HomeMy Public PortalAbout5811-5811 1/2-5813 TEMPLE CITY BLVD_Certificate of Occupancy__ APPLICATION FO CCU P C.Y INSPECTION
'OR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING / � / BUILDING AND SAFETY DIVISION
ADDRESS
BUILDING
CITY L/i �lT y ZIP / �'i(J ADDRESS
SIZE OF LOT_5- 0. OF BLDGS. LOCALITY
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SIZE OF N0. OF NO. �✓
EXISTING BLDG. STORIES SPECIAL
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PRESENT USE OF BUILDING BLDG. SETBACK FROM
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UC HIGH AY + YARD = .TOTAL SETBACK FROM TYPE OF XISTIN
NO. PARKING FRONT PROP. .LINE HIGHWAY WIDTH
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PROPOSED MAX. OCC. OCCUPANCY GROUP
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:AS VERIFIED F"�- •OCCUPANT ,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. EXIT HARDWARE:
NO. OF EXITS NO SPEC. KNOWL. ❑
SIGNATURE OF ��JfJ I PANIC DEVICES ❑
APPLICANT'
ADDRESS // PARKING REQ'D D PROVIDED D
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MAKE CHECKS PAYABLE TO: �
HARVEY T. BRANDY COUNTY ENGINEER DFINAL ATE BY
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APPLICATION LIDATION - CIS- M.O. CASH
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66 l tml lbm .10 4 L .C) 0 ASS
'6A662-CE992 12-73
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r CITY OF TEMPLE CITY
BUILDING AND SAFETY
PLANNING DEPARTMENT
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C ERTIFICATE � �* CqM�
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OCCUPANCY
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BUILDING ADDRESS 5813 Temple City Bl. PERMIT NO. 4554 DATE 3-27-$1
OWNER :•1. W. :i ise MAIL ADDRESS P.O . Box 4$7, Temple City
PERMITEE Chiman Lad MAIL ADDRESS 3614 E. Chevy Chase Dr. , Glendale
This certifies that the building or structure or portion thereof, as described herein, located at the above address,
complies with provisions of the Building Code for the following use(s) and occupancy group(s):
Use of Building(or Portion) Occupancy Group Occupant Load
Dental Office 3-2 iI/A
This Certificate shall be posted in a conspicuous place in the building. No change shall be made in the c racter of/
occupancy or use of the building without the approval of the Building Official.
Building Of cial _
Date Certificate Issued lanning Director
CE of C4 YEAgP�F C E FTCAT ®F "'CUPACY Il �1 �E TE�P�F
CITY OF TEMPLE CITY
%C BUILDING AND SAFETY/COMMUNITY DEVELOPMENT 1960
c44/FOR��P cq[/FORN��
This certifies that the building or structures or portion thereof, as described herein, complies with provision
of the Building Code for the following uses(s) and occupancy groups(s). No change shall be made in the
character of occupancy or use of the building or structures without approval of the Building Official and
Community Development.
BUILDING ADDRESS: 5813 TEMPLE CITY BLVD. TEMPLE CITY
PERMIT NUMBER: 'BL 0508 1206260067
OWNER: LAD CHIMAN AND JASHU TRUST LUSAKA TRUST
ADDRESS: , 5813 TEMPLE CITY BLVD, TEMPLE CITY, CA 91780
PERMITEE: C M M CONSTRUCTION INC.
ADDRESS: 25231 DANA VIEW LANE, DANA POINT, CA 92629
OCCUPANCY GROUP USE OF BUILDING (OR PORTION)
B TENANT IMPROVEMENT INTERIOR REMODEL 1889 SQ.FT. AND ADDITION 267
SQ,FT. FOR DENTAL OFFICE. TOTAL BUILDING AREA 3382 S.FT.
ISSUING OFFICE
CITY OF TEMPLE CITY
9701 LAS TUNAS DRIVE ,
TEMPLE CITY, CA 91780
x COMMUNITY DEVELOPMEW BUILDING OFFICIAL
DIRECTOR
DATE ISSUED: AUGUST 1,2013
I
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76A1(42-CE992-REV. 11/761 - _ - 1
APPLICATION FOR OCCU' ANCY INSPECTION
COUNTY OF LOS ANGELES -s' BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING p _ f
ADDRESS �O 1I
DREss LOCALITY
All
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CITY ZIP NEAREST
' NO.OF SLOGS. CROSS ST'. ✓j�j� ,,,y�,
SIZE OF LOT Now ON LOT ASSESSOR,
/ MAP BOOK.- PAGE PARCEL
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SIZE OP NO.OF CONDITIONS
EXISTING BLDG. STORIES LL
PRESENT USEOCCUPANCY G ROUP p.
P BUILDING b • AS VERIFIED OCCUPANT CA
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LOAD
EXIT HARDWARE:
NO.PARKING NO.OF EXITS NO SPEC.KNOWL. ❑
PACES PROVIDED '
PANIC DEVICES ❑
R SON FOR c+ PAR'KIIVG REQ'D.� PROVIDED
SPECTION REQUEST SPACES:
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FINAL•"/✓-1e7 BY
-DATE
PERMIT FEE. ` Withiri the scope of this inspection
the Building Official may approve
ISSUANCE FEEminor corrections or alterations
of an existing structure involving
Ai TOTAL FEE work of a building, plumbing,
PROPOSED Max.oee. mechanical or electrical nature.
l v .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION AND STATE THAT THE BOVE IS COR- -2 7 15 4 A
RECT. /
NATURB OF /G. • .#�O O•O O G.O
PERMITTEE
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TOTAL SETBACK FROM TYPE OF EXISTING '
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