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HomeMy Public PortalAbout5336 ROSEMEAD BLVD_Building__ CE if803(REV.11/78) APPLICATI O ILDI PERMI COUNTY OF LOS ANGELES BUILDING AND SAFETY "u LDING FOR APPLICANT TO FILL IN ADIDRESS BUILDING ADDRESS '96 e/ /ZOSIP iNeC d I1114 LOCALITY e° /" .. . CITY 7-ev, � C,,+ ZIP 9 7�T 6 CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE L PARCEL DISTRICT GROUP I TYPE FIRE I PROCESSED BY TRACT BLOCK LOT NO._ T D �/ CONST ZON OWNER SII- �ULiw IPL FU,NO.��" --�i3C,� l/L/�l JJ (� STATISTICAL CLASSIFICATION SEWER MAP ADDRESS /� 37 �° f1��1ANSOST_ ` CLASS NO. DWELL.UNITS BK PG CITY ALFIAMOP,A ZIP ?1�m ARCHITECT OR TEL. VALUATION $ `q ENGINEER NO. L-o V. — ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING . LIC. FRONT PROP.LINE HIG AY WIDTH ADDRESS NO. LIC. + � CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP.LINE OF (STREET) __ TOTAL SETBACK FROM TYPE OF EXISTING d HIGHWAY + YARD SIDE PROP.LINE HIGHWAY WIDTH ADDRESS CITY V SO.FT. NO.OF NO.OF CHECK + _ SIZE STORIES I FAMILIES ONE ad US ZONE MAP wJ 0 DESCRIPTION OF WORK NEW J NO. C/ SPECIAL .QJ y-, ADD CONDITIONS N ALTER ❑ FINAL BY Z REPAIR ❑ DATE USEOF •6 DEMOL ❑ EXISTINGBLDG. TF- /- N o o vy p"�LIry�NO. .411-/),2 �! O APPLICANT TEL Q BY(SIGNATURE( I HEREBY ACKNO EDGE THAT I HAVE READ THIS APPLICATION A D STATE �//� Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL O INANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN D ING THE S WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION ' V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMM 5(//z��i/�2 PENSATION INSURANCE.' ' SIGNATURE OF A .` PERMITTEE ((/ ADDRESS \ qvi 41 �/ Z CITY ALIJAHM TEL. X23 �I1 O NO. ~ P.C. Fee$ / Permit Fee r_ Issuance Fee Total Fee /� ©ss 76A638A CE##53(REV.1!1/78) APPLICATION FOR BU DING PERMIT* COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING • FOR APPLICANT APPLICANT TO FILLIjN� ADDRESS BUILDINGADDRESS 5�(z .G1j , Ro-,x tp.�,O1 U'i� LOCALITY / NEAREST CITY `7-al' ke. ZIP Cil.` l 6 CROSS ST. // NO.OF BLDGS. ASSESSOR SIZE OF LOT g,4r,.• -1. NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP I TYPE FIRE PROCESSED BY TRACT BLOCK I LOT NO._ CONST ,/ ZONE / TEL. �.VQ �� I+ a OWNER ��-�LTIu uAN'�Lr/✓ NO. ��4–�13 STATISTICAL CLAS)SIFICAI ION SEWER MAP Tf ADDRESS S, /�1J��1�( lR S�. CLASS NO. . DWELL.UNITS_ BKf gPG CITY LHAHRIZA ZIP /S-0 ARCo ENGI1N ERITECT OR YrKMWWAaCT N0:A '/�–npDp3n VALUATION , 000 ADDRESS Z �. 3 ro( S�Q2� �CN<IMrT1 BLDG.SETBACK FROM tJ TEL FRONT PROP.LINE OF (STREET) CONTRACTOR NO: HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING . LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. LIC. + CITY CLASS CONSTRUCTION ENDER BLDG.SETBACK FROM SIDE PROP.LINE OF (STREET( NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING O ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH" SQ.FT. NO.OF NO.OF CHECK + _ IN SIZE STORIES FAMILIES ONE 0 ❑ USE ZONE MAP C NO. DESCRIPTION OF WORK NEW SPECIAL Ckllll - ADD ❑ CONDITIONS y ALTER FINAL / BY Z e .o.+ , _ REPAIR ❑ DATE / v q-...+ USE OF EXISTING BLDG, DEMOL ElD� Z APPLICANT TEL (PRINT( R'� NO. z l 1 f> 4 A C BY(SIGNATURE( I HEREBY ACKNO LEDGE THAT I HAVE READ THIS APPLTG ION AND STATE '��< C a > 2 o o 8 6.4 0 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY.WITH ALL ORDINANCES 5--/'- LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE U .o o'o'8 6,4 Q WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF STATE OF CALIFORNIA IN RELATING TO WORKMEN:S CONS Z. O �' 11 n -780 PADDRESS 1 1 l�.5 A vl4ila Si, # o o!o 0 0 1 Z _NO. ' 2'- 1 5 1',00 -'- 151, 006 e j L/ Permit Fee > 07. 7 1 "O._8 r Issuance Fee o�c W C6 Total Fee v s .APPLicAerION ORei BUILDING PERMIT A�� BUILDING / FOR APPL.I ANT TO FILL IN ADDRESS BUILDING ADDRESS53 .3Z LOCALITY NEAREST CIT ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE O SED B A � BLOCK. LOTkl— CONST. ZONE TEL. Q� OWNER STATIST ICAL.CLASSIFICATION SEWER l IMQ ADDRESS CLASS NO. DWELL.UNITS BK PG CITYZIP US ZONE I MAP NO. / �/J _ ARCHITECT OR TEL. ENGINEER NO. SPECIAL CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ CONTRACTO J�l� NO.2a JO� BLDG.SETBACK FROM /LIC. ?-7 FRONT PR P.LINE OF (STREET) ADDRE S Q S2 s NO.�Z J -3 _ TOTAL SETBACK FROM TYPE OF' EXISTING HIGH WA + YARD - LIC. FRONT PROP.LINE HIGHWAY WIDTH . CIT - CLASS _ CONSTRUCTION LENDER + CL NAME AND BRANCH BLDG.SETBA FROOM 0 ADDRESS CITY SIDE PROP.LIN (STREET) SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD �TOTALCKFROM TYPEOF EXISTING u SIZE STORIES FAMILIES ONE. .LINE HIGHWAY WIDTH a ❑ + = Z DESCRIPT O Qb.WORK 11,660ed W ADD ❑ CORNER CUTOFF YES ❑ NO ALTER � IN OPEN SPACE YES ❑ NO ❑ REPAIR El USE ONG BLDG. DEMOL ❑ IN COASTAL PERMIT ZONE YES NOEXIS ❑ APPLICANT TEL f (PRINT) NO. �j� A�"T BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y �! THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATIN ILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE R+ yf -fiM WORK AUTHORIZED E I WILL NOT EMPLOY ANY PERSON IN VIOLATION OFy. THE LABOR CODE OF E S ATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- A p ;;ry� „w PENSATION INSUR E. - H�S ,v �Y V SIGNATURE O FINAL PERMITTEE DATE ADDRESS l d� yy TEL. P.C.Fee$ Permit Fee L1' CITY NO. Q.i/VALUATION y - ee PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 7 .591c- UN 2 . j, ®: 4 2.00e ° ©S 76A638B CE N803B 6/76 M c I DEPARTMENT OF BUILDING.aNr) SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES lJ I L D I N G WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY FNEAREST � y / DISTR PL CjC. NO. ¢ PERMIT NO. RECEIVED BY DATE OF APPL. DATEISSUED BUILDING r'+ OWNER ADDRESS :S , tl7 t x e 4yy�Or /�1-14, MAIL _ LOCALITY ADDRESS NEAREST TEL. CROSS ST. CITY NO. FIREI NO. OF TYP - GROU ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. lie r- rr,d ADDRESS �/G_S�QRD. NO. SETBACK LINE f APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ZONEI BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION LOT NO. BLOCK MAP NUMBER -, --FIELD CHECK BY TRACT - NO. ASSIGNED BY - 7, DATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT NOW ON LOT *..�. USE OF NO. OF EXISTING BLDG, I FAMILIES " - DESCRIPTION OF WORK NEW I / I ALTERATION I I ADDITION REPAIR I I DEMOLITION I I I A SQ. FT. NO. OF SIZE ROOMS STORIES / Z EXT. WALL ROOF Y. v� c. IY, COVERING COVERING _ USE OF STRUCTURE '/� ���� APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, L SIGNATURE OF GAS VENT, DUCTS PERMITTER • ADDRESS LATH', INT. - LATH, EXT. - AUTHORIZED AGT. PLASTER, INT. 7GA638A, Deas to-Ito $ vLa t ;. > P. C. $ S - "! F E ,/'� PLASTER, EXT. VALUATION $ FEE FINAL I 'WORKERS' COMPENSATION DECLARATION ' hereby affirm that I have a certificate of consent to Self A PP L I CAT O R B G PERMIT insure, or a certificate of Workers'Compenstion Insurance, or a certifiepyt erof ( 0, a C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. (C� o pony 0 Certified co is here furnished. BUILDI copy v FOR APPLICANT TO FILL IN ADDR� Certified copy.is filed with the county ruilding inspec- BUILDING tion department. ADDRESS LOCALITY z ^ n NEAREST Date / i Jd`�Applicani �r/l—L/ Ld//�� CITY ZIP CROSS SL CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF.LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is'for one USE ZONE MAP �1 't J �e0I TRACT BLOCK LOT NO. NO. / hundred,dollars ($100) or less.) TEL. '- /, SPECIAL I certify that in the performance of the work for-which this OWNER p NO. CONDITION permit is.issued, I shall not employ person in an CT. GROUP T _ FIRE S BY p p y an y p y manner DISTRICT. ADDRESS CONST. ZONE so.os to become subject to the Workers'Compensation Laws. /�� / CITY ZIP y Ae Date Applicant STATISTICAL CLASSMCATION - A CONDO. V NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. r (/„ Lia Exemption, you should become subject to the' Workers' ENGINEER NO. CLASS NO. DWELL. UNITS N Compensation provisions of the Labor Code, you must forth- ADDRESS "SEWER MAP z with comply with such provisions or this permit shall be deemed revoked. TEL. BK PG, VALIDATION CONTRACTOR NO. - LICENSED.CONTRACTORS DECLARATION nn LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS & Yco /� 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 T CLASS $ S� �/� SQ. FT. NO. OF NO. OF CHECK License Number' � ><,'/� /0/9/1 Lic.Class^ SIZE STORIES FAMILIES ONE - Contiacto(�)1/A, JLS'917 Z Date /_32 'SEP DESCRIPTION OF WORK - �C NEW $ I am exempt from the licensing requirements as I am a ADD licensed architect ora registered professional engineer ALTER FINAL 3 acting in my professional capacity (Section 7051, REPAIR DATE Business and Professions Code). USE OF DEMOL FINAL EXISTING BLDG. By 1 �� Lic.or Reg. No. Date APPLICANT TEL. (PRINT )LA DECLARATION ( 1 �/ �Cn NO. e I hereby affirm that I am exempt from the Contractor's License P. Law for the following reason (Section 7031.5, Business and ADDRESS �� Professions Code): PRESENT BUILDING - #} o o a o I, as owner.of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and C, N/ the structure is not intended or offered for sale(Section LOCALITY 2 a 2 F c 0 7044, Business and Professions Code). MOVING TEL. ✓ O� o r r T ElI, as owner of the property,-am exclusively contracting CONTRACTOR c c ° 2 C 6 with licensed contractors to construct the project (Sec- • ADDRE 0 7,,v O—0 0 tion 7044, Business and Professions Code).. REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work.for which this permit is issued P.L. (Sec. 3097,.Civ..C.).. SIDE 1 G tJ P.L. Lender's Name # a a ° a a m Lender's Address P.C. Fee 7 Permit Fee L / 2 a o 11 2 0 0 w I certify that I have read this application and state that the Issuance Fee / / 'o L t above information is correct. I agree to.comply with all County Investigation Fee 4 2 O L ordinances a State laws relating to building construction, o� Total Fee r. and hereb a thorize repres tat' es of this County to enter 0 ( .7 O i. a upon th ab ve-me.ntioned ro ert for inspection purposes. �. SEE REVERSE FOR EXPLANATORY LANGUAGE v ^ .Signature of Apa pli or Agent Date .. Os WORKERS'zCOMPENSATION DECLARATION f BUILDING PERMIT APPLICATION FOR I hereby affirm that I have a certificateof consent to self insure, or a certificate of Workers'Coo ion Insurance, if a certified copy thereof (Sec. 3800, Lab. C.) � j' f-rr7Jr� COUNTY OF LOS ANGEL BUILDING AND SAFETY Policy No. Company, BUILDING Certified copy is hereby furnished. FOR APPL"IC T TO FILL IN ADDRESS Certified copy is,filed with the county building inspec- BUILDING tion'dlepartment ADDRESS 3 j L CALITY Date —I- Applicant CITY NEAREST (� �' CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO. O BLDG ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. TEL. � SPECIAL I certify that in ihe•performance of the work for which this OWNER CONDITIONS permit is issued, I shallnotemploy any person in any manner DISTRICT GROU TYP FIRE P O 5 D BY 6J so as to become subject to the Workers'Compensation Laws. ADDRESS f CONT Date] `7 CITY°' i ZIP -- !J Applicant STATISTICAL CLAS ATION APT. ICONDO. {„) NOTICE TO.APPLICANT: If, after making this Certificate of ARCH ECT OR TEL. LU S Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITCL N Compensation pfovisions of the Labor Code, you must forth- ADDRESS SEWER MAP z with comply with such provisions cr this permit shall be deemed revoked. TEL. VALIDATION r CONTRACTOR N BK. PG, LICENSED CONTRACTORS DECLARATION ..... LIC. /� I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �0' O. VALUATIONL z 3r8 0, A (commencing with Section 7000)of Division 3 of the Business and LIC./ — — 6 L ° ° 0 Professions Code, and my license is in full force and effect. ! CITY &/,CLASS $ � # ° 23 7� SQ. F NO.OF NO. OF CHECK /� License Number Lic.Class SIZE STORIES FAMILIES ONE $ 1 G*7 2 0 0 o9_60 = CZ �� DESCRIPTION OF WORK NEW /I ° ° P.°� E� 0 c� Contractor ate ADD '❑. I am exempt fro the licensing requirements as I am a (�' 120-81 licensed archit ct or a registered professional engineer ALTER FINAL acting in my professional capacity (Section 7051, L AC77 -z ❑ DATE REPAIR Business and Professions Code). USE OF a DEMOL' FINAL EXISTING BLDG. ❑ By Lic:or Reg. No. _Date I APPLICANT TEL.- OWNER-BUILDER DECLARATION (PRINT) NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT t s � BUILDING - � ! 1 o El 3 8 O 81A 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 ID d�Q # o 0 0 0 0 1 7044, Business and Professions Code).. MOVING- TEL. I, as owner of theproperty, am exclusive) contracting CONTRACTOR s NO. 2:0o 1 9,00 ❑ _ Y 9 with licensed contractors to construct the project (Sec- ADDRESS OC� '� o(o'0 1 9. 0 0 tion 7044, Business and Professions Code). Q REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD Y PROP. LINE.' WIDTH _j A.20-8 1 1 hereby affirm that there is a construction lending agency for FRONT ZJ� the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. / Lender's Name Lender's Address P.C. Fee$ i Permit Fee t W I certify that I have read this application and state that the (Q Issuance Fee a above information is correct. I agr to comply with all County L gation Fee 0 ordinanc and State la relati g to building construction, Total Fee l w and her by authorize r esent tives of this County to enter V a upon t e a ove-.menti d pr e?ty for inspection purposes. a � j '( � �I SEE REVERSE FOR EXPLANATORY LANGUAGE a na ure Ap ani or,Agent Dote ©s WORKERS' COMPENSATION DECLARATION insure,oraafcertif cafirm tharte of Workers'f Comtpe.nsat on eInsuran e, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Seca 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company JAD LDING ` ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS l� ❑ Certified copy is filed with the county building inspec- BUILDING >,77 � p tion department. ADDRESS �->,77CITY -M`'`� L s GIZIP � 4 1, ALITYDate Applicant NO. OF BLDGS.CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT -7410Ste`, NOW ONLOT ZAREST OSS ST. COMPENSATION INSURANCE ESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. PBOOKPAGE. PARCEL hundred dollars ($100) or less.) TEL �Q OWNER I8 2N HEIR VMV�RA NO.SI$ zvZONE MAP I'certify that in the performance of the work forwhich this SPEpermit is issued, I shall not employ any person in any manner ADDRESS �p SEMFIAP 96--VSPECIAL d CONDITIONS so as to become subject to the Workers' Compensation Laws. O CITY "T'e"MI®L.0 4-1TY ZIP !'17 41 Date Applicant, ARCHITECT OR TEL. DISTRICT. GROUP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE �. Exemption, you should become subject to the 'Workers' w Compensation provisions of the Labor Code, you must forth- ADDRESS �• ®O /p � ��.t a with comply with such provisions or this per shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO'. to Z deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 0 DWELL. UNITS - I hereby affirm that 1 am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS 8K. PG. VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lica Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date' DESCRIPTION1:1 OF WORK �"{�MOptEL NEW $ 7 900 ❑I am exempt under•Sec. loop- ALTERfir• MY14TI N G $'YZA= iw ADD ❑ L r B.&P.C. for this reason T REPAIR ❑ $ Date: USE OF EXISTING BLDG. MNT.A. DEMOL.❑ Signature APPLICANT�-w� TEL.. g1 OWNER-BUILDER DECLARATION (PRINT). HUrL'IZ�v ` NO DATE L I hereb affirm that I am exempt from the Contractor's License 5 (O Q✓C_Tg0�! D JXLLVp• I ::3 Law for the following reasori(Section 7031.5, Business and ADD FINAL Professions Code): PRESENT _ Byti; as ❑ I, as owner of the property, or m employees`with BUILDING y 33�/ VS� � 131.•VA/ 4 P P Y� YADDRESS �� :,?}�? 1 ?r wages as their sole compensation,will do the work and - M r the structure is not intended or offered for sale Section LOCALITY �++'1pLE� Gi'A 1 ,114y 7044,:Business and Professions Code.) ( MOVING TEL.. tl �'4iY � I !TEr CONTRACTOR NO. �! El 1, as-owner of the.property, am exclusively contracting V�,p CITAL 144 - 79 with licensed contractors to construct The project Sec- - k. -- [J��•• t[ P. I ( ADDRESS �\` �'J CHEC? 144 n f 4' tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK.FROM EXIST. L3�I�cc CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH }V CnttlyvG ,I i I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. v (Sec. 3097, Civ. C.). SIDE. V�Lr � ji+ £_ P:L. V 0 (.} f } Lender's Name ell 5073 LDMA Ref. # A1110'.32 P.C. Fee$ Permit Fee a Lender's Address , I certify that I have read this application and state that the Issuance Fee LDMA P/C#. above information is correct. I agree to�comply with all County Investigation Fee " 8 ordinances and State laws relating to building construction, Total Fee LDMA Perm. # a and hereby authorize representatives of this County to enter upon the above-mentioned property for,inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent - Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1010250022 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 5336 ROSEMEAD BL I _1STRUCTURE: 1100 1 V-B B SGAB CA 917762211 I (ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: OLIVE I 15388-010-001 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl 1TENANT: 1EXIST BLDG USE: COMME USE ZONE: JISSUED ON: PROCESSED BY: I 1GO GO SPA JEXIST OCC GRP: B 102/03/11 SR I 1 I I DOWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIN Y: CODE: 1 IYOU, JING (213) 392-2293- I 30,000 11 15126 ROSEMEAD BLVD. a7q- l ' 1SAN GABRIEL CA 91776 FEES PAID 1DESCRI TIO OF WORK I 1 I (TENANT IMPROVEMENT FOR A NEW COMMUNITY SELF SERVE DOG BATH 1 1 _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( 1 JAPPLICANT: TEL. NO: .1 I 1 1CHIANG, SOLON (213) 392-2293- '1A1 PLANCHECK W/EN-HC 10000.00 VAL 212.20 1 I 15126 ROSEMEAD BLVD. JAA BLDG PERMIT ISSUANCE 27.80 1SPECIAL CONDITIONS: 1SAN GABRIEL CA 91776 JAB STATE GREEN BLDG FEE 30000.00 VAL 2.00 1 1 1 JAE STRONG MOTION OTHER 30000.00 VAL 6.30 1 1 I _JA2 PERMIT W/ENERGY-HC 30000.00 VAL 616.80 CONTRACTOR: TEL. NO: jD7 ADDNL PLANCHECK FEE 2.00 HOU 218.80 JAPPROVALS DATE INSPECTOR SIGNATURE IC J L CONSTRUCTION INC. (213) 392-2293- 1 TOTAL FEES 1,083.90 I 1 1801 S. GARFIELD AVE., #338 LIC. NO 1 ILOCATION AND SETBACKS 1 1 IALHAMBRA, CA 91801 492610/B 1_; 1 1 1 ISOIi.S ENGINEER APPROVAL I ARCHITECT OR ENGINEER: TEL. NO: 1 1FOUII7ATION/TRENCH FORMS I I I ICALLAHAN, DAVID (626) 466-8500- I I_ 11 1 11024 S. CALIFORNIA ST. LIC. NO: 1 (SLAB/UNDER FLOOR 1. 1 1 1SAN GABRIEL, CA 91776 NONE I-- 11 1 I (RAISED FLOOR FRAMING I 1 I I I I I I I JMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:j JUNDERFLOOR INSULATION I I I 3 a41 1 I 1 _1 1FLOG'R SHEATHING 1 1 1 1NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I ,_ 1 1 1 NO 22 1 ROOF' SHEATHING I J SCHOOL WITHIN HAZARDOUS 1SHEAR PANELS I I 1 JAIR QUALITY: 1000 FEET MATERIALS 1_.. 1 1 NO NO NO IFRAME INSPECTION I r O JFIRE SPRINKLER HANGERS I I I I I I JINSULATION/WEATHER STRIP1 1 1 (INTERIOR LATH/DRYWALL I. J_. I 7 I 1 1" EXTERIDR LATH 1 1 1 1RATED FLOOR/CEIL ASSEM. 1 1 1 I 1 IRATED WALL ASSEMBLIES J I I I (RATED SHAFTS/OPENINGS I I I I I I I 1 I 1T-BAR CEILINGS I I I l I I I I I 1 1 1LOT DRAINAGE 1 1 1 I I I I I I 1 REPORT ID: DPR261 ROUTE TO: BS0508 1 1 1 1 � r • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0403010039 PHONE: (626) 285-0488 EXT: - LEGAL D: NO. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 5336 ROSEMEAD BL STRUCTURE: SGAB CA 917762211 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5388-010-001 THOMAS PAGE: 596 GRID: H4 LOCALITY: SAN GABRIEL, C TENANT: XIS BLDG USE: COMME USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/01/04 VG 02/24/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL BY: CODE: CHANG, KEH YAUN (626) 927-9755- 1,000 125 N. ALHAMBRA AVE. MONTEREY PARK 91775 FEES PAID DESCRIPTION OF WORK DEMOLISH 1 CARPORT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: HSU (626) 236-8005- AA BLDG PERMIT ISSUANCE 27.75 616 N. OLIVE AVE. AE STRONG MOTION OTHER 1000.00 VAL 0.50 SPECIAL CONDITIONS: ALHAMBRA, CA 91801 02 DEMOLITION INSPECTN 163.50 TOTAL FEES 191.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HSU, GEORGE (626) 236-8005- 616 N. OLIVE AVE. LIC. NO PEDESTRIAN PROTECTION ALHAMBRA, CA 91801 383572 B SEWER DISCONNECTION ARCHITECT OR ENGINEER: TEL. NO: ABANDON PRIVATE DISPOSAL LIC. NO: UNDERGRND STRUCT REMOVAL AND SOIL RECOMPACTION MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: XX 04 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 24 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO REPORT ID: DPR261 ROUTE TO: BS0508