HomeMy Public PortalAbout5934 TEMPLE CITY BLVD_Certificate of Occupancy__ 79A992-CE992-REV. 1179)
a -APPLICATION R OCCUP• CY INSPECTION
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING .. G�
ADDRESS �✓ L �J
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DwESS .&Vb LOCALITY
FITY — k ��, zIP NEAREST ,
� No.OF eLOGS. CROSS ST.
SIZE OF LOT C z6 X v?s NOW ON LOT •ASSESSOR
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TRACT �J V j LOCK LOT No. DISTRICT TYPE. FI RE P'/R D BY
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CITY ZIPS SPECIAL Z
SIZE OFNo.of CONDITIONS C
EXISTING BLDG. STORIES I'-
P SENT USE O 1 OCCUPANCY GROUP LL
F BU1Lo1NG AS VERIFIED OCCUPANT CL
'LOAD Z
EXIT HARDWARE:
No.PARKING NO.OF EXITS NO SPEC.KNOWL.
SPACES PROVIDED
PANIC DEVICES ❑
AEON FOR
PARKING REQ'D. PROVIDED
SPACES:
INSPECTION REQUEST _
FINAL BY
DATE
PERMIT FEE Within the scope of this Inspection
the Building Official may approve
ISSUA C EE minor corrections or alterations
of an existing structure Involving
TOTAL F work of a building, plumbing,
PROPOSED MAX.OCC. mechanical or electrical nature.
MISSW
[APPLICATION
EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
AND ST T THAT THE ABOVE IS COR-
CT.
NATURE OF
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ADDRESS ��� �' •��� ' '
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TOTAL SETBACK FROM TYPE OF EXISTING L /] (�
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TOTAL SETBACK FROM TYPE OF EXISTING
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76A662-CE992-4/77,
- ' APPLICATION FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL I BUIL G
(Print or type only) ADDRESS 3
ILDING � 1 , 1�/ LOCALITY
DDRESS 1 ,I-1
CITY 4-M jj�jNEAREST
ZIFqNo CROSSST.
SIZE OF LOT NO.OF BLDGS. ASSESSOR
MAP BOOK PAGE PARCEL
NOW ON LOT
��jj _ DISTRICT TYPE FIRE 'P ES D BY
TRACT ^� BLOCK LA�Tr "�� CONST ZC�Lf ,
WNER ( 1� A/�-AHA�1_. NO. USE ZONE MAP' `/!j,'']—'_
vvv eY• l� NO.
ADDRESS Z
SPECIAL r
CITY ZIP CONDITIONS
BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES
HIGHWAY + YARD= TOTALFRONT PROP.
FROM TYPE OF IXIDTH
PRESENT USE OF BUILDING _r��I \T. FRONT PROP.LINE HIGHWAY WIDTH
C. ry C3 + _
BLDG.SET BACK FROM
NO.PARKING SIDE PROP.LINE OF (STREET)) C
SPACES PROVIDED
TOTAL SET BACK FROM TYPE OF IXIsrwG
HIGHWAY + YARD= SIDE PROP. LINE HIGHWAY WIDTH C
EASON FOR INSPECTION REQUEST + O
CORNER CUTOFF YES NO Co
/A'' OCCUPANCY GROUP L
�4V AS VERIFIED OCCUPANT
ci 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.SIGNATURE OFLREQ'D� PROVIDED
SIGNATURE OF
APPLICANT SPACES FINALBYE
ATE -
ADDRESS 9 .?NCO
JVlL1S� /l�f/ G
I ( Within the scope of this.inspec-
tion the Building Official may
approve minor corrections or
ZIP / CIA alterations of an existing. struc-
ture involving work of a build- PERMIT FEE
Ing, plumbing, mechanical or
/( PHONE electrical nature. ISSUANCE F
J TOT:aL FEE
APPLICATION VALIDAT g N o Co. o M.O. CASH
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76A=-CEM iin5 -1
APPOCA TI®N E ®CCI NCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING .
(Print or type only) ADDRESS5?� e In. ,
BUILDING
LOCALITYADDRSS9t34 PLECT i7LCNEAREST SLE `17 Zing 1VRS
. B
SIZE OF LOT NO.OF BLDGS. I ASSESSORIII
NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPEFIRE ED BY
LTRACT BLOCK LO O r 3 CONST." ZONE
TEL.
NERes yA NO. USE•ZONE MAP
ADDRESS
�c0 Sb � 1 ST. No. �p a
��L SPECIAL
e9RA_ CONDITIONS
CITY ZIP BLDG.SET BACK FROM
SIZE OF ''^^ N0.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. V X STORIES' TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD = FRONT PROP.LINE ' HIGHWAY WIDTH
PRESENT USE OF BUILDING WE U.PHO LSl�
OW� s + C
APES BLDG.SET BACK FROM C
NO.PARKING SIDE PROP.LINE OF (STREET) e
SPACES PROVIDED C
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE EXISTING
SIDE PROP.LINE HIGHWAY WIDTH F
C
REASON FOR INSPECTION REQUEST + L
G
• CORNER CUTOFF YES NO 'e
OCCUPANCY GROUP OCCUPANT
AS VERIFIED �� L LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC: NO.OF EXITS NO SPEC.KNOWL. ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS �t PANIC DEVICES E3APPLICATION AND STA HAT THE ABOVE IS COR-
RECT. PARKING :
SPACES REQ'D PROVIDED=
SIGNATU
APPLICA FINAL I�/r�7� BY
ADDRES Sq 3q DATE
Within the scope of this inspection
the Building Official may approve
ZIP ^) G minor corrections or alterations of
0 6 an existing structure involving work PERMIT FEE
of a building, plumbing, mechanical
PHONEY, or electrical nature. ISSUANCE FEE
a f�(P �'1-7 6 TOTAL FEE
APPLICATION VALIDATION CK. M.O. CASH
6 '5 9 :APR. 15 4;. 0 .0 0 A-98