HomeMy Public PortalAbout5522-5524 ROSEMEAD BLVD_Building__ ARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
-COUNTY OF LOS ANGELES. I
WM. J. FOX, CHIEF ENGINEER),A rt BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BU ILOI NO
ADDRESS
LOCALITY i�C ,; J RECEIVED BY DATE OF APP" DATE ISSUED
NEAREST
CROSS BT.
_JJ''' BUILDING
OWNER I )T�-� 76Q C.. !1 [L n` ADDRESS — �r
MAIL 7� �O LOCALITY
ADDRESS
NEAREST
NEAREST.
.
FIRE NO.Of - TYPE GROUP
ARCHITECTOR TEL 20NE PLANS
ENGINEER NO.
BLDG. ORD.NO.
ADDRESS SETBACK LINE %
APPROVED
EL (3
CONTRACTOR�"� 0 10 (O�f � BY DATE
USE APPROVED
ADDRESS red %Y �� ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. J BLOCK
_TRACT / I
SIZE DF LOT V O � O.OF'SLOGS. 7 ^ „
- NOWNv
ON LOT l U
USE TI -;- 1� `O.O[B yl ND.OF
EXISTING BLDG. !/ f�i� ROOMS
DESCRIPTION OF WORg ��,_
NEWI� ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH
8D.FT. ' Q WALL / R0. HTORIES
ROOF
COVERING COVERING // ��</ /l
r 4 (:L
L -
USE OF NE
BUIILDINOWAeIf 14 t: T I-rz
c 7 yy 3
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS.
�- BRACING, BOLTS
SIGNATURE OF —
_
PERM ITTEE_ 1 - LATH,INT.:
AUTHORIZED ��T ' f I y� O�'r�� LATH,EXT.:
OBS-3 50M SETS 1'98 .ql P D B PLASTER,INT.
7� /Y'u FEE PLASTER,EXT.
B —i
vwWATION FEE V I e- FINAL ' -.t
7eAe1BA CE*0031/71 7Em.01E
APPLICATION FOR BUILDING PERMIT 9 _
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS SZ �YYJ
COLEMAN W JENKINS, SUIT OP BUILDING LOCALITY t
R APPLICANT TO FILL IN NEAREST ^
Re CROSS ST A
ADDRESS_
OtSE SAO DIST 104 GRQUP CONST [� CESSED BY
ADDRESS J
STATISTICAL CLyA$�S ICA TION SEWER MAP
LOT NO �Q 20 BLOCK CLASS NO I'A/DWELL UNITS_ BK,_PC�
TRACTr— USE ZONEI MAP rA �D
NO OF BLDGS NO L— � 40
SIZE OF LOT NOW ON CC
��� SPECIAL
EXISTING NG BLDG — 7 ✓ ea-PA'//C CONDITIONS
OWNERMAL _ E TE
NOL
BLDG SETBACK FROM
ADORESS 8 FRONT PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY C/ r HI .WAY WIDTH FROM CL
ARCHITECT OR TEL +
ENGINEER NO
BLDG SETBACK FROM
ADDRESS SIDEPROP LINEOF (STREET)
TYPE OF CONTRACTO F S NOLTT3 �S HIGHWAY WI OTIHG FROM C L HIGHWAY + YARD = TOTAL
ADDRES $A-AJ7A fl-PrTR NO j tk ;3-7 S' + — O
CITY E4- LIC t3
CLASS CORNER CUTOFF YES ❑ NO
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SID FOR EC APP VALS M
ADDRESS
SO FT NO OF NO OF NEW El
STORIES FAMILIES
USE OFA" E] q—I-Z-71 �(h{, Iq. G I
STRUCTURE S _ �
ER ❑ a
SIGNATURE OF IR❑ / .ff l
APPLICANT
VALUATIONS O�
APPR ALS DATE INSPECTOR'[ SIGNATURE
P C PMT F j0 FOUNDATION LOCATION
FEES �! FEES FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STAT[ TWAT THE ABOVE IS CORRECT AND AMITIJ TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAW4REGULAT B ILO(XO CO GA$ VENT DUCTS
STRUCTION I CERTIFY THAT IN ORK AUTHOR, DX[REBY I WILL NOT EMP Y AN O (ON OP NELATH INT
LABOR CODE OI THE TE TI TWORKMEN'S COUPE NS 1 II LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS [ f9 FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION ® NO cAeX _ PERMIT VALIDATION ® MO CASH
I r( _ 0 6 2 3�- J0 22 3 0 5.40- Q �„✓-�
Ar'- 0 6 2 4n JurJ 2 1 D ' 9.00- v
WORKERS COMPENSATION DECLARATION
hereby affirm
a a cernficcotte ofWork"Compensation Insurane APPLICATION FOR BUILDING PERMIT
or a certified copy thereof (Sec 3800 Lob C )
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No Company BUILDING
Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS SSS22—SS26 N RitaPkinc,48 BI
Certified copy is filed with the county budding inspec- BUILDING 11
ton department ADDRESS ±_Y22 -552C. N- `sO1eOWAA 61 da T2n, C G
Date Applicant CITY a C,1 zip 41760 LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT S A 2O00 r NO &D TS riZ CROSS ST Ill U Q DIS
COMPENSATION INSURANCE
(This section need not be completed if the permit is for one TRACT The BLO67 T NO ASSESSOR
hundred dollars ($100)or less ) MAP BOOK PAGE PARCEL
TEL E 6
Fa
I comfy that m the performance of the work for which this OWNER - M (Q Glen IJp 2 $ y
permit is Issued I shall not employ any person in any manner �� SPECIAL ,
so as to�bec�ome subject to the Workers'Compensation Laws ADDRESS 10(311. St CONDITIONS O
Dated Applicant CITY C., ZIP 91 0 Lr
NOTICE TO APPLICANT If, after making this Cartdoate ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PROCESSED BY O
Exemption you should become subject to the Workers' ENGINEER NO ��/1 Y 1 ,� CONST U
Compensation provisions of the Labor Code, you must forth- ADDRESS r DW.
with comply with such provisions or this permit shall be
deemed revoked L STATISTICAL CLASSIFICATION APT 0
CONTRACTOR Z
LICENSED CONTRACTORS DECLARATION V LIC CLASS NO 9-2-� DWELL UNITS_
I hereby affirm that I am licensed under provisions of Chapter9 ADDRESS P40 SEWER
with Section 7000)of Division 3 of the Business and UC s�7�1i��ii��
Professions Code and my license is in full force and effect CITY CLASS EGyAfSDSL7L0lP A
SO FT NO OF NO OF CHECK
License Number Lic ClassSIZE STORIES FAMILIES ONE # e e 23
NEW vuunoN
AI • • 3 Z 5,0
Contractor Dote DESCRIPTION OF WORK
I am exempt under Sf ,xcl, W\tLROIL S
37.505
pill.
• • e
Dor ALTER 11
0-88
B dP C for this reason 1 REPAIR $ l r I) g00 77
Data E%STING BLDG) 11QTr r �' C DEMOL
Signature APPLICANT
rQn C Q TEL
(EIS)4t2-643 FINAL
OWNER-BUILDER DECLARATION DATE
I hereby affirm that I am exempt from the Contractor s License ADDRESS 0 T1 i:f(iLC'� , C QL FINAL
for the following reason (Section 7031 5 Business and
Professions Code) BY i 21 1'3 6%
I as owner of theBURN'
property, or my employees with ADDRESS ' •
wages as their sole compensation will do the work and a'm 2 # e e all
the structure is not intended or offered for sole(Section LOCALITY , I 49.88
7041, Business and Professions Code) MOVING TEL
I as owner of the property, am exclusively contracting CTOR NO
with Imensed contractors to construct the project (Sec- e e e 4 9 8i8 5
tion 7041, Business and Professions Code) ADDRESS
CONSTRUCTION LENDING AGENCY jU YARD I F/WY TOTAL 5ETBACK FROM PROP LINE WIDTH I S 88
I hereby affirm that there so construction lending agency for FRONT
the performomis of the work for which this permit is issued P L
(Sec 3097, Civ C ) SIDE
PL
Lender s Name
31 LDMA Ref 0
$ Lender s Address PC Fee T Permit For
I certify that I hove rood this application and state that the Isuance Fee 0..0 1DAM PAC•
above informolion n coni I agree to comply with all County Investgatlon Fee
$ ordinances and State jaws relating to building construction, Total Fee TDMA Perm •
fy and hereby authorize representatives of this County to enter
uPon theaboveabove mentions property far inspection purposes
e d T II )ID19t M 1LtLveeu KM OL►LANATM LANWAtx
Signature of Applicvnt or A&M Data
I 1
-• ' 'J:(MAITY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS • TENANT IMPROVEMENT
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9610140003
PHONE (818) 285-0488 EXTLEGAL ID NO OF CONST NEW ____9MrUnM_Z5RESS
-
ON FILE SO FT STORIES TYPE OCCUP GROUP 5526 ROSEMEAD BL
STRUCTURE- 1800 1 V B TEMP CA 917801845
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5387-027-021 THOMAS PAGE: 596 GRID H4 LOCALITY TEMPLE CITY
TENANT LXSl ISLUEi USL LUMML ISSUED ON PROCESSED BY EXPIRES ON
PRO TINT 8 AUTO ACCESSORIES EXIST OCC GRP B 10/14/96 TC 10/14/97
OWNER: TEL NO: BLOGS. NOW ON LOT VALaffW_ FINAL DATE,, CODE
CHENG FRANK MEI LING (818) 447-7934- 1,500 f-� %
110 LAS FLOES AV l
ARCD 910078223 FEES PAID DESCRIPTION OF WORK 91
FEE DESCRIPTION ```AA`OLIANTIT,Y,DUOM• / AMOUNT INSTALLING NEW ROLL-UP DOOR
APPLICANT TEL NOSAME AS OWNER - AA BLDG PERMIT ISSUANCCEEJ"� �S 27 75
00-
AE STRONG NOTION COTHER 1500-VAL s 0150 SPECIAL CONDITIONS
AX BUILDING REVIEW,FEE 5470
D2 PERMIT W/0r EN-HC 1500.00 VAL\ 82.20^
V TOTAL FEES 16 15� -
CONTRACTOR I APPROVALS DATE lwsPnT6F3TMUT0ffF--
SAME AS OWNER - '?�� 8 p .
LIC NO IJ
ARCHITECT OR ENGINEER: TEL NO s)4uo V E ales S.d
LIC NO
� nil U RAISED FLOOR FRAMING _
MAP NO SEWER MAP BOOK
PAGEy
3 04 , C 1
1<00,�/ FLOUR-SHEATHING
NO OF FAMILIES: DWELLING UNITS APT/COND $TAT CLASS
NO 22 lf�O SCHOOL WITHIN HAZARDOUS SHEAR PANELS
ROOF EAEATHING
AIR QUALITY 1000 FEET MATERIALS
MO NO NO J IFRAME INSPECTION
FIRE SPRINZIMFOMM-
IMSULATION/WEATHER 9"
INTERIOR LATH/DRTWALU—
EXTERIOR LATH
RATED FLOCR/CEIL ASSN--
RATED WALL-MMUCT99--
T-BAR CEILINGS
LOT DRAIWA(it
(REPORT ID DPR261 ROUTE TO BS0508
COMITY / LO?.ANGELES TEMPLE CITY W, # 0508 BUILDING PERMIT
DEPARTMENY OF PUBLIC WORKS 9701 LAS TUNAS !� ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0001130064
PHONE (626) 285-0488 EXT
LEGAL ID NO OF -099r— BUILDINU-=9nT-
ON FILE SG FT STORIES TYPE 5522 5526 ROSEMEAD Bl-
STRUCTURE
LSTRUCTURE 0 VN TEMP CA 917801845
ASSESSOR INFORMATION XWEF—5387-027-021 NEAREST CROSS STREET BROADWAY
THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE COKME UgE-75RE-T-F— ISSUED ON PROCE5sLu tsy L7FrWn'5W-
EXIST OCC GRP 01/13/00 UT 07/11/00
OWNER TEL NO BLDGS NOW ON LOT VALUrrEW-- - FINAL DATE FINAL BYe
CHENG S FLO ES LING (626) 285-9016- 1 3,000 F31 M v
110 LAS FLORES AV �n.l
ARCD 910078223 FEES PAID bESER7FT1'UX Ur WKK
TEAR OFF, NEW 1/2" PLYWOOD, INSTALJGS COMP SHINGLE CLASS A
APPLICANT TEL NO FEE DESCRIPTION QUANTITY UOM AMOUNT 20 YR ROOFING MATERIAL
GOLDEN KEY MAINTENANCE (626) 285-9016- AA BLDG PERMIT ISSUANCE 27 75
4533 SHIRLEY AVE AC STRONG MOTION RESID 3000 00 VAL 0 50 SPECIAL CONDITIONS
EL MONTE, CA D2 PERMIT W/O,EM-HC—-- 3000 00 VAL 99 00
CONTRACTOR TEL NO /
PNGELESTOTAOL FEES 1272s
SIGNATURE
GOLDEN KEY MAINTENANCE CO (626) 285 9016- �0 /l�Ty APPROVALS DATES
PECTOR
4533 SHIRLEY AVE LIC NOLOCATION AND SETBACKS
EL MONTE, CA 91731 481171 C39ARCHITECT OR ENGREEV— TEL NO
_ S F6IW6�61FM�
LIC NO/�
{(1J/—/L I 1 1(I111�I
147H265 ; I p114 )MAP NO SEWER MAP BOOK PAGE FIRE ZONE CHP: UNDERFLOOR IT09nN---
L (C �AV O �K�
ll� S FLUOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
NO 22 ROOF SHEATHING
e
SCHOOL WITHIN HAZARDOUS0 0
AIR QUALITY 1000 FEET MATERIALS \ Q Q "'> r t
NO NO 110 REQUIRED A FRAME�
J
SET BACK YARD HWY PROP LINE WIDTH �, ❑ �SO�
FS DE PL- `SerVICE -f tl
RONT PL- REPORT ID DPR261 ROUTE TO BS0508