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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MISCELLANEOUS PERMIT
-�- DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS MP 0508 0205290001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:ON `,
LE
9647
ASSESSORI[NFORMAT ION NUMBER: : FT STORIES TYPE OCCUP GROUP NEAREST BROADWAY91780CROSS STREET: 7EELE �T ED
STRUCTURE: 1 VN U7 TEMP CA 917803211
8588-009-031 EXIST BLDG USE: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
_ EXIST OCC GRP: USE ZONE:
TENANT: ISSUED ON: PROCESSED BY: EXPIRES ON:
SLOGS. NOW ON LOT: VALUATION: 05/29/02 JK 11/25/02
UWNERo TEL. NO: FINAL DATE FINAL BY: CODE:
LYNN;JOANN (626) 287-8214- LIST ITEMS: ()/
9647 BROADWAY
TEMP 917803211 DESCRIPTION OF WORK
PERMIT 12'X33' STORAGE/UTILITY ROOM, NEW BAY WINDOW, AND
_ OCCUP LOAD EXIST: EXPIRED PERMIT #BL9711130010
APPLICANT: TEL. NO: OCCUP LOAD NEW:
SAME AS OWNER
PARKING SPACES REQUIRED: SPECIAL CONDITIONS:
PARKING SPACES PROVIDED: f.�rLNa
EXIT HARDWARE: _
CONTRACTOR: TEL. NO: LIMITED TIME USE
SAME AS OWNER - NBR OF EXITS: FROM TO
LIC. NO
FEES PAID
APPR0VALS DATE INSPECTOR SIGNATURE
__ FEES DESCRIPTION: QUANTITY: LOM: AMOUNT:
ARCHITECT OR ENGINEER: TEL. N0: TRAILER USE
- OA PERMIT ISSUANCE 27.75
LIC. NO: 01 R/M OCC/USE INSPECT 145.95 SAFETY PERMIT
TOTAL FEES .173.70
TEMP. STRUC . APPROVED
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: TEMP. STRUCT. REMOVED
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS _
NO NO NO
REQUIRED TOTAL SETBACK R S
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL-
SIDE PL-
REPORT ID: DPR267 ROUTE TO: BS0508