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COUNTY OF LOS ANGELES TEMPLE CITY MISCELLANEOUS PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS MP 0508 0005170002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGA ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 16475 LT: 61 SQ. FT STORIES TYPE OCCUP GROUP 4904 RIO HONDO AV
STRUCTURE: 1 VN R3 TEMP CA 917803740
ASSESSOR INFOR14ATION NUMB R: NEAREST CROSS STREET: LOWER AZUSA
8590-025-027 EXIST BLDG USE: THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
EXIST OCC GRP: USE ZONE:
TENANT: ISSUED ON: PROCESSED BY: EXPIRES ON:
BLDGS. NOW ON OT: VALUATION: 05/17/00 UT 11/ /00
0
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE.
HELMER GLENN D;MARGARET E (626) 287-4352- LIST ITEMS:
4904 RIO HONDO AV
TEMP 917803740 DESCRIPTION OF WORK
TO PERMIT EXISTING SPA
OCCUP LOAD EXIST:
APPLICANT: TE . NO: OCCUP LOAD NEW:
SAME AS OWNER -
PARKING SPACES REQU.LRE SPECIAL CONDITIONS:
PARKING SPACES'EROV-I•QEU•
EXIT E55 Efl.ES Co
SAME
CONTRASTOWNER TEL. N0: - NB Q E S: �A� FRONLIMITED TIME USE
LIC. NO / �La �S
E DESJAN FEES PA APPROVALS DATE INSPECTOR SIGNATURE
� QUAN ' TY: UOM. )AMOUNT:ARC I C OR ENGI ER: TEL. NO: - , TRAILER USE
0 P.ERMC 27.75
LIC. N0• R/M- N G< ������ 45.95 SAFETY PERMIT
0 AL FEES 73.70
IF—
MAP
EMP. STRUC PPROVED
MAP 0: SEWER MAP 800K: PAGE: FIRE ZONE: C^�M,;:�� pD ��� ���O�� TEMP. STRUCT. REMOVED
NO.. OF FAMILIES: DWELLING UNITS: APT/COND: ST CLAS .
NO
SCHOOL WITHIN AZARDOUS
AIR QUALITY: 1000 FEET MATERIALS ❑ ! R
I�
NO NO NO A El
�I
REQUIRED TOTAL SETBACK FROM EXIST
SET BACK YARD: HWY: PROP LINE: WIDTH: _ vv
FRONT PL- C `Service hat
SIDE PL-
REPORT ID: DPR267 ROUTE TO: BS0508