
BUILDING AND SAFETY DIVISION
FOR APPLICANT O FILL IN BUILDING 3
.9 3WR(Print or type only) ADDRESS
B ILDING /(1 v LOCALITY
DDRESS (J
G NEAREST
Y "7' ���. ZIP 9170 CROSS ST
/� _ _ NO OF BLDGS ASSESSOR
SIZE OF LOT ' NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PROCESSE BY
TRACT l BLOCK LOT No L�/�(I CONST ZONE
PE
l�, AEYr USE ZOaNE MAP NOOTe SPECIAL
CONDITIONS
fL T ZIP 9i 33 BLDG SETBACK FROM
NO OF FRONT PROP LINE OF (STREET)
STORIES TOTAL SETBACK FROM TYPE OF ISTINHIGHWAY } YARD = FRONT PROP LINE HIGHWAY WIDTH
ILDING N
} _
BLDG SETBACK FROM yy
NO PARKING SIDE PROP LINE OF (STREET) p_
SPACES PROVIDED
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF Fri U
SIDE PROP LINE HIGHWAY WIDTH
HOi...
EASON FOR INSPECTION REQUEST } U
W
d
CORNER CUTOFF VES NO i
OCCUPANCY GROUP
AS VERIFIED a OCCUPANT
LOAD
EXIT HARDWARE
PROPOSED MAX OCC
" NO OF EXITS � NO SPEC KNOWL ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR
R ECT PARKIN��/
SPACES REOD PROVIDED
FINAL '/,�'j DV By
SIGNATURE OF DATE .�
PPLICANT
DORESS (at 1� Within thescopeof this mspec
tion the Building Official may
approve minor corrections Or
I, aArA4 elterauons of an existing strut
tura Involving work of a build Permit Fee
Ing plumbing mechanical or
O electrical nature Issuance Fee
PHO _&*p _ �OtB Fe
APPLICATION VALIDAT404- ac M o CASH
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