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HomeMy Public PortalAbout5124 ROSEMEAD BLVD_Building__ 76A638A CE#803-10.56 A P P L V AT I O N FO■ ■ BUILD IM' -Pr \tl 7. 0 rY BUILDING AND SAFETY DIVISION BUILDING Department of County Engineer ADDRESS County of LOS Angeles LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS ST. ' DIS7R1 O. GROUP .TYPE I SEWER MAP FOR APPLICANT TO FILL.IN BK PG CONST. BUILDING ADDRESS STATISTICAL CLASSIFICATION - CLASS. NO.2�DWELL. UNITS LOT.NO. BLOCK MAP _ STATE NUMBER c2-,o 1 TRACT ] �7• .J �' USE ZONE SPECIAL - HWY YE NO. OF BLOGS. CONDITIONS SIZE OF LOT I NOW ON LOT USE OF EXISTING BLDG. BUILDINGEXIST. SETBACK YARD HWY STREET NAME WIDTH. OWNER / i FRONT MAIL P. L. ` ADDRESS t 44Jf e a SIDE TEL. P. L. - CITYNO' INSPECTION RECORD" ARCHIT O EL. ENG INEE ADDRES .c TEL. CONTRACTOR NO. ADDRESS - - - ' DESCRIPTION OF WORK NEW ADD - ALTER REPAIR DEMOLISH SO. FT. NO. OF NO.OF SIZE STORIES FAMILIES - USE OF STRUCTURE - APPROVALS SIGNATURE OF APPLICANTA DATE -=INSPECTORS SIGNATURE 64 OUNDATION: LOCATION ADDRESS FORMS. MATERIALS C. g FRAME: FIRE STOPS.. EE BRACING, BOLTS VALUATION �Q FURNACE: LOCATION. FEE GAS VENT. DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. - PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT. - STATE LAWS REGULATING BUIi.DIN CONST UCTIOt`. SIGNATURE OF 1 HOUSE NUMBER COR- PERMITTEE ! RECT AND POSTED ®� ADDRESS FINAL 7 y JOHN A. LAMBIE. COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL-Iff-NGINEER PLAN CHECK VALIDATION K. o. cases PERMIT VALIDATION CK. M.O: CASH ? _5 5 APR 2 1 A. : - -2.00 M I �-- WORKERSCOMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compenstian Insurance, or APPLICATION FOR BUILDING .P E RM I T a certified �copy thereof y(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY PaIicy F!2. —76 o�Compam�/✓ r. ` Certified copy is-hereby furnished. FOR APPLICANTTO FILL IN BUILDING - e ADDRESS Certified copy is filed with the unty builling inspec- BUILDING .[ tion department. ADDRESS �� LOCALITY Date . �� Applica G� CITY ^� �� ZIP NEAREST CROSS ST. ER FICATE OF EXEMP ON FRO WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSUR NCE SIZE OF LOT NOW ON LOT 91 MAP BOOK I PAGE PARCEL (This section need not be completed if the permit is for one V. USE ZONE MAP hundred dollars ($100)or less.) TRACT y BLOCK LOT NO. NO. >_ / /01` TEL. ll,,JJ 3 SPECIAL �aC4�P/ZJ I certify that in the performance of the work for which this OWNER I<lA/ /C.Ui�� NO4-o�3'7J/ CONDITIONS r /LJ`' O permit is issued, I shall not employ any person in any mannerT ) DISTRICT GROUP TYPE FIRE ESSED BY (J so as to become subject to the Workers'Compensation Laws. ADDRESS s HUA/i/ /V j/ CONST. ZONE CITY ZO ZIP �o� (� , ✓ O Date Applicant STATISTICAL CLASSIFICATION APT. CONDO. 10 NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR V TEL. q ,/ ENGINEER NO. Exemption, you should become subject to the Workers' CLASS NO. cT3 DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be -- deemed revoked. Q�� TEL'/ VALIDATION CONTRACTOR �iS/�!/ / �� N04ZI 877 MBK. PG, d' LICENSED CONTRACTORS DECLARATION nn^^UC. q I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ��3W�eRvole /P:NO.'d`O9,5_/6- VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. �• / � Professions Code, and my license is in full force and effect: CITY CLASS $ nva/ SQ. FT. NO. OF NO. OF CHECK License Number U 7V�V Lic.Class C SIZE STORIES FAMILIES ONE �/ E] $ Contracto6G,FN �f7f 7J V' _Date li` DESCRIPTION OF WORK NEW �� I am exempt from the licensing requirements as I am a WcSG G/} ADD ❑ licensed architect or a registered professional engineer ALTER ❑ FINAL acting in my professional capacity (Section 7051, � REPAIR ❑ DATE ` Z^.� 0(Business and Professions Code). USE OF FINAL EXISTING BLDG. J DEMOL B Lic. or Reg. No: f, Date APPLICANT �,�,r� I 3;" TEL. p77 / �y OWNER-BUILDER DECLARATION (PRINT /�%�G�/ �RdS. �v(,NO.(A7f O (o��b I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section ADDRESS 7031.5, Business and Professions Code): i PRESENT ❑ BUILDING ' I, as owner of the property, or my employees with ADDRESS wages as their sole compensation, will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. 21 8 3 4 A with licensed contractors to construct the project (Sec- rP. DDRESS # o o,0 0 0 1 tion 7044, Business and Professions Code). , EQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 2 0.0 3 1. 00 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is'issued L. /5' v2 3 1.0 0 (Sec. 3097, Civ. C.). LInvestigation 0 0 I 1,04-.-81 Lender's Name Lender's Address $ Permit Fee w I certify that I have read this application and state that the Issuance Fee - above information is correct. I agree to comply with all.County < Fee 0 ordinances and State laws relating to building construction, v and her authorize repr tatives of this County to enter Total Fee < upon a ove-me ion pr pert r inspection p rposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signotur f Applicant or Agent 91ane ©s WORKERS'COMPENSATION DECLARATION ;7g hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT ' , insure, or a certificate of Workers'Compenstion Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified co is hereby furnished. BUILDING copy v \ FOR APPLICANT TO FILL INADDRESS 7 ' i -'>,-�^t�✓d -k'D- Certified copy is filed with the county building inspec- BUILDING Q Cay ' ,- ❑ ' tion department. ADDRESS Sitz 8 �Gr+�✓ &dQ LOCALITYj( NEAREST Date Applicant CITY rdSMP46 • / ZIP CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' 26 NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT « � �S NOW ON LOT � � MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one e 1f313 USE ZONE MAP ^ TRACT BLOCK LOT NO. NO. CO hundred dollars ($100)-or less.) � �•"�� SPECIAL Q. I certify that in the'performance of the work for which this OWIaERX;WSTE 6 . C Ata AoSS�IC. NOL.. CONDITIONS O �+ A� �1 1.�• DISTRICT GROUP TYPE FIRE PR f"ESSE permit is issued, I shall not employ any person in any manner ADDRESS.7567 *404 d"46r� Mo 40 � GAG CONST/ ZONE so as to become subject to the Workers'Compensation Laws. p Date Applicant CITY L.A• ZIP 9003 2 ^�� 13 0 NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT�R?� ,.,SEL. LU STATISTICAL CLASSIFICATION APT. CONDO. U ExempTion, you should become subject to the Workers' ENGINEER K A/ 6: ��[J+�+ 45S, 6.21U-2406 2�+6 CLASS NO. DWELL. UNITS IL Compensation provisions of the Labor Code, you must forth- ADDRESSSS-LSP SEWER MAP - with comply with such provisions or this permit shall be TEL. VALIDATION deemed revoked. CONTRACTOR •4 NO ..� BK. PG, LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY CLASS $ Q SQ. FT.g�(06 NO. OF n NO. OF CHECK License Number Lic.Class SIZE /HaISSTT`ORIES ` FAMILIES ONE n�— Contractor Date DESCRIPTIONOF WORK 3 aa.TS Q� NEW $ ❑ ADD ❑ �234h 1 A am exempt from the licensing requirements as I am a � aw•r �6 licensed architect or a registered professional engineer ALTER ❑ FINAL9-� �� # a a:a•a 23 acting in my professional capacity (Section 7051, �IT Jk.0 REPAIR ❑ DATE Business and Professions Code). USE OF �d�E ❑ FINAL NAL 2 a 2 0�0 0 EXISTING BLDG. DEM Lic.-or Re No. _Date APPLICANT TEL. y _ Reg. OWNER-BUILDER DECLARATION (PRINT)�•V6 S.L4JKr As adOL=7-� 0 0 2 0 4�0 0 I hereby affirm that I am exempt from the Contractor's License �f �.�aTo.J �� I JrJr173 ) 2 1 6 8 1 Law for the following reason (Section 7031.5, Business and ADDRESSSS S #4Va / + Professions Code): PRESENT ❑ BUILDING $7Z2 ?,p$�'ME guJa d2 3 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will f o the work and LOCALITY TE4I10Lb G/T`� 77 :�Q the structure is not intended or offered for sale Section /� 7044,'Business and Professions Code). MOVING I TEL. �� I, as owner of the property, am exclusively contracting CONTRACTOR NO. `/!Yv with licensed contractors to construct the project (Sec- LADDRE �- 7 d tion 7044, Business and Professions Code). '2 3�.2 A ED TOTAL SETBACK FROM EXIST. z CONSTRUCTION LENDING AGENCY K YARD HWY PROP. LINE WIDTH I hereby'affirm that there is a construction lending agency for ✓ 1 # o' 0 0 0 0 1 the performance of the work for which this permit is issued y..z(Sec. 3097, Civ. CC.). 2.1.36 7,Jr 0Lender's Name a EFa 1,3 yJ ] �i C c=t $ .�(:' Permit Fee .,J ��Lender's Address_�Q AIY J aLGw I certif that I have read this a lication and state that the �OY PP � r'� Issuance Fee �r✓a above information is.correct. 1 agree to comply with all County tlon Fee (1 0 ordinances and tate laws relating to building construction, Total Fee and her y dTtze representativ this County to enter upon 1 ove-ment' e pro or insp. on purpose a " SEE REVERSE FOR EXPLANATORY LANGUAGE a 4S�ig�n.lueoflicant or Agent Dote ©s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1202090058 PHONE: (626) 285-0488 EXT: LEGAL ID: I NO. OF CONST 1 BUILDING ADDRESS: J ITR: 38313 UN: 4 1 SQ. FT STORIES TYPE 1 5124 ROSEMEAD BL A - C J I (STRUCTURE: 22 V-B 1 SGAB CA 917762266 J (ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: I 15388-019-041 1 1 THOMAS PAGE: 596 GRID: H5 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-3 JISSUED ON: PROCESSED BY: 1 I (EXIST OCC GRP: 102/09/12 SR 1 I I I I (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFIN DATE F NAL BY: CODE: 1 JZHANG, MIKE (626) 255-7888- 1 3 7,000 1 / I 1 J ( FEES PAID JDESCRIP ON OF WORK 1 I 1 (TEAR OFF EXISTING ROOFING MATERIAL INSTALL 04 PLY BUILT UP 1 I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: JON 3 UNITS & INSTALL WHITE COATING 1 JAPPLICANT: TEL. NO: I I 1 (SUNSHINE ROOFING (909) 598-8988- IAA BLDG PERMIT ISSUANCE 27.80 1. J J JAB STATE GREEN BLDG FEE 7000.00 VAL 1.00 (SPECIAL CONDITIONS: J I IAC STRONG MOTION RESID 7000.00 VAL 0.70 J J 1 !D2 PERMIT W/O EN-HC 7000.00 VAL 166.60 J J 1 J TOTAL FEES 196.10 J j (CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE J (SUNSHINE ROOFING (909) 598-8988- 1 J 1516 N DIAMOND BAR BLVD #183 LIC. NO (LOCATION AND SETBACKS 1 J J (DIAMOND BAR CA 91765 755126 C39 I • ' 1 I I 1 I ISOItS ENGINEER APPROVAL 1 I I 1 i 1 I 1 I JARCHITECT OR ENGINEER: TEL. NO: J (FOUNDATION/TRENCH FORMS I I I J LIC. NO: I JSLAB'/UNDER FLOOR I I I 1 (RAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I I 1144H265 3 001 I 1 I I I IFLOOR SHEATHING 1 I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I II�I 0 NO 21 1 (ROOF SHEATHING J SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS J J JAIR QUALITY: 1000 FEET MATERIALS I I 1 1 1 NO NO NO I JFRAME INSPECTION I I I I I (FIRE SPRINKLER HANGERS I J 1 I I I I I I I 11NSULATION/WEATHER STRIP) I I I JINTERIOR LATH/DRYWALL 1 1 1 1 I 1EXTERIOR LATH I I 1 i I I I I I I I (RATED FLOOR/CEIL ASSEM. I I I I I I I I I I I (RATED WALL ASSEMBLIES I I I 1 IRATED SHAFTS/OPENINGS J 1 1 1 IT-BAR CEILINGS J 1 1 1 ILOT DRAINAGE 1 I 1 !REPORT ID: DPR261 ROUTE TO: BS0508 . 1 1 I 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9712090037 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 38313 UN: 3 SQ. FT STORIES TYPE 5124 ROSEMEAD BL A-C STRUCTURE: 0 VN SGAB CA 917762266 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5388-019-040 THOMAS PAGE: 596 GRID: H5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/09/97 UT 12/09/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: RICHTOWN REALTY (626) 288-3330- 3 3,880 7 8748 E. VALLEY BLVD. TEMPLE CITY, CA FEES PAID DESCRIPTION OF WORK T/0 2 EXISTING LAYERS-HOT MOP FLA OOF & BUILT-UP CLASS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: A HOT MOP ROOF APPLICANT: TEL. NO: C & A ROOFING (626) 285-7107- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3880.00 VAL 0.50 SPECIAL. CONDITIONS: D2 PERMIT W/O EN HC X3880.00 VAL 116.10 � TOTAL ,FEES 144.35 CONTRACTOR: TEL. N0: 1-�— APPROVALS DATE INSPECTOR SIGNATURE C & A ROOFING (818) 285-7107- p 4927 FIESTA AVE LIC. NO �� LOCATION AND SETBACKS TEMPLE CITY CA 91780 536091 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: `�n ,l p �1��- � FOUNDATION/TRENCH FORMS LIC. N0: 1 _ (I ____ \\ SLAB/UNDER FLOOR IJ 0 1 u_JU!�_J" RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 � ;t,��1 J�`�� UNDERFLOOR INSULATION 144H265 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS YES 21 ^ �\ \ fA�' ('l✓ ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO �� �� �'� ��� FRAME INSPECTION �\ c REQUIRED TO AL SETBACK FROM EXIST �� � FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PLS % �� INSULATION/WEATHER STRIP SIDE PL- h �V r i INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508