HomeMy Public PortalAbout5405 ROSEMEAD BLVD_Building__ WORKERS'COMPENSATION DECLARATION
hereby affirm that I havecertificateoof consent• self APPLICATION FOR BUILDING PERMIT �
` $.insure, o6 certifitiate of Workers' Compensation Insurance,
or a certified copy thereof (Sec. 3800, Lab. C. '
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
Certified copy is.hereby furnished. FOR APPLICANT TO FILL IN BUILDING
R1
L
R1 ADDRESS J
Certified copy is filed with the county building inspec- BUILDING
❑ _
tion department. ADDRESS POOP-Me4b (/
Date 3`-Z0_
• —Z0 Applicant CITY C;A) LE- CM ! ZIP LOCALITY
'CERTIFICATE OF EXEMPTION FROM ORKERS' NO. OF BLDGS. NEAREST. �� /
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. - (l
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL. USE J�.f 22 LSE
OWNER NO. ZONE MAP
pp �s
I certify that in the performance of the work for which this NO.
permit is issued,')shall not employ any person in any manner �- oS. UM��t 11 BL�/� � SPECIAL
so as to become subject to the Workers'Compensation Laws. ADDRESS TTY/ v.� CONDITIONS
Date Applicant CITY ZIP -. . @r
NOTICE TO-APPLICANT: If, after making thi's Certificate of ARCHITECT OR TEL. O
ENGINEER NO. DISTRICT GROUP TYPE FIRE PRO ESSED BY
Exemption, you should become' subject to the Workers' �� n CONST1.'/ ZONE �
AAR
Compensation provisions of the Labor.Code,you must forth- ADDRESS (J� ���'
With comply with such provisions or this, permit shall be
deemed revoked. . f� n r TEL. (� ,{ STATISTICAL CLASSIFICATION APT. CONDO. g
CONTRACTOR Mr-JG /�1 NO.��tj-� T �l
LICENSED CONTRACTORS DECLARATION_ 2 LIC. CLASS NO.�y DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 3.;,)a f1`1,d bIVC — NO. al�33
(commencing with Section 7000)of Division 3 of the Business and j� L( - LIC - SEWER MAP
Professions'Cocle, and'my license is in full force and effect. CITY'('t� /? C CLASS G BK VALIDATION
Tq 33� Cl SG. FT._ NO. FA OF CHECK
License Number •7 Lic.Class `TJ SIZE STORIES FAMILIES ONE }
VALUATION
DESCRIPTION OF WORK -NEW
Contractor ate Q $
/ ADD —46'699A
❑ I am exempt under Sec. wZ( Q ' ' #'° ° ° o 2 3
r r .. ..ALTER � ° o�4 9 4'1 .
B.&P.C. for this reason 3o x REPAIR ❑ $
Date: USE OF DEMOL ❑ ° ° ° 4 9 4.1 c=i
EXISTING BLDG. - . 0-3,20-87-
Signature
320887-
Signature APPLICANT / TEL. FINAL
OWNER-BUILDER DECLARATION PRINT V NO. DAT
I hereby affirm that I am exempt from the Contractor's License ;26 7 0.0 A
Law for the following reason (Section 7031.5, Business and ADDRESS FI #'0 0 0 0 0:1
. r
Professions Code): PRESENT 1 o o 6 8,6 3
BUILDING
❑ I, as owner of the property, or my employees with ADDRESS 010 o 6 &6 3 5
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY ' 03,2 0 8 7
7044, Business and Professions Code). MOVING "`-TEL.
1, as owner of the property, am exclusively contracting CONTRACTOR NO.
❑ with licensed contractors to construct the project (Sec ADDRESS
tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY SETTBACKK YARD
HWY TOTAPREOTPACLINE
FROM_. 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
P.L.
Lender's Name
L �j LDMA Ref. #
Lender's Address
P.C. Fee$ Permit-Fee J o t'
`' '...
certify that I have read this application and state that the _. _ " ._ Issuance-Fee - V PDA.P/C#
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, 3_•
u and hereby authorize representatives of this County to enter Total Fee LDMA Perm. #
u on the above-mentioned property for inspection purposes. 1 '
a
a SEE REVERSE FOR EXPLANATORY LANGUAGE
Si nature of Applicant or Agent 4 Date - . - -- - .. • " - - . • - - . - (o
3 -.2o - 07
WORKERS'COMPENSATION DECLARATION `
I., rQrvrsa,certificatto sel
thateof,Wokes' CompensatoneInsurancef APPLICATION FOR BUILDING PERMIT .
of�r??riif �copythhereof(Sec: 3800,Lab C.) COUNTY OF LOS ANGELES BUIL N •AND SAFETY
PoIII icCompany �. �.
,Certified copy is hereby furnished- BUILDING FOR APPLICANT TO FILL IN
ADDRESS
❑ Certified copy is'filed with,the zz
c ty bu•ildin n�pec- BUILDING �O q"L���
11....��
tion department. ADDRESS
Date•l�' �t�${. Applicant CITY �� Mjv(7 ZIP LOCALITY J� _
CERTIFICATE OF'EXEMPT FIR ORKERS' NO. OF BLDGS. NEAREST
COMPENSATI INSUR CE SIZE OF LOT I NOW ON LOT CROSS ST.
(This section need not be completed i the permit is for one �J - 1L1Dj ASSESSOR
hundred dollars ($100)or;less.) TR LOCK LOT NO. MAP BOOK PAGE PARCEL
A� �, TEL. USE ZONE MAP
I certify that•in the performance of the wo-rk'for which this OWNER ►vl, �! NO. NO
permit is issued, I shall not employ any person in any manner ,n rem U SPECIAL
so as to'become subject`to the Workers,Compensation Laws. ADD
CITY
Gam. �,�/� �]�1�+"1 CONDITIONS
Date Applicant a CITY eA(-- .-,'ZIP Cil EVE
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR ..1 C'�� p�EL. yamQ DISTRICT G TYPE FIRE PROCE ED BY
ENGINEER /V. �1tIoC � CONST. ZONE
Exemption, you should become- subject to the 'Workers' .7
Compensation provisions of the LaboPCode; you mustforih- ADDRESS
(24
�y¢nL3AD�. �. .� - @�
With comply with .such provisions or this permit shall be - -
deemed revoked. TEL. STATISTICAL CLASSIFICATION APT. N DO. g
CONTRACTOR. �ar 6 . NO. 5q q
LICENSED CONTRACTORS DECLARATION - - LIC: CLASS NO. DWELL. UNITS
- I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. '
(commencing with Section 7000.)rof Division 3 of the Business and ` - LIC: SEWER{1v1AP 5• I A _
Professions Code, and my license is in full force and effect. CITY �(� `$ CLASS BK - �' V LID,4TION,3
j/ /�� L R SQ: T NO.Of NO:OF CHECK
License Number r d z �^' Lic.Class �✓ SIZ STORIES FAMILIES�' ONE `
�_ •Q. _ /o -3/;-gam VALUATION I �,5 3 1,9 i
Contracto Date 6 DESCRIPTION OF WORK NEW s 2q ) no /1/1 =
❑ I am exempt under Sec.
_ ADD ❑ J I (J ' C/(f ° 1,5 3 1,9 1 .
ALTER ❑ 05,06-86
B.BP.C. for this.reason _ REPAIR ❑ $
USE OF
Date: EXISTINGBLDG. _ DEMOL ❑
APPLICAN t
Signature _ —ruC-=e— � J�,� FINAL �
OWNER-BUILDER DECLARATION PRIM a DATE (�
I hereby affirm that I am exempt from the Contractor's License 8 �?/1 r�
Law for the following reason (Section 7031.5, Business and ADDRESS -vl.�� i7� r FIN'
Professions Code): PRESE T ptiJ, BY /� C�/G
❑ BUILDING n
I, as owner of the property, or my employees with ADDRESS' � 5 8 9 2 n
wages as their sole compensation,will do the work and 1
the structure is not intended or offered for sale(Section LOCALITY # 0 0 0.0'
7044;Business and Professions Code). MOVING TEL.
t I, as owner of the property, am exclusively contracting CONTRACTOR NO. I ° ° 6 B 8 5Y'
with licensed contractors to construct Th"e'project (Sec- ADDRESS ° °
tion 7044, Business and Professions Code). t '
*�t
REQUIRED TOTAL SETBACK ROM I p
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH; `1},0 7`��6
hereby affirm that there is a construction lending agency for FRONT ti
the performance of the work for which this permit is issued P.L. - 5 8 q 3 A
\ (Sec:3097, Civ. C.)., SIDE '
3 _ P.L. 0.0 o 0 0 1
Lender's Name I 1,89375
o ,�• ) (� ? r LDMA Ref{;#,
P.C. Fee$_L .�/ !t ( Permit Fee' �J.07� - .. .. - -
Lender's Address
o C 3.7 5 T
I certify thotJ have read thi pplicatio and state that the -_ Issuance Fee �� LDMA P/C# ,•. -. 1, . �,`�
a above infor is correct, gree to c ply with all County Investigation Fee I1,07-86
ordinanc tate law .elating ilding construction, .,• - _ - Total Fee-
and hereby t orize rep sentati this County to enter �' LDMA Perm. #
m upon the ov -mentio grope inspection purposes.
._. _
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of pplicant or Agent Date
r try WORKERS'COMPENSATION DECLARATION
l-`—,h!?_ikwy affirm that I have a certificate of consent to self
e,Jnsure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING" PERMIT
ora certified co y there (Sec. 3800, Lab. C.1,
COUNTY OF !OS ANGELES BUILDING AND SAFETY A
Policy No.� ompany
Certified copy is he eby furnished. FOR PPLICANT TO FILL IN BUILDING
ADDRE
jam) Certified copy is filed with the county building inspec- BUILDING
L(J` tion dep rtm nt. /-��/ "ADDRESS ��
Date�tw pplicant {VEC �) \� CITY ZIP LOCALITY
CERTIFICA E RXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. Stkja
(This section need not be completed if the permit is for one TRACT BLOCK LOT NOASSESSOR
.
hundred dollars ($100)or less.) MAP BOOK PAGE PARCEL
TEL. USE ZONE MAP /
I certify that in the performance of the work for which this OWNER NO. (�( NO. (fJ
permit is issued, I shall not employ any person in any manner 1 1 /� /� SPECIAL
so as to become subject to the Workers'Compensation Laws. ADDRESS IV (i CONDITIONS
CITY rX ZIP
Date Applicant
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL: DRICTr GROUP TYPE FIRE PROCESSED BY
ENGCC//JJII /1 CONST. ZONE U
Exemption, you should become subject to the Workers' INEER NO. �'J/l 3
Compensation provisions of the Labor Code, you must forth- ADDRESS OL1l
with comply with such provisions or this permit shall be '
deemed revoked. / TEL./( Q STATISTICAL CLASSIFICATION APT. rNDO. N
CONTRACTOR NO.`:
LICENSED CONTRACTORS DECLARATION QLIC.I CLASS NO. DWELL. UNITS -
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Ili., NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and \\ LIC. ;28 3 B IO.A
Professions Code, an my license is in full force and effect. CITY N CLASS V*LJDATJON2 3
SQ. FT. N .'OF NO. OF CHECK BK. PG.
License Number Lic.Class_ SIZE STORIES FAMILIES ONE J ° - 57.38
�) 4_!d
r y P 1 VALUATION o 0 57,386,
DESCRIPTION OF Wt`7RK f ' 9 NEW $ 0-0 O,—
C�ontrocto� Dote f �l } / ADDN J(~J t -�, 7-8
1 am exempt under Sec. K
�Jii ALTER
B.BP.C. for this reason _ Mon - A6 REPAIR $
Date: USE OF CZ; ( L1 [moi U
0.6
EXISTING BLDG. \/ J DEMOL e ° o V
Signature APPLICANT �t r� L. �1 q ( �
OWNER-BUILDER DECLARATION PRINT �( I i0.• FO►t`i Vt FINAL -' � 2.03-87
1 hereby affirm that I am exempt from the Contractor's Licenser�nl,.l ��
Law for the following reason (Section 7031.5, Business and ADDRESS CJuGIC l�l� f rV lC.1L1vV` SIAM'I !� PIN
Professions Code): PRESENTBY
aBUILDING
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.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY SETQBACKD YARD HWY TOTAPROP .LIINE 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.I.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
LDMA Ref. #
m Lender's Address P.C. Fee$ 5151 Permit Fee r
I certify that I have read this application and state that the Issuance Fee 1A i S (0 LDMA P/C#
above mformation'is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction, Total FeeV LDMA Perm. #
R and)vreby authorize r9¢resentatives of this County to enter
up the above- enti ed property for inspection purposes.
tj,� �ftd.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of kppiicant or Agent Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SIGN
*•
" BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9710280028
PHONE: (818) 285-0488 EXT:
LEGAL 'D NUMBER OF SIGNS: 4 BUILDING DDRESS:
ON FILE SIGN DESCRIPTION: REPLACE SIGNS ON EXISTING RACEWAYS AN 5405 ROSEMEAD BL
SGAB CA 917762212
ASSESSOR INFORMATION .NUMBER: NEAREST CROSS STREET:
5388-024-064 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/28/97 UT 10/28/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: ODE:
A;M ENTERPRISES (818) 457-2945- 3,000 q
1025 FREMONT AV 6�Z�` 442�
ALHM 918031324 FEES PAID DESCRIPTION OF WORK
3 SETS OF CHANNEL LETTER ON RACEWAYS TO REPLACE EXISTING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 NEW POLE SIGN ON EXISTING STRUCTURE
APPLICANT: TEL. NO:
WEST COAST SIGN & CRANE (818) 242-4255- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING REVIEW,-FEE 54.70
D2 PERMIT W/O, -HG3 ' �3000-.00 VAL 99.15
�\ TOTAL 'FEES--. 182.10
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
WEST COAST SIGNS (805) 487-4846
1030 COMMERCIAL AVE LIC. NO LOCATION AND SETBACKS
OXNARD 93030 722458C45
,., SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. N0: SUPPORT STRUCTURE
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
00
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 20
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
REPORT ID: DPR261 ROUTE TO: BS0508
W,
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 1208200091
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 5405 ROSEMEAD BL
STRUCTURE: V-B SGAB CA 917762212
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY
15388-024-064 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl
1TENANT: JEXIST BLDG USE: COMME USE ZONE: C-3 11SSUED ON: PROCESSED BY:
100-KOOK SEXIST OCC GRP: 108/20/12 SR
1OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: AL DATE FINAL BY: CODE:
JBYUN, YONG BOK (213) 507-1095- 1 700 1
15405 ROSEMEAD BLVD. 1 1
JSAN GABRIEL CA 91776 1 FEES PAID 1DESCRIPTION OF WORK 1
REMOVAL OF NON-BEARING PARTITIONS & FLOORING, CABINETS, ETC.1
1 JFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: JAS SHOWN 1
1APPLICANT: TEL. NO: 1 1 1
1CHOI, SAE (310) 467-6265- JAA BLDG PERMIT ISSUANCE 27.80 1 1
13700 WILSHIRE BLVD. JAB STATE GREEN BLDG FEE 700.00 VAL 1.00 JSPECIAL CONDITIONS: 1
1LOS ANGELES 90010 JAE STRONG MOTION OTHER 700.00 VAL 0.50 1 1
1 ID2 PERMIT W/O EN-HC 700.00 VAL 43.70 1 1
1J TOTAL FEES 73.00 1 1
1CONTRACTOR: TEL. NO: 1 JAPPROVALS DATE INSPECTOR SIGNATURE 1
1SEO, YONG HO (213) 368-0204- I - 1-
13700 WILSHIRE BLVD. #427 LIC. NO 1 (LOCATION AND SETBACKS
(LOS ANGELES, CA 90010 954470-B 1 I 1
I I (SOILS ENGINEER APPROVAL 1 1
JARCHITECT OR ENGINEER: TEL. NO: 1FOUNDATION/TRENCH FORMS I
1 LIC. NO: 1 JSLAB/UNDER FLOOR I I
I I I I I
1 1RAISED FLOOR FRAMING 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 JUNDERFLOOR INSULATION I
1147H265 3 001 1 1 1
I I 1FLOOR SHEATHING 1
1NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 1 I I
1 0 NO 22 1 1ROOF SHEATHING I I I
1 SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS 1 1
JAIR QUALITY: 1000 FEET MATERIALS 1 I i
1 NO NO NO 1 (FRAME INSPECTION
I I I I I I
1 1 (FIRE SPRINKLER HANGERS I
1 JINSULATION/WEATHER STRIPI I I
1 I (INTERIOR LATH/DRYWALL 1 1
I 1EXTERIOR LATH I I
1 1 1RATED FLOOR/CEIL ASSEM. I 1
1 (RATED WALL ASSEMBLIES 1 1 1
I I (RATED SHAFTS/OPENINGS 1 1 1
1 IT-BAR CEILINGS 1 1 1
1 1 1LOT DRAINAGE 1
I I I I I I
(REPORT ID: DPR261 ROUTE TO: BS0508 1
'COUNTY OF T,OS ANGELES TEMPLE CITY # 0508 - BUILDING PERMIT
DEPAR?":ENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1207030020
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I N0, OF CONST NEW I BUILDING ADDRESS: 1
I ON FILE SQ. FT STORIES TYPE OCCUP GROUPI 5405 ROSEMEAD BL
I (STRUCTURE: 6328 1 III- A-2 I SGAB CA 917762212
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BROADWAY I
15388-024-064 1 1 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESTA USE ZONE: (ISSUED ON: PROCESSED BY: I
IBYUN / 00-BOOK KOREAN BBQ YONG-BOK (EXIST OCC GRP: A-2 109/04/12 SR I
I I I I
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF A ATE FINAL BY: CODE: 1
IA & M ENTERPRISES - 1 150,000 1
11227 FLYNN ROAD #301 I 1
ICAMARILLO, CA 93012 1 FEES PAID IDESC IPTION OF WORK I
II (TENANT IMPROVEMENT FOR EXI TING RESTAURANT NO ALTERATION ON
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IADA APPLIED (E) RESTROOM (E) CHANGING ROOM & (E) KITCHEN 1
1APPLICANT: TEL. NO: I1
1KIM/CORBEL ARCHITECTS INC., SIMON (213) 739-9902-4 IA1 PLANCHECK W/EN-HC 150000.00 VAL 1,582.40
13450 WILSHIRE BLVD. ID7 ADDNL PLANCHECK FEE 5.00 HOU 547.00 (SPECIAL CONDITIONS: 1
ILOS ANGELES CA 90010 IAA BLDG PERMIT ISSUANCE 27.80 I 1
I IAB STATE GREEN BLDG FEE 150000.00 VAL 6.00 I I
I IAE STRONG MOTION OTHER 150000.00 VAL 31.50
(CONTRACTOR: TEL. NO: IA2 PERMIT W/ENERGY-HC 150000.00 VAL 1,861.60 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISEO, YONG HO (213) 368-0204- 108 CERTIF OF OCCUPANCY 101.40 1 1
13700 WILSHIRE BLVD. #427 LIC. NO I TOTAL FEES 4,157.70 (LOCATION AND SETBACKS
ILOS ANGELES, CA 90010 954470-3 II {
I 1 (SOILS ENGINEER APPROVAL 1
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I
(CORBEL ARCHITECTS INC. (213) 739-9902-3 1
13450 WILSHIRE BLVD. SUITE 1000 LIC. NO: (SLAB/UNDER FLOOR I I
ILOS ANGELES, CA 90010 C23320 I I
I 1 (RAISED FLOOR FRAMING I I 1
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDERFLOOR INSULATION I I
1 3 041 1 11
I (FLOOR SHEATHING I I
INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I 1 I I
0 NO 22 1 (ROOF SHEATHING I I
I I I I I I
1 SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I
1AIR QUALITY: 1000 FEET MATERIALS I 1 1
1 NO NO NO I (FRAME INSPECTION 1
I I
(FIRE SPRINKLER HANGERS
I I I I I I
11NSULATION/WEATHER STRIPI I
I I I I
1 (INTERIOR LATH/DRYWALL 1 /
1 !EXTERIOR LATH I I
1 I 1
I I (RATED FLOOR/CEIL ASSEM. I 1
1 1 (RATED WALL ASSEMBLIES I 1 I
I I I
I (RATED SHAFTS/OPENINGS I
IT-BAR CEILINGS I
ILOT DRAINAGE
I I I
(REPORT ID: DPR261 ROUTE TO: BS0508 1 I
I I { I I
COUNTY OF'LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS _ FIRE SPRINKLER
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1210100016
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NUMBER OF ADDED/RELOCATED BUILDING ADDRESS:
1 ON FILE SQ. FT SPRINKLER HEADS 1 5405 ROSEMEAD BL
ISTRUCTURE: SGAB CA 917762212 1
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY
I
15388-024-064 I THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl
(TENANT:
(EXIST BLDG USE: TISSUED ON: PROCESSED BY: 1
1BYUN / 00-BOOK KOREAN BBQ YONG-BOK 1EXIST OCC GRP: 110/18/12 SR 1
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL CODE: 1
IA & M ENTERPRISES - 3,500
11227 FLYNN ROAD #301 `/ /I
ICAMARILLO, CA 93012 1 - FEES PAID IDESCR PTION OF WORK 1
(INSTALL UL 300 SYSTEM
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (
(APPLICANT: TEL. NO: I I
1ESCALANTE, REYNA . (818) 518-8913-201 IDO FIRE SPRINKLER PC 3500.00 VAL 98.40 I
17356 FULTON AVE. IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1
IN. HOLLYWOOD CA IAB STATE GREEN BLDG FEE 3500.00 VAL 1.00 1
I ID1 PLANCHECK W/O EN-HC 3500.00 VAL 98.40 I
1 1 TOTAL FEES 225.60 I 1
CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IMADGRIFF CORPORATION (818) 764-7990- I -
IDBA DELTA FIRE PROTECTION LIC. NO IFIRE DEPARTMENT INSPECT
17356 FULTON AVENUE 555329 I
INO HOLLYWOOD CA 91605 I IFIRE SPRINKLER HANGERS
I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFIRE DEPARTMENT APPROVALI I I
I
I LIC. NO:
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1
001
I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 2C
I I I I I
SCHOOL WITHIN HAZARDOUS
(AIR QUALITY: 1000 FEET MATERIALS
1 NO NO NO 1 1 I 1 1
I I I I I i
I I I I I I
I i I I I I
I I I I I I
I I I I I I
.< ADDITIONAL DATA ON FILE
I I I I I I
IREPORT ID: DPR261 ROUTE TO: BS0508
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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 1211280047
PHONE: (626) 285-0488 EXT:
(LEGAL ID: INUMBER OF SIGNS: 3 BUILDING ADDRESS:
I ON FILE ISIGN DESCRIPTION: INSTALL THREE ILLUMINATED CHANNEL LETI 5405 ROSEMEAD BL
I I I SGAB CA 917762212
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15388-024-064 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY CAI
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(TENANT: (EXIST BLDG USE: JISSUED ON: PROCESSED BY: I
IEXIST OCC GRP: 111/28/12 SR I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: )FINAL DAT FIN B^Y: CODE: I
KROSP, JAMES (805) 445-7733- 1 3,000 1 1/� � fes)
1227 FLYNN RD 301 !
ICAMARILLO CA 93012 FEES PAID IDESC�ON OF WORK I
INSTALL THREE (3) ILLUMINATED CHANNEL LETTER SIGNS
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I
(APPLICANT: TEL. NO: I I 1
ILIM, KIM (323) 733-1177- IAA BLDG PERMIT ISSUANCE 27.80 1 1
11800 W ADAMS BLVD IAB STATE GREEN BLDG FEE 3000.00 VAL 1.00 ISPECIAL CONDITIONS: I
ILOS ANGELES CA 90018 IAX BUILDING REVIEW FEE 54.70
ID2 PERMIT W/0 EN-HC 3000.00 VAL 99.00
TOTAL FEES 182.50
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IKIM BON JUN (323) 788-2822- 1 1 -1
11800 WEST ADAMS BLVD. LIC. NO OCATIO AND SETBACKS 1
ILOS ANGELES, CA 90018 * LOMITA * 1
1 ISOILS ENGINEER APPROVAL 1
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1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I 1
1 LIC. NO: ISUPPORT STRUCTURE I I I
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IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1 I
001 i
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 20
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SCHOOL WITHIN HAZARDOUS 1
(AIR QUALITY: 1000 FEET MATERIALS 1
NO NO NO 1
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I I* ADDITIONAL DATA ON FILE 1
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IREPORT ID: DPR261 ROUTE TO: BSO508
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