HomeMy Public PortalAbout6253 TEMPLE CITY BLVD_Certificate of Occupancy__ T6A862-CE9,2 °'APPLICATION FOR OCCUPANC INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS
K 7 C
HARVEY T BRANDT, COUNTY ENGINEER
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COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
(Pant or type only) CROSS ST
S 3 OISTRICS NO/) LESS BV
BUILDING U C./Y
A00 RES, Q,
LOT NO BLOCK 4 USE ZONE NOP O
PECIAL
TRACT SIZE OF LOT NNO TIONS
TEL
OWNER r /' w�M&A'WH-dj NOBLDGSETBACK
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ADDRESS16 3 Hca i•rP[(i $40 r FRONT PROP LINEROM OF (STREET)
TYPE OF
CITY HIGHWAY JX
CWISDTHD I.DM CCL HIGHWAY } YARD = TOTAL
SIZE OF / NO OF
EXISTING BLDG 6 f STORIES } _
PRESENT USE OF BUILDING -flit BLDG SETBACK FROM
SIDE PROP LINE OF (STREET)
TY�e of ENISTIHD fCTBACX HIGHWAY } YARD = TOTAL
HIDHWAY WIDTH FROM C L
NO OF EXISTING BUIL S
OH LOT AND USE / f /t } _
CORNER CUTOFF YES❑ NO ❑ O
NO PARKING G�
SPACES PROVIDED CD
OCCUPANCY GROUP �
W
a
PROPOSED USE OF BUILDING //''�� OCCUPANT LOAD Z_
A TO / COV tav EXIT HARDWARE
No Spec Knowl ❑
Panic Devices ❑
PROPOSED MAX OCC NO OF EXITS
PARKING REO'p PROVIDED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACE,
RECTICATI 0 STATE THAT THE ABOVE IS COR A
SIGNATURE OF
APPLICANT
ADDRESS
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ZIP APPROVAL DATE GNATOR'S
PHONE �_/��� FINAL APPROVAL 1111(1-77-
JOHN F LEWIS, PRINCIPAL STRUCTURAL ENGINEER
APPLICATION VALIDATION CKM o A H
LXX 7 6 2 5;S Gus 21 2 2 0 18.00- 7