HomeMy Public PortalAbout5824-5824 1/2-5826 TEMPLE CITY BLVD_Certificate of Occupancy__ APPLICATION F R OCCUPANCY INSPECTION
BUILDING A SAFETY DIVISION
F RAPPLICANT TO FILL IN BUILDING •�
(Print or type only) ADDRESS OC
FG � r' LOCALITY {
S `yNEAREST
a & L ZIP 90 CROSS ST.
i
NO. OF SLOGS. ASSESSOR:
SIZE OF LOT ✓� �� NOW ON LOT MAP BOOK PAGE PARCEL
0�7 DISTRICT TYPE FIREP CES E4BY
TRACT BLOCK LOT N0.
CONS FON
/1 �nJ •Q�• / 'V
OWNER NOLZa 70 USE ZONE MAP
NO. Q
ADDRESS r L ��� SPECIAL
� CONDITIONS
CITY d� n/� �t ZIP,
BLDG. SETBACK FROM
SIZE OF NO. OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES HIGHWAY + YARD = TOTAL.SETBACK FROM TYPE OF EXISTIN
FRONT PROP. LINE HIGHWAY WIDTH
PRESENT USE OF BUILDING
iVNor + _
(-v!ON 160 BLDG. SETBACK FROM
NO. PARKING SIDE PROP: LINE OF (STREET) p
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF EXISTING C
HIGHWAY t YARD = SIDE PROP. LINE HIGHWAY WIDTH p
_ C
REASON FOR INSPECTION REQUEST + u
CORNER CUTOFFYES NO tci
i
OCC IEb
GROUP
ASS SERI VERIFIED OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX. OCC. NO SPEC. KNOWL. ❑
NO. OF EXITS
I
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS .PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT, PARKING
SPACES REQ'D PROVIDED OVIDED
•
/'ltZflP6 FINAL BNS
SIGNATURE OF n/ �,�/J ✓ DATE .r �.e � r/• '
APPLICANT
ADDRESS SG /;I.L/ Within the scope of this inspec-
tion the Building Official may
�- approve minor corrections or
alterations of an existing struc-
e
ture involving work of a build- Permit F
!� ZIP �'/��� ing, plumbing,, mechanical or
electrical nature. Issuance
PHO NE�S7�`�
Total F
APPLICATION VALIDATION CK. M.0. CASH
76A662C-CE9928 11/75 9 5 6 ti�jAR 8 4 V D .0 0 �"�'