The URL can be used to link to this page

Home My Public Portal About5551, 5553, 5557 ROSEMEAD BLVD_Building__ APPLICATION FOR ,,;•BbILDING PERMIT BUILDING FOR APPLICANT TO FILL IN ADDRESS �SS� BUILDING �/O ADDRESS LOCALITY CITY /AN 17 ZIP CROOSS ST NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P ESSED BY T 1 y`S BLOCK LOT NO CONST ZONE ` OWNER / (� GR NO ..-- ; U STATISTICAL CLASSIFICATION SEWER ADDRESS/-7,a, sox 994 CLASS NO —)'Z—DWELL UNITS BK PG CITY dnN? Q ZIP c?l 76L6EZONE NOP L ARCHITECT OR TEL / q ENGINEER AA NOp / 2— SPECIAL CONDITIONS ADDRESS &////77 ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ TEL CONTRACTOR ,� NO V-221 DG SEIBACK FROM LIC FRONT MP LINE OF ISTREETI ADDREr"Iftul'oNO S TOTAL SETBACK FROM TYPE OF E%(STING HIGHWA + YARD FRONT PROP LINE HIGHWAY WIDTH CITY N✓ OASSe CONSTRUCTION LENDER + a NAME AND BRANCH BLDG SETBACK O F u ADDRESS CITY SIDE PROP LINE OF ISTREETI SO FT NO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM OF EXISTING SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGH Y WIDTH N + Z DESCRIPTION OF WORK NEW _ ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER IN OPEN SPACE YES ❑ NO ❑ REPAIR Lr Of IN COASTAL PERMIT ZONE YES ❑ NO ❑ E%ISTINGBLDG S DEMO4 APPLICANT-C. TEL (PRINT) 'T"• BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THIS THE ABOVE IS CORRECT AND AGREE TO COMPLY WI1H ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING ME WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VKkATION OF THE LABOR CODE OF THE STATE OF CALIFORNA IN RELATING TO WORKMEN S COM PENSATION INSURANCE SIGNATURE OF FINAL I r BY ' PERMITTEE I �7 ADDRESS Qui CITY TEL PC Fee$ 340400 Permit Fee 11,57 Issuorxe Fee VALUATION$�n�f'J� //��•�� `"' Total Fee PLAN CHECK VALIDATION � K. o CAaH _ _ PERMIT VALIDATION <ZIA - 806i;SEP 1423 0 w30.6_' 0 D 80MEP 14 1 G 51.006= as "Muacul isms APPLICATION FOR BUILDING PERMIT FOR AOLICANT TO FILL IN LPrInT or type only) r1 COUNTY OF LOS ANGELES nDooREsNs SSI OSS' D DEPARTMENT OF COUNTY ENGINEER CIT /Af)L-e C4 0 zIP BUILDING AND SAFETY DIVISION LDING SIZE OF LOT NOW ON LOT ADFBL DRESS ✓�.�� TRAS BLOCK LOT NO S LOCALITY TEL NEAREST OWNER O CROSSST ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP I TYPE FIRE ESSED B .OTY ZIP �^Y ^ e C ZCMLE— ARCHITECT OR TEL -Va ENGINEER Aj NO STATISTICAL CLASSIFIC''A'''))TI/O��N SEWER NAIT TEL ADDRESS CLASSNO -41 LDWELL UNITS BK PG �yI}� CONTRACTOR NO USE ZONE MA ADDRESS U ^A_qAyC LNO 5 40 �(�LIC EDITIONS C ILJO C* R CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH AJ92 AJ k5 BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ADDRESS �Y -----,CITY FRONT + YARD TOTALSETBACKFIZM TYPE OF EXISTING SO FT NO OF NKT F CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAM( ONE DESCRIPTION OF WORK EA)� NEW + C ADD [:] BLDG SETBACK FROM Coe a 6- L AJ SIDE PROP LINE OF ISTREETI 0 ftATboWA _ L2SO L.F. ALTER ❑ HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING USE OF REPAIR El SIDE SIDE PROP LINE HIGHWAY WIDTH Z EXISTINGBLDG DENOL ❑ + APPLIINTI TEL NO J��3 CORNER CUTOFF YES NO ❑ INOPENSPACE YES NO BY ISIGNATURE 7, VALUATION IN COASTAL PERMIT ZONE YES ❑ NO VALUATION / I HEREBY ABOVE 5 OIEOGE THAT I HAVE READ THISM APRICA ALL AND STATE THAT THE ABOVE b CORRKf AND AGREE TO COMPLY WITH ALL ORpNANCFS AND IAWS REGUATINO BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE / 7 WORT(AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR O] OF THE MAN OF CALIFORNIA N RELATING TO WORKMEN 5 COM FE SATION INSURANCE SIGNATURE OF PERMITTEE ADDRESS O TEL FINAL CITY NOPC PMDATE MAKE CHECKS PAYABLE TO FEE $ FET $ HARVEY BRANDT COUNTY ENGINEER PLAN CHECK VALIDATION M MO GASH PERMIT VALIDATION GR w o GASH 507t�:ULL o 1 u 6225 (DE TweBBA cE ReoD�Ts r� Ii> / - APPLICATION FOR COUNTY OF LOS ANGELES �1 NT OF COUNTY * .BUILDING PERMIT °BUILDIINGAND SAFETY DIVISIONR !! BUILDING -7 AD FOR APPLICANT TO FILL IN ADDRESS � / /�, (DR)ESS SSS 7 h Pose Q q LOCALITvv_ w CITY �' rv) Ie ` I T ZIP �� NCROSS ST _ NO OF BLDGS ASSESSOR 3 SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL LL�� // ''// DISTRICT GROUP TYPE FIRE P EDB < TRACTm W/T S BLOCK LOT NO 6 C ZONE _ OWNER pl a TEL RY NO STATISTICAL CLASSIFICATION 5 ER MAP �75-O CASS NO 7-Z—DWELL UNITS BK/SADDREESS J CITY NsAdei)4 G Z A- ZIP � USE ZONE MAP O ARCHITECT OR TEL RRRm ENGINEER h le NO C_ - SPECIAL CONDITIONS ADDRESS O fh& Sr D NOAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ I(2 iEl I I��j7F CONTRACTOR NO BLDG SETBACK FROM LIC FRONT PROP LINE OF ISTREET) ADDRESS NO HIGHWAY + YARD TOTAL SETBACK FRO TYPE OF EXISTING LIC FRONT P LIN HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + i NAME AND BRANCH O ctW, Yd g� ggiggCK FROM CIV ADDRESS CITY SIDEPROP LINEOF (STREET) 50 FT NO OF NO OF CHECK HIGHWAY + YARD TOTAL ETB ROM TYPE OF EXISTING SIZE S STORIES FAMILIES -- ONE SIL PR P E HIGHWAY WIDTH + Z DESCRIPTION OF WORK NEW ADD CORNER FF ES ❑ NO ❑ ALTER IN OPEN SPACE YES ❑ NO Cl REPAIR USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG FP-- [D^EMOpL/ APPLICANTEL (PRINT) G 1 Ce Jq k-j No BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE G CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CDiSTRUCnON I CERTIFY THAT IN DOING THE WORK AtITIK)IeZED HEREBY I Wlll HOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR COOS OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE ERMRTEEE OF _ DATE — / d BY ADDRESS O TEL PC Fee S Permit Fee CITY NO Issuance Fee VALUATION$ — Issuance Total F SZ PLAN CHECK VALIDATION cK M o CABH PERMIT VALIDATIO c w o CASH 522-�AUG 3123 D 269.10 r 547::OCT 1'/ 1 D 448.50A90 �R 76AS38A CIE IOWA ene �I 1 J .1-AP PL I CATION FOR COUNTY ar &S ANGELES DEPARTMENT OF COUNTY ENGINEER Q U I L D I N G F?E R M I T jfUILDINE AND SAFETY DNISION FOR APPLICANT TOj FILL IN BA�IORESS,�---, BUILDING 55 �7 ��''g �� ADDRESS t. LOCA LIT C� ;ZIP NEAREST a CITY "✓ L CROSS ST. eau NO.OF BLOGS. - ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL ' DISTRICT GROUP TYPE FIRE SSED BY CONST. ZO T- -�/yam BLOCK LOT N I E �' 9 It-T2A .OWNER /LLQ 0/04,_., ✓ `:3'+0.7 STATISTICAL CL'A 'SryFICATION S WER MAP IADDRESS O /30X /�Y.Ca CLASS NO:_/,�DWELL.UNITS w / �7/ CITY f�'V � �� +(ZIP CW61 USE ZONE NO. ESPECIAL NG NARCHIEERT OR J /AreC NO ' CONDITIONS ADDRESS (�,Vv J -,'�I�J�`.f� ROAD EPARTMENT APPROVAL REQUIRED YES❑ NO ❑ TEL. BLDG, ETBACK FROM CONTRACTOR NO LIC. FROM PROP.LINE'OF (STREET) ADDRESS NO. HIGHWA } YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY CLASS _ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FRO ate. ADDRESS CITY SIDE PROP.LINE OF (STREET) SQ, F 3 NO. OF NO. OF CHECK HIGHWAY } YARD = TOTAL SETBA OM TYPE OF EXISTING d' SIZE .+ STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAYJ WIDTH DESCRIPTION OF WORK NEW + ADD ❑ CORNER CUTOFF YES NO ❑ Z ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR❑ USE OF IN COASTAL PERMIT ZONE YES ❑ - NO EMOL ❑ EXISTING BLDG. / �p�h (��+J�}� / !� ❑ -,,/y y`�� L APPLICANT' _//- z- �`.vp NO_.6179-/ (iL 7-;' < A " VUU� ' (PRINT) BY (SIGNATUR G,�' - p/ ✓ G I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION •13 n �� r • I AND STATE THAT THE ABOVE IS'CORRECT AND AGREE TO COMPLY 1 "�C' 1 , WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN ,DOING THE WORK AUTHORIZED ,p+l �-19 HEREBY I WILL NOT EMPLOY ANY PERSON' IN VIOLATION- OF THE LABOR CODE OF THE `TA"L.EwOR-GAL IFOR NIA IN RELATING TO WORKMEN'S COMPEN.SATION INSURAH SIGNATURE O FINAL d BYc.�.� PERMITTEE �,�/ DATE ADDRESS �® ^'-�- CITY /ia(/ 44NOL/ !G P.C. Fee$ Permit Fee 1 � Q - 0Issuan*e Fee VALUATION$�; / t� �1 -i 000 Total Fee PLAN CHECK VALIDATION . _ PERMIT VALIDATION �"`� � M.O. CASH `�C..K// M.O. CASH 545'C--DEC 123 a 683.10 1 628� 1, 51 jUL 15 �, D �\. 3.5 627L�UL 1523 D 225.00 AT � 76A638A CE#80313 12/75_ ,^//� ••••. ,„_ APPLICATION F R BUILDING PERMIT FOR APPLICANT TO FILL IN (PFmt or type only) COUNTY OF LOS ANGELES BUILDING ADDRESS Z DEPARTMENT OF COUNTY ENGINEER CITY 7Ei th—C. ZIP BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIZE OF LOT NOW ON LOT ✓ ADDRESS TRACT y/ BLOCK LOT NO.J LOCALITY NEAREST OWNER . D. NO $SI _ u2 `}E7V CROSS ST ASSESSOR ADDRESS 7 SO .AC S C� MAP BOOK PAGE PARCEL PP CI R E O—I DISTRICT GRO P TYPE FIRE D BY ARCHITECT?A,5 �y A, ZIP TEL � O fj CONST ZONE ENGINEER NO STATISTICAL CLASSIFICATION �] SEWER MAP TEL ADDRESS CLASS NO 'IL ` DWELL UNITS ��BK/Y CONTRACTOR .n[.JQF..S MLOs. N0773-(u2 7- USEZONE NOLIC oZ0O (o ADDRESS V$Li�l L[1TA OoIvk NO 3L1 V. C� SPECIAL n 1 UC CONDITIONS C_- CITY LL S CLASS c- 4S ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREETI ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SO FT NO OF NO OF CHECK HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ + O V BLDG SETBACK FROM oc ADD SIDE PROP LINE OF ISTREETI O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING ❑ HIGHWAY + ygRp SIDE PROP LINE HIGHWAY WIDTH USE OF REPAIR Z EXISTING BLDG DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES NO (PRINT) NO IN OPEN SPACE YES ❑ NO BY tSIGNATUR -t"J IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ TOO CU IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCE AND LAWS REGIAATING BUILDING CONSTRUCTION I CERFIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABORCODEOFTHESTATEOFCAUFORNIA IN RELATINGTOWORK NSCOM PENSATION INSURANCE SIGNATURE OF � PERMITTEE ADDRESS CITY TEL D NO J BY 11—T HARVEYTABRANDTT COU OJECKS BNTYTENGINEER FEE �CJ 8 1 35-3 FEE PLAN CHECK VALIDATION ac o 1A-H PERMIT VALIDATION cK No CMH a¢, P sL�fa� "' 3 7 1�-41QV 3 3.0 0 ,&-G ePS2l�XRid s DFR: -� a. 30/ 0 30 YC- v APPLICATION FOR BU DING PERMIT FOR APPLICANT TO FILL IN (Pr(nt or type only) COUNTY OF LOS ANGELES ILDING ADDRESS 5 S3 N o CZoSF DEPARTMENT OF COUNTY ENGINEER CITY hAe k C, ZIP BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIZE OF LOT NOW ON LOT ADDRESS J T CT (p/-y BLOCK LOT NO LOCALITY n TEL NEAREST OWNER as..0 C_ NO 1741 • LOS CROSSST Vl!/Lti-ti. Lfl ASSESSOR ADDRESS IO2-A'( Su MAP BOOK I PAG PARCEL p -CITY L. A - ZIP / 001 S DISTRICT GROUP, Tij YPE ST FIRE ED BY ARCHITECT OR TEL � 4)l "/' - Zn� ENGINEER NO STATISTICAL CLASSIFICATION J� SEWER MAP ADDRESS CLASS NO DWELL UNITS /C� BK /� CONTRACTOR LK....ypA..,T #QE,01 TEL RO 173-dt111`7 USEZONE ADDRESS (0 t(5 ,-L.E- A O'}(' NO 3 r 53b 0 ' `� CONDITIONS K LIC CITYAL LL �Y-O(�E-�S CLASS C-y r ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FR E TYPEOF EXISTING 50 FT NO OF NO OF CHECK FIIONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ + O ADD ❑ BLDG SETBACK FROM SIDE PROP LINE OF (STREET) O ALTER ❑ TOTAL SETBAIX FROM TYPE OF EXISTING ❑ HIGHWAY + YARD SIDE PROP LINE HIGHWAY WIDTH USE OF - REPAIR EXISTING BLDG DEMOL ❑ + _ APPLICANT TEL CORNER CUTOFF YES 11 NO 0 (PRINT) NO IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATUREI IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION Z-S00 o0 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPDCATION AND STATE THAT THE ABOVE tS CORKER AND AGREE TO COMRY WITH ALL DROINANKfS AND TANS R LLATMO BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF ME R COOS OF THESTATE OF C FORNIA IN RELATING TO WORKMEN SCOM PENSATION INSURANCE. SIGNATURE OF ) PERMITTEE ADDRESS FINAL BY TEL DATE CITY NO MAKE CHECKS PAYABLE TO PC FEE $ FET $ HARVEYT BRANDT COUNTY ENGINEER 117- 80 PLAN CHECK VALIDATION H cr o CASH PERM VALIDATION cH no wH W _e Vy n c 4 1 A POLICY HOLDER: vim'-� 3 7 O�t4V Ly 1 3 3.Q 0 ma 7ME36ACEM03375 POLICY NUMBER: 3 0 / e 3 c+L/G I WORKERS COMPENSATION DECLARATION 1 hereby affirm that I have r ca'Come of tion Int to self APPLICATION FOR BUILDING PERMIT Il moria, or a certificate 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 furnishedFOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec BUILDING ` �/ hon department ADDRESS 1 0 �7'Y eGr7 LOCALITY t NEAREST Date—Applicant CITY ZIP 0 CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' - OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE vARCEL (The section need not be completed if the permit Is for one USE ZONE P hundred dollars($100)or less ) TRACT BLOOC LOT NoA NO TEL t- l62, SPECUU I certify that in the performance of the work for which this OWNER NO 3 —�� CONDITIONS d permit to issued, I shall not employ any person in any manner S ,/ DISTRICT GROUP TYPE FIRE BV 0 so as to become subject to the Wo rs'Com satton laws �� to /CL r T( CONST Z O Date a i Applicant CITY ARCHITECT OR STTAAAT`ISTI OCAL CLAS�SIFI�CTATION APT I— NOTICE ICANT If, aHe ma ung ilia Certdlc of NGINEER CLASS NO�7GDWELL UNITS_ W Exemption, you should become subject to the Workersd Compensation prowaiom of the Labor Code, you must forth ADDRESS V SEWER MAP N with comply with such provisions or this permit shall be Z deemed revoked CONTRACTOR4111 t,p BK PG VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUAT13 (commenting with Section 7000)of Division 3 of the Bustnea antd UC {C Professions Code, and my license is in full force and effect CITY CLASS S Poo. FT NO OF I= O OF CHECK License Number Lic Clair SIZE STORIES FAAVLIES / ONE Contractor Date DESCRIPTION OF WORKAdd B oQ Ph NEW ❑ $ ❑ 1 am exempt under Sec P ( h ADD ❑ ALTER ❑ RNAL 1;-3 —(:Y6-3 ^�6 B SP C for this reason C�h 0 f h 51r REPAIR E] DATE (p Date EXISTING OF BLDG DEA10L ❑ FIN t8 2 9 3 2 A Signature APT= �, ora�Y NO I��O ^ # e e e e e 1 OWNER-BUILDER DECLARATION /s n ,s�' 1 hereby offlrm that I am exempt from the Contractor's License Ss7 ( • e 2 a 5 O Low for the following reason (Section 7031 S, Business and yl, ions Code) L rJ 1, m owner of the property, or my employees with ADIDRESSSS e e e 2 8 5 O wages as their sole compensation,will do the work and LOCALITY09. 17-85 the structure is not intended or offered for sale(Section 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 hon 7044, Business and Professions Code) IR ED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY BACK YARD HWY PROP LINE WIDTH , I hereby affirm that there iso conmuction lending agency for FRONT the performance of the work for which this permit Is Issued P L Rec 3D97, Civ C ) SIDE PL Lender Name 8 Lender s Address PC F"$ Permit Fee I certify that I have read this application and state that the Iavance Fee V D above Information is correct I agree to comply with all County Invesegori on Fee p' /� ordinances and State jaws relating to building construction, Total Fee D V and her authorize rap rese atives of this County to enter upon t ve-mentioned perry fa Inapectlon purposes f� - R IJ S KE REVERSE FG EXPLANATORY LANGUAGE grwNn of Appllmm cVAg..t APPLICATION FOR BUILDING PERMIT ' COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKERS COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BILLDNG ADDRESS I hereby affirm that I Faee a certdcate of consent to sell insure BUILDWG ADDRESS Q �v� r .S or a cerhficate d Workers Campensaton Insurance or a certifed i q copy thereof (Sec 3800 Lab C) �` \ ^ TT zip yNo Company SIZE OF LO IC. l.. T NO OF BLOCS NOW ON LOT ❑ Certified Copy Is hereby fumehed NEAREST CROSS ST ❑ Certified copy s filed with the county building inspection TRkCT BLOCK LOT NO department I USE NNE A/AP NO Date Applicant ASSESSOR ALAN BOOK PAGE PARCEL SPECIAL CONdT10NS CERTIFICATE OF EXEMPTION FROM WORKERS' aYNER �`\�` TEL NO COMPENSATIONWITHIN INSURANCE Cr lh t000 FT OF SCI-1001-9 YES NO (This section need not be completed if the permit Is for one hundred ADDRESS DISTRICT GROUPfL4; E PROCESSED BBYY'� dollars ($100)or loss) CITY ZIP . DV Icertify that In the pertormarXe d the work far which thio permit IS Issued I shall ret employ any person In any, manner so as to ppCHffECT pit ENGINEER TEL NO becane sublecl to the Workers Compensation Laws SWTISRCAL CLASSIFIC.ATON PPT CONDO Date Applicant ADDRESS CLASS NO .9:�— OWE'' UNITS NOTICE TO APPLrANT If after making the Certificate of REQUIRED TOTAL SETBACK FROM EMST Exemption you should became subject to the Workers R !LIC L NO -�G SET BACK YARD MYY PROP UNE WIDTH Compensation proutsors o1 the Labor Code you must forthwith Are �(• — 1—sFO� FRONT comply with Such provisions or the permit shall be deemed revoked ADDRESS NO PL DGAqLICENSED CONTRACTORS DECLARATION \ Greco r. q SDE 1 hereby affirm that I am licensed underprovsrors d Chapter 9 TTY CLAS3C', 1u I I SEWER MAP (commencing with Section 7000)of DNnsIOn 3 Of the Business and SO FT SIZE NO OF STORES I NO OF FAMIUES NEW ❑ BK pG M'.I I .r } Professions Code and my license s in full force any effect _ _ (L OE RFPO OF PARK License Number Lc Class ADD ❑ V4LUATION n a�7 .r5�!_ r Contractor Date ALTER ❑ 1 am exempt under Sec ` REPAIR ❑ $ I Ti ITAL ISN _ 3 8&PC fa the reason DEMOL ❑ CHE'-V 79._c LD/M P/C I IjJ Date USE OF EXISTING BAG URM ❑ O- Signature APPLJCANT(PRINT) TEL NO CDMA Prom s ❑ I as owner of the property or my employees with wages as 1 = i their sole Compensaton will do the work and the structure IS ADDRESS O �I ��r�T I_L�1 the 7L not intended or offered far sale (Section 7044 Busmeas and FINAL DATE QF �1jL "] I, Prdeaswna Gods) wu.TIE eaAJFtrrr oR FuruRE eu¢.ara occL.irxr wwoL£A wzuroous ruTEmu _ 1) ❑ I as owner of the property am exclusively contracting with OR s�PECIF�°OONN"GA THE�ui00us wk E s r CHI,,A ar�i GUM? TM�TMF RNAL B > 1 I1 Ei I_ licensed contractors to constrict the project (Section 7044 YEs❑ No❑ iQ� 1� I Business and Professions Code) frllAL L1/ WILL TIE NTEIOED USE OF OOGefMM SUCHUNCI BY Mon FUTURE BUILDING A PERNta '_HGF!\ iL'•1i' OR AW Di 711>i FROM TIE 50R CONSTRUCTION LENDING AGENCY r"" 'TY"w'"�"E"T pLmRim IsclaMol SEE PERurTTPo aECIK m FOR GUIDEUNES I hereby affirm that there Is a construction [ending agency for vEs❑ No❑ '_NR�'� .ULI m the performance of the work for which the permit Is IssJetl(Sec MANE READ TIE HAzumus uATER.L RwFaaur WIDE uro TIE SrwgoPERMITnxe 3097 CN ) CH CEC4QJST I UDEIaPIIY ND RECUPEAEMa UIDER TIE LULDS ANMS COUNTY CODE a TTTLE2 HIPTERssaSECTonaxzoruoTlPOLXwssod.ocaHCERNNaHAzumous Lender s Name MAMMALS RET I,IG IND FOR OmNNNO A PETO.HT FROM TIE BCAOAID Lenmra Address G1.'5 1 AM ?:5, o U»4R p1 1�NT o I certify that I hae read the applicator, and state under penally of perjury that the above Information Is correct I agree to campy PC FEEPERMIT FEE R with all county ordinances and Statelaws ws relating to building co115tructcn and hereby authorize repres(nnatNes of the C arty ISSUANCE FEE tay�rder ,the abae-meitloi pTo�rty for ITupectpn purposes 6. � `•IY��'-1 !\IA.A �f`C.[Kl• fj INVESTIOATIDN FEE TOTAL FEE � g o7 i o SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATIONS FOR BUILDING PERMIT COUNTY OF LOS ANGELEBUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT FILL IN D I NWby affirm that I have a certificate of consent to self Insure BUILDING ADDRESS ora certificated Workers Compensation Insurance or e cerhf CITY LP O copy thereof (Sec 3800 lab C) POIK y No nrnx,—k Comperty SIZE OF LOT NO OF SLOGS NOW ON LOT CartlfKKI copy rs hereby furnished NEAREST CROSS JrT ❑ Cer fled copy Is filed With the county budding,r.W . TRACT BLOCK LOT NO dep�artment 1 �J USE ZONE MAP NO Date Ls 13-45 APWtcant �- RPY- 1�+�,C ASSESSOR MAP BOOK PAGE PARCEL SPECIAL rowITlorls CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO COMPENSATION INSURANCE Q WMAN 1000 FT OF SCFIOOL7 YES No (The section need not be competed If the permit Is for one hundred ADDRESS DISTRICT GROUP CONST FIRE Xr'E �SSEO deters to fool o,to") I certify that In the performance of the work for which this permit CTTv ZIP �QO Is Issued I shall not employ arty O person In arty manner so as to become subject to the Workers Compensatum Laws ARCFUTECT OR ENGINEER TEL NO svaLsncA1 aAssIFTOATION AFT CONDO Data Applicant ADDRESS CLASS NO P A DWELL UNITS NOTI E TO APPLIGINT If after making this Certificate of , REQUIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers CO TOR TEL NO SET BACK ypOp FM1NV PROP LME WIDTH Compensation provlamns of the Labor Code you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked ADD 1 UC NO PL r.nLICENSED CONTRACTORS DECLARATION N PL Cny ( OCC _ I` SE PL I hereby affirm that am licensed Dry r 3 of the of Chess a 0 Q'�•Y� �U2 ti �"! SEINER MAP Professions with andSectm my 7000)of in full f 3 of the Buetrtass end SQ FT SIZE NO 6 STORES NO FAA19JE9 NEW I� BK PG , } Profeaswns Cade and my license IB In full face and effect -- LNoense Number tl- LIc Class C- HS DESORPTION OF WORK ADD ❑ VALUARON Q Contractor 9 Pl v Date —�Z—�S _ ALTER ❑ $ V ❑ I am exempt under Sec REPAIR ❑ $ 1` BSPC for this reason _ DEMOL ❑ Y� - 9 LOP/C ori_C�P/C♦ .t t Date USE xlsnNG BLDG URM 11 +?Ili cl_..Ii Signature FIT lAYlvrl TEL rt-Ir LOW Farm• + __Z ❑ I ss owner of the property or my employees with wages as —` O L their sole compensation will do the work and the structure Is ADDR not Intended or offered for sale (Section 7044 Business and C FINAL DATE Q Al � _CJ .i l LL Profesaons Code) Wn T4E APRUCANT OR FUnn1E BUunN0 acclMl+r HIrDLE A, DOUS WTERIA- �` ✓�� 7 JJIJJ y.:5.L`C OR A MIXTURE COMMUNING A 11ALJ✓DOUS WTERML EQ TO OR GREATER T N THE {� ❑ I as owner of thetocoproperty am theI project C(Section 44 A N S SPECFEO ON THE HAU37oOI1S MATERINa INFORMATION GUIDES FINAL BY > i jl EI I_ licensed cnd Professions to construct the pojeof (Section 7044 YES❑ io I' 174 - 15# y Business Brld Pr0fe98gr19 COde I will TIE IMTEIE USE OF TIE BUDLN3 eY THE AP0.K.eR W FUTURE BULONG f 0I AL 174 - lC OCCUfYJR WIRE A iERMm FOR CpNBTRUpTA'N OR AIOOEK,ATDN FROM THE sOUrH CONSTRUCTION LENDING AGENCY coAsr AN v wwAOEr F DmRK T aQic )ME FERMRTNG cHEcKUST FOR lHL"K 474. r1. ouoE FE 1 hereby affirm that there is a construction lending agency for vEs❑ 7HAN1E .GLI the performance of the work for which this permit Is issued(Sec IHAVE 1MTETUL•IN LE seam PEPoTrtNG ` m 3087 Cry C) ae GELEScouf r cope TITS 2 R 2 OBE ]0 100 NCERI IUZAROWs' Lenders Name NMTERIALS W A ICALNID c o Lenders Address I�JIJQ-IJQOI °"�" liiCl4 1 Ahlli%2 pJwthl I have this atom end State under penalty PC FEE PERMIT FEE y pet In t s cprrscl agree to comply �D ASS GO X. ordlrlances to laws relating tobuildq arld hereby a r senlaMes of this CWnty ISSUANCE FEE t rtyfarInspectKl �S_ INVESTIGATION FEE TOTAL FEE/ SEE REVERSE FOR EXPLANATORY LANGUAGE i APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION '�fFOR APPLICANT TO FILL IN BUILaNG ADORE K� I hereby affirm that I have a cer411cate of consent to seM InsureEIUIUv�C.civrr�cl6il or a certificate of Workers Compensaten Insurance or a certified AwiC��v�� copy thereof(Sec 3800 Lab CIPolicy �� LOCALfTV NO Company - SIZE OF LOT NO OF BLDOS NOW ON LOT ❑ Certified copy is hereby furnished NEAREST CROSS Sir ❑ Certified copy is filed with the cWnty building Inspection TAT BLOCK LOr NO department USE ZONE MAP NO Date Apptrcant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL No ///f NO COMPENSATION INSURANCE WN N 10DO FT OF SCHOOL? YES No (This section need not be completed it the permit Is for one hundred ADDRESS dollare($100)or less) DISTRICT GROUP TYPE CONST FIRE ENE PROCESSED BY I certify that In the performance of the work for which this pem.t CITY ZIP is Issued I shall net employ any person In arty manner w as toOR ENGINEER TEL NO OS le become sublect t0 the WorkersCanperisaoon Laws APaiiKCTSPTISr1CAL CLASSIFICATION APT CONDO DatO Applicant ADDRESS CUSS NO DWELL UNITS NOTK-E TO APPLrAAFT If after making this Certificate of �Ty�C-7� REOUMED TOTAL SETBACK FROM EKIST Exemption you should become eubKxt to the Workers �V "l. pt�/y` /}_ O-^�V_/1�iy� SET BACK YARD HNV PROP LINE ' WIDiH Compersabon prowslons of the Labor Code you mist forthwith I ��LLLF.(xy lJ8 / S O�J,j/`/ FRDNr comply with such provelons w this permit shall be deemed revokedADpoPSs�. /L/, "r f LIC NO P L W062 e LICENSED CONTRACTORS DECLARATION (� Lt SIDE I hereby affirm that I am e licensed underpnovmof Chapter 8 CIiV/1q /p �r n0„) LIC j'.LtiSS PL (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO TOFF SSTORIES I NO OF FAMILIES Professens Code and my Ilcense Is in full farce and effect NEW ❑ SK PG ► a License Number Lc Class DESCRIPTION OF WORK ADD ❑ wLUAT/I8 Q Contractor Date ALTER ❑ $ �fi� cc ❑ 1 am exempt under Sec REPAIR ❑ B BPC for this reason AV, (moi At.. DEMOL Er LDkw PNC• Date rE OF STING BLDG URM ❑ 1 l4n Sgnatture APPDCANT(FFBJI) TEL NO LDMA Peron• 1 ❑ 1 as owner of the property or my employees with wages as al Lry .T their sole compensation will do the work and the structure is ADDRESS � 3-11D7 1s'h.G J net intended or offered for sale (Sectxn 7044 Business and F9NAL ATE Q Professens Code) WILL THE RFmRE BQfp pCCIpA UMATERA -1)' o 1 Il EMS ❑ as Wn of the property am rety contracting OR A MIXTUREIQ0N NIpA WTO OPEATER NTHE licensedcontractors to coristrUCl the project (Section 7044 NSPECED ONWGUIDE? Fl/UL BV TJT^^L 13 f _ 95 Business and Profesacne Code) vEs❑ No❑ f NEi Y 164.i`.1 PALL THE NrEHOEe use of THE euo tw T,e Nxaicvrr oR P rruRE "Low OCCURi REQUIRE A PERAfT FO7 CONemoleN pP AIDDFICJeIDN FROM THE 900TH CONSTRUCTION LENDING AGENCY COAST uAIR QUALITY M GEMENT DErr T lscraMOl ME PERIATTNG aECKusr FOP 0=1 I hereby affirm that there Is a construction lending .GLrcY for YEe❑ Ho❑ e - ._" - I �-" the performance of the work for which this permit a Issued(Sec 0 3087 Cw C) OHEcxuer AOEP MY oU rEN1S UNDER oTELos uioELE�sCOUNTY C O oIILI]-QI]IJ1 3/23/95 N YAIEWAl.4 �PPoRlILiM AHD FIXi xOHPIdNa A PEIbRTH FioM D• e Lender s Name SCIQ. 1 9937 FM 5:`7 Lenders Address I tartly that I have read this ap caro stae under penalty g d penury that the eba/0 infor is -tact 1'.gree to comply PC FEE PERMIT FEE �. with a"Aunty ordinan St haws relating to butltl /0 S COrtstru In en a pfe9entElrvm of t ISSUANCE FEE to @nte arty for Irheperap r a (O J m �^� eNESTOATIDN FEE TOTAL FEE G SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATI& FOR BUILDING; PERMIT COUNTY OF L13S ANGELES BUILDING AND SAFETY WORKERS COMPENSATION DECLARATION FOR APPLICANT TO FILL IN &WILDING � I hereby afimIn that 1 have a certlfpate of consent to self insure BUILqJ�ff ' :7 Z5ehkE-Ad 13V or a certificate of ftrkers Compensation Insurance or a certified copy thereof (Sec b m � J /) �a g. Policy No Copany / CN LOGLRV ST�! e SIZE OF LOT NO OF BLDOS NOW ON LOT Et Cartlfied copy s hereby furnished NEAREST CROSS ❑ Certified copy a filed with the county building Inspection TRACT BLOCK LOT NO departirnent 6 i l�,�7 a�' USE ZONE MPP NO Date � yApplce., l _ [� 10014 ToM • �� ASSESSOR MPP BOOK NL3E PARCEL — SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS OWNER L No ES COMPENSATION INSURANCE - w 11,1 1000 FT OF SCHOOLS NC, No NXM(This sedan need rpt be completed If the permNl Is for one hundred ESS dollars ($100)or less) DISTRICT OFiODP TYPE CONST FIRE ZONE PROCESSED BY CITY LP I testy That m the t employ an d the Mork for which this permd s Issued I shall not employ arty person m any manner so as to • Jr /✓ become subject to the Workers Compensation Laws mECT ENOI/IEER TE (.• sunsncAL CLIyS,SIT1pN PPT CONDO Date Applicant pDpgE ./ CLPS9 NO po{f DWELL UNITS NOTICE TO APPLICANT If after making the Ce W.te W A �' REQUIRED TOTAL SETBACK FROM E%IST Exemption you should become subject to the WorkersR TEL SET BACK YARD 1wy PROP UNE WIDTH Compersatlon Provlsrore of the Labor Code you must forthwithCzF— r^ 07 comply with Such provisions or the permit shall be deemed revoked ADDRESS — '1'10 �v1K-I gag CIC p LL LICENSED CONTRACTORS DECLARATION �3I/ qjSIDE S d2 LIC S PL 1 hereby affirm that I am Icansed underprovlsore of Chapter 9 _ (commencing with Secipn 7000)of Division 3 of the Buwness and FT NO OF STORES NO OF�AMIUES SEWER MAP Professions Code a Try c:: me a In full force ffect NEW ❑ BK PG "-'�- Y37•�4 Lcense Nu (7YYlI-1 Lc class °EEK p �e / ADD ❑ -W + , 1 lTEI',= a ContractorDate y—��9 L� R/ ALTER �I $ "�•� F0111 AL 4''37 - 24 0 REPAIR ❑ $ _HECK• 4_.'..L4 cc ❑ I am exempt under Sec _ BBPC for 11-m reason DEMOL 13ONA P/C CHHh�t .aj i W Date USE of ,OJ�Blm URM ❑ In Sgnature L NO l'mTl LONv.Pram Iji 11]LI-Ij1,7111 1_/11!'74 Z ❑ 1 as owner of the property or my employees with wages as Z -�x�-Q� 4 their sole compensation w111 do the work and the structure a ADDRESSSY-0.J •4 1 ��1 not intended or offered for sale (Section 7044 Business and U FINAL DATE %({i «�t.w_ Professions Code) WLL THE APRIGNT OR FU1LiE BULpNn OCCIMNr 11/.'4E A HAZAlpW9 MPTERUL Jl` + T ❑ I as owner of the property am exdumvely cantrachrg with 014 A uIXTUfE CAHWtYp A NAZAaoals MATEPML EOOK TD dA pREATEP THAN THE 1 I'_1 � licensed contractors to construct the A�eolAns ePEc�m THEA � � • Protect (Section 7044 YEs❑ M FINAL BV 7 ;DTHL c5 { - 4L Busuiess and Professions Cada) eieT��rpm�E _fi' MILL THE D 119E OF T1E e014 9Y THE A➢PJUNT 1014 FUTLRE BLI pOA2T l GUALRY A PEAR IA FOn Cp1ICT( pN DP ME PER pN Fr C- Tri£9011TH riE'_N\ �Ci•T•/ CONSTRUCTION LENDING AGENCY �sT'�DUNfTY AUNK3EMFM fxsmior(9CAOAN)SEE PEPumTlp GlECKD9r F014 _ 1 hereby affirm that there I9 a construclpn lending agency for ❑mss�� M" s ��hl •[Il w the performance oft work for which the Permit Is esued(Sec YES NC)12 Ar+ooljs AUTEwusysorauTx»icuDE AND T�scwMe PERUITTw v�L g� 3097 CIV C) /. CJ1E Ary PEWPEMENie IACER THE L09 NA1F ca COIMTV CODE N Lenders Name •7 r+IAPTERas c zxoloonwalaH 1400 y RNNG S 'll�liQ—I I�I�i /1'7"'=- Lenders Addreas 23 �hrC ^ TneNr iI i,_ �i�1il:11 0 I certify that t have read this matron u; and elate under Penally g with penury that the above Information a correct agree o comely C PERMIT FEE Sal / $ with ell county ordinances and State laws reletug to hulkYrg (O constrWthon and hereby authDnzg1 reeenl8iWas of this Canty ISSUANCE FEE r uP a ayn9nh p for Inspedan"WnPossy� �!C m UI INVESTIGATION FEE TOTAL FEE t� SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS COMPENSATION DECLARATION , hereby affirm that I have o'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 ) - - , COUNTY OF LOS ANGELES BUILDING AND SAFETY Po NQCompanylE�/i/-Y/�/0! I _ _ Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING Ss ADDRESS Certified copy ,s filed with the county building mspec BUILDING i `tion department % ADDRESS Dote4&ZApplican Crry L CITY ZIP LOCALITY CERTIFICATE OF EXEM FROM WORKERS NO OF BLDGS NEAREST _ -- COMPENSAT INSURANCE SIZE OF LOT NOW ON LOT S7 hundred dollars ($100)o, less )section need not be completed if the permit is for one ASSESSOR TRACT BLOCK LOT NO MAP BOOT( PAGE I PARCEL 115E ZONE MAP I cert)fy that in the performance of the work for which this OWNER NO permit is issued I shall not employ any person in any mannerADDRESS -� lR C ' SPECIAL so as to become subject to the Workers'Compensation Laws CONDITIONS V CITY G ZIP Date Applicant ' NOTICE TO APPLICANT If afar making this Certificate of ARCHITECYtR TEL DISTRICTUP TYPE FIRE SSED BY LQ Exemption you should become subject to the Workers' ENGINEER NO ZONE G Compensation provisions of the Labor Code, you must forth- ADDRESS VU with comply with such provisions or this permit shall be deemed revokedCONTRACTOR „7�7p STATISTICAL CIASSIFI 7 Apr DO Jas _ LICENSED CONTRACTORS DECLARATION LIC CUSS NO Z DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO 9wr6 (commencing with Section 7000)of Division 3 of the Business and - _ LIC SEWER MAP ' Professions Code, and my license is in full force and effect CRY FL C1ASS�SSS VALIDATION '7�,s[/J/ SO FT NO OF NO OF _ _ CHECK BK PG License Numbe;� �,[f2 Lic Classes=Z SIZE STORIES FAMILIES ONE , /' / / VALUATION �0 _ Contract y!/�.f/OtAtT.vr4lJ>(i1�/. .{S �Y 1 V DESCRIPTION OF WORK .O' NEW ❑ 1 am exempt under Sec 7 - C 13 ADD s , ALTER B&P C for this reason 7r REPAIR s 21 9 3 4 A - Date EXISTING BLDG DEMOL OF # • • • 023 Sign utury - APPL�KAM SOtI� iA„rd� f�LLG Z FINAL A ( • • 4 1.4 5 OWNER BUILDER DECLARATION DATE- -I hereby irm that I am exempt from the Controcta's License • • • 4 1:4 5 TS Low for the following reason (Section 7031 5 Business and ADDRESS 45r`1XdG FIN Professions Code) - BY , 0 4,26-85 ❑ I as owner of thio property or my employees with BUILDING ADDRESS wages m their sole compensation,will do the work and ' Al 9 Q 5 A the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL - - - # • • • • • 1 ❑ 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) I is is 59.25 CONSTRUCTION LENDING AGENCY REG ACK FROM "Ibi SEr BACK YARD � LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT t • -• • 59.255 the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE a _ PL _ 0506—g5 - Lenders Name r $ /. LDMA Ref N ' Lender s Address - P C Fee$ Perm4 n Fee - - I certify that I have read this application and state that the _ _ Issaonce Fee - U- TDMA P/C t above information is,correct I agree to comply with all County lnvutigotion Fee - , ordinances and State jaws relating to budding construction, Total Fee and hereby authorize representatives of this County to enter IDMA Peart • up he above-mentioned properly fo,r inspection purposes f6 RIEVEIW FOR IMPLANATORY LANGUAW Signature of Applicant Date -- - - - - - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LIS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0708290044 PHONE (626) 285-0488 EXT LEGAL ID BUILDING ADDRESS BK 105 PG 86 PC 10 SIGN DESCRIPTION ILLUMINATED CHANNEL LETTERS 5553 ROSEMEAD BL TEMP CA 917801802 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY 5387-032-059 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, Cl TENANT EXIST BLDG USE ISSUED ON PROCESSED BY EXPIRES ON PREBTIGE INTEGRATIVE EXIST OCC GRP 08/29/07 SR 02/25/08 OWNER TEL NO SLOGS NOW ON IAT VALUATIONFINAL DATEEXPIRY CODE T C ASSOCIATES - 4,200 12323 TUSTIN AV FEES PAID DESCRIPTION R ILLUMINATED CHANNEL LETTERS READ •PRESTIGE INTEGRATIVE• FEE DESCRIPTION QUANTITY DOM AMOUNT WITH FOAM LETTERS -HEALTH CENTER- APPLICANT TEL NO J 4 H SIGN INC (626) 448-1166- �AA BLDG PERMIT ISSUANCE 27 75 9441 VALLEY BLVD JAX BUILDING REVIEW FEE 54 70 ]SPECIAL CONDITIONS IROSEMEAD, CA 91770 D2 PERMIT W/O EN-HC 4200 00 VAL 132 60 TOTAL FEES 215 05 (CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE IJ & H SIGN, INC (626) 448-1166- 19441 VALLEY BLVD LIC NO VACATION AND SETBACKS 1 ROSEMEAD CA 91770 873439 C45 SOILS ENGINEER APPROVAL IARCHITEcr OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO SUPPORT SIRDCTURE (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP i 00 NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS NO 20 f, SCHOOL WITHIN HAZARDOUS AIR QUALITY 1000 FEET MATERIALS NO NO NO I I I I I (REPORT IO DPR261 ROUTS TO BS0508 I I = COUNTY OF LOS ANGELES TEMPLE CITY i 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TONUS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL OSOS 0511790016 PHONE (636) 285-0488 EXT LEGAL ID NO OF CONST NEM BUILDING ADDRESS BI 105 PG 86 PC 30 SO PT STORIES TYPE OCCDD GROUP 5553 ROSEMEAD BL STRUCTURE 2675 1 VN B TEMP CA 917801603 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET SROADXhY 5387-032-059 THOMAS PAGE 596 GRID H4 LOCALITY Too" CITY, C TENANT EXIST BLDG USE CONKS USE ZONE ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP B 02/01/06 JZ 01/27/07 OIBER TEL NO SLOGS NOW ON LOT VALUATIOND PIY11L_BY CODE T C ASSOCIATES (714) 997-1100- 47,950 747 M KATELLA AVE ORANGE, CA 91867 FEES PAID a IPTION OF MORE ANT IMPROVEMENT SPLIT ONE 5350 UNIT INTO TO 2 675 8 F PER DESCRIPTION QUANTITY UOM AMOUNT ADD QNB BEST ROOM APPLICANT TEL NO MCKGL (714) 538-3574- Al PLANCRECA MIEN-BC 47950 00 VAL 754 23 978 N ENTERPRISE ST AA BLDG PERMIT ISSDANCE 27 75 SPECIAL CONDITIONS ORANGE CA 92867 AB STRONG MOTION OTHER 47950 00 VAL 30 07 AS PERMIT M/RNERGY-BC 47950 00 VAL 887 34 TOTAL PEES 1 679 39 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE J A MCKSE COMPANY (714) 538-3594- 978 M ENTERPRISE ST LIC NO LOCATION AND SETBACKS ORANGE, CA 92867 370624B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS LIC NO SLAL UNDER FLOOR RAISED FLOOR PRUNING NAP NO SEWER MAP BOOR PAGE FIRE ZONE CNP tIHDPRFL00R INSULATION 3 0 FLOOR SHEATEING NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 22 ROOF BREATHING SCHOOL WITHIN HAZARDOUS SRR. PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FIURD3 INSPECTION PIRY SPRINKLER BANGERS INSULATION WEATHER STRIP INT iRIOR LATH DRYWALL EATSRIOR LATH RATIO FLOOR CEIL ASSE M RATED WALL ASSEMBLIES RATLD SHAPTH OPENINGS T-B,R CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTS TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC FORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1310210056 PHONE (626) 285-0488 6XT LEGAL ID INUMBER OF SIGNS 1 BU ILDINO ADDRESS ISK 105 PG 86 PC 10 (SIGN DESCRIPTION TALL SIGN CHANNEL LETTER ILLUMINATED 5551 ROSEMEAD BL I I TE" CA 917801802 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 15387-032-059 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY CA I I TENANT EXIST BLDG U56 ISS J&D ON PROCfiS56D BY I LOVE PAPA 6 MAMA EXIST OCC GRP 10/21/13 SR (OWNER TEL NO IBLDGS NOW ON LOT VALUATION � I _ (FINAL DATE FI CODE IT C ASSOCIATES2,000 2,000 12323 TUSTIN AV FEES PAID DE,-RIPTION OF WORK 1WALL SIGN CHANNEL LETTER ILLUMINATED FEE DESCRIPTION QUANTITY DOM AMOUNT (APPLICANT TEL NO ILUONG DAN (626) 442-8033- AA BLDG PERMIT ISSUANCE 27 80 11906 DOREEN AVE IAB STATE GREEN BLDG FEE 2000 00 VAL 1 00 ISPECIAL CONDITIONS S EL MONTE CA 91733 IDI PLANCHECK W/O EN-HC 2000 00 VAL 82 10 ID2 PERMIT W/O EN-HC 2000 00 VAL 82 20 TOTAL FEES 193 10 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE 88 SIGN CORP (626) 448-1166- , 1904 DOREEN AVE #A LIC NO LOCATION AND SETBACKS SOUTH EL MONTE CA 91733 702474 I SOI19 ENGINEER APPROVAL I ARCHITECT OR ENGINEER TEL NO iFOunDATION/TRENCH FORMS I LIC NO (SUPPORT STRUCTURE I I I I I MAP NO SEWER MAP BOOR PAGE FIRE ZONE CMP OI J I I NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS M NO 20 I SCHOOL WITHIN HAZARDOUS AIR QUALITY 1000 FEET MATERIALS NO NO NO I I I I I I I • ADDITIONAL DATA ON FILE I ' IREPORT ID DPR261 ROUTE TO DS0509 I I I I I ' COUNTY OF IqS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT _ DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ^ SL 0508.0704190004 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS - BK 105 PO 86 PC 30 STRUCTURE 2Q28 FT STORIES TYx PE 9 CUP GROUP( 555NP RO91 53 ROSHMEAD1BL 802 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS 1 5387-032-059 THOMAS PAGE 596 GRID H4 LOCALITY LIFE FORCE INTI TENANT EXIST BLDG USE COMM U98 FAKE ISSD® ON PROCESSED BY HZPIR69 ON EXIST DCC GRP B J -1- - 106/01/07 SR 05/26/08 (OWNER TEL NO SLOGS NOW ON IAT _ VALUATION iFIN.VITE P Y Q7➢6 NOBLE MANAGEMENT BUILDING (714) 997-1100- 83,730 ( Tlri' 747 W KATELLA AVE (ORANGE, CA 92867 FEES PAIDD CRIPTTON WORK TEMANAT IMPROVEMENT CHIROP CTOR OFFICE 1 APPLICANT TEL NO FEE DESCRIPTION QUANTITY DOM AMOUNT I I(HONKY CORPORATION (626) 627-3561- Al PLANCHECK W/EN-HC 35000 00 VAL 588 40 1308 EAST VALLEY BLVD AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS I ALHAMBRA, CA 91801 AC STRONG MOTION RBSID 83730 00 VAL 8 37 1 A2 PERMIT W/ENERGY-HC 83730 00 VAL 1,308 07 1 ' TOTAL FRES 1,932 59 I (CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1 IKINGDOM CONSTRUCTION, INC (626) 712-9755- 1 117028 E COLIMA RD , #107 LIC NO [ACATION AND SETBACKS 1 HACIENDA HEIGHTS, CA 91745 751799 B I (SOILS ENGINEER APPROVAL I ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS IE.S9ERTIER DON - I 1388 EAST VALLEY BLVD #219 LIC NO 1 SLAB/UNDER FLOOR I I ALHAMBAA, CA 91801 NONE RAISED FLOOR PRAMIN0 MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP fR]DERFLOOR INSULATION 3 0{ I FLOOR SHEATHING I IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I NO 22 ROOF SHEATHING I I I I SCHOOL WITHIN HAZARDO05 ISHEAR PANELS I I I (AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS Lr v INSULATION/WEATHER STRIP I (INTERIOR (ATH/DRYWA*.r. IEXTEEIOR (ATH I I 1 RATED FLOOR/CEIL A9SBM 1 ' RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS I T-BAR CEILINGS LOT DRAINAGE 1 REPORT ID DPR261 ROOTS TO 850508 I 1 1 I OU;m ANG CRIMEN OF LOS LIC WORKS 9701TEMPLEL CITY 0504 F BUILDING PERMIT • NG AND SAF OF PUBLIC WOR3CS 9701 LAS TUNAS FIRE SPRINKLER 0405 BUILDING AND SAFETY / LAND DEV6I.OP1®T TEMPER CITY G 91740 BL 0508 0604050004 PHORB (636) 2e5-0448 EXT LEGAL ID NUMBER OF ADDEDRRLOGTED BUILDING ADDRESS BK 105 PG 86 PC 10 SQ FT SPRINKLER HERDS 5551 ROSEMEAD BL STRUCTURE TBP G 917801803 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREW BROADWAY 5387-033-059 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE ISSUED ON PROCESSED BY EXPIRES ON IVY INSTITUTE EXIST OCC GRP 04/05/06 GK 03/31/07 COWNERA TEL NO BLOCS NOW ON LOT VALUATION !I )� 9IRAL BY CODE T T C ASSOCIATES (636) 193-1694- 1,700 / /- �-- 7333 TUSTIH AV ._ PEES PAID D"C)rIPTIM OF WORK AUTO FIRE SPRINKLER SYSTEM FEE DESCRIPTION QUANTITY DOM AMOUNT APPLICANT TEL NO LERG (636) 755-7313- AA BLDG PERMIT ISSUANCE 37 75 4418 ELLIS LANE DO FIRE SPRINKLER PC 1300 00 VAL 83 11 SPECIAL CONDITIONS RL MONTH G 91731 D3 PERMIT W/O EH-HC 1300 00 VAL 83 30 TOTAL FERS 193 06 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE F i H vim PROTECTION INC (676) 755-0747- 4416 ELLIS LANE LIC 80 FIRE DRPARTWEET INSPECT _ RL MONTE, G 91731 584319 C16 FIRE SPRINKLER HANGERS ARCHITECT OR ENGINEER TEL NO FIRE DEPARTMENT APPROVAL LIC NO MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 00 NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 30 SCHOOL WITHIN HAZARDOUS AIR QUALITY 1000 FRET MATERIALS NO NO W REPORT ID DPR761 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY F 0508 BUILDING PERMIT -� DEPARTMENT OF PUBLIC MORES 9701 LAS TUBAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOI9®7 TEMPLE CITY CA 91780 BL 0508 0603090038 'r(, PROBE (626) 265-0485 ETT LEGAL ID NO OF COMET HEMc`c�� BUILDING ADDRESS BE 105 PG 86 PC 30 SQ FT STORIES TYPE OCCUP GROUP ,]yM 399T ROSEMEAD BL STRUCTURE 2400 1 VB B TEMP CA 917801802 ASSESSOR INFORMATION HUMBER NEAREST CROSS STREET BROADWAY 5387-032-059 THOMAS PAGE 596 GRID R4 LOCALITY TEMPLE CITY C TEN"I EXIST BLDG USE CONKS USE ZONE ISSUED ON PROCESSED BY EXPIRES ON IVY INSTITUTE EXIST OCC GRP C 03/13/06 JX 03/08/07 OWNER TEL NO SLUGS NOW ON LOT VALUATION FINAL TH FINAL BY CODS T C ASSOCIATES (626) 292-1898- 10,000 2323 TUSTIN AV FEES PAID DESPIPTION OF WORK IRPROVENENT FOR TUTOR CENTER FEB DESCRIPTION QUANTITY DUN AMOUNT APPLICANT TEL NO TERRY CHAN (626) 274-1245- Al PLANCHECK W/EN-RC 10000 00 VAI, 211 73 5133 ARDEN DR AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS TEMPLE CITY 91780 AS STRONG MOTION OTHER 10000 00 VAI, 2 10 A2 PERMIT M/ENERGY-BC 10000 00 VAL 249 09 TOTAL FEES 490 67 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE ADC CONSTRUCTION INC (213) 680-1382- 750 N HILL ST ON LIC NO LOCATION AND SETBACKS LOS ANGELES, CA 90012 6922228 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS LIC NO SLAB ONDEH FLOOR RAISED FLOOR FRAMING NAP NO SEWER NAP BOOR PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 3 04 ➢LOux SHEATHING NO OF FAMILIES DWELLING UNITS AFI CORD STAT CLASS NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHILIR PANELS AIR QUALITY 1000 PRET MATERIALS NO NO HO FRANS INSPECTION FIRE SPRINKLER SPRINKLER HAUGH" INSULATION NEATHBR TRI➢ INTERIOR LADRYWALL �A EXTERIOR LATH V RATED FLOOII CBIL ASSEN RATED NALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS IAT DRAINAGE REPORT ID DYR261 ROUTE TO BS0508 i COUNTY OF LOS ANGELES TEMPLE CITY C 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TURAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0307160049 PHONE (626) 285-0488 EXT: LEGAL ID NUMBER OF SIGNS 1 BUILDING ADDRESS BK 105 PG. 86 PC 10 SIGN DESCRIPTION• "FASHION" IN RED AND •S5" IN GREEN 5557 ROSEMEAD BL TEMP CA 917801802 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET: BROADWAY 5387-032-059 THOMAS PAGE 596 GRID. H4 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE ISSUED ON PROCESSED 5T. EXPIRLS UN FASHION 5 EXIST OCC GRP 07/16/03 JK 07/10/04 OWNER TEL NO BLDG5 NOW ON LOT VALUATION FL DATE FINAL BY CODE T C ASSOCIATES - 1,000 !/� y/ UL—/ FEES PAID BESCKIFIIUN O ILLUMINATED CHANNEL LETTERS FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL. NO MOSES SABERI (714) 957-8438- AA BLDG PERMIT ISSUANCE 27 75 3117 S MAIN ST AC STRONG MOTION RESID 1000 00 VAL 0 50 SPECIAL CONDITIONS SANTA AMA 92707 D1 PLANCHECK W/O EH-HC 1000 00 VAL 82 11 D2 PERMIT W/O EN-HC 1000 00 VAL 65 40 CONTRACTOR Tn NO TOTAL FEES 175 76 APPROVALS DATE INSFR7W-9r2UUW-- SIGN MAX (714) 957-8438- 3117 S MAIN STREET LIC NO LOCATION AND SETBACKS SANTA AMA, CA 92707 758271 C45 ARCHITECT OR ENGINEER TEL No FOUNDATION/TRENCH FOFJtS LIC NO- SUPPORT STRUCTURE MAP NO SEWER MAP BOOK PAGE FIRE ZONE CKP: 60 NO OF FAMILIES DWELLING LIMITS APT/CIDND $TAT CLASS NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY 1000 FEET MATERIALS NO NO IW REPORT ID DPR261 ROUTE TO BS0508