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• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MISCELLANEOUS PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS MP 0508 0301310001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONST NEW BUILDING ADDRESS:
TR: 14647 LT: 1 SQ. FT STORIES TYPE OCCUP GROUP 4820 FIESTA AV
STRUCTURE: 1 VN R3 TEMP CA 917803814
ASSESSOR INFORMATION--NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8590-017-007 EXIST BLDG USE: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
EXIST OCC GRP: USE ZONE:
TENANT: ISSUED ON: PROCESSED BY: EXPI ES ON:
BLDGS. NOW ON LOT: ALUATION: 01/31/03 JK 07/30/03
0
OWNER: TEL. N0: FINAL DATEBY: CODE:
JORDAN;PHILLIP & PAMELA (626) 285-6401- LIST ITEMS:
4820 FIESTA AV
TEMP 917803814 DESCRIPTION OF WORK
FINALIZE EXPIRED PERMITS FOR ADDITION:BL0106190044,
OCCUP LOAD EXIST: BL0106220053,EL0107100040,PL0107100027
APPLICANT: TEL. NO: OCCUP LOAD NEW:
SAME AS OWNER -
PARKING SPACES REQUIRED: SPECIAL CONDITIONS:
PARKING SPACES PROVIDED:
EXIT HARDWARE-._,,,`,':'
CONTRACTOR: TEL. N0: LIMITED TIME USE
SAME AS OWNER NBR OF-;EXLTS: FROM TO
LIC. NO ��=
r FEES PAID
APPROVALS DATE INSPECTOR SIGNATURE
` FEE DESCRIPTION. moi. QUANTITY: UOM: AMOUNT:
ARCHITECT OR ENGINEER: TEL. NO: , - TRAILER USE
-
OA PERMIT ISSUANCE I' ' 27,75
LIC. NO: 01R/M OCC/USE 'INSPECT 145.95 SAFETY PERMIT
I � TOTAL FEES '' '' ' 173.70
TEMP. STRUCT. APPROVED
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: . TEMP. STRUCT. REMOVED
NO. OF FAMILIES: DWELLING UNITS: AP /COND: STAT CLASS:
NO
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS J`�2/tom �i 7-14 7- p 3
NO NO NO
REQUIRED TOTAL SETBACK FROM EX f ST
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL-
SIDE PL-
REPORT ID: DPR267 ROUTE TO: SS0508