HomeMy Public PortalAbout5918 TEMPLE CITY BLVD_Certificate of Occupancy__ 76A662-CE992171n5
}APPLICATION FOR OCCUPWN&l�-M48CTI .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING 'S l
(Print or type only) ADDRESS' t�h,. �, Cr BUILDING ,
ADDR SSIng
LOCALITY ' •( � '
CITYI ZIP NEAREST
CROSS ST.
SIZE OF LOT r/ NO.OF BLDGS. ASSESSOR ,
EBLOCK
NOW ON LOT MAP BOOK PAGEPARCEL
rDISTRICT CTYPE ONST. ZIRPROCESSED BYTRACT LOT NO. S �+r^ `r
OWNER TEL. J
0, USE ZONE NADP 0
ADDRESSC SPECIAL
CONDITIONS
CITY ZIP BLDG.SETBACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES HIGHWAY + YARD = TOTAL SET BACK FROM TYPE OF EXISTING
PRESENT USE OF BUILDING FRONT PROP.LINE HIGHWAY WIDTH
+L in 12 = L
BLDG.SET BACK FROM
N0.PARKING SIDE PROP.LINE OF (STREET)
SPACES PROVIDED
HIGHWAY YARD= TOTAL SET BACK FROM TYPE OF EXISTING
SIDE PROP.LINE HIGHWAY WIDTH
L
REASON FOR INSPECTION REQUEST + = L
t CORNER CUTOFF YES NO
e
o OCCUPANCY GROUP _ OCCUPANT
AS VERIFIED LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. ❑
• N0.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 : REQ'D PROVIDED=
ti SPACES
SIGNATURE
APPLICAN FINAL 1p} 177-7 _ BY w �
�j'' DATE /
ADDRESS
L Within the scope of this inspection //�, // A p
the Building Official may approve , v
ZIP minor corrections or alterations of
an existing structure involving work PERMIT FEE
of a building, plumbing; mechanical
PHONE or electrical nature. ISSUANCE FEE
3::6 TOTAL'FEE
APPLICATION VALIDATION CK. M.O. CASH
8 8. 1FE_*_ ' 1b 4,0 fi. .0 0 m��;