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HomeMy Public PortalAbout5404 TEMPLE CITY BLVD_Certificate of Occupancy__ 1 ranaax-C6YY3P 4/77 , APPLICATION FOR OCCUPANCY'sINSPECTION COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER \ `k BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING (Print or type only) ADDRESS SAfQ d4� 61 BUILDING LOCALITY ADDRESS //// � CITYNEAREs _je /E �\ 1 ZIP CROSS ST 0�(�(,(„(/ SIZE OF LOT ( NO OF BLDGS ASSESSOR !s MAP BOOK PAGE PARCEL NOW ON LOT 3 DISTRICT TYPE FIRE P OCE D BY TRACT BLOCK I�OIg[y}s CONS Z02 OWNER T TEL �} v �o O USE ZONE MAP NO a Q Q ADDRESS G 2SPECIAL �a NDITION$ CITY i ZIP y/ BLDG SET BACK FROM SIZE OF NOOF FRONT PROP LINE OF (STREET) EXISTING SLOG STORIES HIGHWAY + YARD = TOTALFRONT PROP FROM TYPE A oa DTH PRESENT USE OF BUILDING FRONT PROP LINE HIGHWAY vnoiR + - BLDG SET BACK FROM NO PARKING SIDE PROP LINE OF (STREET)1 SPACES PROVIDED HIGHWAY + YARD - TOTALSIDE PROP LINE TYPE OF o..T.a - SIDE PROP LINE HIGFNJAV w1CiM .L O REASON FOR INSPECTION REQUEST + W CORNER CUTOFF VES NO OCCUPANCY GROUP AS AS VERIFIED :f'q OCCUPANT LOAD CSCy�Y(� EXIT HARDWARE PROPOSED MAX OCC NO OF EXITS NO SPEC KNOWL ❑ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PANIC DEVICES, ❑ APPLICATION AND STATE THAT THE ABOVE IS COR RECT PARKING SPACES REQ DPROVIDED SIGNATURE OF 1 / �A / FINAL APPLICANT l..0 �C ,' t Lr 7f BV DATE �C ADDRESS Within the scope of this Inspec Ilan the Building Official may approve minor corrections or / ZIp o O alterations of an existing strut lure Involving work of a build PERMIT FEE mg, plumbing mechanical or PHONE • leWcal nature ISSUANCE FEE _yy N TOTALFEE (10 1 APPLICATION VALIDATION CK Mo CASH J O O N N 10 O O N :l:- CH CH 1 q0 ��