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HomeMy Public PortalAbout5406 ROSEMEAD BLVD_Building__ FORpPLicNAo iPLICLL IN IATnt or pOYN FOR B LDING PER-MIT _ COUNTY OF LOS ANGELES BUILDING ADDRESS 5 Cj � !�,dsewil, DEPARTMENT OF COUNTY ENGINEER CITY }� i C—t...,. ZIP BUILDING AND SA NO.OF BLDGS. BUILDING SIZE OF LOT �G (� NOW ON LOT ADDRESS Q12 IV TRACT BLOCK LOT NO. LOCALITY TEL. NEAREST i OWNER C C ` NO. CROSS ST. ASSESSOR ADDRESS d MAP BOOK AGE CEL DISTRICT GROUP TYPt FIRE PROC SED BY -CITY ZIP ARCHITECT OR TEL. ENGINEER NO. STATISTICAL CLASSIFICATION SEWS AP ADDRESS CLASS NO.C2a DWELL.UNITS BK PG CONTRACTOR CL.. kMV '``-E t USE ZONE MAP LIC. NO. ADDRESS�� `Q7 , SPECIAL C. CITY 1,/l/LO Q_ CLASS C\d CONDITIONS CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH BLDG.SETB CK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY SO.FT.�? TOTAL SETBACK FROM TYPE OF EXISTING NO.OF NO.OF CHECK - FRONT PROP.LINE HIGHWAY WIDTH SIZE HIGHWAY + YARD A STORIES FAMILIES ONE } DESCRIPTIOKF WORK NEW O ADD ❑ BLDG.SETBACK FRO SIDE PROP.LINE OF . (STREET( O� ALTER ❑ TOTAL CK FROM TYPE OF EXISTING U ❑ HIGHWAY + YARD = SIDE PROP.21t& HIGHWAY WIDTH N USE OF REPAIR Z EXISTING BLDG. DEMOL ❑ + APPLICAN1jr CORNER CUTOFF YES ❑ NO ,. IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION $ V IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ` f. AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE Pte` .; y'ya!/� ��: .'47 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- 12..` PENSATION INSURANCE. /., 1-7 - ,�� ','7 ¢- ��•!,$'1 y„"' G� 'C.., SIGNATURE OF PERMITTEE ADDRESS FINAL BY TEL. DATE CITY NO. MAKE CHECKS PAYABLE TO: FEE $ FET HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATIONCK. M.O. CASH PERMIT VALIDATION m.O. CASH 775�rE' 2o23a 7. 0 _; 7 7 6 DEC 20 a 1 2.v U as: ®t 76A638A CE#803 3.75 v ,-a 9 _ 76A6.V-ACF*f� 9-67 APPLICATION FOR BU 1 LD1 NdPER COUNTY GAF LOS ANGELES BUILDING f� DEPART.TAENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LocauTY � JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS.ST. DISTRICT NO. GROUP TYPE PROD S ED BY FEXISTING OR APPLICANT TO FILL IN CONST. (Print or type only) ��� STATISTICAL CLASSIFICATION SEWER MA ILI CO.,, C>v CLASS NO. DWE_LL,UNITS BK PG NO. BLOCK USE ZONE MAP NO. - � M. SPECIAL / NO.OF BLDGS. CONDITIONS OT ,60 �. NOW ON LOT J BLDG. I /TZ$ f.d BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET). LYl NO.. ' / TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FROM C.L. + CITY / BLDG. M ARCHITECT OR TEL. LINE SI L DE PROP.LINE OF (STREET) S ENGINEER NO. TYPENOF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL / +� + = a CONTRACTOR _ NO. . i ! 1 L C=) ADDRESS Al-,p LI � CORNER CUTOFF YES ❑ NO. ❑ � CITY Q� `. L ASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DttCRIi5TION WORK NEW A ALTER REPAIR DEMOLISH' ' SQ. FT. NO, OF NO. OF SIZE STORIES FAMILIES USE OF e-> h J4 STRUCTURE / SIG ATURE OF - APPLICANT ' VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. Zg" -FOUNDATION: LOCATION FEES �. FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, '-WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - GAS VENT, DUCTS BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 NOT EMPLOY ANY PERSON IN VIOLA- ' TION OF THE LABOR C E F THE STATE OIIFORNIA RELAT. LATH, INT, ING TO WORKMEN'S CO P N AT ON INSURAN ' _ LATH, EXT. SIGNATURE OF > HOUSE NUMBER COR- . PERMITTEE' RECT AND POSTED ADDRESS. FINAL _�p f JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER ,PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH LALO4 � � 4 v J .10 1 D 17-25 b 76A 638A CE #803 12/69 -5 ` / L rw - APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BJOHN A. LAMBIE, COUNTY ENGINEER BUILDING —UILDING AND SAFETY DIVISION ADDRESS <J �!- /.e C✓O/I'I�C�s1° J h COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY f, FOR APPLICANT TO FILL IN CROSS ST. Print or tvDe onl DISTRICT `�NO. % GROUP TYPE �' pR0 ES�ED BY BUILDING SS ,S/'y' �►-{ t �, l// c ✓ V / CONST � ADDRESS Q /„�_ STATISTICAL CLASSIFICATION 'I// SEWER JMAP �((4•��� LOT NO. BLOCK CLASS NO, DWELL,UNITS BK PG TRACT USE ZONE MAP �j NO.OF BLDGS. NO. (� SIZE OF LOT NOW ON LOT ,3 SPECIAL USE OF 111 CONDITIONS EXISTING BLDG. � .. . L OWNER O. ' /7 73 BLDG.SETBACK FROM ADDRESS �L 6 ,! FRONTPROP.LINEOF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY ��^� - HIGHWAY WIDTH FROM C.L. ARCHITECT OR EL, ENGINEER NO. BLDG.SETBACK FROM LTRE SS SIDE PROP.LINE OF (STREET) > TEL. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ACTOR - NO. HIGHWAY WIDTH FROM C.L. LIC. } = d SS NO, O LIC. U CLASS CORNER CUTOFF YES ❑ NO ❑ � ANDCONSTRUC BRANCHCONSTRUCTION NDER SEE REVERSE SIDE FOR SPECIAL APPROVALS t W ESS N . NO. OF NO. OF ❑STORIES FAMILIESNEWF ` ADD TURE ALTERREPAIR❑ TURE OF ICANT DEMOLTION $ � APPROVALS DATE INSPECTOR'S n SIGNATURE P.C. PMT. FOUNDATION: LOCATION ! �j FEE $ FEE $ s U FORMS, MATERIALS �0/ /1 d ,el FRAME: FIRE STOPS, �• y I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS �p •(�S fJ ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABORCODE OF THE TATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S COMPENS ION INSURANCE. LATH, EXT• - Z •�� SIGNATURE OF \ O HOUSE NUMBER COR- PERMITTEERECT AND POSTED ADDRESS rz FINAL I1/4/',N-5 7a JOHN F..LE)NIS. PRI CIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. AS '6 9 � 01- SEP 2 5 1 D 9.0 0°" Q DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES � ' 1 WM. J. FOX, CHIEF ENGINEER FOR APPLICANT O FILL IN FOR OFFICE USE ONLY DISTRICT NO. - PLAN CK:NO. ----PERMIT NO. BUILDING ep 14 -. ADDRESS q✓ � �� �; �y � t� LOCALITY RECEIVED BY DATE OF APPL. DATE 183UED NEAREST CROSS ST. 8UILDING OWNER v ADDRESS MAIL �/}� �A/� LOCALITY ADDRESS 7(/ Y r NEAREST TEL. CROSS ST. CITY 7A NO. FIRE NO.OF I T1G>5E GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. ORD. NO. ADDRESS SETBACK LINE /.E/ TEL. A ) Q� APPROVED - CONTRAC � �' � NO. /,1l (e�(f BY DATE �' USE APPROVED ' ADDRESS ZONE/r!o� BY• DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT NO. OF BLDGS. SIZE OF LOT I NOW ON LOT USE OF I NO.OF I NO.OF EXISTING STDG. FAM ILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH G] SQ.FT. NO.OF .. . -_ Z SIZE ROOMS STORIES r WALL ROOF - ' COVERING COVERING USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION INSPECTOR DATE - AND STATE LAA S EGU7-.rlGUILDING CO.STRUCTION. FORMS, MATERIALS FZ[iF A FRAME: FIRE STOPS, SIGNATOR BRACING, BOLTS PERMITTE LATH, INT. AUTHORIZED AGT w' ' -' LATH, EXT. 78A638A-3 10-50 ® dt7�— C.$ PLASTER, INT. FEE PLASTER, EXT. _ VALUATION FEE FINALa / •DEPARTMENT;OF BUILDING AND SAFEP� APPLICATION FOR PERMIT COUNTY OF LOS ANGELES i`A Y - 4 9 WM. J. FOX. CHIEF ENGINEER -"•0_. FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK..NO. PERMIT NO. _ AD_D_RCB9 �(��r/`'}-�:�'•�r/,"yr*'?'L.�!yt�.>.:" LOCALITY .-,G?"(,-�'. .E�[i. L I ff l! RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST CROBB ST. Jy-�J) )/ w�') `S G �]"7 e 4 1,.r BUILDING OWNER Z_/'��LO �""`�" ^ !J "cam ADDRESS ADDRESSMAIL ✓�f/ 'J_ •` ,+ Y' / C LOCALITT ' _ NEAREST. s' CROBB ST. CITY •� J / �T �Y�LTJ"` NO. �(//�7 /.-C � FIRE NO.OF TYPE GROUP; ARCHITECT OR II T L. / [ _�{ f"-� ZONE PLANS ENGINEER �YfWrely v Zn hw O--h 7 3 of r BLDG. ORD.NO. r A D 0 R E 6 9 ' 3 1n,'_5;7LF 23 rJ!` \1 t) © , t SETBACK LINE J O APPROVEQ - t ''T7''' 1 ���^^rr� _/T E�/T /�-y-� c ,J BY DATE _..CONTRACTOR„,p A, � 1( A72',�'y USE /yJ -"r JZONE By 'DATE•DATE +AD RESK ./� N 7 f..+ •�T�I z t`/rY!/d L •'1 LEGAL CORRECTIONS DESCRIPTION DESCRIPTION LO'T�NO. 2 BLOCK / TRACT 1j/ f iJ _ NO.OF BLDGS. A// SIZE OF LOT 'r r �'` I NOW ON LOT //�n _ t' r.S�?--•' L/.;+%:�%•- �`� ^ � USE OF �'-- NO.OF NO.OF EXISTING BLDG. ( FAMILIES I ROOMS > - < (/•P"E DESCRIPTION OF WORK to NEW ALTERATION ADDITION 1.__01 14F2e-5 .*-1 O REPAIR MOVING DEMOLISH - C e� lVdOWA �e9.�4/�va<a,4 /•lr� p Sq.FT. NO.OF Z SIZE �. it-+} f, ROOMS STORIES t7'7Z-�_. 7^—eg Meer 5'F X-252-,,w r WALL ROOFal COVERING /Cr '$ ' T'Y COVERING 5d Sddigaa4./i USE OF NEW �/ BUILDIfNG +q� (. •��ov 1f//1r.� �•�°'"P� _ e-',,.,, 2 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDA'TION;: LOCATION CINSPECTOR DATE AND AGREE TO _COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS7_7w_� ING BUILDING CONSTRUCTION. !\ / FRAME: FIRE STOPS, v .� SIGNATURE OF tlr !jlBRACING,BOLTSPERMITTEE ) LATH, INT. f6 AUTHORIZED AGT f r LATH, EXT. i 1 w A 76A63eA-3 2-50 $ � P.C.S � PLASTER,INT. FEE _ .3 0, PLASTER,EXT. 1 tv ' VALUATION r®s FEE FINAL ARTMENT`OF BUILDING AND SAFE APPLICATION FOR PERMIT COUNTY OF LOS ANGELES `r WM. J. FOX CHIEF ENGINEER llLr" �� FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS (/ `q d LOCALITY RE EIVED BY DA E OF APPL. ATE IS/SUED` NEAREST CROSS ST. /, e4- WILDING .. ADDRESS SYo OWNER MAIL LOCALITY 7-- �•-� ADDRESS G Ci NEAREST EL. _ CROSS ST. CITY [moi NO. FIRE NO. OF TYPO= GR L,P ARCHITECT OR EL. ZONE I PLANS I V ENGINEER .fir NO. D� BLDG. ORD. NO. SETBACK LINE ADDRESS D APPROVED TEL. r BY DATE CONTRACTOR NO. / USE /� APPROVED - r Q ZONE / /r/ BY DATE ADDRESS HOUSE NUMBERING LEGAL O �f FIELD CHECK BY DESCRIPTION I LOT NO. I BLOCK �, MAP NUMBER TRACT NO. ASSIGNED BY-44( S m AT IND OF BLLODTGS. CO RECTIONS SIZE OF LOT J NOW ON USE O � EX STING BLDG. M� E / d7 DESCRIPTION OF ORS . l >'a ra!%r�f Fc r .L'X�5 T eSl.11 C,. rl--.:�-.6�•I.t..•,..f_...�. NEW I I ALTERATION I ADDITION ,6-'l'-SL ,moi eo�Tin/6 3 M ✓o /v c i E' p REPAIR I I DEMOLITION I I I A Ale) 2 SQ. FT. 'NO. OF —r SIZE ROOMS STORIES Z EXT. WAL ROOF' , ; rY„ COVERING S7b- I COVER.NdC;6 � dY USE OF STRUCTURE 6 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,AL- COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING B L ING CONSTRUCTION v ' ° FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS PERMITTEE -� O LATH, INT. L76A6638A, LATH, EXT.ED AGT. PLASTER, INT. BS3 10-SO .� jFl C. $ -O®� E PLASTER, EXT.N. $ LLE �� FINAL' 4,- 7/� 78A638A CE#8038-58 APPLICATION FOR BUILDING PERMIT COUNTY'OF LOS ANGELES BUILDING p. �. DEPARTMENT OF COUNTY ENGINEER AD°REss1tr In. rbnaz�s rs '>,rrn BUILDING AND SAFETY DIVISION LOCALITY PF 'J° ' CA Z,T "OM TA JOHN A.LAMBIE,COUNTY ENGINEER NEAREST �A CASSATT D.GRIFFIN,SUPT OF BUILDING - CROSS ST. DISTRICT NO. ,.GROUP TYPE — i- .PROCESSED BY = FOR APPLICANT TO FILL IN ! I coNST BUILDING „�•'I+"; }��' ,, i-- STATISTICAL CLASSIFICATION SEWER MAP ADDRESS k.rSl 1'R a C I v .l .t . t a BK PG J CLASS. NO2 'DWELL. UNITS I LOT NO. f - BLOCK MAP I .� j STATE (YES) NO NUMBER. HWY. TRACT /'j,+ d % USE ZONE I SPECIAL �f: ,.i`•N�o NO.OF BLDGS. t CONDITIONS! -- r 1 ✓ -'1'I SIZE OF LOT I NOW ON LOT• USE OF EXISTING BLDG. BUILDING EXIST. YARD HWY STREET NAME SETBACK WIDTH 0 W N E RTFPj Pfa F CITY ANjj2' Z,!jQsp FRONTMAILP.L. A'DDRE'SS 5,-40.6 0 1F6 o o i,)o s,g'j-.rA.,y LyD a � SIDE ... CITY �pll,�'&P �.JY27 No.• P,L, INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS IV rT CONTRACTOR � �p o 'j T"'g TML rx6A5.71 ADDRESSII :40!� A i zyj SDE'jr, l_i, A Ff n tl A v . DESCRIPTION OF WORK NEW ADD ALTER - REPAIR DEMOLISH — SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE IT T p U - FACIR SIGNATURE OF _ ��^^'.!'`r. "`j ,'•-r';- Y = APPROVALS APPLICANTt.- e J--L,� %:->.;;:� cey - DATE INSPECTOR'S SIGNATURE ADDRESS Jt;4() r) 9APR 1, xiLRA I-PP, FOUNDATION: LOCATION '$1 y '1FORMS,- MATERIALS $ til;_0'00 FEE� S• - FRAME:BRACING, BOLTS 1 VALUATION $ f a'% FURNACE: LOCATION, - FEE' { GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND , AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH, EXT. SIGNATURE OF ,.,k;,+ `^, �;''�' - y�, �r+,,:r HOUSE NUMBER COR- z""! OR- ' PERMITTEE f i:'!::'�'�� _ '..may RE PERMITTEE_ POSTED - ADDRESS 12+�"0✓ SQ e i/HA-�E`" �.ALR � FINAL,* CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECI{ VALIDATION CK. M.0. CASH PERMIT VALIDATION CK.' M,O. CASH f' ®F P F! WORKERS' COMPENSATION DECLARATION G hereby affirm that I have certificate of consent To Self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lob. C.) 1 r9 COUNTY OF LOS ANGELES BUILDING-AND SAFETY Policy NoC"Company Zf%/�i/4I(� BUILDING ❑ Certified:copy is.hereby furnished. .. . FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING 6 A4 tion department. ADDRESS —41 �C Date dY Applicant Q/ - CITY' (� ZIP LOCALITY / 1 l NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTI N FROM W, RKEIRSIZE OF LOT NOW ON LOT CROSS ST. / COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) 7EL. OWNER NO, — USE ZONE MAP •7 L J I certify that in the performance of the work for which this SPE permit is issued, 1 shall not employ any person in any manner ADDRESS ', cy �- SPECIAL CONDITIONS O .so as to-become subject to the Workers.Compensation Laws. U CITY ZIP Date Applicant ARCHITECT OR TEL NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY � CONST. ZONE ^ n O Exemption, you should become subject to the Workers' \- �� t / 1 Compensation provisions of the Labor Code,-you must forth- ADDRESS J V (( JJ a- . a with comply with such provisions or this, permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.� DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9' ADDRESS NOs .(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. CITYk/141/ d CLASS ge BK PG VALIDATION SQ. FT. NO. O NO:OF CHECK License Number _ �V ®�i Lic. Class SIZE STORIES FAMILIES ONE DVALUATION Contract.,0&4,4-A LiP _P21 Date luD DESCRIPTION OF WORK NEW ❑ E . ADD ❑ ❑I am exempt under Sec. , ALTER ❑X. B.&P. This reason REPAIR LJ $ Date: USE OF DEMOL ❑ EXISTING BLDG. h Signature rt ` APPLICANT TEL. FINAL (PRINT). NO. 4WNER-BUILDER DECLARATION DATE G� I hereby affirm that I am exempt from the Contractor's License . Law for the following reason,(Section 7031.5, ADDRESS Professions FINA 4 Professions Code): PRESENT By i ❑ DING I, as owner of the.property, or my employees with ADDRESS— / RbiJ wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for.sale(Section 7044, Business and Professions Code.) MOVINGTEL. ii TT El1, as owner of the property, am exclusively contracting CONTRACTOR NO, with licensed contractors to construct.the project (Sec- OrA.,. 1Q :7 1a Tion 7044, Business and Professions Code.): ADDRESS - i� CONSTRUCTION LENDING AGENCY RETQUIREBACYARD HWY TOTAL SSEETPBACK FROM LINE WIDTH CE� 1W.iV I hereby affirm that there is a construction lending agency for FRONT .00 the performance of the work.for which this permit is issued P.L. (Sec. 3097, Civ. C.).. SIDE. - Lender's Name 1 5/31/0.9 LDMA Ref. # Lender's Address 3641 1 AM 8:31 P.C. Fee$ � Permit Fee Poo. 0 1 certify that I have read this application and state that the Issuance Fee V . 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 V / LDMA Perm. # a and hereby authorize representatives of this.Courity to enter upo�r the above-mentioned property for inspection.,pu3ropo/s�e4.� �a �)w �1%' l SEE REVERSE FOR EXPLANATORY LANGUAGE Signatures as AApp`liicont or Agent Date J 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 0601170032 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: / TR: 11218 LT: 1 BL: .001 SQ. FT STORIES TYPE 5406 ROSEMEAD BL STRUCTURE: 40 VN SGAB CA 917762213 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY 5388-004-016 THOMAS PAGE: 596 GRID./H4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: COMME USE ZONE: C-3 ISSUED ON: PROCESSED B : EXPIRES ON: EXIST OCC GRP: 01/17/06 JK 01/12/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIN/,, DATE FI BY:, / CODE: CARISON, BRUCE (818) 287-1173- 12,000 /A�,.� 5406 ROSEMEAD BL �/ '��' SGAB 917762213 FEES PAID D9SC.IPTION OF WORK TEAR OFF AND REPLACEMENT OF COMPOSITION AND BITUMEN ROOF FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: CHARLES STEC CO (626) 633-1613- AA BLDG PERMIT ISSUANCE 27.75 735 W. GLADSTONE AVE AE STRONG MOTION OTHER 12000.00 VAL 2.52 SPECIAL CONDITIONS: AZUSA, CA 91702 02 PERMIT W/O EN-HC 12000.00 VAL 250.20 TOTAL FEES 280.47 CONTRACTOR: TEL. NO: - APPROVALS DATE INSPECTOR SIGNATURE STEC CO ROOFING (626) 633-1613- 735 W. GLASTONE AVE LIC. NO LOCATION AND SETBACKS AZAUSA, CA 91702 797746 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 147H265 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: 'APT/COND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- 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 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT 'i DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1009210057 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF +CONST BUILDING ADDRESS: ITR: 11218 LT: 1 BL: .001 I SQ. FT STORIES TYPE I 5406 ROSEMEAD BL I (STRUCTURE: 21 V-B I SGAB CA 917762213 (ASSESSOR INFORMATION NUMBER: J NEAREST CROSS STREET: LAS TUNAS 15388-004-016 J I THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl I 1 I I ITENANT: IEXIST BLDG USE: COMME USE ZONE: C-3 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 109/21/10 SR I I i I (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: F�,_�NTAL DATE/ FINAL BY: CODE: I CARLSON, BRUCE (626) 287-1173- 6,000 n,4b M 15406 ROSEMEAD BLy V j�7 I ISGAB 917762213 FEES PAID IDESCRIPTION OF WORK v I ITEAR OFF (E) TILE ROOFING ON FRONT SIDE OF ANIMAL HOSPITAL I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: JONLY INSTALL THE 30 # A.S.T.M FELT INSTALL THE 50 YEAR CLASSI JAPPLICANT: TEL. NO: I I I (MARTIN, BLAKE (626) 333-5615- IAA BLDG PERMIT ISSUANCE 27.80 J I 1 JAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS: 1 JAE STRONG MOTION OTHER 6000.00 VAL 1.30 J I ID2 PERMIT W/O EN-HC 6000.00 VAL 149.70 1 1 I 1 TOTAL FEES 179.80 ICONTRACTOR: TEL. NO: J J.APPROVALS ATE U INSPECTOR SIGNATURE IREXTRAY ROOFING, INC. (626) 333-5615- 1 1 1507 N AZUSA AVE ;;C LIC. NO 1 ILOCATION AND SETBACKS I I 1 ILA PUENTE CA 91744 655986 C39 I- I (SOILS ENGINEER APPROVAL I I I I I I 1ARC�ITFLT OR T7L. NO: I 'ODi:r_ _TOiv/?RL\C=i ?ORNiS J LIC. NO: I ISLAB/UNDER FLOOR I I I I I I 1 (RAISED FLOOR FRAMING I I I I I I IM-AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I (UNDERFLOOR INSULATION 1147H265 3 001 1- I I I IFLOOR SHEATHING 1 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I 1 ' 1 NO 22 1 IROOF SHEATHING I 1 I I I I I 1 SCHOOL WITHIN HAZARDOUS 1 I_SHEAR PANELS 1 1 JAIR QUALITY: 1000 FEET MATERIALS 1 1 1 1 1 J NO NO NO FRAME INSPECTION I I I I I I I I IFIRE SPRINKLER HANGERS 1 1 I I I I I I 1 1 (INSULATION/WEATHER STRIPI I 1 1 _1 JINTERIOR LATH/DRYWALL 1 1 I I I I I I 1 I IEXTF.RIOR LATH 1 1 1 I I I I I I I IRATED FLOOR/CEIL ASSEM. I I I I I I I J I IRATED WALL ASSEMBLIES I J 1 I IRATED SHAFTS/OPENINGS I 1 I I I I I I IT-BAR CEILINGS I I J I* ADDITIONAL DATA ON FILE I.LOT-DRAINAGE I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 J 1 1 1 I I I I I I