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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MISCELLANEOUS PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS MP 0508 0312090002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONST NEW BUILDING ADDRESS:
TR: 5904 LT: 30 SQ. FT . STORIES TYPE OCCUP GROUP 6262 IVAR AV
STRUCTURE: 1 VN R3 TEMP CA 917801525
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5384-001-002 EXIST BLDG USE: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
_ EXIST OCC GRP: USE ZONE:
TENANT: _ ISSUED ON: PROCESSED BY: EXPIRES ON:
BLDGS. NOW ON LOT: VALUATION: 12/09/03 JK 06/06/04
_ 0
OWNER: MI ECT NO: FINAL DATE F BY: ,- CODE:
NELSON MARK R;BACHELDER NELSON LORI (6,26) 287-8228- LIST ITEMS: j�
6262 IVAR AV
TEMP 917801525 DESCRIPTION OF WOR
FINALIZE PERMITS FOR NEW SFR & ATT GARAGE (BL9099,EL9294,
_ OCCUP LOAD EXIST: ME9293,PL9295,SE9296)
APPLICANT: "SEL. NO: OCCUP LOAD NEW:
SAME AS OWNER
PARKING SPACES REQUIRED: SPECIAL CONDITIONS:
PARKING SPACES PROVIDED:
_ EXIT HARDWARE:
CONTRACTOR: _ '3 EL, N0: 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
LIC. NO: 01 R/M OCC/USE INSPECT 145.95 SAFETY PERMIT
TOTAL FEES 173.70
TEMP. STRUCT. APPROVED
MAP NO: SEWER MAP BOOK: PAGE: `IRE ZONE: CMP: TEMP. STRUCT. REMOVED
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
,NO
SCHOOL WITHIN JHAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS _
NO NO NO
REQUIRED TOTAL SETBACK FROM EXIST
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL-
SIDE PL-
i _�- REPORT ID: DPR267 ROUTE TO: BS0508
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Building & Safety Divisio°i
Los Angeles , California
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Vescraptd on •of work
B I d r t 0 rr a-mied(Date) ria! Inspection
J ;sc_ ptioL of work
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Buie— �t.T Issued(Date) Final Inspecvion�
Devcr:pt cr, of work
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Desc.ipticn of work�
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CO;;� TY C'' LOS ANGELES
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i: . : .'- C` ` r u 3LIG WORKS
"AFE-TY DIVISION
125 S. r,ALDWIN AVENUE
ARCADIA, CALIFORNIA 91006 � -
(818) 574-0941 _