HomeMy Public PortalAbout5926 TEMPLE CITY BLVD_Certificate of Occupancy__ 76A662-CE992-4/77
APPLICATIO FOR OCCUPANCY INSPECTION
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FOR APPLICANT TO FILL I BUILDING a:� _
(Print or type only) ADDRESS
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75� NO.OF BLDG'S. ASSESSOR
SIZE OF LOT
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SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES
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1?,RESENT USE OF BUILDING FRONT PROP.LINE HIGHWAY WIDTH
�. +
BLDG.SET BACK FROM
NO.PARKING SIDE PROP.LINE OF (STREET)I
SPACES PROVIDED
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SIDE PROP. LINE HIGHWAY WIDTH
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,REASON FOR INSPECTION REQUEST + - u
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OCCUPANCY GROUP
L AS VERIFIED g�Z� OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC.
NO.OF EXITS � NO SPEC. KNOW L. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
PARKING ,
SPACES REQ'D PROVIDED
SIGNATURE /}
PLICANT DATE
L BY
ADDRESS
(�J Within the scope of this Inspec-
tion the Building Official may
approve minor corrections or
Zip alterations of an existing struc-
ture involving work of a build- PER ITEE
ing, plumbing, mechanical or
PHONE electrical nature. ISSU E E
C TOTJL XE
APPLICa4TION VA�4DATION CK. M.b. CASH
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76A862-HE992-)REV. II/7B) APPLICATION FOR OCCUPANCYINSPECTION'
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COUNTY OF LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
i9 LOCALITY ADDRESS
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SIZE OF LOT NOW ON LOT ASSESSOR
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DISTRICT TYPE. FIREPROCESS BY
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SIZE OF NO.OP L. CONDITIONS
EXISTING SLOG. STORIES C
P ENTUSE OCCUPANCY GROUP V
F au1LDING e� AS VERIFIED OCCUPANT C
rr LOAD
EXIT HARDWARE:
No.PERKING
SPACES PROVIDED NO.OF EXITS NO SPEC.KNOWL. ❑
PANIC DEVICES ❑
EA'SON FOR PARKING REQ-0. PROVIDED
INSPECTION REQUEST SPACES:
FINAL' �q �� BY f
� DATE GG
PERMITTEE Within the scope of this inspection
the Building Official may approve
ISSUANCE FEE minor corrections or alterations
of an existing structure involving
TOTAL FEE work of a building, plumbing,
PROPOSED MAX.OCC. I mechanical or electrical nature.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION AND STATE THAT THE ABOVE IS CCR-
RECT.
SIGNATURE OF
PERMITTEE F\I� X Q-1
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DRESS ��v -
,1 N C' TEL.
IT Y 'i VI NO. R �j^y
BLDG.SETBACK r"5`ril3' rni
FROM FRONT i 4 1 1'I,i Z
PROP.LINE OF (STREET)
l7,•Ili U U;. VVV VVV
TOTAL 9ETB ACK TYPE OF EXISTING _
HIGHWAY + YARD = FRONT PROP.LINE INB HIGHWAY WIDTH
+ _ V
BLDG.SETBACK
FROM SIDE 1.�✓� ` e
PROP.LINE OF .ISTREET)
TOTAL SETBACK FROM TYPE OP EXISTING
HIGHWAY'+. YARD = 'SIDE PROP.LINE HIGHWAY WIDTH
CITY OF TEMPLE CITY
BUILDING AND SAFETY
PLANNING DEPARTMENT
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OCCU'PANC"d 17 OFOR
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BUILDING ADDRESS 5926 Temple City B1vd.PERMITNO. 3728 _ DATE 1-13-81
OWNER Bernics: Lookabaugh MAIL ADDRESS 592,`5 i empieCity Blvd.
PERMITEE =-ichael s . :•liller MAIL ADDRESS 22.3 Las Tunas Dr. , Arcadia
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
Off ice B-2 ::/a
This Certificate shall be posted in a conspicuous place in the building. No change shall be made in the character of
occupancy or use of the ouilding without the approval of the Building Official.
J
Building efficial
2-3-81
Date Certificate Issued Planning Director