HomeMy Public PortalAbout5957 TEMPLE CITY BLVD_Certificate of Occupancy__ 6A6P,4t9%&(REV.11178)2179
APPLICATION FOR. OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES • BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING c -
_ ADDRESS
BUILDING C/ /
ADDRESS J �� ,`,In/� y�C.— /� LOCALITY
c!L �6
CITYC�i e ` zip l fV• NEAREST d
Q
NO.OF BLDGS. CROSS ST.
SIZE OF LOT NOW ON LOT ASSESSOR
MAP BOOK PAGE PARCEL
TRACT BLOCK LOT No. DISTRICT ;TYPE. FIRE PROC SED B�
jj��� /�/ TEL Gy CONST- ZO
OWNER 11/f� ' G/"J I CK TE / 7'�01�SI �- ST
ADDRESS 10333 T1' rl V'Z. USE ZONE MAP c Q 0
NO. ea
CITY W�/ �� ZIP ���. SPECIAL O
SIZE OF , NO.OF CONDITIONS
EXISTING BLDG. j x O sroRIES 0,11E
PRESENTUSE OCCAS VER F EDUPANCY �UP OCCUPANT GO
OF BUILDING T e
EXIT HARDWARE:
NO.PARKING NO.OF EXITS NO SPEC.KNOWL. ❑
SPACES PROVIDED
pre-
PANIC DEVICES ❑
REASON FOR PARKING REQ'D. PROVIDED E_
SPACES:
,INSPECTION REQUEST OL'CCCP/T-/I,L� /� Qp�V//VFINAiz
►— se�t/ �
. -1OO �
DATE
By
PERMIThin the .scope of this In-
FEE pection the Building-Official may
ISSUANCE approve minor corrections or
FEE . alterations of an existing struc-
TOTAL ture Involving work of a building,
PRoroseo MAX.occ. FEE . plumbing, mechanical or elec-
trical nature.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION VALIDATION
APPLICATION AND STATE THAT THE ABOVE IS
CORRECT. f
SIGNATURE OF .Q
PERMITTEE
ADDRESS q
�7Z.n No. oge- s /e-
TEL 2e7 3Z� 1 1 1.3 A
IICITY •-� v�' NO. # 0'00o40
BLDG.SETBAC
FROM
0O �O; o oO,o,o
OP.LINE OF (STREET)
HIGHWAY •+ YARD - TOTAL SETBACK
IG
FONT ROP.LINEHIGHWAY WIDTH 0 ]-S
0
+
BLDG.SETBACK
FROM SIDE
PROP.LINE OF (STREET) .
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIDE PROP.LINE HIGHWAY WIDTH
+
®s
76A66VCE992-4/77
APPLICATION FOR OCCUPANCY INSPECTION
FOR APPLICANT TO FILL IN BUILDING
(Print or type only) ADDRESS •{`t f o..
J
BUILDING
ADDRESSTC
EliLOCALITY
CITY ZIP NEAREST
' CROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PR ES BY
TRACT % BLOCK LOT A0 �J D CONST. ' / ZO
r V
OWNER ` TEL
1 j NO. 1 USE ZONE MAP v
NO.
A D 'its E SPECIAL
CITY ` ZIP CONDITIONS
' O BLDG.SET'BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF oclsrwG
PRESENT USE OF BUILDING FRONT PROP.LINE HIGHWAY WIDTH
S P +
NO.PARKING SID PROP.LINE NE OF ACK FROM
(STREET)I C
SPACES PROVIDED C
HIGHWAY + YARD— TOTAL SET BACK FROM TYPE OF WIDTH e
SIDE PROP. UNE HIGHWAY WIDTH �FC.
REASON FOR INSPECTION REQUEST l + = L
_ c
CORNER CUTOFF YES NO
e
h OCCUPANCY GROUP OCCUPANT
C V AS VERIFIED �
LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. (—� NO SPEC.KNOWL. ❑
NO.OF EXITS I I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS �J PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
SPACESG' REQ'D15ROVIDED�
�►
SI NATURE OF ^
PLICANT 1. FINAL —.3p
DATE. -"ZZ ! BY
A DRESS SJ y
Vp
Within the scope of this Inspec-
tion the Building Official may
approve''ml'nor corrections. or
Zip 7g6alterations of an existing struc-
ture involving work of a build- PERMIT FEE
Ing.. plumbing, mechanical or
PHONE • el octrifanbl nature. ISSUANCE FEE
6 D N o N TOTAL FEE
CPSrn
.. °APPLIeATION VALIDATION CK. M.O. CASH
-,1 0 91 N)
'O o O :r.*
NS
76A662-C E99Y-(REV. 11/711)
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES a BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
auILDINc
..p
KESS 6 e 10-M PLE _ OIL LV U LOCALITY
CITY , 4e L CI�� ZIP / (�. NEAREST
NO.OF BLOCS. CROSS ST. '
SIZE OF LOT NOW ON LOT ASSESSOR
/��^— �2 MAP BOOK PAGE PARCEL
TRACT BOJ �j/ LOCK LOT Nc DISTRICTT/// TYPE. FI RE PR CES D BY
L
TEL. O CONST ZO�
NER LL ��K NO. 61`_I,�o
a
DOpE65 HH(� , ZZ1 USE ZONE MAP c9, 0
..r�y C
CITY �J ' teI� C66L • ZIP •/' NO. V, Q 'O'
V/-- SPECIAL C
SIZE OF NO.OF CONDITIONS
EXISTING BLOC. STORIES C.:
I. SENT USE ILL
OCCUPANCY GROUP d
.UILOING j AS VERIFIED OCCUPANT
LOAD a
EXIT HARDWARE:
NO.PARKING NO.OF EXITS NO SPEC.KNOWL. ElSPACES PROVIDED
PANIC DEVICES ❑
PARKING
REASON POR REQ'D. PROVIDED
MChSPACES:
PECTION REQUEST
' FINAL
DATE
P.
}<�` Tjtl�' ��.dl
PERMIT FEE' V Wdi'thin the scope of this inspection
the Building Official may approve
ISSUANCE FE minor corrections or alterations
of an existing structure involving.
TOTAL FEE• work of a building, plumbing,
PROPOSED MAX.OCC. mechanical!or eibctrical nature.
[APPLICATION
HEREBY ACKNOWLEDGE ,THAT I HAVE READ THIS - APPLICATION VALIDATION
AND STATE THAT THE ABOVE IS COR-
CT.NATVRERMITTEE `(,
OORESS n�jv-� /�YV � N�9✓//,/r��/�9�G� 267.,;
CITY M l 6` Y �� V 6 6e NO.-• I G V V ,
_ 051 26A
.BLDG.SETBACK
FROM FRONT
PROP.LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY+ YARD a FRONT Pp OP.LINEHIGHWAY WIDTH
•a D o D'o 0 0
+ 0625-79' .
BLDG.SETBACK
PROM SIDE
PROP.LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING '
HIGHWAY+. YARD SIDE PROP.LINE HIGHWAY WIDTH '
+ e
7GA662-CE992-4/77
- , APPLICATION FOR OCCUPANCY :INSPECTION
FOR APPLICANT TO FILL IN BUILDIN
(Print or type only) ADDRES ��BUILDING
t
ADDRESS 6.4 V LOCALITY
. s
NEAREST
CIT
Ye e if, bi ZIP 4 O CROSS ST.
SIZE OF LOT NO.OF BLOGS. ASSESSOR
NOW ON LOT MAP BOOK PAGE PARCEL .
g � DISTRICT TYPE FIRE P SED BY
TRACT BLOCK LATNO.z Q CONST. ZONE
OWNER
TEL
/')� E' k. NO. USE ZONE MAP
[� NO.
ADDRESS
SPECIAL
CONDITIONS /�,9 7'
CITY ZIP � `
BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES
HIGHWAY + YARD'= •TOTAL SET BACK FROM TYPE OF ExmING
PRESENT USE OF BUILDING u; I FRONT PROP.LINE HIGHWAY WIDTH
+BLDG.SET
NO.PARKING SIDE PROP.BACK
NO. .(STREET-)I
SPACES PROVIDED
HIGHWAY + YARD= TOTALSETR BACK P. LINE M TYPE OF EXIST H C
SIDE PROP. LINE HIGHWAY WIDTH �.
'. REASON FOR INSPECTION REQUEST IVef� u •he + G
CORNER CUTOFF YES NO
,y� s
OCCUPANCY GROUP ^^��
AS VERIFIED �G� 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 :
SPACES REQ'DPROVIDED=
SIGNATURE OF
APPLICANT DATE BY
U r�
ADDRESS
/ , Within the scope of this.inspec-
ol enq �E. tion the Building Official may
approve minor corrections or
G ZIP alterations of an existing struc-
5V 91 ture involving work of a build- PERMIT FEE
ing, plumbing, mechanical or
PHONE electrical nature. ISSUANCE FEE
o JOTAL FEE
APPLICATION VALI TI N0 M.O. CASH
4zi. o o p-
1' o D —+
OD 0 p y
76A662-CE99Z-4/77
APPLICATI FOR OC.CUPA FCY INSPECTION
,
FOR APPLICANT TO FILL IN V BUILDINGr'
(Print or type only) ADDRESS t) '7j"
BUILDING y LOCALITY
15�
DRESS / •�. tj
C Y �C_ ZIP 78 CROSS ST.
X NOW OF ON LOTS ASSESSOR
SIZE OF LOT ^ / 7 f/ MAP BOOK PAGE PARCEL
G DISTRICT TYPE FIRE PRO SED BY
TRACT BLOCK LAT NO. aOy '� CONST ZON
NEReMI�' TEL /g/'�r_�
NO.foo �7" USE ZONE MAP
NO.
_ArODRESS "� ^��
Ir&RiAjA � SPECIAL
CONDITIONS
ZIPC Y &v1T rT���
BLDG.SET BACK FROM
SIZE OF NO.OF FRONT PROP.LINE OF (STREET)
EXISTING BLDG. STORIES
HIGHWAY + YARD= TOTAL SET BACK FROM TYPE OF oasrwc
SENT USE OF BUILDING r FRONT PROP.LINE HIGHWAY WIDTH
/� om + -
V Al�2 Ice,l� r•Q--)`,r f e,A BLDG.SET BACK FROM
NO. PARKING SIDE PROP.LINE OF (STREET)) C�C
SPACES PROVIDED TOTAL M '-
HIGHWAY + YARD- SIDE PROP. LINE HIGFWAY WIDTH
C
�FC-
R ON FOR INSPECTION REQUEST + - u
a
CORNER CUTOFF YES NO
OCCUPANCY GROUP OCCUPANT
AS VERIFIED LOAD
EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITNO SPEC. KNOWL. ❑
S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS CAI/ LL C_/OANI'f,0 ,�
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT,
SPACES r—
PARKIN REQ-D PROVID D=
NATURE OF `
APPLICANT FINAL BY
DATE
A D R.ESS
-� Within the:scope of this inspec-
t I/-nn--M P L�� IC fr'rs tion the Building Official may
approve minor corrections or
ZIP alterations of an existing struc-
ture involving work of a build- PERMIT F E
ing, plumbing, mechanical or
�� •1 S' ¢L PHONE electrical nature. ISSUANCE
6- O TOTAL F
APPLICATION VA-LrDAT:WN CK. M.O. CASH
O Nu
o
01 0 o CA
fa o o N
00 0 O 7�