HomeMy Public PortalAbout5541 ROSEMEAD BLVD_Building__ TeABBeA CE #603 "'APPLICATION FOR BUILDIIqG PE
RMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING W
ADDRESS
COLEMAN W JENKINS, BUP T DI BUILDI.. LOCALITY
FOR APPLICANT TO FILL IN NEAREST
(Prom • CROSS ST
BUILDING DISTRICT N Ft P PR BY
ADDRESS ONST
i
LOT NO BLOCK STATISTICASI FICA TION SE ER MAS
CLASS NO DWELL UNITS_ SK PG
TRACT USE ZONE MAP O
NO OF BLOCS NO
SIZE OF LOT NOW ON LOTSPECIAL
USE OF C, CONDITIONS
EXISTING BLDG
TEL
OWNER NO BLDG SETBACK FROM
ADDRESS FRONTPROP LINEOF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWA WIDTH FROM C L
ARCHITECT OR TEL +
ENGINEER NO
BLDG SETBACK FR
ADDRESS SIDE PROP LINEOF (STREET)
o EL TYPE OF XISTING
SETBACK HIGHWAY YARD = TOTAL O
CONTRACTOR •�' ` O HIGHWAY WIDTH FROM C L V
LIC
ADORES$ NO + — O
CITY /I ��CI.` CLASS CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS Z
ADDRESS ,S
SO FT NO OF NO OF NEW
SIZE STORIES FAMILIES ElUSE OF ADO
STRUCTURE
ALTER ❑
SIGNATURE OF REPAIR
APPLICANT DEMOL ❑
VALUATION S APPROVALS DATE INSPECTOR • SIGNATURE
P C77MM
PMT FOUNDATION LOCATION
FEE SFEE S �� FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL OP DINAMANDLAWS REGULATING BUILDING COM- GAS VENT DUCTS
ST RUC TION 1 CERTIN DOING THE WORK AUTHORIZED
HERESY I WILL NOT ANY PERSON IM VIOLATI ON
OF THE LATH INT
LABOR CODE OF TOF CALIFORNIA IM RELATING TO
WORKMEN a COUPE NURANCIE LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE ' A Ji 46 RECT AND POSTED
ADDRess� FINAL / /d `
PLAN CHECK VALIDATION cK .o uaH JOHN F LEWIS PRINCIP L STRUCTURAL E
PERMIT VALIDATION cN .0 ueH
Lia 8 6 5 JAW ;_TD D 6.0 0— o
BA CE ..DD A/TAPPLICATION FOR BUILDIN PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUIMING AND SAFETY DIVISION BUILDING /
JOHN A LAMBIE. COUNTY' ENGINEER 'A UO E93
COLEMAN W. JENKINS. SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
/' D `EMEACROSS STL.
ABUILDING NDDRESS S4I OV D
DISTRICT NO, GROUP CY T
((]] ]J STATISTS COADL�CLASSIFICATION SEWER MAP
LOT NO J BLOCK CLASS NO DWELL UNITS BK G
TRACT 3623
/7 USE ZONE MAs NoP
SIZE OF LOT I�G,1 Y, 42 NOW ON LOT C CUSOFONOIA ONS
EXISTING BLDG OF'F' l..C - E
OWNER ` IL NOL , -01—r
BLDG SETBACK FROM
ADDRESS V FRONT PROP LINEOF ISTREETI
TYPE OF ISTI NG SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWA WIDTH FROM C L
ARCHITECT OR TEL��B 0�7 + _
ENGINEER NO BLDG SETBACK FROM
ADDR .)JY401,14 SIDE PROP LINE OF (STREET)
CONTRACTOR f TEL _ TYPE OF EKISTING SETBACK HIGHWAY YARD = TOTAL
/¢ NO J-9' J HIGHWAY WOTM
FROM CL
ADDRESS 013T/ d No.l 2Y3 L + _
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CITY OJ'Av li"�T CILASS -I CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION
AND BRANCH NAME
SEE REVERSE SIDE FOR SPECIAL APPROVALS W
d
ADDRESS z
SO FT NO OF NO OF NEW ❑
SIZE STORIES FAMILIES ❑
USE OF ADD
STRUCTURE443
ALTER ❑
SIGNATURE F REPAIR❑
APPLICANT DEMOL
VALUATION $�4 IRS
APPROVALS DATE INv[cTw•[ SIGNATURE
P C PMT FOUNDATION LOCATION
FEE S FEE S FORMS MATERIALS
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING,
RACING BOLTS
AND STATE THAT THE ABOVE 1E CORRECT AND AOR[[ TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATINO BUILDING CON- GAS VENT DUCTS
STRUC TI ON 1 CERTIFY THAT IN DOINS THE WORK AUTHORIZED
H[RlBY I WILL FT�.
NT PE ON IN VIOLATION01 THE LATH INT
LASOR COD[ OTATE OF C IFORMIAIN A64ATINO TOWORKMEN'S COMON II URAGI
LATH EXT
SIGNATURE O i HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL 'J
PLAN CHECK VALR)ATION CN M CASHJOHN F LEWIS PRINCIPAL STR AL ENGINEER
PERMIT VALIDATION cNo CA"
t pr,, s a l aC JM26 ID 9.00
■8/K60SSA cE SDOI 12/60
v+ = APPLICATION FOR BUILIJING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS, UIP T OF BUILDING LOCALITY
FOR APTETM77TOTILL IN NEAREST
CROSS ST
BUILDING DIST/,ICT GROUP PE P E B
ADDRESS
ONST
C3 I
STAgFloab TISTICAL Cl_iASWFICATION SEWER MAP
LOT NO BLOCK CLASS NO WELL UNITS_ BK
TRACT tZ� USE ZONE MAP
NO OF BLDGS NO
SIZE OF LOT NOW ON LOT SPE IAL
USE OF CON DI TION5
EXISTING BLDG
TEL
OWNER O BLDG SETBACK FROM
ADDRESS FRONT PROP LINEOF (STREET)
T-11 OF ISTING SETBACK MIGHWAV } YARD = TOTAL
CITY NIGHWAV WIDTH FROM C L
ARCH T CTO TEL }
ENGINEER N
_ BLDG SETBACK FRO
ADORES$ SIDE PROP LINE pF (STREET(
TEL TYPEOF XISTING SETBACK NIG Y } YARD = TOTAL
CONTRACTOR N HIGHWAY WIDTH PLIC ROM C L yy..
ADDS NO } = C-
LIC V
CITU CLA CORNER CUTOFF YES ❑ NO ❑
CONS UCTION LENDS O
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS W
ADDRESS Dy
SO FT NO OF NO OF NEW 2
SIZE STORIES FAMILIES
USE ADD
STRUCTURE It
ALTER ❑
SIGNATURE R AIR❑
APPLICANT L ❑
VALUATIONS APPROVALS DATE INSPECTOR R SIGNATURE
P C PT FOUNDATION LOCATION
FEES , FEMES A �� FORMS MATERIALS
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BO TS
AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDIMANCES AND LAWS REGULATING BUILDING COM- GAS VENT DUCTS
STRUCTI OM I CENT(PY THAT IN DOING THE WORK AUTHORIJIZ D
HEREBY I WILL MOT tmpLoy_jdy PLRDON IM V10UT101 OyfHC LATH INT
"DON CODE 01 THE STA LIIORMIA IM IIA TO
WORKMEN S COMPENEA TIO ! LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADORES ` FINAL /
PLAN CHECK VALIDATION CK y G CASH _ JOHN F LEWISRI $TR®RAL ENGINEER
PERMITT VALIDATION
N M O CAGH
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�&635AtE0803I2"APPLICATION FOR BUILDING PERMIT f1
COUNTY OF LOS ANGELES ASSESSOR
• DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS, YUP T OF BWILOING LOCALITY
FOR APPLICANT TO FILL N NEAREST
DI CROSS ST
DISTRICT N GROUP YPE PR S
BUILDING t^ O CONST 4-
ADDRESS 7
STATISTICAL C�(L/AQP ICATION SEWER MAP
LOT NO BLOCK CLASS NO 14 DWELL UNITS__ BK
TRACT 0 USE ZONE MAP
NO OF SLOGS NO
SIZE OF LOT NOW ON LOT SPE IAL
USE OF CONDITIONS
EXISTING BLDG
TEL
OWNER NO BLDG SETBACK FROM
ADDRESS FRONT PROP LINE OF ISTREETI
TYPE OP EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HIQ.A WIDTH FROM C L
ARCHITECT TEL }
ENGINEERN
BLDG SETBACK FROM
ADDRESS SIDE PROP LINEOF (STREET)
T L TYPE OF .STING SETBACK HIGH Y } YARD = TOTAL
CONTRACTOR NO H,I HWAYI WIDTH I FROM O L
ADDRESS LOC
CITY ( CILA CORNER CUTOFF YES ❑ NO ❑ 67
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CONSTRUCTION NDER
AND BRANCH NAME }1 SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS N
SO FT NO OF NO OF NEW Z
SIZE STORIES FAMILIES
PC
F ADO
CTURE L ALTER ❑
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ANT DEMOL ❑
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P C PMT FOUNDATION LOCATION
FEE f 0 PEE f J FORMS MATERIALS �2
FRAME FIRE STOPS
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND CTAT[ THAT THE ABOVE U CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL ORO INANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
BY RUC
TION I CER TIDY THAT DOING THE WORK AUT RI SED
HEREBY I WILL NOT [MPLO AN ERSON IN VIOLAT. OP THE LATH INT
LABOR CODE OP TH[ ST E ALIPOR NIA N TING TO
WORKMEN'S COMPENSATI 1 C[ LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATION CK MO CAG JOHN F LTVEWIS VALIDATION
$TRU TUR MLO ENGINEER
PERMIT VALIDATION
1 6Z5A
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TdA\Aa CA NEW 4Y10 \
APPLICATION F R BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMB(E, COUNTY ENGINEER ADDRESS
e2 at
COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL NEAREST
.10 CROSS ST &Ieaaawoo
WRINNINNIN BUILDING DISTRICT NO G TYPE ESS Y
ADDR ♦� L �08 Q CONST
LOT NO Oy^�/,7e' BLOCK STATISTICAL %QSSIF•IICA T ION gEy/ R MAP
TRACT
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USE ZONE MAP
412E OF LOT 7 ( Iy/i NOW ON140 OF / M SPECIAL �` 7
USE OF - l� / CONDITIONS _
EXISTING BLDG
EL
OWNER I }/ NO BLDG SETBACK FROM
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TYPH OF I\TING SETBACK HIGHWAY } YARD = TOTAL
CITY45 iQ. $ F HIGH WA WIDTH FROM C L
ARCHITECT OR TEL } _
ENGINEER O Z BLDG SETBACK FROM
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TEL YPE OF EXISTING SETBACK I HIGHWAY + YARD = TOTAL
CONTRACTORNO W.3 7SV IOHWAY WIDTH FROM C L
LIC
ADDRESS `yS V S�x NO Y } = p
CITY IJA[.!1 411AI e- CILASS - CORNER CUTOFF YES ❑ NO ❑ C
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS N
Z
SO FT /J ST OF / NO OF NEW El
G STORI S FA MI IES
USE OF O
STRUCTURE e BLTER ❑ Py
SIGNATURE OF
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APPLICANT ,?�� DD/E�M/O��L ❑ ,[ (C J
VALUATION 5 3 r 1 APPROVALS DATE INSPEc TGN•G Slcxwn NL
FEEf // O �vNFEES 3FSo FOUNDATION
MATERIALS
ON
FRAME FIRE STOPS V iC
I XEA[\Y ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STAT[ THAT THE AGOVE IL CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDIMA NCE$ AND LAWS REGULATING [GILDING CON GAS VENT DUCTS
STRUCTION I CEATIF♦ THAT IN DOING THE WORK AUTHORISED
HERESY I WILL NOT EMPLOY AN PCRS N-IN VIOLATION OF THE LATH INT
LASOR COD[ OF THE TAT[ CA FORNIA IH R[LA INS TO
WOR KMEN•S COMP NS OM IRS ANC LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION GASH _ PERMIT VALIDCKATION No CASH
I AI'„ 7 8 7 p9 DEC 32 3 0 11 7.90'
r^_ d 5 5 5,;g .L'iG 9 2 3 D 1 620-
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7BA640A.CE 0803 4/70 Q�
-` APPLICATION FOR BUILD( G PERIvFfT
COUNTY OF LOS ANGELES _ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING �9P
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS, SUIT OF BUILDING n
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
BUILDING
DISTRICT NO O
GRU NST T E ..T P D
1�L O I/
ADDRESS J � ,c.✓Sf//'d!Z � Y
STATISTICAL'CLASSIFICATION 5 W'E"R MAP
� '
LOT NO BLOCK CLASS NOS✓ DWELL UNITS_ BIL.. ,
TRACT -56 :23 1USE ZONE MAP /") '
NO OF SLOGS NO Ll '
SIZE OF'LOT NOW ON LOT opliSPECIAL
USE OF CONDITIONS
EXISTING BLDG
OWNER �, ,-, s. �,c NOL
BLDG SETBACK FROM ... _
A O DRESS "�� f�-G /r /�q FRONTPROP LINEOF (STREET)
6 , yl /�' TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HIGHWAY WIDTH FROM C L
_
ARCHITECT OR �-> TEL -
ENGINEER !/ ..a . NO BLDG SETBAC M
ADDRESS u }
_ SIDE PROP LINE OF (STREET)
/ •tea r,�
TEL TYPE OFEXISTING SETBACK AY '} YARD = TOTAL
CONTRACTOR ��„ ,J'��A,ILq Epp NO jd.{-d Jnp HIGHWAY WIDTH FROM C L
LIC _
ADDRESS L LI
LIC
CITY CLASS R� CORNER CUTOFF YES ❑ NO ❑ CD
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS i
ADDRESS Z
SO FT NO OF NO OF NEW,
SIZE STORIES FAMILIES
ITR'CT
URE USE OF ADD
ALTER ❑ ��'�
/ / REPAIR[] �Z
PP
SIGNATURE OF / �E�t ❑
ALICAN T G�J�•'C 1 DEMOL .�
�T' O
VALUATION S L APPROVALS DATE, .,WTOM'S GKATURL
PC PMT FOUNDATION LOCATION
FEE S FEES A (, c' FORMS MATERIALS
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
ANO [TATE THAT THE ABOVE IB CORRECT AND AGREE'TO COMPLY FURNACE LOCATION
WITHALL ORDINANCE[ AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUC TIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL HOT EMPLOY ANY PERSON IN VI LATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNI N RELATING TO
WORKMEN'S COMP[ ATION INSURANCE
/ LATH EXT
SIGNATURE HOUSE NUMBER COR-
RECT AND POSTED
ADDRESS - FINAL
JOHN
PRINCIPAL STR
PLAN CHECK VALIDATION CK M 0 CASH _ PERT VALIDATIO CUK RM o ENGINEER[
MI
nr_ 9 0 7-2�- flMl 0 1 D 12.00-
APPLIj.:ATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN I Pnnt or type only)
' COUNTY OF LOS ANGELES
LDING
RR�
IN
5 ,}SDEPARTMENT OF COUNTY ENGINEER
AK ZIP J p• BUILDING AND SAFETY DIVISION
NO OF BLDGS ' BUILDING
LOT NOW ON LOT ADDRESSBLOCK, LOT NO LOCALITY
TEL NEAREST nye O -G r: CROSSST
1 _ ASSESSOR
S 6 - (,., MAPBOOK . PAGE PARCEL
DISTRICT GROUP TYPE FIRE ESSED BY
ZIP ( ^ CONST ZONE
CT R I TEL �ER £ Y / NO 3STATISTICAL CLAS51FICATION $EWER MS ,r0 [ CLASS NO � DWELL UNITS BK PG
ONACTOR YJ N .71
Q LSE ZONE NO 6r,C Jo
ADDRESS 2 i`�T NO SPECIAL
LIC - CONDITIONS
GTV CLAu ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCT( LENDER _
NAME AND BRANCH ((� BLDG SETBACK FROM
• FRONT PROP LINE OF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF E%(STING
SO FT NO OF NO OF CHECK HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE y
DESCRIPTION OF WORK a �NTiiK�Y NEW ❑ + O
BLDG SETBACK FROM
f/l L(Y ADD SIDE PROP LINE OF (STREETI O
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING
ASC�
IGHWAY + YARD SIDE PROP LINE - HIGHWAY WIDTH N
USE OF REPAIR ❑ Z
EXI
STING BLDGa of y.tK� DEMOL [ED + '
APRT CANT / 23� CORNER CUTOFF YES NO ❑
(PRINT)
` / IN OPEN SPACE YES NO ❑
BY ISIGNATU 25 IN COASTAL PERMIT ZONE YES NO
VALUATION /'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THION AND STATE 7- ��' 6 �'U �1 pmt.,,4_0
THAT THE ABOVE IS CORRECT AND AGREE TO COMRL ORDINANCES 11 - � j� u' ` /�AND UWS REGUUTING BUILDING CONSTRUCTION I CIN DOING THE �^L'f — r� rU 0 N*/�"f>'F/. //fp AWORT(AUTHORIZED HEREBY WILL NOT EMPLOY ANYVIOLATION OFTHELABORCOOSOFTHESTATEOFGLIFORNIA IN RELARI(MEN S COMPENSATION ItbURANCE ` (�SIGNATUP. IF J _ r�3 e_� �rS �•��GaJ �(j t.SC� TQ4�PERMITTEE LADDRESS '¢ l --L b�
FINAL
CITY T% "ge - f DA E 2�1_-) / BY Y" /
PV
MAKE CHECKS PAYABLE TO P E $ 1 FEET
HARVEYT BRANDT COUNTY ENGINEER
PLAN CHECK VALIDATION CK r o CASH PERMIT VALIDATION CK TA C cwsH
4-- 3 2 9�,nJL 28 ' 1 1 5.0 0 w�
m, 76473-BA CE NB00 J R5 f _
► APPLICATION FOR BUILDING PERMIT
'
FOR APPLICANT TO FILL IN (print or type only) u
COUNTY OF LOS ANGELES
� FNssGDEPARTMENT OF COUNTY ENGINEER �S
aTv L' ZIP BUILDING AND SAFETY DIVISION u
NO OF SLOGS BUILDING
SIZE OF LOT NOW ON LOT I ADDRE55 gs41 10 1 ylk 3
TRACT of%I BLOCK .I Ei I LOT LOCALITYi
TEL EAREST
OWNER CROSS ST S u
ADDRESS �! R
MAP BOOK PAGE PARCEL =
DISTRICT GROUP I TYPE FIRE DBY IY
.GTY blAWAQVii RMIr ZIP CON
13 j-6 ZON^ T
AHR 5 13 I
EGNEER STATISTICAL CLASSIFICATION StWER MAP
ADDRESS `
e
` T nA aASSNO •ZZ DWEII UNITS �� G EK PG q
CONTRACTOR USE ZONE NO y �.Ocle
Z
L,2 C lam/
ADDRESS? I ♦ CONDITIONS Q
CITYWAU t,
LIC
CONST ION L DER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
NAME AND BRANCH BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
ADDRESS CITY T ETBA FROM TYPE OF EXISTING
So FT NO OF NO OF CHECK HIGHWAY + YARD F T P LINE HIGHWAY WIDTH
SIZE 3 STORIES FAMILIES ONE
DESORPTION OF WORK NEW ❑ + O
ADD BLDG SETBACK FROM rr
Tp SIDE PROP LINE OF (STREET) rO
F ALTER SOI T SACK FROM TYPEOF EXISTING Y.
HIGHWAY + RD POP LINE HIGHWAYWIDTH 1%
USE OF ♦ IT��-� ��.L REPAIR ❑ Z
EXISTING BLDG gu Y IIN K¢sf'. OEMOL ❑ + _
APPLICANT T 0161ER CUTOFF YES ❑ NO ❑
IPRNTI Q
IN OPEN SPACE YES ❑ NO
BY ISIGNATU
IN COASTAL PERAkIT ZONE YES ❑ NO
VALUATION 3—5B 07.3
I
I HERESY AODWIEDGE THAT I HAVE READ THIS APRICATION AND STATE �J GL /"NG t,/v /^ co v/ /2
THAT THE ABOVE G DDRRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BURDMG CONSTRUCTION I CERTIFY THAT IN WING IHS /� H'/Q /CET/ 1 fit• p OX ��!.
WORK AUn10RZED HERESY I WK!.NOT EA OY ANY PERSON.-VKXATMZN OF
THPFf6ATIOKI OWE NSUR OF
STATE OF CAlI10RNIA IN I®AnNG TO WORI(MFN SCOM
SIGNATURE
f F
PERM TT
z2 ,CGU S//�riT
a1Y 1407/DATETEL i -/7� , BY
MAKE CHECKS PAYABLE FEE/�p //CO/ FET 9 /
PMT
HARTU
VEYT BNDT COUNTYENGINEER Jr o J 6
PLAN CHECK VALIDATION ICASH PERMIT VALIDATION cF r o c H
�v
830m 2323 U 1 .60Aya
355,,=JAN 26 1 0 306.00 •
eR 76AA36Aane03375
0 ✓P
API=; I 1 ION 06V COUNTY OF LOS ANpgp
BUILDING PERMIT D PARRTTMENT OF COUNTY >DIVISION
BUING BUILDING
FOR APPLICANT TO FILL IN ADDRESS
BUILDING
ADORES LOCALITY
GIT ZIP NEAREST
CROSS ST
/ n NO OF BLOGS ASSESSOR
SIZE OF LO Z)417,1NOW ON LOT MAP BOON I PAGE PARCEL
DISTRICT GROUP TYP FIRE ESSED BY
TRACT BLOCK L / ZONE `
TEL
OWNER NO STATISTICAL CLASSIFICA ON
SEWS P
ADDRESS CLASS NOO-26-a-DWELL UNITS BK PG
USE ZONE MAP �{
CITY ZIP NO 2,ocpd
ARCHITECT OR TEL SPECAL iq
ENGINEER NO CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL R90VIRED YES❑ NO❑
CONTRALTO TE BLDG TRACK FROM
LIC FRONT PROP LINE OF (STREET)
ADDRESS 77 NO TOTAL SETBACK FROM TYPEOF "ISTING
HIGHWAY } YARD
CITY LIC FRONT pq OP LINE HIGHWAY WIDTH
CLA
CONSTRUCTION LENDER ✓ }
NAME AND BRANCH ` BLDG SET CK FROM
ADDRESS CITY SIDE PROP L OF (STREET)
SO FT STORIES NO OF CHECK HIGHWAY } YARD _ TAL SETBACK FROM Typo OF E%IBTING Q
SI2E STORIES FAMILIES ONE SIDE P HIDNWAv WIDTH `
DESCRIPTION OF WORK .. NEW
DD ❑ CORNER CUTOFF YES ❑ NO ❑
LTER ❑
COASTAL
OPEN SPACE YES 11 NO
E ❑
REPAIR[]
SOT ING BLDG L EMOL ❑ IN ASTAL PERMIT ZONE YES C] NO
E% ❑
APPLICANT TEL
)PRINT) tv N
By (SIGNATURE
1 HERESY ACKN WLCDG[ T AT I HAVE R AD THIS APPLICATI N
AND STAT[ THAT THE ABOVE 13 CORRECT AND ADR[[ TO COMPLY
WI IN
ALL 0POINANCES AND LAWS REGULATING BUILDING CON
STRUCTI ON 1 CERTIFY THAT IN DOING THE AK AUTHORI![D
LABOR I WILL MOT EMPL
OY ANYIN )OLA N IN THE
LABOR COOL 01 T ! 1 LNG TO
WORKMEY COM /
SIGNATURE FINAL 2-17 77 By
/
PERMITTEE DATE U
ADDRESS
TEL P C Fee$ Permit Fee
CITY N
IEEDenas Fee
VALUATION Y Rf�f/�J� L
Totel Fee �J
PLAN CHECK VALIDATION H o c.sH PERMIT VALIDATION cN M o CA"
2581hOV 1223 D 9.00 • 259:NOV 12 1 D 15.00A�D
YVAGSEA CC VISOIN 12/70
( YP
it-WORKERS, COMPENSATION DECLARATION
1 hereby affirm that I have certificate of cement ,elf
Dawe a APPLICATION FOR BUILDING PERMIT cU
a cemficole of Workers
mb
kers Compeoon Insurance
or o certified copy thereof (Sec 31100 Lab C )
COUNTY OF l05 ANGELES BUILDING AND SAFETY
Policy No Company �/
E] Certifiedcopy is hereby furnished FOR APPLICANT TO FILL IN ABDoREss �SQjjyt[4Q
❑ Certified copy is filed with the county budding mspc-aBUILDING
bon department ADDRESS O$G�
Dab Applicant CITY ZIP
f LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS T
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ST
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars (5100)or less ) TRACT BLOCK LINO MAP BOOK PAGE PARCEL
USE ZONE :2 >.
I certify that in the performance of the work for which this OWER NO L 6
permit is issued, I shall not employ any person in any ma J!"' /•�� SPEOAL
so as to become subject to the Workers Com io ADDRESS l/ CONDITIONS V
Date AppI, CITY 7 ZIP K
NOTICE TO APPLICANT If often king this Certificate of ARCENGM DISTRICT GROUP TYPE N SSED BY
Exemption, you should become wbject to the Workers OL}NS/ /NO ZONE kl
Compensation provisions of the Labor Code you must fol ADDRESS 50 b' A/AL U•✓s-C•. 3
with comply with aprovisions or this permit shall he
deemed revokedCONTRACTORef4, TEL2111
tip -2* STATISTICAL C �5J�F1/C(�� APT CONDO
LICENSED CONTRACTORS DECLARATION t 17A55 NO=DWELL UNITS_
I hereby off am that I am licensed under provisions of Chapter 9 ADDRESS 4v
(commencing with Section 7000)of Division 3 of the Business andLK SEWER MAP
Professions Code and my license a in full force and affect CRY CLASS VALIDATION
SO FT NO OF CHECK
Bill PG
License Number LcClass SIZE STORIES FAMRIES ONE
VALUATION J
'
Contractor Dote DESCRIPTION OF NEW WORK /) —�
,
❑1 am exempt under Sec O ADD f 0
ALTER
B 8P C for this reason REPAIR III
USE OF
EXISTING BLDG DFMOL
Signahire APPUCANT TEL FINAL , _ � 1 5 8 9 A
OWTj1�R-BUILDER DECLAR ION PRINT NO - DATE61 3
1 hereby affirm I I ons exempt from the Contractor s License 23
Law for the following reason (Section 7031 5 Business and ADDRESS FI
Professions Code) I e - 37.50
BUILDING
C31 as owner of the property, or my employees with ADDRESS
wages as their sole compensation will do the work and e e e 37505
the structure is not intended or offered far sole(Section LOCAIm
70" Business and Professions Code) MOVING TEL 0225-85
❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the project (Sec
tion 70" Business and Professions Code) ADDRESS
CONSTRUCTION LENDING AGENCY REQUIRED SMETBACK
SET BACK YARD /ISVY 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 2 15 9 3 A
(Sec 3097, Gr C ) SIDE
e PL # • . . . . 1
lender s No"
g IDM/1 Ref 0 ( • - 3300
Lender s Address P C Fel /a Pmmn 'l
1 certify that I have read this application and state that the hill P•• 5v TDMA P/C R , e . . 3 3 0 0 5
above information is correct I agree to comply with all County Invfegotwn Fee
ordinances said State jaws relobng to building construction, 3. 0226-85
hereby and heby authwizs r protan of this County to enter Tool Fee TDMA'Perm e
upon the above-me for i wnfu7osslI —
^ SER KriE R FOR!EXPLANATORY LANGUAGE
e of Applicant or Agent Dan rD i
„WORKERS COMPENSATION DECLARATION �I
Thereby 0 cer Lica IFwver certificate Int toself APPLICATION FOR BUILDING PERMIT 1151
\11 fhwre w a certd¢ate of Workers Campensotbn Inwronce,
• or a fted copy thereof (Sec 3800, Lob C )
COUNTY OF LOS ANGELES BUILDING AND SAFETY
r Polity No Company
C1 Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING
ADDRESS
Certified copy is Bled with the county building mspec- BUILDING
tion department ADDRESS / r G ( LOCAUTY
/� NEAREST
Dote Applicant CRY (ter ZIP CROSS ST
CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON L MAP BOOK PAGE PARCEL
(This suction need not be completed if the permit is for one TRACT BLOCK LOT NO USE Z
uONE NOO
hundred dollars($100)or le ) a (n” SPECIAL
I certify that in the performance of the wak for which th
OWNER J CGr NO `-'-� CONDITIONS d
permit is issued, 1 shall not employ any person i an n Dp_� DISTRICT GROUP TYPE FIRE BY O
so as to lxco a subject to the Workers'Com y n AooRF55 ( IeSGFhe 61 on CONST ZONE W
cc
Date ApplicoM n CITY ARCHITECT /L ZIP TEL
7�7�0 STATISTICAL FIUTI APT CONDO O
NO7 T APPLICANT If, ober king this Certificate of _G
Exemption you should become subject to the Workers ENGINEER MSS NO DWELL UNITS- 1
Compensation provisions of the Labor Code you must forth ABB SEWER MAP Z
with comply with such provisions or this permit shall be _
deemed revoked CONTRACTOR TEL
BK PG, VALIDATION
LICENSED CONTRACTORS DECLARATION !/ /^LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /d Y0 C L NO �/J� y VALUATION
(mmmenong with Section 7000)of Division 3 of the Business and UC
Professions Code, and my liceme is in full force and effect CRY y CLASS f ��
50 FT OF NO OF CHECK ►
License Numbe�rf"/r/"��LK Class Z,
SIZE STORIES FAMILIES ONE
Contractor /// /L /r:.41cti DESCRiPnON OF WORK NEW ❑ $
;10 9 G 8 A
7 AM ❑
El I am exempt under Sec ALTER ❑ FINAL R
B TLP C for this reason REPAIR ❑ DATE
Data USE OF EXWING BLDG DEMOL ❑ FIN I is • 2 a 5 0
Sigrature APPLICANT TEL
OWNER-BUILDER DECLARATION PRINT NO • • • 211505
I hereby affirm that I am exempt from the Conaactoes License lop for the following reason (Section 7031 S, Buuness and I G26-84
Professions Code)
❑ I, as owner of the property, or my employees with BUILDING
wages as their sole compensation,will do the work and
the structure is not intended or offered far sale(Section LOCALITY
70", Business and Professions Code) MOVING TEL
I as owner of the property, am exclusively contracting CTOR NO
with licensed contractors to construct the project (Sec- ADDRESS
hon 70", Business and Professions Code)
IRED TOTAL SETBACK FROM EXIST
CONSTRUCTION LENDING AGENCY BACK YARD LI WAST lips hereby offam that there is a construction lending agency for FRONT
HWYthe performance of the work far which this permit is issued P L
(Sec 3097, Civ C ) SIDE
o PL
Lender s Name
B P C Fee{
- Larder's Address Parma FM IT,00
I certify that I have read this application and state that the Isuonce Fr
above Information a correct I agree to comply with all County Irweelgallon Fee
ordinances and State laws r t bUJIdina construction, Total Fee
and hereby authors a ntatl County to enter
upon the above- I i f Ion p
ZV Ln avast FOR IMPLANATORY LANGUAGE
SVpnoture of Applkant or Agent DaN ms
yJb-RKERS COMPENSATION DECLARATION 1�/V,iJCF— ') V eo `o-
affirm cthate of `assent to self APPLICATION FOR BUILDING PERMIT
insure or a ertificacoCom
I have ° `°,te of�lforkers Compensation Insurance
or a certified copy tFgRpfq$pf 38M Lab C )
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No Company
Certfied copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING SS
ADDRESS r
Certified copy is filed with the county building inspec BUILDING{ t6
tion department ADDRESS J VJc m /e�2(
Date Applicant CR —I
Y ZIP U LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ST
(This section need not be completed If the permit is for one TRACT 6" LOT NO ASSESSOR
hundred dollars(5100)or less ) MAP BOOK PAGE PARCEL
TEL 115E ZONE -�
I certify shot In the performance of the work for which this OWNER Q R NO 6� SPE
permit is issued, I shall not employ any person In any manner C- SPECIAL
so as to become subject to the Workers Compensation Lows ADDRESS K016P7 CONDITIONS O
Dot �! M.Z CITY zIP V
NOTICE`TOLAPP LLICANTA 11` r king this Certificate of ENGINEER a U �, f. *Z1, DISTRICT pUP TYPE FIRE BV O
Exemption, you should become subject to the Workers' ENGINEER V vl F/yrs! /r CONST V
Compensation provisions of the Lobw Code, you must forth- ADDRE� e 11Yii� 11 S'^ V`VU /Y/C�/. 3 W
with comply with such provisions or this permit shall be d
T1y\ deemed revoked C� �
CTTR ,Y�t �� TEL q63 srAnmcJ�LL naJ'tF�ITION APT CO L71
LICENSED CONTRACTORS DECLARATION uC CLASS NO -.2 DWELL UNRS_ Z
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS C NO�R��
(commennrq with Section 7000)of Division 3 of the Business and �M LIC SEWER MAP
Professions Code, and my license Is in full force and effect CITY �Scolvw LA553 4/Z BK �— PS VALIDATION
SO "'13
T NO OF NO OF CHECK
License Number Llc Class SIZE V STORIES FAAV 5 ONE
VALUATION !]
Conlroctw Date DESCRIPTION OF WORK ' f 5 it DO
1 am exempt under Sec '� N s App U ,
ALTER
B 8P C for this reason REPAIR = 7 1 7 3 A
Date USE OF
EXISTING BLDG DEMOL
Signature APPLPRIANTHT Q1l NO b FINAL •,• • e 23
OWNER BUILDER DECLARATION DA
Ti
I hereby affirm that I am exempt from the Contractor's License (7 1 - 392,07
Low for the following reason (Section 7031 5, Business and ADDRESS 2, ] FI
Professions Code) e - 392075
❑ I, as owner of the property or my employees with ADDRESS
wages their sole compensation will o the work and o &04-87
the structure a f not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code) MOVING TEL
I as owner of the property am exclusively contracting COWRACTOR NO
with licensed contractors to construct the project (Sec-
tion 7044 Business and Professions Code) 3 7 6 3 3 E
CONSTRUCTION LENDING AGENCY REQUSET BACK YARD HWY TO PROP LINE WIDTH # • • • • •,1
I hereby affirm that there a o construction lending agency for FRONT I,1 * 47175
the performance of the work fat which this permit Is issued P L
(Sec 3097 Civ C ) SIDE is - 471.7510
PL
Lender s Name Q & 1 0-8 7
$ LDMA Ref Y
Lender s Address
P C Fee S Perms Fee t
I certify that I have read this application and state that theIv.wnce F. TDMA P/C F
a above information a correct I agree to comply with oil County Invmogolion Fee
8 ordinances and State lawn relating to building construction, Towl Fee TDMA Perm e
R and hereby authorize representatives of this County to enter
upon theSbove mentioned pro nspechon purposes
M RRV95R FOR UDLANATORY LANOUAOR
Srg a of Applicant or Agent Date
WORKERS COMPENSATION DECLARATION
hereby affirm That I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT
insure or o certificate of Workers'Compenabon Insurance or
a certified copy thereof (Sec 3800 Lob C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No ompany
Certified copy is hereby furnished FOR APPLICANT TO FILL IN BURUING
ADDRESS SS -e. yew n gC✓O .
Certified copy is filed with the county building inspec BUILDING - C--&7401r-
non department ADDRESS S5' be L VE) LOCALITY / G
Dale Applicant CITY C ZIP Cs NEAREST
CROSS ST V
CERTIFICATE OF EXEMPTION FROM WORKERS NO OF DGS 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 TRACT BLOCK LOT N10 USE ZONE NO (J
hundred dollars ($100)or less ) y
TEL C-� SPECIAL O
I certify that in the performance of the work for which this OWNER 7 Vib L-ZA -1)1--)4- NO CONDITIONS
permit is issued I shall not employ any person in any mannerDISTRICT GROUP I TYPE FIRE PROCESSED BY V
so os to become subject to the Workers Compensation lows 'ADDRESS ^S /r�'nGA¢O gL n. `e8. CONST ZONE O
17 7
Dote Applicant AITY RCMITECT OR ZIP TEL 8 O STATISTICAL CLASSIFI APT CONDO W
NOTICE TO APPLICANT If after making this Certificate of /�
Exemption you should become subject to the Workers ENGINEER NO CLASS NO /{�DWELL UNITS_ CL
Compensation provisions of the Labor Code you must forth- ADDRESS SEWER MAP W
with comply with such provisions or this perms shall be TEL 4—
l� VALIDATION
deemed revoked CONTRACTOR NO BK `PG
LICENSED CONTRACTORS DECLARATION LK
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION
(commencing with Section 700D)of Division 3 of the Business and LIC
Professions Code and my license is in full force and effect CITY CLASS S O V
SO FT NO OF NO OF CHECK
License Number Lic Clam SIZE STORIES FAMILIES ONE
` i
Contractor Data ` DESCRIPTION OF WORK NEW
I am exempt from the licensing requirements as I am a ! ADD ❑
licensed architect or a registered professional engineer ALTER ❑ FINAL
acting in my professional capacity (Section 7051 ❑ DATE
Business and Professions Code) USE OF
REPAIR
EXISTING BLDG DEA1OI ❑ FINAL
By
Lic or Reg No Date APPLICAM b1
TEL
OWNER BUILDER DECLARATION PRIM b61 N NO ?'J-LSL t1l'C C/
I hereby affirm that I am exempt from the Contractor's License SS D C. J
Low for the following reason (Section 7031 5 Business and ADDRESS
Professions Code) :.�2 3
❑ p
I, as owner of the property BUILDING
y or my employees with ADDRESS//O "A
wages as their sole compensation will do the work and 7
the structure is not intended or offered for sale(Section LOCALITY p Q 5 24.0 A
7011 Business and Professans Code) MOVING TEL 1 3 K 1"
I as owner of the property, am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the project (Sec ADDRESS
tion 7011 Business and Professions Code)
CONSTRUCTION LENDING AGENCY 2 e eJr 2 0 0
REOVIRED iOTAI SETBACK FROM E%IST
SET BACK YARD HWr
I hereby affirm that there is a construction lending agency for FRONT PROP UNE WIDTH e e • 5 2.0 C s,
the performance of the work for which this permit is issued PL
(Sec 3097 Civ C ) 54DE 028-82
PL
Lender s Name
$ Lender s Address PC Fee f Perms Fee
I certify that I have read this application and state that the tuuonce F • ^�
above information is correct I agree to comply with all County Inreuigwion Fee
ordinances and State jaws relating to building construction Tocol F S
G a hereby uthori:e representatives of this County to enter
< up he a ve m boned property for inspection purposes
FYI 2, SEE REVERSE FOR EXPLANATORY LANGUAGE
^ g cur o IKonl w Agent Dilit 4- 1
0s
COUNTY OF LOB ANG3,ES TZMLE CITY 0 0500 BUILDING PERMIT
DEPARTMENT 09 PUBLIC NORSE 9101 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0500 0513050021
PHONB (626) 105-0689 BIT
LEGAL ID NO OF CONST BUILDING ADDRESS
R 7671 LT 9 SQ PT STORIES TYPE 5561 ROSEW]AD BL
STRUCTORE 2100 VN TERP CA 917801007
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5181-031-055 ROMAN PAGE 596 GRID H{ LOCALITY TEMPLE CITY C
TENANT EXIST BLDG USE COMM USE EONS C-3 ISSUED ON PROCESSED BY EXPIRES ON
BURDEN KING EXIST OCC GRP 11/05/05 JK 11/10/06
OWNER TEL NO SLUGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE
CHRIS, CEEB (626( 991-6155- 5,000 /Q
5561 ROSEMEAD BL G
TEMP 917001001 PEES PAID DEB IPTION OF WORK
YEAR OFF EXISTING ROOF INSTALL 1/1• PLYWOOD AND BUILT UP
FEE DESCRIPTION QUANTITY UOM AMOUNT ROOF
APPLICANT TEL NO
JBD= LEE (110( 515-5500- AA BLDG PEIMIT ISSUANCE 17 75
1111 MAGNOLIA AVB AC STRONG MOTION REBID 5000 00 VAL 0 50 SPECIAL CONDITIONS
GAR SEA CA 90167 D1 PERMIT W/O HN-SC 5000 00 VAL 111 60
TOTAL PEES 160 85
CONTRACTOR THL NO APPROVALS DAR INSPECTOR SIGNATURE
AA ROOFING (110) 515-5500-
1113 MAGNOLIA AVS, 06 LIC NO LOCATION A® SETBACKS
GARDENA CA 90167 856365C39
SOILS ENGINEER APPROVAL
ARCHITECT OR SNGINEER TEL NO FOUNDATION TRRNCH FORMS
LIC NO SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEVER MAP BOOK PAGE PINE ZONE CMP UNDERPLOOR INSULATION
1678165 1 01
FLOOR SHEARING
NO OF FAMILIES DWELLING UNITS APT COMD STAT CLASS
NO 11 HOOP SHEARING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS ^ 6Q -
AIR QUALITY 1000 FEET MATERIALS
NO RO NO PEAKS IUSPICTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
BET RACK YARD RWY PROP LINE WIDTH
FRORT PL- IESVLATION WRATSKR GRIP
BIDE PL-
INTERIOE LAR DRYWALL
EXTERIOR LATE
RATED FLOOR CBIL ASHEN
RATED WALL ASSEMBLIES
RATED SHARE OPENINGS
T-BAR CEILINGS
• ADDITIONAL DATA ON FILE
LOT-DRAINAGE
REPORT ID DPR361 ROUTE TO 390508
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 1412170017
PHONE (626) 285-0488 EXT
LEGAL. ID NO OF CONST BUILDING ADDRESS
ITR 3623 LT 9I SQ FT , STORIES TYPE 1 5541 ROSEMEAD BL
STRUCTURE 1500 V-B I TEMP CA 917801802
I
ASSESSOR INFORMATION NUMBER I I NEAREST CR059 STREET
15387-032-055 I THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY CA
TENANT 1EXIST BLDG USE COMMS USE ZONE C-3 612/17/14
ED ON PROCESSED BY
IEKIST OCC GRP SR
OWNER1 I I
I DNDTEL NO IBIAGS NOW ON LOT VALUATION IFINAI. DATE FINAL BY CODE
FOOD, DARA 1 12 000
554 `
15541 ROSEMSA [
D BL d1�
T P 917801802 FEES PAID DESCRIPTION OF WORK 1
I I ITEAR OFF ONE LAYER OF COMP AND REFOOF WITH ASC SKYLINE HP
TEL NO
IAPPLICANI' IFEE DESCRIPTION QUANTITY DOM AMOUNT ISTANDING SEAM 24, GA METAL ROOF IOPMO-UES ER-0309 COLOR MST(
IAL.LIC SILVER 125 LBS PER SQ I
IYOON SUNG JAE (213) 321-8488- IAA BIRO PERMIT ISSUANCE 27 BO 1
114927 SAN FELICIANO IAB STATE GREEN BLDG FEE 12000 00 VAL 1 00 SPECIAL CONDITIONS I
LA MIRADA CA 90638 IAC STRONG MOTION RESID 12000 00 VAL 1 20
ID2 PERMIT W/O EN-HC 12000 00 VAL 250 20
TOTAL FEES 280 20 I I�WS -
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
ICOOL ROOF SERVICE (213) 321-8488- I 1-
114927 SAN FELICIANO DRIVE LIC NO I ILACATTONAND SE1'BAC'
1LA MIRADA, CA 90638 920169 C39 I 1
' SOILS ENGINEER APPROVAL
IARCHITECI OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS I I I
1 LIC NO I ISLABIUNDER FLOOR I I
IRAISFD FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP (UNDERFLOOR INSULATION I I I
1 3OOI
I 1 FLOOR SHEATHING 1
IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
NO 22 ROOF SHEATHING 1 yyy
SCHOOL WITHIN HAZARDOUS SHEAR PANELS ( 1
1AIR QUALITY 1000 FEET MATERIALS
NO NO NO 1FRAMF INSPECTION I
IFIRE SPRINKLER HANGERS I
I I
IINS[II.ATION/WEATHER STRIP( I
I INTERIOR LATH/DRYWALL I
1 I 6%TERIOR LATH
I
(RATED FLOOR/GRIL ASSBM
I
(RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
I IT-BAR CEILINGS
I I
LOT DRAINAGE
I
REBURY ID DPR261 ROUTE TO 850508
I I I I I
COUNTY OF LOS ANGELES* TEMPLE CITY Q 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9904280091
PHONE (626) 285-0488 EXT-
LEGAL ID NLN48ER OF S rfflg--r BUILDING ADDRESS
TR 3623 LT. 9 SIGN DESCRIPTION' REFACE THREE NEW SIGHS 5541 ROSEMEAD BL
TEMP CA 917801802
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET: ROSEMEAD
5387-032-055 THOUS PAGE 596 GRID H4 LOCALITY TEMPLE CITY
TENNIT EXIST BLDG USE ISSUED ON PROCESSED BY ExPIRES ON
EXIST OCC GRP 04/28/99 UT 10/25/99
�tmv —Tn—IW— BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY
VAT PARTNERS 2,800
5541 ROSEMEAD BL
TEMP 917801802 pF$CI[its �TIOp--6Pp�
REPLACE ONE PLYON SIGN, ONE DIRE ZONAL SIGN AND INSTALL
FEE DESCRIPTION QUANTITY LION AMOUNT ONE CLEARANCE SIGN
APPLICANT TEL. NO
HEATH AND CO. (626) 457-3000- M BLDG PERMIT ISSUANCE 27.75
2121 ORANGE ST AC STRONG MOTION RESID 2800.00 VAL 0.50 SPECIAL CONDITIONS
ALHAMBRA, CA AX BUILDING -
54.70
D2 PERMIT Y10 �ELES_a280IOTA 0EES-00 VAL 1899.00
1.95
APPROVALS DATE— lNsPn76W-9rMRTaWF--
HEATH AND CO (818) 457-3000-CONTRACTOR TEL NO: �OS 1V LTJ.
2121 ORANGE ST LIC. NO LOCATION AND SETBACKS
ALHAMBRA, CA 91803 414351 C45
/I SOILS ENGINEER APPR
ARCHITECT OR ENGINEER- ItL NU. FUUADATION/TRENCH FOW
LIC. N0� 1111111SUPPORT STRUCTURE
MAP NO: SEWER FIRE ZONE CKR..
iOD
'UBLIC WORKS
NO OF FAMILIES- DWELLING LIMITS APT/
NO 20 In`"
9mma1-9rTwrw— \1 >HAZARDOUS
TT lli
AIR QUALITY: 1000 FEET MATERIALS
NO No No
`b��c Service Tha���`
REPORT ID. DPR261 ROUTE TO SS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC (ARKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9612170009
PHONE (818) 285.0488 EXT
LEGAL ID -W OF CONST BUILDING ADDRESS
7R: 3623 LT 9 SQ FT STORIES TYPE 5541 ROSEMEAD BL
STRUCTURE 1700 V TEMP CA 917801802
NEAREST CROSS STREET
5387-032-055 THOMAS PAGE: 596 GRID. H4 LOCALITY TEMPLE CITY
TENANT: EXIST BLDG USE COKME USE ZONE: C-5 ISSUED ON PRUCESSED BY IRES ONr
BURGERKING EXIST DOC GRP 12/17/96 TC2/17/97
OWNER: TEL NO BLDGS MOW ON LOT VALWMTM— FINAL DATE FI 1 OWE:
VAT PARTNERS - 1 3,400
5541 ROSEMEAD BL
TEMP 917801802 FEES PAID NVITMON OF wuRK
TEAR OFF MANSARD ROOF AND INSTAL COMP. SHINGLE
FEE DESCRIPTION QUANTITY. IAM AMOUNT
APPLICANT. TEL NO
WILLIAM T. NELSON ROOFING (818) 303-0524- AA BLDG PERMIT ISSUANCE 27 75
AE STRONG MOTION OTHER 3400.00 VAL 0 71 SPECIAL CONDITIONS
D2 PERMIT W/O EN-IIC 3400.00 VAL 116 10
TOTAL FEES 144 56
CONTRACTOR: TEL NO' APPROVALS DATE INSPECTOR SIGNATURE
WN. T. NELSON ROOFING (818) 287-5583-
1337 HIGHLAND 0624 LIC NO LOCATION
DUARTE, CA 91010 648085 C39 SOILS ENGINEER APPRMAr
ARCHITECT OR ENGINEER- TEL NO: DATION/TRENCH FORKS
LIC NO SLAS/UNDER FLOOR
MAP NO SEWER MAP BOOK PAGE: UNDERFLODR INSULATION
147X265 3 04
FLOOR SHEATHING
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
No 22 EA
SCHOOL WITHIN HAZARDOUS
AIR QUALITY 1000 FEET MATERIALS
NO ND NO FRAME INSPECTION
REQUIRED TOTAL SEIRIEFTROW—UNT— FIRE SPRINKLER HANGnT--
SET BACK YARD HWY PROP LIME- WIDTH
FRONT PLINSULATION/WEATKER STRIP
-
SIDE PL-
REPORT 10: DPR261 ROUTE TO SS0508