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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MISCELLANEOUS PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS MP 0508 0701180001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST NEW BUILDING ADDRESS r/
ITR 14396 LT 5 SQ FT STORIES TYPE OCCUP GROUP 9126 EMPEROR AV
STRUCTURE 1 VN R3 I SGAB CA 917752019
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET ROSEMEAD
15382-015-005 (EXIST BLDG USE I _THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl,
I (EXIST OCC GRP USE ZONE I I
ITENANT I IISSULD ON PROCESSED BY EXPIRES ON I
I IBLDGS NOW ON LOT VALUATION 101/18/07 JK 07/17/07
I 1,000 1
OWNER TEL NO I IFI ATE FINAL BY CODE
1XIE DENG,GAO XIU FANG (626) 309-1291— ILIST ITEMS I ���
19126 EMPEROR AV I 1 -
ISGAB 917752019 1 DESCRIPTION OF WORK
I I (ENCLOSED PORCH TO BE LEGALIZED AS A FAMILY ROOM 162 S F
I 10CCUP LOAD EXIST
APPLICANT TEL NO IOCCUP LOAD NEW
SAME AS OWNER IPARKING SPACES REQUIRED ISPECIAL CONDITIONS
PARKING SPACES PROVIDED I
I (EXIT HARDWARE I
ICONTRACTOR TEL NO I I LIMITED TIME USE 1
SAME AS OWNER — 1NBR OF EXITS I FROM TO 1
LIC NO
FEES PAID I i
I I 1APPROVALS DATE INSPECTOR SIGNATURE
IFEE DESCRIPTION QUANTITY UOM AMOUNT I t
(ARCHITECT OR ENGINEPP TEL NO. I ITRAILER USE 1 1
I 110A PERMIT ISSUANCE 27 75 I
I` n101 R/M OCC/USE INSPECT 145 95 ISAFETY PERMIT 1
I- — I TOTAL FEES 173 70 I
I I ITEMP STRUCT APPROVED 1 1
IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 1 ITEMP STRUCT REMOVED 1
I I I
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1
NO 1 I I
I SCHOOL WITHIN HAZARDOUS
1AIR QUALITY 1000 FEET MATERIALS 1
NO NO NO 1
IREQUIRED TOTAL SETBACK FROM EXIST
ISET BACK YARD HWY PROP LINE WIDTH I
IFRONT PL—
I SIDE PL—
I 1 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 DPR267 ROUTE TO BS0508
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