HomeMy Public PortalAbout4520 TEMPLE CITY BLVD_Certificate of Occupancy__ 0 652-CE992 10/59 �I
APPLICATION FOR OCCUPANCY INSPECTION y1ILJllI
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING [
ADDREss `J
JOHN A LAMBIE 'COUNTY ENGINEER
COLEMAN W JENKINS, SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
(Print or a only) CROSS S
DISTRINO
BUILDING ED BY
e �, PR SS
ADDRESS G
/ USE ZONE NO MAP
LOT NO BLOCK
AL
TRACT 8 SIZE OF LOT NDITI S
TEL
OWNER NO
SETBACOM
ADDRESS 6IllAhAl. PR NT PROP LANE OF (STREET)
TE OF ExIln H9 lET eACX HIGHWAY + YARD = TOTAL
CITU XI HW IY WIDTH FROM C L
SIZE OF• NO OF
EXISTING BLDG TORIES z +
PRESENT USE OF BUILDING SLID SETBACK FROM
SIDE OP LINE OF (STREET)
TYPE OF tIHG lETe ACK HIGHWAY + YARD = TOTAL
HIGHWAY WI OM C L
NO OF EXISTING BUILDINGS
ON LOT AND USE +
r
CORNER CUTOFF YES❑ NO ❑ d
NO PARKING
SPACES PROVIDED CC
1 OCCUPANCY GROUP �
W
PROPOSED USE OF BUILDING H
OCCUPANT LOAD z_
EXIT HARDWARE
No Spec Know[ ❑
Panic Devices ❑
PROPOSED MAX OCC NO OF EXITS
PARKING
I HEREBY AC NOWL GE T I H IEJA D THIS SPACES REO'D O PROVIDED
APPLICATI A D4 E]F /j1 TH I4 CORp 9t
711-17 l
REPT J/� l/Ml-A
SIGNATURE OF D
APPLICANT S/��/3
ADDRESS
APPROVAL DATE INSPECTOR'S
ZIP IGNATURE
PHONE2. FINAL APPROVAL qI
JOHN LEWIS, PRINCIPAL STRUCTURAL ENGINEER
APPLI ION VALIDATION CK M O CASH
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APPLICATIONR OCCU ANCY INSPECTION
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
_ ADDRESS
a 6E 0717-
QLOCALITY
r' 1'6 1 NEAREST
0 0. . e.. CROSSST ���
OR Ler ASSESSOR -
MAP BOOK PAO PARCEL
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NO O
SPECIAL Z
CONDITIONS O
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".. OCCUPANCY GROUP 7
a"�Loixe AS VERIFIED OCCUPANT -
LOAD-
EXIT
Z_
EXIT HARDWARE
.o TARRING
NO OF EXITS NO SPEC KNOWL ❑
cu rn ovm.n
PANIC DEVICES ❑
a....row PARKING REO'D PROVIDED
non wrouur SPACES
FINAL BY
DATE
' PERMIT Within the ScApe Of th ISlnSP.Ctl..
the Building Official may approve
ISSUANCE F minor corrections or alterations
of an existing structure involving
TOTAL FEE Svork of a DullOing, Plumbing
Rini.no.aa.e rwx occ mechanical Or electrical nature
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION AND STATE THAT THE ABOVE IS COR
RECT
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. ' APPLICATION FOR CCU PA Y INSPECTION {� .
COUNTY OF LOS ANGE ES IJ
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Punt or type only) ADDRESS
BUILDING
ADDRESS �rj
LOCALITY
NEAREST
C1TV C m ZIP CROSS ST
SIZE OF LOT NO OF BLDGS ASSESSO
NOW ON LOT MAP BOOK PAGE PARCEL
DIS I T TYPE FIRE P ED BY
TRACT BLOCK LOT N 7/ _^ CONST ZONE
/ OWNER TEL –456 -
NO ZONE
No (—_>2,04J5
ADDRESS -
SPECIAL
CONDITIONS
CITU ZIP BLDG SETBACK FROM
SIZE OF NO OF FRONT PROP UNE OF (STREET)
EXISTING BLDG STORIES TOTAL SET BACK FROM [HIGHWAY
YPE OF msTING
HIGHWAY + YARD FRONT PROP UNE WIDTH
PRESENT USE OF BUILDING y
Uf + a
C
NO PARKING Ll I'Ct BLDG SET BACK FROM U
SPACES PROVIDED SIDE PROP UNE OF (STREET( z
HIGHWAY + ypflp TOTAL SET BACK FROM TYPE OF EXISTING U
SIDE PROP UNE HIGHWAY WIDTH H
U
REASON FOR INSPECTION REQUEST + a
CORNER CUTOFF YES NO 2
OCCUPANCY GROUP /-- OCCUPANT
AS VERIFIED LOAD
EXIT HARDWARE
PROPOSED MAX OCC NO OF EXITS NO SPEC KNOWL Cl
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR
RECT PARKING
SPACES RED'D PROVIDED
IGNATURE OF
APPLICANT FINAL �JBY
DATE —I /—7
ADDRESS ,-
�' WM.n the scope of tho Impecom
IL the Buidmp OHaael may approve
ZIP minor t»rmchara m alteweorta of
an ewabnp m cmre mvoMrq work PERMIT FEE
of a budding, PWmbmp mechwkw
PHONE yS/�`�3i w elaccV¢al naWm ISSUANCE
TOTAL FEE
APPLICATION VALIDATION cK Mo I CASH
568-.J& 14'40 U ,00 .E
78AM CE992 11/76 & / fc^"�
APPLICATION FOR OCCUPANCY INSPECTION {�
COUNTY OF LOS ANGELES IJ
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Pnnt or type only) ADDRESS
BUILDING ADDRESS CLt { 17LOCALITY
CITY NEAREST IF
Q�+r ` L ZIP 41 CROSS ST
SIZE OF LOT NO OF BLDGS ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICTTYPE FIRE ESS BY
PR
TRACT /a 9 BLOCK LOT 7� D-+O Q CONST RRE
OWNER TEL �.J C/ a
NO VSEZONE
NP
NO OI
ADDRESS _ e SPECIAL
CONDITIONS
CITU ZIP FHIGHWAY
ACKFROM
SIZE OF NO OF LINE OF (STREET)
EXISTING BLDG STORIES
,/ + YARD - TOTAL SET BACK FROM TYPE OF EXISTING
PRESENT USE OF BUILDING v�¢ �. FRONT PROP LINE HIGHWAY WIpTH Y
K a
+ O
NO PARKING BLDG SET BACK FROM U
SPACES PROVIDED SIDE PROP LINE OF, (STREET) Z
HIGHWAY + YARD- TOTAL SET BACK FROM TYPE OF ExsT G C
SIDE PROP LINE HIGHWAY MOTH F-
U
REASON FOR INSPECTION REGUEST + W
2 u �
CORNER CUTOFF YES NO Z
••T OCCUPANCY GROUP r OCCUPANT
AS VERIFIED LOAD
WT HARDWARE
PROPOSED MAX GCC NO OF EXITS NO SPEC KNOWL ❑
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT SPACES ACES RWD PROVIDED
O
SP
SIGNATURE OF
APPLICANT FINAL -'IO_'�� B
DATE J
ADDRESS
✓ ie.Q
/� Widen the scope of this kupectgn
CL L �do the Budding ONkrol nNy aponwo -
ZIPof
nanor corracooru or aftamti s
an asmtaq etrumn, mvoMng work PERMIT FEE
of a budding, pfumhmg machaniml
PHONE 57.f3/ 99 or akevxal now. ISSUANCE FEE
TOTAL FEE
APPLICATION VALIDATION CK M o CASH
333�-JUN 30'gvD � � na