HomeMy Public PortalAbout5936-5936 1/2 TEMPLE CITY BLVD_Certificate of Occupancy__ APPLICATION; �OROC64, ANCY INSPECTION
FOR APPLICANT TO FILL IN (Print orCOUNTY OF LOS ANGELES
type only) DEPARTMENT OF COUNTY ENGINEER
BUILDING I BUILDING AND SAFETY DIVISION
ADDRESS n BUILDING
CITY O Ci7 ZIP g/��(� ADDRESS 3 Z f
SIZE OF LOT NO. OF BLDGS. LOCALITY
NOW ON LOT
; NEAREST
TRACT //i � BLOCK LOT NO/ CROSS ST,
'ASSESSOR
OWNER
TEL MAP BOOK PAGE PARCEL
N0. DISTRICT TYPE FIRE ROCES D BY
ADDRESSUG CONST ZON
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CITYI rfJ� ZIP271Z' USE ZONE MAP
VV
SIZE OF NO. OF /�
NO. 0 7.
EXISTING BLDG. STORIES ( - PECIAL
CONDITIONS
PRESENT USE OF BUILDING BLDG. SETBACK FROM
` FRONT PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTIN
HIGHWAY + YARD =
NO. PAR"ING FRONT PROP. LINE HIGHWAY WIDTH
SPACES PROVIDED + _
BLDG. SETBACK FROM
REASON FOR INSPECTION REQUEST r SIDE PROP. LINE OF (STREET) p
C
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XISTIN
SIDE PROP. LINE HIGHWAY WIDTH p
C
+ - C
V
O
CORNER CUTOFF YES NO
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PROPOSED MAX, OCC. OCCUPANCY GROUP
AS VERIFIED [::�
OCCUPANT
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT. EXIT HARDWARE:
NO. OF EXITS NO SPEC. KNOWL.PANIC DEVICES
❑
❑
SIGNATURE-OF /� e
APPLICANT 56�
.�d PARKING REQ'D PROVIDED
ADDRESS) �t SPACES
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ZIP 7!�/� //;/•. �', ,/ (�'�
PHONE
MAKE CHECKS PAYABLE TO: ";,
HARVEY T. BRANDY COUNTY.ENGINEER :- FINAL 6Y
DATE
APPLICATION VALIDATION CK. M.0.. CASH
70 7-NMA4 54 �
76A662-CE992 9/74
76A662-CE992 10/69
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBI.E,I000NTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
(Print or type only) CROSS ST.
BUILDING j _ DISTR T NO. PR CESSED ti
ADDRESS �V L.� U
LOT NO. BLOCK USE ZONE I MAP
N0.
+ SPECIAL
TRACT SIZE OF LOT CONDITIONS
OWNER '' '�,1 NO. C
�i�l BLDG. SETBACK FROM
ADDRESS (j -TW i01.6 C Ltlb FRONT PROP.LINE OF (STREET)
CITY W C E Cl?-,V ` e HIGHWAY TYPE OF EXISTI
W DTNG SET1ROM ACCL HIGHWAY } YARD = TOTAL
SIZE OF N0. OF
EXISTING BLDG. STORIES f
PRESENT USE OF BUILDING P S• �J JI BLDG. SETBACK SIDE PROP.LINE OF M
(STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
N0. OF EXISTING BUILDINGS HIGHWAY WIDTH FROM C.L.
ON LOT AND USE + _
CORNER CUTOFF YES❑ NO ❑ C
NO. PARKING C
c
SPACES PROVIDED
OCCUPANCY GROUP F
c
L
PROPOSED USE OF BUILDING c
r-C OCCUPANT LOAD <
EXIT HARDWARE:
cj�LL rC 2 �� j No Spec. Knowl. ❑
Panic Devices ❑
PROPOSED MAX. OCC. NO. OF EXITS
PARKING. REQ'D PROVIDED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES '
APPLICATION AND STATE THAT THE ABOVE IS c -
RECT.
SIGNATURE OF
APPLICANT ijt +�^^••
ADDRESS /
!� G-� x4Lr F 9
ZIP � 7�(l APPROVAL DATE INSPECTOR'S
/ SIGNATURE
PHONE V V7 FINAL APPROVAL r �� / /�✓���:r. ,1
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
APPLICATION VALIDATION CK. M.Q. CASH
v
/7/f ✓ 0 8 APR 22 4 0 :0 .0 0 AS
APPLICATION OOCCUPAN Y INSPECTION {�
LJ
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only ADDRESS i
BUILDING ILOCALITY
• ADDRESS �� II r J
CITY C ZIP NEAREST
+'o D CROSS ST.
NO. OF BLDGS, v ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT ITYPE FIRE PR CESSE BY
TRACT BLOCK LOT Ngr—, �CONST. ,/ ZON
OWNER TEL.
.� N0. USE ZONE MAP .1 O O
DRESS SPECIAL
CONDITIONS
IT , ZIP BLDG. SETBACK FROM
i SIZE OF NO. OF FRONT PROP. LINE OF (STREET)
EXISTING BLDG. STORIES HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ESENT USE OF BUILDING FRONT PROP. LINE HIGHWAY WIDTH
FuiuLA �9 ICC. , BLDG. SETBACK FROM
N0. PARKING SIDE PROP. LINE OF (STREET)
SPACES PROVIDED TOTAL SETBACK FROM TYPE OF XISTING C
HIGHWAY + YARD = SIDE PROP. LINE HIGHWAY WIDTH
_ CF
EASON FOR INSPECTION REQUEST + `
�A)f14v, CORNER CUTOFF YES NO C
OCCUPANCY GROUP y
AS VERIFIED d17_'�_ OCCUPANT
LOAD
EXIT HARDWARE:
PROPOSED MAX. OCC. NO SPEC. KNOWL. ❑
NO. OF EXITS
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICAT D STATE THAT THE ABOVE IS COR-
RECT. PARKING
SPACES REQ'D D PROVIDED O
•
FIIJAL BY
SI NATU 0 PATE
PPLICANT
A DRESSC' e0t�� Within the scope of this inspec-
aJ /4` tion the Building Official may
�P approve minor corrections or
W alterations of an existing struc-
ZIP ture involving work of a build- Permit Fee
(} ing, plumbing, mechanical or
electrical nature. Issuance Fee
�P ONS
Total Fee
O�FE�
ffq� P.LICATTN VALIDATION CK.. M 0 CASH
5 5 / .� U M.O.
76A662C-CE99ZB 11/75
76A662-CE992-4/77 Q/'! /j{��
s APPLICATION FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN BUILDING `) Q
(Print or type only) ADDRESS 9,36 Z XP ,
UI LDING LOCALITY
ADDRESS5936 112 Temple City Blvd
CITYZIP NEAREST
917130 CROSS ST.
SIZE OF LOT NO.OF BLDGS. ASSESSOR
NOW ON LOT / C MAP BOOK PAGE PARCEL
TRACT f� ��j BLOCK LAT NO. P? ZONE
DISTRICT TYPE FIRE P CESS BY
,,aa���.aa 6 CO�Ir, ZO N��,
TEL L.J`UO
OWNERLows & ErmaT b1zUSE ZONE MAP
NO.
DRE
C.z SPECIAL
TY Tem le City - ZIP CONDITIONS
91780
BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES
HIGHWAY + YARD -- TOTAL SET BACK FROM TYPE OF ExlsrwG
P.ESENT USE OF BUILDING FRONT PROP.LINE HIGHWAY WIDTH
BLDG.SET BACK FROM
NO. PARKIN SIDE PROP.LINE OF (SfREET)I
SPACES PROVIDED I
HIGHWAY + YARD- TOTALSETBACKFROM TYPEOF Exi rEN ,
SIDE PROP. LINE HIGHWAY WIDTH
I
EASON FOR INSPECTION REQUEST +
1
CORNER CUTOFF YES NO
New 'Rii-giriess
OCCUPANCY GROUP r OCCUPANT AS VERIFIED
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 : REQ'D PROVIDED
SPACES
SI
.APPLICANT GNATURE OF BY
v� FINAL �yG
G DATE �L
DDRESSSCX 5221 N Barela
17
Within the scope of this inspec-
tion the Building Official may
Temple Cit-y approve minor corrections or
ZIP alterations of an existing struc-
o ture involving work of a build- PERMIT FEE
ir,g, plumbing, mechanical or
PHONE electrical nature. ISSUANCE FEE
285-4404 -0 c TOTAL FEE
APPLICATIOI�/AUDATON CK. M.O. CASH
O o 0 .CA
1 00 LT1
J 0 4L- Cn
00 o O
NIS
73AS92-C E992-(N E V. 11/78)
APPLICATION FOR OCCUPANCY INSPECTION IJ
COUNTY OF LOS ANGELES a BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING '•_
ADDRESS J �% �JN� �� ��
UILDING
ADDRESS .�tm117L '� 'ya Sup E LOCALITY
751--max
CITY •gym( x C 2� ZIP 9 ? ® NEAREST
NO.OF SLOGS. CROSS ST.
SIZE OF LOT NOW ON LOT ASSESSOR �1
MAP BOOK PAGE PARCEL
TRACT -:,� LOCK (/ LDT No. DISTRICT TYPE. FIRE PROCESSED BY
s , ((..�� � ��,////�� /� /�/'S / J CONST ZONE
NER w-r6 Ss.flViY.anuie -r-L' /4' • `-sL� •
APDRESS USE ZONE MAP , C
NO. �1 Cl C
ITY ZIP _Z• SPECIAL
CONDITIONS
SIZE OF ---0-
EXISTING
O.OwEXISTING BLDG. STORIES F
OCCUPANCY.GROUP /� -7 L
P eNTusE AS VERIFIED ✓ •�r� OCCUPANT
w BtaILDINc $usi�—�s LOAD
EXIT HARDWARE: i0j!l L��Z
NO. PARKING COW -I Iv~
SPACES PROVIDED NO.OF EXITS NO SPEC.KNOWL. L-1
PANIC DEVICES ❑
PARKING
RON FOR SPACES: REQ'D.� PROVIDED
SPECTION REQUEST ��. i•.� Q ''
9S FINAL i� BY
DATE /
PERMIT FEE Within the scope of this inspection
the Building Official may approve
ISSUANCE FEEr� minor corrections or alterations
A of an existing structure involving
TOTAL FEE V work of. a building, plumbing,
PROPOSED MAX.OCC. mechanical or electrical nature.
I HEREBY AC WLEDGET T I V READ THIS APPLICATION VALIDATION
APPLICATION AN STATE T TH VE IS COR-
R ECT.
SIATU RE OF
ERMITTEE
ofc 79.E
ADDRESS 0. '
I hi�L� ' I T 1� NEOL. JE95''-57Z7
ITY (I�
BLDG.SETBACK •� n /,/,'C'
FROM FRONT �••
PROP.LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF HX ISTING ��
HIGHWAY + YARD a FRONT
PROP.LINE HIGHWAY WIDTH ((��
+ e �
BLDG.SETBACK
FROM SIDE - r
PROP.LINE OF )STREET)
TOTAL SETBACKFROM TYPE OF EXISTING '
HIGHWAY'+ YARD a SIDE PROP.LINE HIGHWAY WIDTH
I�LYY
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