HomeMy Public PortalAbout5855 TEMPLE CITY BLVD_Certificate of Occupancy__ 76A662-CE992-477 \
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APPLICATIQV FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN BUILDING �r f--c✓
(Print or type only) ADDRESS
B ILDING T fS LOCALITY
DDRESS O
CITY-fes' ZIP '�pU CROSS SS TT.
zg:Zi
SIZE OF LOTLam) NO.OF BLDGS. ASSESSOR
�J ()J NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE P CES D BY
TRACT f BLOCK LOT NO. e'^ CONST. ZONE
WNER (J/Ji��,7� NO20 ')>eZ3 USE ZONE MOAP fVC�
DDR ESS -•�-�5-�--�*� C G�
OoA
� CONDITIONS
0 '�- SPECIAL
,PCITY�— e IP c/'/>Jpo BLDG,SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF IXISTaVG
ESENT USE OF BUILDING FRONT PROP.LINE HIGHWAY WIDTH
+
SET
NO.PA G SIDE PROR LAINE OFOM (STREET)1 C
SPACE P OVIDED C
TOTAL SET BACK FROMTYPE OF E7CI9I ING
HIGHWAY + YARD= SIDE PROP. LINE HIGHWAY WIDTH �C
op�EASON FOR INSPECTION-REQUEST + - L
C
CORNER CUTOFF YES NO
OCCUPANCY GROUP
AS VERIFIED. e- OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC.
NO.OF EXITS NO SPEC. KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
PARKING:
NATURE OF
SPACES REQ'D� 1,_PR3VlDED=
_
y� ✓
PLICANT �`aZ��.'�._-y FINAL
DATE s BY
SIG
DDRESS 3-lessyy, +_ yam,
J t •amu- Within the scope of this inspec-
tion the Building Official may
/� approve minor corrections or
Zip S tr/ alterations of an existing struc-
ture Involving work of a build- PERMIT FEE '
ing, plumbing, mechanical or
PHONE electrical nature. ISSUANCE FEE/)
TOCPALetE
APPLICATION VALIDATION (DK. o ;M.'\) CASH
N o' D CA
o o p,-
o •P W
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NS