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COUNTY OF LOS ANGELES TEMPLE CITY # 0506 MISCELLANEOUS PERMIT'_
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNASMP 0508:.09"U800-04—=g2ft=sr'
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 i
PHONE (626) 285 0488 EXT
LEGAL ID NO OF CONST NEW BUILDING ADDRESS
TR 24133 LT 3 SQ FT STORIES TYPE OCCUP GROUP I 5727 AGNES AV
STRUCTURE 1 VN C NHOL CA 916071211
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
2340 027 019 EXIST BLDG USE THOMAS PAGE 562 GRID G1 LOCALITY TEMPLE CITY C
EXIST OCC GRP USE ZONE
TENANT ISSUED ON PROCESSED BY EXPIRES ON
BLDGS NOW ON LOT VALUATION 09/08/05 JK 03/07/06
1 000
OWNER TEL NO FI ATE FINAL BY CODE
NING ZHANG (626) 780 7951 LIST ITEMS
5727 AGNES AV OPV S
TEMPLE CITY CA 91780 D IPTION OF WORK
RECONVERT THE GUEST HOUSE BACK TO ITS ORIGINAL CONDITION
OCCUP LOAD EXIST (REMOVE THE KITCHEN AND UNPERMITTED CLOSET REMOVE THE
APPLICANT TEL NO OCCUP LOAD NEW UNPERMITTED SUBDIVIDING WALL IN THE HALLWAY BETWEEN A POOL
SAME AS OWNER
PARKING SPACES REQUIRED SPECIAL CONDITIONS
PARKING SPACES PROVIDED
EXIT HARDWARE
CONTRACTOR TEL NO LIMITED TIME USE
SAME AS OWNER — NBR OF EXITS FROM TO
LIC NO
FEES PAID
APPROVALS DATE INSPECTOR SIGNATURE
FEE DESCRIPTION QUANTITY UOM AMOUNT
ARCHITECT OR ENGINEER TEL NO TRAILER USE
OA PERMIT ISSUANCE 27 75 1
LIC NO O1 R/M OCC/USE INSPECT 145 95 SAFITY PERMIT
TOTAL FEES 173 70
TEMP STRUCT APPROVED
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP TEMP STRUCT REMOVED
NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS
NO
1
SCHOOL WITHIN HAZARDOUS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO
REQUIRED TOTAL SETBACK FROM EXIST
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL
x
SIDE PL
* ADDITIONAL DATA ON FILE
REPORT ID DPR267 ROUTE TO BS0508
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