HomeMy Public PortalAbout5546 ROSEMEAD BLVD_Building__ APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN A SS
I hereby affmm that I have a certificate of consent to self Insure Blll-DaQf��
or a certificate of VAIrkers CompensatKn Insurance dr a certified
copy thereof(Sec 3800 Lab C) CITY ZIPA
Policy No Company SIZE OF L W NO OF Ek NOW ON LOT
❑ Certiked copy is hereby furnished / D NEAREST CROISS ST
❑ Certified Copy a filed with the county,bulldog w pecign TRACT BLOC( LOT NO toD
department USE ZONE MAP NO
Date Applicant ASSESSOR MAPT, E s6/ FARCEL_ _
- r SPECIAL CONDITIONS
-o7s
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER- / TEL NO
COMPENSATION INSURANCE VO WITHIN rood FT OF SCHOOL? YES NO
Ale
O/ / DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY
(The section need not be completed d E the permit a for one hundred '
dolkrs (5,00)or less)
I certify that In the performance Of the work for which the permit _v t Z9/ 7,V4," p
e Issued I shall nit employ any person In arty manner iso as to AACNRECi OR ENGINEER TEL NO ff QA
become subject to the Workers C unpensahon Lewis SWTIBTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO DWELL UNIT$
NOTICE TO APPLICANT If after making the Certificate ofREQUIRED TOTAL SETBACK FROM EXIST
Exemption you should become subject t0 the YJerkm CONTRACTOR TEL F4 SET BACK YARD HWY PROP LINE WIDTH
Compensation provrsons of the Labor Code you must forthwith FRONT
Comply with Such provisions or the permit sholl be deemed revoked ADDRESS LIC NO PL
LICENSED CONTRACTORS DECLARATIONSIDE
I hereby affirm that amlicensed urhtlerprovede of Charier 9 CRY LIC CLASS PL
L±
SEWER MAP
(commencing with Section 7000)of DNlsion 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES
Professions Code and my hcenve Is In full force and effect NEW ❑ Bic PO d
License Number LIC Class AD ❑OCO $ O
Contractor Date ALTER ❑
r' cc
Alss v�,9
❑ 1 am exempt under Sec REPAIR ❑ $
BSPC for this reason �i►t 4L`Z4Q-7,Q DEMOL ❑ LOMA P/C
Date URM ❑
$gflalTurec�w 4/ APPJPNT(PAMI L NO -DMA Perm• .r•�• An t
❑ I as WA¢r 01 therpropem W my errplayses with we
as Q� ���� �ilPf ?�7JI - ZO
their sok compereston will do the work and the structure is
not Intended or offered for sale (Section 7044 Business and f**v oe�S /�/ -OLS FINAL DATE Q
a�N r wLL niE APPUCM'T Ori FUIME aU1.pP1(1 OCCUWNi 1NWLE A IVSAIpOU9 MArERAL — l-7—9 �• ,
as of tthe Property aril excWsrvely contrecti with OR A MIXTURE coNw A w7irms I.uTEPv1 EQUAL TO sir+GRE ER Thiol THE
A1rOlNT9 SPEGFI 11E Iwi!%IOU9 nMTEP14.4 lfOigNTx]N OUOEi FlNAL BY
licensed contractors to coretrud the project (Sedan 7044 '
&rsnass and Professorm Code)
Es❑ a
WILL THE iREQUAF PE MI THE sroua BY THE ROTI r OR FROM TRE
OOAST AIR PEOIYH!A PEFC.fr FOR ISMICT SCAN OR MOgFCArhpN FA'MA TRE SdRR
CONSTRUCTION LENDING AGENCY OOH NR OO�+TY Mwa+oEMEKr oeTwcT Isciam)SEE FEFwnTw cHEdo.Isr FOR
oupEues
I hereby affirm that there Is a construction lending agency for Ws❑ Np '
the performance of the work for which the permit Is issued(Sec
`m 3097 CN C) ICFECKIIaf tufl1ER4LVv MY REQUI EII.EN19 UNpE µOMio S COUNTY OOCE
Tm-ETHE
Lenders Name IAn x zo h z coTHE suAOMD
HCE NAZAupous
Lenders Address --�--! A
O �
I certify that I have read the application and state under penalty
8 of perjury that the above information is Corned I agree to comply PC FEE PEPNPi FEE
$
With all county ordinances and State terms retailing to building
constryow and thereby authorize representatives of the Ccurlty ISSUANCE FEE a�
m foto eWupon the abo�mentuyhed pfor inspection purposes
L/D/IAr/ ( NVESTIOATgN FEE TOTAL FE 6 44
4R, /"QAC v444-,7s;,v SEE REVERSE FOR EXPLANATORY LANGUAGE
1 herM effklu tbu l haw a cedllx to of r.ueea to rdf CMK7 Y OF LOS ANGCLC•S @UILDIM' i AND SARI Y lliVMM
' mime.oc seetfkate of tbWrten'Conpenattaar hpiratce or ll o
a earq�ad cops Ora ![gee JIM Ink(J osA
Peber flu_ _ CtmloM MR 6ME&E_ -_ML to teo+
® Elwf d cm k lane fi+n,bo& C 6 U lM1.. �+�1S- r-OG sneaure is c
✓ topyhGW.uh Ure eaaytes8d,ql apectl+n or.-e,tylllR ec,�r a" gl"TYJ �� u
• Dile Appleent olsor $0 arm= rmrrattsot m GRae1
rm ..e mwCOW.
Ckmnt-,gALOFkLmpuNHmwilliAtBs MaCO[O�r �l pn[OM [NSA1N URA Nk a�ea .pNu
.: onme, egre wars r<eowaoe.�
I �TL4 aLdW teed aW be CMWMed V the mart IUredsad AUCLSOarrumorr raoa mien uerma ta�eeiweosmraw r- 15'n
s IYo pa" Is fr aw bmxkW dullan 4%I= w kul {♦f'�b�i
r Is,Yraa 7a1 N0. f •�
t 1 ewtrot in the mmmv of t0. Marl fr ebwy thn
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-- —
to`-----.w— l.`i" .�' [air AapRit M
bile AppllcWlt art nP
MGM to APPLICANT If alter s@inll ills (tollkah OCCLWANYUml)
of Ewatptlm tmr mnald beenae millim to the Wmw' APPLERION FOR Exft Rpm
crosPtawtm prafamrofthe Latmrcaa"i1,ml MWl6
INI b
`r Vora* mth sock pmvraa of tbh romti .hn0 Lr deemed T.er,m we❑ am mo.raracrm Ct No Sm kUnwL ❑
I reed occue+rceeereerowle Pamnetic" ❑
LICF7L' OCUNMKTURS MI AA.UIIW
I I Me" iltrm thn I as lkmfel iudq pnr WX%or(how warm pamor❑ war rreat ere wr,
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sad PteRRlom hda.ied 1211 leeam Is n ids imrs vrd ettet DAMS- IW fibkU6,10 �h •ranraa. moo.
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m
I ❑ 1 am eseatu from lie kawInf reyeaertnu a 1 am ■ Most to
l I harmd orchrtat or s tt&crtd pmfas Joel easneer
J J rl Pndnrkas 1eal eapourf ,ke[rm IASI kLara. a smiw.u.oa see_
La or let Na, _ _ 11rr. mseemaeeorwaowa FK%L APFIFIV AL /6 !!
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❑ f m rwuo: d lftcf ad1 dt. Thr uwl jud Ib. erus[eraowoeo _, __ _
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`' , lam ir,d Prafeasass Code► JAA- -1 a,c� !Hf's..a-.t-+yu V
CONSTILK- w LLNiANG ACAM 1
I ktrby Warn tha Ibere Is it cgetrunloo knnup+WuT Or
!be p rfurliirkm d W ovd Cur With rhb lwmt a r%o d
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IsodnY Arllrers
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i L&bow Wmmol lap n cartes I aims so err&*ellh Nl(maty dP
adlowns dad ae km matmt to bmWmSc]aunts.and o
m tep[esenlatrwi Of ib4 comc to antic cqw arewacs ra r
Up i tleoed psopatl fu tmpearoq p�rpteei
O l SEE MERSE FOR EXPLAXAMY LAWLAGE
Wo+turs of Mehrw nor
1'
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 0205130049
PHONE- (626) 285-0488 EXT
NUMBER OF SIGNS I BUILDING ADDRESS-
ON FILE SIGN DESCRIPTION- "OPTOMETRY" IN BLUE CHANNEL LETTERS 5546 #'207 ROSEMEAD BL
TEMP CA 917801801
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS
5387-027.024 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE ISSUED ON- PROCESSED BY EXPIRES ON
DEREK TONG GO EXIST OCC GRP 05/15/02 JK 11/11/02
OWNER' —M MO. ULDGS NOW ON LOT VALWffTN— F FINAL BY OWE
TSAI JIM L SYOU H,CHIN 20NG;CHIN CH - 1,100 //f�-
15801 VALLEY BL t62
FEES PAID DESCRIPTION OF WORK
SET OF CHANNEL LETTERS FOR OPTOMETRIST
FEE DESCRIPTION QUANTITY LON: AMOUNT
APPLICANT
LAVENDER FLING, SIGNS EXPRESS (626) 443-3333- AA BLDG PERMIT ISSUANCE 27 75
2446 MERCED AVE AX BUILDING REVIEW FEE 54 70 SPECIAL CONDITIONS:
SOUTH EL MONTE D2 PERMIT W/O EN-HC 1100 00 VAL 82 20
TOTAL FEES 164 65
CONTRACTOR TEL NO APPROVALS DATE INsFRT6F3TfflVffMT--
SIGNS EXPRESS MANUFACTURING COMPANY (626) 443-3333-
2446 MERCED AVE LIC NO LOCATION R16 SETBACKS
SOUTH EL MUTE, CA 91733 552097 C45
SOILS ENGINEER APPR6VA7
ARCHITECT OR ENGINEER: TEL NO FOUNDATION/TRENCH FOW
LIC NO SUPPORT STRUCTURE
MAP NO SEWER 14AP BOOK PAGE FIRE ZONE CKP
00
90 Of FAMILIES DWELLING UNITS: APT/U5W—llWrTrX99—
NO 20
AIR QUALITY 1000 FEET MATERIALS
NO NO NO
REPORT ID- DPR261 ROUTE TO. SS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 -� BUILDING PERMIT /
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUBUS NEW COMMERCIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ? BL 0508 9807290017
PHONE (626) 285-0488 EXT
LEGAL ID 90 OF CONST NEW BUILDINrUfflffff—
ON FILE SQ FT STORIES TYPE OCCUP GROUP 5546 ROSEMEAD BL
STRUCTURE 13500 2 VN B TEMP CA 917801801
ASstSSDR INFORMATION NUMBER CROSS
5367,027-024 THOMASTPAGEE 596REEGRIDDROADWAYLOCALITY TEMPLE CITY
TENAAIT EXIST BLDG USE USE ZDWF-r-T— ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP D9/21/99 VG 03/19/00
00NER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATEFINAL BY CODE
TSAI JIM L,SYOU H,CHIN ZONG,CHIN CH (626) 575-1200- 1 797,850 \ D
10050 GARVEY AVE 4 t�-o F.&!J
EL MONTE, CA 91733 15>sCR7PTidf OF WUxK
NEW TWO STORY COMMERCIAL BUILDING FOR RETAIL, OFFICE AND
APPLICANT TEL. NO FEE DESCRIPTION QUANTITY LON AMOUNT MEDICAL OFFICE , SPRINKLERED
SIMON LEE 8 ASSO (626) 575-1200- Al PLANCHECK W/EN-HC 797850 00 VAL 5,762 95
140 W VALLEY BLVD AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS
SAN GABRIEL, CA AE STRONG MOTIOM-n0THER�-797850 00 VAL 167 55
A2 PERMIT W/ENERGY.HC�797850-00 VAL 6,779 94
PNv�LESTOTAL FEES12,738 19
CONTRACTOR TEL NOTAKENAKA (USA) CORPORATION (213) 487-8900- /5 v �r\
801 S FIGUEROA ST STE 1070 LIC NO
LOS ANGELES, CA 90017 6848258 �� \ Jf
O/Z SOILS ENGINEER APPRNAr'
ARCHITECT OR ENGINEER: FOUNDATIUN/TRENCH FUMU-
LIC NO / I I 1111111 111SLAB/UNDER FLOOR
J1 d!'L
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CH
- =t s-qz
ugunFrOm
147H265 L 15 3 1 04 �14-�15 ,� ' � n C- , �L� 1
Il —7. - ,. .moi v v `Q v I vp_q ry'
NO OF FAMILIES WnUFFUM9 APT/COND STAT CLASS.-
ND 15 I (14�'��Q(�,� � Lq�� ,,3��r�-t.`�- _ -BONAiN�
'� C _ �// �`
ROOF SHEATHING
AIR QUALITY 1000 FEET MATERIALS
NO NO NO ���8-� B — �
10419 �bvlll� RIP
EXTERIOR LATHz ze q O
I ASS-
CIA /1Lr,6-m �(
RATED WALFAURQTM�
�9 A 3 i —3 S iiQ 9 B!(�i 1►� `'�Q olCRATED SHAFTS/OPENINGS
`F6J- � ) HAR CEILINGS
tl' 71YC DPR261 ROUTE TO B50508 -'
�v t l�
• 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 0003300003
PHONE (626) 285-0488 EXT
LEGAL ID NUMBER OF ADDED/RELOCATED BUILDING ADDRESS
ON FILE SO FT SPRINKLER HEADS 5546 ROSEMEAD BL
STRUCTURE TEMP CA 917801801
ASSESSOR INFORMATION NL94BER 5387-027-024 NEAREST CROSS STREET BROADWAY
THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE ISSUED ON PROCESSED BY EXFrn%7N_
WWER EXIST OCC GRP 03/30/00 UT 0 26/00
TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL CODE
TSAI JIM L,SYOU H,CHIN 20NG,CHIN CH (626) 575-1200- 15,600 9-13
�
10050 GARVEY AVE
EL MONTE, CA 91733
FIRE SPRINKERS FOR NEW COMMERCIA BUILDING
FEE DESCRIPTION QUANTITY LEN AMOUNT
APPLICANT TEL NO
M T S CONSTRUCTION (626) 350-1098- AA BLDG PERMIT ISSWINCE 27 75
2728 TYLER AVE AC STRONG MOTION RESID 15600.00 VAL 1 56 SPECIAL CONDITIONS
EL MONTE, CA DO FIRE SPRINKLER"PC-X15600 00 VAL 269 79
D2 PERMIT,Y/0 EVHCti�15600.00 VAL 317 40
PNU r TOTA0 FEES 616 50
M T S CONSTRUCTION (626) 350-1098- �OS v�tiTy
2728 TYLER AVENUE LIC NOFIRE DEPARTMENT INSPECT
EL MONTE, CA 91733 468473C36 /
I FIRE SPRINKLER RANGEW9_
ARCHITECT OR ENGINEER TEL NO
LIC NJ
1111111
MAP NO SEWER MAP BOOK PAGE. FIRE ZONE
� I UBLIC WORKS
NO OF FAMILIES DWEMWINITS APT/COND STAT CLASS
NO 201
AIR QUALITY: 1000 FEET MATERIALS lXu�
NO NO NO A Dy
vb/rO SerVlce ThaIL
REPORT ID DPR261 ROUTE TO BS0508