HomeMy Public PortalAbout5810 TEMPLE CITY BLVD_Certificate of Occupancy__ APPLICATIO , FOR OCCUP NCY INSPECTION
BUILDING D SAFETY DIVI
FTRA
R APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS /v
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.AD DRESS
NEAREST
pj-� �j(• ZIP C.�1760 CROSS ST',
SN0, OF BLDGS. ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE //Jf�� FIRE OCES D BY
BLOCK LOT NOC/� f R� CON / ZONA+
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-A15DRESS 220r 6W O"& _/ 9_ �_ L SPECIAL
GJ�N //JJ CONDITIONS
CITY j1/lw; s�d1Ar ZIP 417`1-'5 BLDG. SETBACK FROM
SIZE OF1.�/T�f NO. OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES TOTAL SETBACK FROM TYPE OF EXISTIN
,ARESENT USE OF BUILDING off, el
HIGHWAY + YARD = FRONT PROP. LINE HIGHWAY WIDTH
�o��>�.
BLDG. SETBACK FROM
NO. PARKING SIDE PROP. LINE OF (STREET) p�
SPACES PROVIDED C
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XISTIN G
SIDE PROP. LINE HIGHWAY WIDTH c
_ C
JaL�ASON FOR INSPECTION REQUEST + u
CORNER CUTOFF YES NO v
Nee.v
OCCUPANCY GROUP
" AS VERT FLED OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX. OCC. NO SPEC, KNOWL. ❑
N0. OF EXITS
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. PARKING
SPACES REQ'D D PROVIDED
•'
W. `���� FINAL BY S
SIGNATURE OF DATE
PLICANT
ADDRESS �.JW Within the scope of this inspec-
t tion the Building Official may
approve minor corrections or
alterations of an existing struc-
ture involving work of a build- Permit Fee
ZIP ing, plumbing, mechanical or
electrical nature. Issuance Fee
IV
PHONE
1b8'��7X
U Total Fee
APPLLICATI69'!VALIDATI'0'9' -CK. M.1 CASH
9 8. :t•ASR : 0 .O 0 a
76A662C-CE9928 11/79 �" -