HomeMy Public PortalAbout5230 ROSEMEAD BLVD_Building__ ' DEPARTMENT OF; BUILDING AND SAFETY ;' 'APPLICATION.FOR PERMIT
�, COUNTY
OF-'LOS ANGELES '
FJ. FOX, .CHIEF,'ENGINEER.,
O
k OR APPLICANT70, FILL IN c
FOR' FFICE USE ONLY'.
DISTRICT NO "PLAN CK. NO PERMIT NO. r
BUILDING /)'• �so^"`"., f
.,ADDRESS7,' ..z:. 3 OUB .. �, 6- 8 •!+' ' �J' �® .�'�
'LOCALITY, ! - RECEIVED BY- DATE OF APPL DATE ISSUED
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A:DDRESS
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/a
:SETBACK LINE
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CONTRACTOR;,: NO., '
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- i .. I .. DATE
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'ADDRESS, HOUSE NUMBERING, .
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DESCRIPTION,I LOTNO. -- I BLOCK - MAP NUMBER •'FIELD CHECK'BY'
TRACT" _ - ,J' NO. 'ASSIGNED,BY DATE
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SIZE OF,-LOT 42„(j®.,R 1 ®' NOW ON LOT.
USE OF-' ' ' `. •-,, I,NO. OF ' <IV _ _
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DESCRIPTION OF WOR •` Ile
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USE OF'STRUCTURE • "" s e - - - -
Alo" �A G
APPROVALS
INSPECT 'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE;THAT I HAVE READ THIS AP- FOUNDATION LOCATION' -
PUCATION AND` T STATE:,THATHE INFORMATION GIVEN., IS FORMS,:MATERIAL
CORRECT
1 AGREE�TOCOMPLY:WITH:'THE CORRECTIONS.,,LISTED "FRAME:"FIRE STOPS; +v
' HEREON-AND WITH ALL COON_TY•ORDINANCES'+AND 'STATE BRACING BOLTS, #; •• _ /A/:7
LAWS REGULATING 'BUILDING CONSTRUCTION. -
FURNACE LocXTION,'
SIGNATURE OF ,,. GAS' DUCTS
PERMITTEE
• /�� AJ.. :LATH iNT •' - -
'ADDRESS � /i�1 ,��'.,r 19'
.. I. - .
- LATH, XT .
AUTHO �E
RIZED,AGT. -
i• PLASTER, INT;
76A63", DBS9 1080 P. C. $
®• c .�. a .. 'FEE PLASTER EXT,... '
'VALUATION v I. •C e;,}
FEE FINAL
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
.COUNTY OF LOS ANGELES BUILDING IL ® IG
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. r PLAN CK NO.• PERMIT NO:
BUILDING ✓ I,
ADDRESS O �. /C-1�.� !9
LOCALITY Al (_;�,Q,Q�/��/ -"//RJECEIVED BY, � DATE�OjF APPL. DQA�TE.I4SSUE�j,
NEAREST IG le I9 l (J 1" . r
CROSS ST. .G
.BUILDING /' ® v
OWNER _4. ADDRESS; G� �p7
.MAIL [�OCA J �l L'1 ��- 19!--(/(7 `LOCALITY / ,
ADDRESS ` 4 �.
',NEAREST;
�� ' - 1 1� NO CROSS 5T.
CITY FIRENO.OF TYPE �� CI
GROUP%�.�,
-ARCHITECT OR '� 11 TEL. ZONE PLANS - -
ENGINEER ® asy NO. -
BLDG. { - / - ORD.NO.
.ADDRESS \` AA�1 H SETBACK:LINE
TEL. APPROVED ✓ �",,""`�"_
CONTRACTOR 4.OId � ,' NO. BY DATE
• USE , APPROVED
ADDRESS ZONE�;/ BY, j DATE
LEGAL , .1 •' r.
DESCRIPTION LOT NO. ,� BLOCK ;J CORRECTIONS
TRACT !meq
®I O X i / bo I NO.OF NOW ON LOTS'
SIZE OF LOT _
USE OF NO.OF. NO.OF ' '�=•`--
EXISTING BLDG. - I FAMILIES-I ROOMS' r - -J
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR. MOVING DEMOLISH
SQ.FT. NO.OF .. . . . ... •.i ).:;L^�ctt �. .;, Z
'SIZE •? ROOMS' - 'STORIES - D
WALLROOF .. `','Fs ii;t;J'"-. 10.1 . r
COVERING o /�., I COVERING
USE OF NEW
BUILDING
C 14 Flo &L
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE-THAT THE ABOVE I5 CORRECT - 'ONI: LOCATION INSPECTOR DATE
FORMS,AGREE TO COMPLY WITH ALL COUNTY ORDINANCES F
FORMS,MATERIALfi �v,Q A
AND STATE LAWS,REGULATING BUILDING CONSTRUCTION. 7
FRAME: FIRE STOPS, ,
SIGNATURE OF ^ BRACING,BOLTS
PERMITTEE . LATH, INT.
AUTHORIZED AGT LATH, EXT.
76AS38A 9-4e - - PLASTER, INT.
DBS-3 BOM SETS - P.C.$
FEE PLASTER,EXT. '
7
VALUATION/ !/ '� "' FEE /J' FINAL '' µms..L_ zz/T
DEPARTMENT OF BUILDING AND SAFETY ' APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES Bob
�i WM. J. FOX. CHIEF ENGINEER ' LDINU
p
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
D18TRICT NO. PLAN CK:NO. PERMIT NO.
BUILDING A-, 7
ADDRESS A' `. J Aos P. e-A-
LOCALITY .r'�a RECEIVE BY/ DATE OF APPL. DATE ISSUED
NEAR EBT pp / /y !�
'BUILDING "t !c•""A ,,, ,/J
OWNER . �, . l � ADDRESS
MAIL LITY q
ADDRESS /L
LOCA
5 -
NEAREST
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A.
TEL. CROSS 9T.
CITY / NO.
FIRE NO.OF TYPE \GROUP
ARCHITECT OR W d TEL - ZONE PLANS \ �i
ENGINEER C `NO.
BLDG. +ORD.NO.
ADD (�RE89 :.SETBACK:LINE � 7 �V � ""4 z3"'��L.C�
APPROVED • - T
CONTRACTOR /`J Q.. NO BY DATE
USE -'•� .APPROVED
ADDREB ZONE '/ BY: S PATE
LEGAL CORRECTIONS
DESCRIP
T
I
ON LOT NO. ? BLOCK
TRACT Vr SQ " 12- — J -3
NO.OF SLOGS.
SIZE OF�L�7O�T� y._���J � / �,� I. NOW ON LOT � �
EXI TING BLV I NO.OF / I NO. M -3 // '1
1EXISTINO BLDG. FAMILIE8 ROOMS Z7 ✓1 .SFO ��dfn-%
) ,44DESCRIPTION OF WORK
NEW ALTERATION ADDITION ll-/Lnf�2 s7`i4+C. lP. ".tQ,ce!/oeA� !_b.�.4�i..-.-•-_.,,D
REPAIR MOVING DEMOLISH GI
BQ.FT. f ,(. / NO.OF .. Z
SIZE / 1� ROOMS STORIES D
WAIL
Cr
j 11ROOF
COVERING / 7 � I COVERING -
6s
USE OF NEW -
GUILDING
44 mG
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 13.CORRECT - INSPECTOR DATE
FOUNDATION: LOCATION j- �•e� � /�/� -
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ! �,
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS •
lie
PERMITTEE LATH,.INT. 1
AUTHORIZED AGT
LATH, EXT. I,/� Q, n
76A639A-3 7-49 $ - P.C.$ PLASTER, INT. 11 ,� V I/,' /
FEE PLASTER.EXT. f'
VV ,
VALUATION $
FEE FINAL
DEPARTr�NT°"IF BUILDING AND SAFETY APPLICATION FOR PERMIT
CdUN; OROS ANGELES
5.:7. WM. J. FOX, CHIEF ENGINEER
FOR APPL7ANTIN FOR OFFICE USE ONLY
DISTRICT N PLAN-CK.NO: PERMIT NO. '
BUILDING s�'. ` �1^�� �j w3 �'7j/ADDRESS s33t:_i.� L _lyLOCALITY f ;,NEAREST .REECCEIVEDBY. DATEOFAPPL. +�DATEEISSUEDDr-ROSSST. �� - '1�jJfi' /�/ i,� �T ,/BUILDING d //OWNER ADDRE93n -.4 J l 'l. Y a 5��G%7z
MAIL
ADDRESS - �/ .� �i�. BEd i B� ,�jsy�T'C�.,� LOCALIT /
NEAREST -
.CITY ,/�A/C.[ JH /I�'I� �
NO. CROSS ST. ,�"/ �"',T`.��✓4�' L✓
FIRE NO.OF TYPE GROUP
ARCHITECT OR- TEL. _ ZONE PLANS
ENGINEER I� ..6011 M JP NN O. ' ""�'
LOG.
ADDRESS // `1.,, �/ �J- !//4}'/y�U� ! B 6�1 / `. `_ / / 51D`NO.
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--- APPROVED -
"" TEL. BY DATE
CONTRACTOR NO. �cUSE /��, /,j/ '9
ZONE/ 7 / BY
PQ�m _�,��
ADDRESS
LEGAL ) - +-z.+ - CORRECTIONS
DESCRIPTION LOT NO. BLOCK -
TRACT "tT-/! — /
SIZE OF LOT 1„ V g( / ef�r^" I NOW ON LOTS
USE OF -W-- NO.OF �- NO.OF - r
EXIST[NG �'
.BLDG. I FAMILIES I_ ROOMS �O �/' � png
we te"4t,.
DESCRIPTION OF WORK04 _ . �• j .
NEW ALTERATION ADDITION 10 /"�{� /
REPAIR MOVING DEMOLISH , .►N e
•BW.FT. NO.OF n I / L fr. /% Z
SIZE OW.,!' /SG➢' ,�A ROOMS STORIES tt�AN:�Nefsea� G._a / f� c.r �flnp r
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COVERING 1�3S�J:-L.?I COVERINGL�.-
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'1 /JNbIS ® hI✓tiCJQJ N s/"af,
Al I.
e nil 1 ���_.GS..._�. '` l r. (� � �•� ( I'- ..
.1 HEREBY ACKNOWLEDGE THAT 1 HAVE 'READ THIS APPROVALS/j.
APPLICATION AND STATE THAT THE ABOVE•19 CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE,TO COMPLY WITH ALL COUNTY ORDINANCES FORMS;MATERIALS ��
AND STATE LAWS'REGULATING BUILDING CONSTRUCTION.
h _ FRAME: FIRE STOPS,3
SIGNATURE OF +`� BRACING,BOLTS 1 „"/ „� A nr
PERMITTEE - ".��• fr' es1i?�i? - �/p
p//{ LATH,INT.: h�AC n
AUTHORIZED AGT =fF"=-`
- LATH,EXT.:
DBB-3 SOM SETS 7-47 P.C.III a,t ..PLASTER,INT. ! Y-
r:,t'G .FEE e"1� . PLASTER,EXT.
I VALUATION
FEE FINAL
.. %: € BUILDING:'•
N.
ADDRESS
- -
APPLICATIONNG
UILDI
I 'LOCALITY GLS
-- NEAREST
PIV%SION OF BUILDING AND. SAFETY CROSS ST. _
PERMIT NO.
Department o4 County Engineer ,. RECEIPT NO. '
County of Los Angeles, DISTRICT NO.' RECE /
WM. J. FOX, COUNTY ENGINEER -GROUP DATE RECEIVED .DATE ISSUED
CABHATT D. GRIFFIN, HUPIT OF BUILDING
FOR APPLICANT TO FILL IN' TYPESPNST1 RECEIVED BY. ISSUED BY
OWNER IPA 4' ' MAP. t f ${ANTE
MAIL _/ NUMBER / HWY
ADDRESS .S 'a'3 _�B$ WA B'tLd-
� - USE ZONE' SPECIAL
w. .
NO. !, 3 CONDITIONS
CITY G rLl .
ARCHITECT OR' TEL. fO1►0
ENGINEER' NO. - I . -
- � - BUILDING <YARD 'HWY -""STREET NAME EXIST.-
SETBACKWIDTH
.. _ FRONT -
heh
CONTRACTOR - (.d„J f}/ NO.,#' 77.37b —"" ,
_ - ''SIDE... -
ADDRESS. �"Jg/q. P. L. - - .. .
BUILDING
ADDRESS Jj P - DATE ' CORRECTIONS ,. INSPECTOR
iC fJ ( , . . -
�"'`
LOT NO.
,..TRACT S X �. �• a! r. - ��,,����'^^�
NO.OF SLOGS.
91ZE OF LOT I NOW ON LOT -
ll I� .t1
USE OF /� p 1� .fin COAL
EXISTING'BLDG.. 07/#465 •XO&A5es 40W IF111 A}t - - - ..
DESCRIPTION-OF WORK °
X.
- a
.NEW, -. -.ADD - -ALTER - REPAIR DEMOLISH- - .. ...... .....
Z -
SD.FT. NO. OF NO.OF
. D
.-SIZE G "STORIES -FAMILIES- — - -• :•.r
USE OFSTRUCTURE-
wu L1*-///r+
Add
EMPLOYEES -
.I HEREBY ACKNOWLEDGE THAT 1 HAVE, READ THIS AP-
PLICATION ANDSTATETHAT THE INFORMATION GIVEN 19APPROVALS INSPEC OR IS.SIGNATURE DATE
CORRECT.-
.' .. .: .,
I AGREE',TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND.STATE LAWS REGULATING BUILDING,CONSTRUCTION. FORMS,MATERIALS �`�•t`s�t.�., .•..,_.- �i t ��^
_yJ FRAME FIRE STOPS, I �y
•SIGNATURE OF /d'/ BRACING,BOLTS'
PERMITTEE""" FURNACE: LOCATION,
2 GAS VENT,DUCTS
LATH, INT. '�--
AUTHORIZED'AOT." —
,LATH, EXT.
.......-.. .- .i - P:C. $ HOUSE NUMBER COR.-..:.
FEE RECT AND POSTED
VALUATION �C✓ FEE 1 FINAL {"�
76A633A D65 3(36 5-54 '
APPLICATIOf�I FOIA BUILDING nPERM : '
FOR"APPLICANT T.0'FILL':IN. (`P,inr a, tv,ae"OnIv) "
4 P
'•BUILOINc .. .' COUNTY .OF,:LOS ANGELES .<
..ADDRESS,' � � .'-,DEPARTMENT:.'OF COUNTY.ENGINEER
CI T;Y,, "; w :. ZII P -�;:.,. I. _ �BUIL-DI�NG AND $ TY ,DIVISION
PLOPS.',, BUILDLNG ',- `y
SIZ'E,OF LOT `7 .NOW ON LOT„ ADDRESS
�• ;C'�c
TRP,�CT BLOCK c %' �• LOT NO,- LOCALITYe
_. - • ..
/ NEAREST
OWNER NO€"' CROSS`ST
A.DDRESS ,J �;,ClT7 MAP.,BOOK PAGE PARCEL,
) yy�� DISTRRICT GROUP TYPE FIRE ; ESSED BY
CITY . .',ZIP . 17�4J - CON ZE,_
ARCHITECT' , TEL. ..
�/' IPJ O
ENGINEER STATISTICAL,CLA 5 SI:FICATIONEWER AR' `
',4DDRESS`. CATV . 'CLASS NO. `DWELt;UNITS° �� =BK -PG r
'CONTRACTOR '=`. "- 'NpL _ USE ZONE MAP -
LIC r•*�� :NO:' r t'•
✓A'DDRESS �` ...a„ -'-'NO:^ _: -..;' .S,PECIA•L ,
CONDITIONS -
CITY .0 CLASS -
ROAD DEPARrTMENT.APPROVAL REQUIRED -`.YES NO
CONSTRUCTION_LENDER,
NAME AND BRANCH 'BLDG:SETBACK FROM
.�" .FRONT PROP„LINE;OF (STREET)i: '
A`DDRESS'' CfTY -.,`.
HIGHWAY } .'YARD..
,SQ_ FT.
,NOt,OF -' NO: OF '-�'' CHECK ._ — C GHWAY EyrSDTHG
TOTA.L SETBA K FROM T
FRONT pR'OP LINE, H,
SIZ_ E,_ - STORIES FAMILIES.,' •', -•ONE '
S
..DESCRIP.TI'ON OF WORK
•BLDG-.-SETBACK'FROM' -
SIDE/� ADD PROP LLNEOF
z (STREET) :
,�.
(y� T6VA SETBAC K,F.R OM TYPE OF EXISTING I"”:
HIGHWAY } YARD- - - -U
REPAIR. .•SIDE PROP. LINE HIGHWAY -W IbTH
"EXISTING,BLDG, '*—; ,• REty10_L•.Q } i _
- ,q CORNER CUTOFF YESsa NO
ARPLI ^
GA N.T ` _.=: ', TEL - .... k
x .-(PRINT) ❑ Z.
,ABY (SIGNA,T-URE) IN OREN $PAGE u�Y ESs;❑• NO'� r
b
IN COASTAL PERMIT ZONE s YES ' NO
VA'LUATION -t .
HEREBY ACK NOWL EOGE.THAT I HAVE READ`�T.HIS APPLICATION' ®` a
AND STATE THAT THE ABOVE IS CORRECT AND-AGREE TO'COMPLY
- ,•1 - -"^•'. '•y ® ; f,.)•
WITH ALL ORDINANCES AND,LAWS 'R EGU EATING, BUILOINGf CON=' �(� ��-.n �` _ •�.�2� /,� ., �•_,
' ST.RUCTION-,,I CERTIFY THAT"IN D NG THE,WORK AUTHORIZED-
HEREBY I �WlLL'NO EMPLOYAHY PE SON IN VIOLATION-"OF THE' +
i
LABOR 0A OF 'CA IFORNIA;IN ELATI NG ATO
W,ORKMEN'S',COMP I ~'I ANC E. - -�
SIGNATURE,
OF
PERMITTEE - - -
„ e ,.,;; _
- ,. �„
ADDRESS:
r `
TEL FINAL.
Ctl•TAY - N�O: DATE'
AtAhE�"CH�ChS P' Y3L3LL T_O FEE �i FEE"
HARVEYT. 'BRANDY COUNTY ENGINEER17
.,
"PIAN "CHECg VAI:IDATION - CK FM o CASH PERMIT VALIDATION.' cK:. M o CASH
JILL 2.82,3 '7:3'5
76A638A CE. 8035�74 ... y, w �,• ..:.' w fe '-'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0809220002
PHONE: (626) 285-0488- EXT:
LEGAL ID: INUMBER OF SIGNS: 1 BUILDING ADDRESS:
ON FILE ISIGN DESCRIPTION: FABRICATE & INSTALL ONE DOUBLE FACE Cl 5230 ROSEMEAD BL
SGAB' CA 9177.62209
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SERENO
15388-019-002 ( THOMAS PAGE: 596 GRID: H5 LOCALITY: TEMPLE CITY, Cl
(TENANT: I.EXIST BLDG USE: (ISSUED ON: PROCESSED BY: EXPIRES ON: I
ANIMAL HOSPITAL (EXIST OCC GRP: 109/22/08- SR 03/21/09
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DT FINAL BY: CODE:
IPAVLIK, JOE (626) 573-2650- .3,000
15230 ROSEMEAD BL I .
ISGAB 917762209 FEES PAID IDESCRI TION OF WORK
IFABRICATE AND INSTALL ONE DOUBLE FACE CAN SIGN INTERNALLY
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I.ILLUMINATED
(APPLICANT: TEL. NO:
IFLORES (626) 279-6009- IAA BLDG PERMIT ISSUANCE "27.75 -
15420 PECK ROAD IAX BUILDING REVIEW FEE 54.70 ISPECIAL. CONDITIONS:
IEL MONTE, CA 91732 ID2 PERMIT W/O EN-HC 3000.00 VAL 99.00
TOTAL FEES - 181.45
ICONTRACTOR: TEL. NO: - `JAPPROVALS DATE INSPECTOR SIGNATURE
IGUS SIGNS (626). 279-6009-
I5224 N. PECK ROAD LIC. NO i - ILOCATION AND SETBACKS
(EL MONTE, CA 91732 782768 C45 "I ,P/.Il
ISOILS ENGINEER APPROVAL TI
I I '
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I
LIC. NO: I ISUPPORT STRUCTURE
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( I _
001
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 20 I I
SCHOOL WITHIN HAZARDOUS
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO j
I I I I I I
I I I I I I
I f I I I I
I I I I I I
I I I I I i
I I I I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 _
I I I I I I
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