HomeMy Public PortalAbout5812-5814 TEMPLE CITY BLVD_Certificate of Occupancy__ TRSPE'C' TION'
APPLICATION FOR. 000UP�NCY
?OR APPLICANT TO FILL IN - (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGBUILDING AND SAFETY DIVISION
ADDRESS 5 6M PL GL 1T - 6L%)1) /
BUILDING ?f� �®
1 CITY'r6PCS C.L �� ZIP 6o ADDRESS ��(J (�).Gp•-fit
NO. OF BLDGS. LOCALITY
SIZE OF LOT NOW ON LOT '
NEAREST
TRACT BLOCK LOT NO. CROSS ST.
ASSESSOR
OWNER e �. 11 L� �� N�L'a�S-QJ4Z MAP BOOK PAGE PARCEL
TI DISTRICT TYPE FIRE PRQaE46ZD BY
ADDRESS'!)416 O. A iF1Zo O 2>P- Za CONST: ,p ZONE
CITYSAN 6A I�Ci"Z r ZIP e41-77's USE ZONE 'NOP
SIZE OF NO. OF
: EXISTING BLDG. STORIES - SPECIAL
`•� CONDITIONS
PRESENT USE OF BUILDING JA BLDG. SETBACK FROM
FRONT-PROP.•LII{E OF (STREET)'
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTINGd
:NO. PARKING
FRONT PROP. LINE HIGHWAY WIDTH
SPAC .PROVIDED + _ ` .
\
BLDG. SETBACK FROM �• �-
EASON FOR INSPECTION REQUEST SIDE PC
RROP . LINE OF (STREET) F
HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF XISTIN
_ SIDE.PROP. LINE HIGHWAY WIDTH A
1co a CTiC. sw v
+ = 7
CORNER CUTOFF YES NO
PROPOSED MAX. OCC. OCCUPANCY GROUP
AS VERIFIED OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE:
RECT.
/1 NO. OF EXITS -:� NO SPEC. KNOWL. ❑
SIGNATURE OF �.. fI ( {]ti PANIC DEVICES ❑
APPLICANT �► -(!j f!J
PARKING R
ADDRESS SPACES EQ'D PROVIDED
��
MAKE CHECKS PAYABLE TO: �'=� zv
-
HARVEY T. BRANDY COUNTY ENGINEER FINAL 4 Y
DATE • �^V ^I
APPLICATION VALIDATION CK. M.O. CASH
-6 .1, (w-' lum 4. u: .C) Umei
76AG62-CE992 12-73 _ ! _
APPLICATION FOR OCCUPANCY. INSPECTION
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING s$J �� Gj V BUILDING AND SAFETY DIVISION
ADDRESS `e �
BUILDING '
CITY e m 1 e (f! ZIP j 6 ADDRESS
SIZE OF LOT ' ��� NO. OF BLDGS. LOCALITY
NOW ON LOT
NEAREST
TRACT�' /_ BLOCK LOT NO..S'g]FRONT
CROSS ST. '
LO 'ASSESSOR
OWNER (^ �Ie NpL' .9 MAP BOOK PAGE PARCEL
./ .2 DISTRICT TYPE FIRE pR ESS BY
ADDRESS /� •/ CONST. ZONFr�
V ow r% . O
CITY ZIP USE ZONE- MAP h
SIZE OF NO.. OF NO oma® a
EXISTING BLDG. STORIES �� a�� SPECIAL
CONDITIONS
PRESENT USE OF BUILDING � 12 V BLDG, SETBACK FROM
PROP. LINE OF •(STREET)
HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF E USTIN
NO. PARKING qq FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED c2V +
BLDG. SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE'PROP. LINE OF (STREET)'
HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF ISTIN C
O e SIDE PROP. LINE HIGHWAY WIDTH
.+ CC
CORNER CUTOFF YES NO pu
C/
Z
PROPOSED MAX. OCC. OCCUPANCY GROUP
AS VERIFIED -OCCUPANT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS .LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. EXIT HARDWARE:
NO SPEC. KNOWL: ❑
NO. OF EXITS
SIGNATURE.OF 9 PANIC DEVICES ❑
APPLICANT
ADDRESS PARKING SPACES REQ-D D PROVIDED D_
ZIP D6
�fJ /ONE 11.0
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEER FINAL /�.:7,� 6Y.
DATE d
APPLICATION VALIDATION 'CK. M.Q. CASH
7GA662-CE992 8 757 w �' +' 1`N���1? 15 0 �•- ..O O
APPLICATION FOR OCCUPANCY INSPECTION
OR APPLICANT TO FILL IN - (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGI�d�81 _�*- BUILDING AND SAFETY DIVISION
ADDRESS I (J
BUILDING
CITY PCfZIP ADDRESS Al
_.� �+ •/� <
SIZE OF LOT NO. OF BLDGS.� NEAREST
LOCALITY { /f I
.F NOW ON LOTor
, L-
TRACT BLOCK LOT NO, CROSS ST. C' r
46 l � � ASSESSOR
AGE
OWNERf4�EH N 1-II V
TEL
DA$TROICT TYPE PFIRE PROCESSED BY
ARCEL
ADDRESS �� ONST..�� ZONE
CITY ZIP USE ZONE MAP
SIZE OFNO.
N0.
EXISTING BLDG.14- 1 , TORIES r- SPECIAL
.CONDITIONS
PRESENT USE OF BUILDING�I1�li e�/Q - BLDG. SETBACK FROM
f�
`V( 4i"01,. FRONT PROP. LINE OF (STREET)
A66PC 201— URA N—1 . TOTAL SETBACK FROM TYPE OF EXISTING
NO. PARKING
HIGHWA t YARD = FRONT PROP. LINE HIGHWAY WIDTH
' yr�
SPACES PROVIDED ov10 • p
+ C
_ L
BLDG. SETBACK FROM C
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET) C
F
����� �� OF ^�0 `/ `HIGHWAY + YARD = TOTAL SE tK FROM TYPE OF XISTIN u
1, ��1__ - SIDE PROP. NE HIGHWAY WIDTH
co
CORNER CUTOFF YES NO
0,+-Ti cc--
PROPOSED MAX. OCC. OCCUPANCY GROUP
_ OCC
AS VERIFIED LPANT
LOAD
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS COR- EXIT HARDWARE:
RECT.
N0. OF EXITS NO SPEC.\KNOWL. ElSIGNATURE OF //�� r PANIC DEVICES ❑
APPLICANT V l�
PARKING REQ'D PROVIDED
ADDRESS do, A EC-0 .r1 SPACES \
Oo, -SAP. 6is ez c-L- r I= /IAP o V r�
ZIP
2t3- '�Z_��,�
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDY COUNTY ENGINEERFINAL BY
3 _ 4/ �,y �}
DATE 17 !
APP ICATION VALIDATION CK. M.O. CASH
47O` 'J' 222 0 1 8.00 ,&9,3
76A662-CE992 3/.73 .v �`