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COUNTY OF LOS-ANGELES TEMPLE CITY # 0508 ° MISCELLANEOUS PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS *MP 0508 9903100003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 13329 LT: 34 SQ. FT STORIES TYPE OCCUP GROUP 5004 HELEO AV 06
STRUCTURE: 1 VN R3 TEMP CA 917803824
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8590-022-010 EXIST BLDG USE: THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
EXIST OCC GRP: R3 USE ZONE:
TENANT: ISSUED ON: PROCESSED BY: EXPIRES ON:
BLDGS. NOW ON LOT: VALUATION: 03/10/99 UT 03/10/00
0
OWNER: TEL. NO: FINAL DATE FINAL BY CODE:
LAU;ANDY (626) 401-3462- LIST ITEMS:
5004 HELEO AV `7✓( 6
TEMP 917803824 DESCRIPTION OF WORK
CODE ENFORCEMENT- CONVERT WORKSHOP BACK TO INTENDED USE
OCCUP LOAD EXIST:
APPLICANT: TEL. NO: OCCUP LOAD NEW:
SAME AS OWNER
PARKING SPACES REQUIRED:–__ SPECIAL CONDITIONS:
PARKING SPACES�PROVIDED—
CONTRACTOR: TEL. N0: EXIT HARDWARE: �� LIMITED TIME USE
SAME AS OWNER - NBR OF EX+TS: Jy FROM TO
LIC. NO %//
pj -TFEES PAID
f �( APPROVALS DATE INSPECTOR SIGNATURE
FEE DESCRIPTION• QUANTITY: UOM: AMOUNT:
ARCHITECT OR ENGINEER: TEL. NO: � TRAILER USE
- OA PERMITIIISSUANCE ____ _ 27.75
LIC. NO: t 011R/M-OCC/USE INSPECT 1 X11111111 145.95 SAFETY PERMIT
TOTAL FEES` 1;73.70
i''� TEMP. STRUCT. APPROVED
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: J (f j1 F1 TEMP. STRUCT. REMOVED
I'lr LC Y �J r-l_i Ii���I
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS. __ ___ -
NO \�- U
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO i l vu
REQUIRED TOTAL SETBACK FROM EXISTLJ
SET BACK YARD: HWY: PROP LINE: WIDTH:FRON (a 9"-v
SIDE PL-
REPORT ID: DPR267 ROUTE TO: BS0508