HomeMy Public PortalAbout6307 TEMPLE CITY BLVD_Certificate of Occupancy__ 76AG52-CE992 IA PPLICATION FOR-OCCUPANCY INSPECTION
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS (B'
LOCALITY`
FOR AP
NEAREST
(Print or a onl ) CROSS Si
L • 1
DISTRICT NO PROCESSrwD
ADORE-SS 6 T le C1t Blvd T �Jv
p J U ZONE NOP
LOT NO {� BLOCK
R=ta
TRACTPIECIAL
mm ZE OF LOT 0 TIONS
TI
OWNERR.B, Rochette NOL2 _ J
ADDRESS / BLDG SETBACK FRO
FRONT PROP LINE 0 :DWIFREET)
TYPE OFEXISTING SETBACK HI HWAY } RD = TOTAL
CITY t (�/ T HIGHWAY WIDTH FROM JC L
SIZE OF NO OF ,�. �-D
EXISTING BLDG TORIES A Q Q } = GG/
PRESENT USE OF BUILDING BLDG SETBACK FROM
//�� �r SIDE PROP LINE OF (STREET)
+ YARD = TOTAL
(/G ECL/ TYKE OF ExIlTIKO sETRACK HIGH WAV
NO OF E%-STING B LOIN 5 HIGH WAY WIDTH FROM c L
ON LOT AND USE } _
CORNER CUTOFF YES❑ NO Qp
NO PARKING / U
SPACES PROVIDED
OCCUPANCY GROUP c
U
PROPOSED USE OF BUILDING CW
OCCUPANT LOAD h
2
EXIT HARDWARE
No Spec Knowl ❑
Panic Devices ❑
PROPOSED MAX OCC NO OF EXITS
PARKING REQ'O D PROVIDED
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS SPACES
APPLICATION AND STATE THAT THE ABOVE 1! COR-
RECT
I O 0AI doffs .o"o-A
SIGNATURE OF ! /� ♦♦♦
APPLICANT
ADDRESS
Gify F�P��'o va
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ZIP APPROVAL PATE 51 ATURE
PHONE FINAL APPROVAL -27- 12 42
APPL141 N VALIDATION CK M 0 CASH
Iirr2a2� 21 22 D 1 8.0 01 Q