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• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 COMBINATION SWIMMING POOL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS CP 0508 0810020005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 1
PHONE (626) 285 0488 EXT
(LEGAL ID IPOOL TYPE RESIDENTIAL/SPA I BUILDING ADDRESS
ITR 12268 LT 19 BL 001 1 SIZE 564 SQ FT CONST TYPE V B 5226 AGNES AV 1
I I TEMP CA 917803227
ASSESSOR INFORMATION NUMBER (USE ZONE NEAREST CROSS STREET OLIVE
18589 006 038 I THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY Cl
I I VALUATION
ITENANT 1 23 000 IISSLED ON PROCESSED BY EXPIRES ON 1
1 1 110/28/08 SR 04/26/09 1
FEES PAID
OWNER TEL NO I IFINAL DATE FINAL BY CODE 1
IBANGO VALERIE IFEE DESCRIPTION QUANTITY DOM AMOUNT I I
15226 AGNES AV I
ITEMP 917803227 1104 COMB POOL STD PC 23000 00 VAL 290 10 1D SCRIPTION IF WORK I1
1 102 PERMIT ISSUANCE FEE 27 75 INEW POOL AND SPA STANDARD PLAN #26070 1
1 106 COMB POOL PERMIT 23000 00 VAL 962 10 I I
1APPLICANT TEL NO 108 STRONG MOTION RESID 23000 00 VAL 2 30 I
IRYAN BLOCKER (626) 232 1776 116 POOL BARRIER FENCE 92 25 1 1
13104 E GARVEYT AVE I TOTAL FEES 1 374 50 ISPECIAL CONDITIONS I
IWEST COVINA CA 91791 1 I 1
I I I I
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1
ICALIFORNIA POOLS (626) 332 0936 1 1 I
13104 E GARVEY AVE SUITE B LIC NO 1 ISPA/POOL LOCATION I
IWEST COVINA CA 91791 185102053 1 I— 1
I 1HEPTER LOCATION
(ARCHITECT OR ENGINEER TEL NO I IOVFRHEAD CONDUCTOR CLEARI I I
IPATRELL ENGINEERING (626) 335 4362 1 1 1 1
1751 SUNNY GROVE LANE LIC NO I ILICHT CONDUIT I 1
1GLENDORA CA 91741 NONE 1 1_ 1
1 I IELICTRICAL BONDING
I I I I I I
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 IFIRE DEPT HYDRANT APPROVI I
I 3 I 1 1 1 I
1 I IST}EL & FORMS I I 1
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1 I_ 1
NO 24 I I GA, LINE f 'l I
SCHOOL WITHIN HAZARDOUS 1COTTDUIT/ELECTRICAL
(AIR QUALITY 1000 FEET MATERIALS I 1 1
1 NO NO NO 1 ISEWER I I I
I I
IREQUIRED TOTAL SETBACK FROM EXIST I (ANTI SYPHON VALVE I I
ISET BACK YARD HWY PROP LINE WIDTH I— I I
I FRONT PL I FENCING AND GATES
SIDE PL 1 •066SI(W. -1
1 1 I GPS TEST i�/ L1 i I
1 1
IF TRAP/BACKWASH RECEPTORI I I
i 1 1-1 1
I ISPA/POOL COVER I I I
I I -1-1 1
1 I (FINAL FIRE DEPT APPROVAL( 1 1
1 FINAL ELECTRICAL I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
IREPORT ID DPR268 ROUTE TO BS0508 1 I 1
I I I I I I