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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MISCELLANEOUS PERMIT
DEPARTMENT OF PUBLIC WORKS I 9071 LAS TUNAS MP 0508 9703050005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL 0. 0 --CONST NEWBUILDING ADDSS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 9221 OLIVE ST
STRUCTURE: 848 1 V R3 ;TEMP CA 917803126
ASSESSOR 0 BER: i NEAREST CROSS STREET: ENCINITA
8588-031-012 EXIST LDG . RESID THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
EXIST OCC GRP: USE ZONE: R-1
S D PROCESSED BY: EXPIRES-ON:
SLOGS. NOW ON LOT: AL 0 : 03/05/97 TC 03/05/98
2 0
OWNER: TEL. N0: FINAL'DATE FINAL BY:J>� COD
SAM QUACH KUO;MUOI TRAN (818) 285-3888- S ITEMS: n
9221 OLIVE ST ,�•
TEMP 917803126 DESCRIPTION OF WORK
TO PERMIT EXISTING ADDITION-FAMI ROOM, 2 BEDROOMS AND
OCCUP LOAD EXIST: MASTER BATHROOM
APPLICANT: TEL. 0: OCCUP LOAD NEW:
SAME AS OWNER -
PARKING SPACES REQUIRED: SPECIAL CONDITIONS.-
PARKING
ONDITIO S:PARKING SPACES PROVIDED:
EXIT HARDWARE:
CONTRACTOR: TEL. NO: I LIMITED TIME USE
SAME AS OWNER - NBR OF EXITS: FROM TO
LIC. NO
FEES PAID
APPROVALS DATE INSPECTOR SIGNATURE-
FEE
GNAT REFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
ARCHITECTOR ENGINEER: TRAILER USE
OA PERMIT ISSUANCE 27.75
LIC. NO: ' 01 R/M OCC/USE INSPECT 145.95 SAFETY PERMIT
TOTAL FEES 173.70
MP. STRUCT. APPROVED
MAP 0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: TEMP. STRUCT. REMOVED
I
0. OF FAMILIES: DWELLING 7 APT/CO : STAT C ASS: i
NO
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
REQUIRED SETBACK FROM I
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL-
SIDE PL-
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REPORT ID: DPR267 ROUTE TO: BS0508