The URL can be used to link to this page

Home My Public Portal About5585 ROSEMEAD BLVD_Building__ APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT OF A� n II� BUILDING� �`�j� FOR APPLICANT TO FILL IN ADDRESS �J o BUILDING GC' 0%MEAD BU1 LOCALITY , ADDRESS JJ CITY ZIP NEAREST CROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOON PAGE PARCEL DISTRICT GROUP ]TYPE FIRE P SSED BY TRACT LOCKLOT N �Dv CONST Z OWNER LAI % ,(A STATISTICALSIIFICATION SEWE P ADDRESS CLASS NO 7DICWELL UNITS BK PG USE ZONE NOP �Y Oa CITY ZIP n i ARCHITECT OR TEL / SPECIAL ENGINEER NO tllrrr CONDITIONS ADDRESS /' ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR .�1 y01,L A1'�,.� TELIa�•2AOO BLDG SETBACK FROM ADDRESS 19513 55U A" RD LIC NO ?.C30 ZO FRONT OP LINE OF ISTREETI HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING CITY �.Oh1Q"TGa GAL CICS SS /` '1 FRONT PROP LINE HIGHWAY WIDTH CONSTRUCT( N LENDER �•i o +N1- NAME NAME AND BRANCH BLDG SETBACK F O ADDRESS CITY SIDE PROP LINE OF ISTREETI U SO Ftj NO OF NO 09� CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYP EXISTING O SIZE(�` STORIES I FAMILIES ONE ^ SIDE PROP LINE HIGHWA WIDTH + F DESCRIPTION OF WORN NEW - y �r 5 DD ❑ CORNER CUTOFF YES ❑ NO ❑ ? IES NALTER ❑ SYSTEM EPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF E%IST NG BLAAD--Gll Ak�Pp .4WTjj�" EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ AP PRINT)NT�'�ry F1�C-• PP.OTNOL 4311240 BY (SIGNATURE) I N[RLCY HATNO !BO THAT I X VE G THIS APPLICATION AND STAT[ THAT THE ABOVE IS W LCT AND AGREE BU TO COMELY WITH ALL OI CERTIFY AND LAWS REGULATING ■ AUTHORIZED CON- STRUCTION I CERTIFY THAT IM DOING THE WORK AVTHORIZLO NLR[CY 1 WILL [MPLOY ANY PERSON IN VIOLATION OF THE LA COR COOC OF T fTAT[ al CAL( ORNIA IN RELATING TO WORKMC R'S COM E TION IN ANC DATE LI SIGNATURE OF FINAL J DY PERMITTEE ADDRESS 951,1 ` /A t L A7 •� cITY��{' f6N C*4,—NO 501 PC FeGS {O v•�RO Permit Fee I� 1. 00 tt QKA /� Inuenca Fee VALUATIONY • f eg-9V AL 07 PLAN CHECK VALIDATION �M o CASH PERMIT VALIDATION<Z1 M o CA. ,2 9 5IZM&R ,23 8 3 & 10 62 098 ^ 2 9 Jzw 23 1 17 7.0 0 At$ 9 "ASSSA Cufom ZSITL _ - - - COUNTY OF LOS ANGETE-q APPLICATION FOR DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN 1 ADDRESS $g' 134 BUIIDINGC585 N �o5i✓MEAD JD LOCALITY ADDRiE{SS 7 /^ CITY 1 `�l ZIP NEAREST y_ _ __ a� CROSS ST ^� NO OF SLOGS ASSESSOR SIZE OF LOT NCM' ON LOT MAP BOOK PAGE PARCEL een DISTRICT GROUP TYPE FIRE P E D BY TRACT BLOCK LOT NO 3 P CONS ZpNf TEL Gl V OWNER ,(,/��, NO S TATISTICAL CLASSIFICATION ♦♦ � � YS WER MAP ADDRESS ` CLASS NO •+__ WELL UNITS /\ B�3 "J CITY ZIP USE ZONE OP a QO ! ARCHITECT OR TEL SPECIAL {O ENGINEER NO CONDITIONS ADDRESS pr ROAD DEPARTMENT APPROVAL REQUIRED YES F3 NO CONTRACTOR CC LO FIRE 2Q-G TNo-EL 31 ZI o0 BLDG SETBACK FROM ADDRESS 1'{.J Z3 S SADA NLIC O 7q0 04 FRONT PROP LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE Of EXISTING CITY LCLASS - I� FRONT PROP LINE HIGHWAY WIDTH CONSTRUCT( N LENDER + - •�,, NAME AND BRANCH BLDG SETBACK FROM ADDRESS CITY SIDEPROP LINEOF (STREET) Cl SO FT NO OF NO OF CHECK HIGHWAY + YARD p TOTAL SETBACK PROM TYPE OF EXISTING C SIZE �� STORIES FAMILIES ONE SIDE POOP LINE HIGHWAY WIDTH DESCRIPTION OF WORK NEW _jj] _ + =1I y Fl[tY C)�n1 1 DD ❑ CORNERCUTOFF YES ❑ NO E f1G� R Iv ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ EPAIR❑ USE OF IN COASTAL PERMIT ZONE YES NO EXISTING BLDG`` { p J/��T EM7OL ❑ AP (PRINTPL ) ry(4 rig 1 FL) 1 No ��-L�� BY (SIGNATURE) 1 HEREBY ACKNOWLEDGE THAT I AVE READ THIS A• LIGATION AMO STATE THAT THE ABOVE ID CO RECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAW K[OULATING BUILDING CON DTRUC TION I C[KTIIY THAT IK IN. THE WOBB AUTHOBIZEe HEREBY 1 WILL NOT EMPLOY ANY AERSON IN VIOLATION OF THE LABOR CODE 0 [ DTAT 0• ALIF011MIA ELATING TO WORKMEN D CO KN TION URA [ SIGNATURE OF FINAL /�2A'r`� BY PERMITTEE ,Y,` DATE '✓f ADDRESS 06 3 SL) ItINA n /� n / rOL/1_1121 PC Fee$ f L •T Permlt Fee 04-.00 Ltf NO b IDLs-' Fe Fee Total Fee PLAN CHECK VALIDATION (CK MO CASH PERMIT VALIDATIOI CK M o CASH 4 1 7i-FEB 1 2 3 0 1 2 2.4 0 •` >.A.D.A CR aG)D Ii/TB _� - 41 All 2U4.00 •'D APPLICATION F COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT BUILDING AND SAOP�DrVVISIONRf! BUILDING FOR APPLICANT TO FILL IN ADDRESS c!;,85 BUILDING ,� ADDRESS LOCALITY TE r�IY ZIP NEAREST CITY GROSS ST NO OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOON PAGE PARCEL DISTRICT G Fl YPE FIRE P SED TRACT BLOCK LOT NO \eO' ONST i� IR CrEL v ///��F��- OWNER r = NO STATISTICAL CLASSIFICATION EWER A ADDRESS CLASS NO�^' OWEIL UNITS BK CITY ll USE ZONE MA 21P NOP 0 ,♦ ARCHITECT OR TEL SPECIAL ENGINEER '� NO -� CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ 4 ELBLDG SETBACK FROM CONTRACTOR FRONTPROP LINEOF (STREET) �{, ADDRESS NOLIC ,6 1.0 HIGHWAY + YARD TOTAL SETBA CK OM TYPE OF EXISTING CITY LIC FRONT PRO INE NIGH WAY WIDTH (,L CLASS &9r CONSTRUCTIONOER + NAME AND BRAN H ' BLDG SET, F M O ADDRESS � CITY SIDEPROA 1 (STREET( U SO FT NO OF NO OF CHECK HIGHWAY - TOTAL SETBACK FROM TYPEOF EXISTING ff SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH U &M %8643-% f Ser � NEW DESCRIPTION OF WORK J Lerr"sS I bel TG ��, \ 6jDD [-ICORNER CUTOFF YES ❑ NO C] ? Z V-60A y'-o40 LTER ❑ IN OPEN SPACE YES ❑ NOUSOF ❑ EPAIR❑ EXEST NG BLDG EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ No ❑ APPLICANTZ" �C TEL (PRINT) BY (SIGNATURE) I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND !TATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY WITH ALL 0RDINANCEB AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CDDE OF TN STATE OF CALIFORNIA IN RELATING TO WORK' N% COMPE ION I URA MCE SIGNATURE OF ' E FINAL By PERMITTEE T%msDATE /?-I ADDRESS OE TEL 77'S1 PC Fee$ Permit Fee , GO c1Tv NO Issuance Fe VALUATION �� e B e Total Fee e PLAN CHECK VALIDATION CK M O CASH PERM VALIDATION No CASH - 027PW 4 1 0 60.00A9F MMSBA CIS 06020 rE/]E - COUNTY OF LOS ANGELES APPLICATION P PERMIT FOR DEPARTMENT OF COUNTY ENGINEER BUILDING PBUILDING N FETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS ✓ BUILDINGr ) JV ADDRESS S N LOCA LITV CITY V ZIP O CROSS STNEAREST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL v'� DISTRICT GROUP TYPE FIRE P SED BY r $ CONST. ZON BLOCK LOT NO 7 OWNER NOL L STATISTICAL CLASSySIFICA TION SEWER MAP 1 ADDRESSAV, CLASS NO. OWE LL,UNITS �Bry�ZJ-Z,pfi �' USE ZONE MAP CITY�� A21P D NO. ZEJU ti ENGINARCHEER OR TEL Z'II L CON DIIT ONS ADDRESS1094 - c—JGS - ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ T L BLDG.SETBACK FROM CONTRACTOR „ FRONT PROP.LINEOF ISTREETI LIC ADDRESS NO. HIGHWAY + YARD TOTAL SETBACK CN FROM TYPE HIGHWAY EXISTING CIT LIC. FRONT PROP. LINE NIGH WAY WIpTH CLASS _ CONSTRUCTION LENDER + NAME AND BRANCH BLDG.SETBACK FROM LL ADDRESS CITY SIDE PROP.LINEOF (STREET) SQ. F OF NO. OF CHECK HIGHWA+ + YARD a TOTAL SETBACK FROM TYPE OF EXISTING LL' SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH ❑ESCTION F OWORK NEW + 1 Tn j ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z ALTER [I EPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF NG BLDG, ENOL ❑ IN CG-. TAL PERMIT ZONE ;YES ❑ NO C] EXISTAPPLIC E �jITO I' Y IPRINT) ii Q L' / <� BY (SIGNATURE) Qit/ I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLA� _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO — WITH ALL ORDINANCES AND LAWS REGULATING BUILDISTRUCTION. I CF RTIFY THAT IN DOING THE WORK AUT HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLITION —��-- LABOR CODE 01 TME STAT[ OF CALIFOR MIA IN RELATING WORKMEN'S COMPE NSAT CE. SIGNATURE OF 4FINAL A,� BYPERMITTEE TE / %ADDRESSATELFee$ b qdP 35 Permit Fee .A CITY NO.4 (Total Ce Fee VALUATIONS CY7/ Total Fee /,P,/. U✓ PLAN CHECK VALIDATION cK Mo, ASH PERMIT VALIDATION cK. MO CASH d5 4 4 51, swi �4 1 7GA636A c{Nrt0301 12/73 4 WORKERS COMPENSATION DECLARATION her*ay affirm that I have a certificate of consent to self APPLICATION FOR BUILDING PERMIT insu� pr a ka"ificatis of Workers Compensation Insurance, or a certified copy thereof JL(Sec Lab C��,( COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No ��1 V `Company �+`^ E❑ Certified copy is hereby furnished FOR APPLICANT—JO ! FILL IN ADDRESS ✓ �j L]! Certified copy Is filed with the county building mspec- FSIZEOF tion d rtment ��B/p�c/J]/yL� Date J{iC�—TL Applicant CITY ZIP LOCALITY NO OF BLDGS NEAREST CERTIFICATE OF EXEMPTION WORKERS 7 NOW ON LOT CROSSS7 COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is far one TRACI BLOCK LOT NO I PAS PARCEL hundred dollop ($100)or less ) TE OWNER0_14Yk115E ZONE MAP11,7 I certify that in the performance of the work for which this /J/�{ SPECIAL d permit is issued, I shall not employ any person in any manner ADDRESSIsal [: ✓ CaFDmONS so as to bec�_ omg_sublect to the or cert Co nsdf n Laws O lfd�LEQ��f CI ZIP M Date Applicant OR TEL d' NOTICE TO APPLICANT If afrer m g this Certificate of ENGINEER NO OONSDI TRICT GROUP TYPE � E PROCESSED BY O Exemption you should become s ct to the Workers t Compensation provisions of the Labor Code you must forth- ADDRESS #4 ,QQ ,� Y 3 11 1 t with comply with such provisions or this permit shall be TE& STATISTICAL CLASSIFICATION AT CONDO deemed revoked mNTRAcraR N Z LICENSED CONTRACTORS DECLARATIONLI CLASS NO$DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 263 NO SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC and Professions Code and my license n in full forme or�effect CI �'� C' BK PG VALIDATION ,k DRi SO INT�O�MQQOF NO OF CHECK License Number Lic Class SIZE RIES FAMILIES ONE A � VALUATION Contractor 1 ` Dot. 7101(1109 DESCRIPTION OF WORK NEW ❑ EJ1 am exempt r Sec W ADD ❑ ► ALTER 1-18 8P C for this reason . REPAI j Dote USE XIST BLDG nit O ❑ Signature FINAL OWNER-BUILDER DECLARATION (PRINT) •r.T is DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS FINAL 1 Professions Code) PRESENT BY El1,I, as owner of the property cmy employees with BApp� wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ► .:il!I d4_.v_ 7044, Business and Professions Code ) MOVING TEL ❑ I as owner of the property, am exclusively contracting CONTRACTOR NO 1 ITEfu with licensed contractors to construct the project (Sec- ADDRESS 1111 AL 3433 87'G tion 7044, Business and Professions Code ) � CONSTRUCTION LENDING AGENCY REQ ggRED YARD HWY AL aWLCKEFROM WIDTH CHECK 1 hereby affirm that there is a construction lending agency for FRONT PROP the performance of the work for which this permit is issued P L 4-HAIE (Sec 3D97, Civ C ) SIDE r PL y Lender's Name Ref I 0011-0901 7/26/4i ^ Lender's Address PC Fee Permit Fee , --�. Gc3.7 1 Ail 7:47 I certify that I have read this application and state that the Issuonce Fee �� B77 1DMA PTC If above information is correct I agree to comply with all County Investigmion Fee O Opp ordinances and a ws relating to building construction, Tatol Fee O C C LDMA Perm ` d a nz esentanves of this Court to nter LYq v property far i QE ItFVUOk FOR EXPLANATORY IANOUAOE Signature of Appl¢ont or Agent • APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN Bull lrntG;9RE I hereby affirm that I have a certificate of consent to sell insure L r or a certificate of Wbrkere Compensation Insurance Bl1tLDING —ce or a Certified aul- ZIP copy there (Sec 3800 Leo C) G`Ty Policy /}1C�/t_ /J/Y pp /fJAT-OP& « Q ocALrY SIZE OF LOT NO OF BLDrS NOW ON LOT ❑ Cgrtdied copy rs hereby fumrshed I NEAREST CROSS Sr Certified copy is filed with the county building inspection TRACT BLOCK LOT NO L department USE ZONE MPP NO ILe��rApPlcant � ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONSif — /f CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER _ TEL NO L, PGJ COMPENSATION INSURANCE --/ WITHIN toxo FT OF SCHOOL? YES NO (The section need not be completed If the permit is for one hundred AXSESS SE CISTRILT GROUP TY CONST ME ZONE PROCESSED BY dollars SI 00)or less) I certify that in the performance iper mut the work for which the pemt `Try LPT is issued I shall not employ arty person in any manner so as to (J p.�•�� become subject to the Workers Comn peneatxLaws -ARCHITECT OR ENGINEER TEL NO STATSTICAL CAASSIFlGTX)N APT CONDO Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE TO APPLC4NT If after making the Cerhfrrate of FEOUIREDTOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers NTRACIOR TEL NO SET BACK YARD NNv PROP LLE WTH ID Compensation provaons of the Labor Code you must forthwith �j —G/ / comply with such provisions a the permit shall be deemed revoked ADDRESS LIC NO P L LICENSED CONTRACTORS DECLARATION SIDE PL I hereby affirm that I am licensed underprovecre of Chapter 9q MAP Professions with Section 7000)of ONaKn 3 of the Business and SO FT SIZE NO OF STORES NO OF FAMJES ProfessioCode and my Ixanse Is in full force and effect NEW BK PIS , d Lcersse Number Lx Class DESCRIPTION OF WORK ADD ❑ VALUATION V Contractor Date ALTER ❑ $ S cc ❑ I am exempt under REPAIR ❑Sec $ ^_ B&PC for the reason DEMOL ❑ LDk1A P/C• L W Date USE OF EXISTINGURM ❑ I L_ A d - A_'1 ., S us c (R2NT) TEL NO LDMA Penn♦ iSUv JU.5:1 — ❑ 1 as owner Of the Property or my employees with wages as _ — = 1 their sole compereah n will do the work and the structure a F not intended or offered for sale (Section 7044 Business and (.1/ 7(s�� FINAL DATE yy(( Professions Code) WTHE APPLIGVr OR FUTURE eU6ANO 00CUR,NT HINDIE A INLADOUS MATERIAL .r + Q ttl �.i LL ❑ 1 as ONfler W the property am exclusively contracting with OR A M TLFE GONIA ANG A HAZATaIOUa MAnE EOUNL ro CR OPEATER n1A,1 TIE licensed contractors to construct the project (Section 7044ter`sFEaFEo off TIE nAZAnDous LATER,...rEoauAnorl ouoET FINAL BY Business and Professions Code) v s 13No m� I WILL THE �NTEICED USE OF THE BUCUNO BY THE AF1L(M!T OR FUTURE OU1LLW0 CONSTRUCTION LENDING AGENCY OOQ- "T ROOD A PERMIT FOR Oa+sTlwcTpN OR VOOFIUTION FROM THE SOUTH 174 . 15 J c COAST NR OUN.FY IMNAOEMENT DISTRICT(aCA0 )SEE iERMmTNO CHECXUST FOR 1�I1 AL 174 . 1�r DULEUNE9 I hereby affirm that there is a cmhstTcton lending agency for vty❑ No❑ CHECK 174.1` a the performance of the work for which the permit is mm*d(Sec HA fh m 3097 CAV C) (NAVE U`nTIEHAZ.ADOU91MTEFNLSYFCNMTpNOI.OEAlD TUE 9VigOPEF]ATTNO CHAN5E .I!p CHECK -E UNOE AYR 220100TH H THE 140 004CERB COUNry CODE 2 Cl1APTEP 13 ions}Ta 100 THROUGH]ZO I.0 CONCERN Np HAUADIXe Lenders Name AN iMle REPom FOR OHPHA]A PEPMm FROY THE 9GOMp I o Lenders Address ora .00m ONO-001-11 3/ 3/95 I certdy that I have read the application and state under penalty p agme to comply, 0 /J"D 'O 412 1 FN E:1� g Of perjury that 1Fp elxlva information a Correct I PC E PERMIT FEE '� $ with all cowry ordinances and State lam relating to building construction and by auffmze representatives of the County ISSUANCE FEE o upon thee-mentioned INO a for wapecuon purposes,_ NVESTIOATION FEE TOTAL FEE / fillSEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKERS COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDNG ADDRESS G�DDREEE333SSS 's N oS L—T �� G✓A I hereby affirm that I have a certifoate of consent to sell inure au �INp Ate- O SF or a certificate of Workers Conlpensston Insurance or a certified �r L copy thereof (Sec 3800 Lab C) t7 C!T P /, Ira LOCALITY Ty s� LOT NO OF BLD('S NOW ON LOT ❑ Candled copy 5 hereby fllmrahed NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO department I USE ZONE MPP NO Dale App4callt ASSESSOR AMP BOOK PAGE PARCEL Oj/-OG! SPECIAL CONDMONS —� CERTIFICATE OF EXEMPTION FROM WORKERS' QTR 1EL ,/„ COMPENSATION INSURANCE G'!/ w1/. / - f'd'd 11TRW 1000 FT OF SONooLI vas No (This sectnn reed not be competed if the permit is for one hundred ADOPESS dodars 1$100)or Is"1 •57J O S usTRlcr GROUP Sr I=RocessED BY I certify that in the performance of the work for which this peand MYla ZIF^ as is Issued I shall not empty any person in any manner so as to �^ �(,�•�L, CRS �{sS,0 TEL 3 /5/Va become subject t0 the Workers Compensation Laws SWPSnCAL CLASSIFIGTIONAPT CONDO Date Appbcant ADDRESS CLASS NO DWELL Lem NOTICE TO APPLODW If after maksog this Corticate of • "r -e— O REQUIRED TOTAL SETBACK FROM EXIST Exampon you should become subject to the Workam TEL NO SET BACK yARO f1yyV PROP LINE WU1H Coax nsatom provisions of the Labor Code you must forthwith BtijL JLC FRONT comply wrath such provinKXe or the permit shall be deemed revoked 'ADDRESS 2 � LIC NO PL LICENSED CONTRACTORS DECLARATION �(i� T /� ��6 BOE I hereby affirm that I am Ilcenaed underprovisona of Chapter g flYV //I10T0N HC* "s-^ 9� S 13 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMWES NEW ❑ BX PG , T� d Profession Code and my Ioeree a in full face and effect License Number Lc Class ADD OESC KLLUA710N Contractor Date A r S ALTER ❑ $ �� 000 ACC �,° r eft e,rs,sf, bd/ $ " 03 172.7.¢ ❑ I am exempt under Sec REPAIR ❑ BEPC for this reason DEMOL ❑ LOMA P/C 1 I I-EMO UJ Date USE OF EXISTING BLDG URM ❑ '101 list 173 - 7605 Signature APPLICMlT rPRNr) TEL NO LDMA Perm♦ UiEt.t, 1'r.'.7"� ❑ 1 as owner of the property or my employees wdh wages as, ��E1 ^ their sole compensation will do the Work and the structure is ADDRESS CC OIgItl 4 .I_I] not intended or offered for sale (Sector 7044 Bu imess and FML DATE H p 3307 �41J.' 1 Professions Code) WILL TE AP0.MJM m FUTURE euLORlp occuPunr HANDLE A I.NTERAL ❑ 1 as owner of the am exclusively contraobng with m A MIXILRE COMDDlND A HPI/RDOU&WiEWAL EOIIAL ro OR OfEATER null THE FINAL UUC1cj iWFM` ./ property AWON19&PEERED ON TIE HAZNDOIIS MATEiGL4 irFOn✓r.NTDN Ol.OE� [VLT'V��+JUJ r/ It Business andlicensed ractors to Professore Codeuct the protect (Section 7044 vEe❑ �❑ i*;AL 111LL THE wIEr USE of TIE auaLwa BY THE APPLIfANT Oe FUTOPE fiU1t>!0 T* �_! "•fl;I "F+I!, OECIIfMNi IEpURE A PEPACT FOR CCN&TROETpN m NCOFpAipN FROM TIE BOUIH CHECK ?YI],-U CONSTRUCTION LENDING AGENCY COMIT Aw Q"""TY�demCT 1s''raAml SEE PoaArTRo EIEEKLI3T FOR I hereby affirm that there a a constructon lending agency for ,.Es❑ No 11 r CHANGE .C�1 ev the performance of the work for which this permit is issued(Sec m II CXJ-A0 nEHAZAroaurv,TEwLeMf UN ERa .0o nE scnpuoreRl,CODE N 3087 CN Q) TMU2 2 r nr 4 2 n MTI BEOIIN 1W UNDER THE LOB 01401! Cdll?Y CODE Lender a Name WlEER419�reriEFOeTIW NOLO FOR NS ZOH V1ING A aFi 01�TIE x "1° i001� II�I]I]—I]I?l j, =/ 7/95 Lender Address9JJJ 1 w'ji[I:gF, I cwtrfy that I have read this application and state under penalty S of perjury that the above InformatKm is correct I agree to com* PC FEE PERMIT FEE $ with ell county ordilances and Stale lawn relating to budding constndlm an irleb9"3RI' representatives of tho County ISSUANCE FEE (/! to en;t ed P party for Inspection purpw A J 4 -1-"7-0I5 INVESTKMTION FEE TOTAL FEE y vin. wo�u+> or SEE REVERSE FOR EXPLANATORY LANGUAGE CdUNTY OF LOS ANGELES TEMPLE CITY F 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC MORES 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0610100062 PHONE (636) 205-0408 EXT LEGAL ID NO OF COMET NEW BUILDING ADDRESS BR 105 PG 86 PC 6 SQ FT STORIES TYPE OCCUP GROUP 5585 ROSEMEAD RL STRUCTURE 600 1 V M TEM@ CA 917801602 _ - ASSESSOR INFORMATION NUM®ER _ NEAREST CROSS STREET LAS TUNAS 5387-032-062 THOMASLPAGE S96 GRID LH4 LOCALITY TEMPLE CITY, C _ � l TENANT EXIST BLDG USE COMM USE SONE ISSUED ON PROCESSED BY` EXPIRES ON CPS PHARMACY EXIST GCC GNP C 10/18/06 JX _ 10/13/07 OWNER TEL NO SLDG9 NOW ON LOT VALUATION FINAL DATE FINAt B CODE CVs REALITY Co (401) 770-3578- 70 000 ��_ _ d \ 1 CVS DR WOONSOCKET RI 02895 PEES PAID DESCRIPTION OF MORE INTERIOR REMODEL OF CRBCK-OUT COUNTERS AND PHOTO CENTER FEE DESCRIPTION QUANTITY DOM AMOUNT APPLICANT TEL HO MCG ARCHITECTURE (626) 793-9119- AA BLDG PERMIT ISSUANCE 27 75 1055 a COLORADO BL AN STRONG MOTION OTHER 70000 00 VAI, 14 70 SPECIAL CONDITIONS PASADENA CA 91106 AX BUILDING REVIEW PEE 54 70 A2 PERMIT M/ENERGY-HC 70000 00 VAI, 1,148 68 TOTAL FEES 1,245 83 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE STEVE XULIUS CONSTRUCTION _ (949) 369-7820- 230 CALLS PINTORESCO LIC HOLOCATION AND SETRACXS SAN CLEIENTB, CA 92672 553607 B BOILS StlGINEBR APPROVAL AII®ITECT OR StlGIHBBQ TEL NO FOUtlDAT IOtl TRENCH FORMS LIC NO SLAB uEIRE FLOOR RAISED FLOOR FRAMING MAP NO SEMEN MAP BOOK PAGE FIRE ZONE CMP UtlDERFL00R INSULATION 3 04 FLOOR SHEATHING HO OF PAMILIHS DWELLING UNITS APT COND STAT CLASS HO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 PEST MATERIALS NO NO NO FRAME INSPECTION FIRE SPRINKLER HANGERS INSULATION IlBATHER STRIP INTERIOR LATH DRYWALL - EXTERIOR LATH RATED PLOOII CEIL ASSEM RATED MALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAH CEILINGS , IAT DRAINAGE REPORT ID DPR261 IIOU'T'E TO BSO508 COURTS OF LOS ANGELES TEMPLE CITY 6 0506 BUILDING PERMIT _ DEPARTMENT OF PUBLIC MORES 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0607350088 PHONE (636) IBS-0468 BIT LXGAL ID NUMBER OF SIGNS 5 BUILDING ADDRESS BK 105 PO 96 PC 6 SIGH DESCRIPTION MALL SIGHS 5565 ROSEMEAD BL TEMP CA 917801801 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5367-033-063 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE ISSUED OR PROCESSED BY EXPIRES ON CVS PHARMACY EXIST OCC GRP 07/25/06 JR 07/40/07 OWNER TEL HO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL HT CODE ALBERTSON'S INC - 5,000 350 PARE CENTER BOISE ID 83746 PEES PAID DESCRIPTION OF WORE 5 SETS WALL SIGN FEE DESCRIPTION QUANTITY DOM AMOUNT APPLICANT TEL NO JASON WAGSTAFF (915) 534-7951- AA BLDG PERMIT ISSUANCE 47 75 39685 BUBBLE MAY AX BUILDING REVIEW FEE 54 70 SPECIAL CONDITIONS MURAIETA, CA 94563 D3 PERMIT W/O EN-HC 5000 00 VAL 134 60 TOTAL FEES 415 OS CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE COAST SIGN (714) 570-9149- _ 1500 M EMBASSY LIC NO LOCATION AND SETBACKS ANAHEIM, CA 92604 654138 C45 - - SOILS BOOIRESH APPROVAL ARCHITECT OR ERGIHBES TEL NO FOUHDATIOR TRENCH FORMS LIC NO SUPPORT STRUCTURE MAD HO SEMOR MAP BOOK PAGE FIRE ZONE CMP 00 NO OF FAMILIES DMELLIEG UNITS APTLEND STAT CLASS HO 40 SCHOOL WITHIN HAZARDOUS AIR QUALITY 1000 FEET MATERIALS ' NO NO HO REPORT IO DP1261 ROUTE TO 880508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9101 LAS TONAS FIRE SPRINKLER BUILDING ACID SAFETY / LAND DEVELDPMENT TEMPLE CITY CA 91780 BL 0508 0702120007 PHONE (626) 285-0488 EXT LEGAL ID NUMBER OF ADDED/RELOCATED BUILDING ADDRESS BX 105 PG 86 PC 6 SQ FT SPRINKLER HEADS 5585 ROSEMEAD BL STRUCTURE TEMP CA 917801802 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET IAS TUNAS 5387-032-062 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY C 7CVSREALITY EXIST BLDG USE ISSUID ON PROCESSED BY EXPIRES ON ARMACY EXIST OCC GRP 02/12/07 Jx 02/07/08 TEL NO BLD09 NOW ON TOT VALUATION FINALTEFINAL-gy C17D8 CO (q 01) 770-3578- 400 Y. Y 11 CVS DR WOONSOC�T - RI 02895I PEES PAID DESCRIPTION F WORK INSTALL (1) SPRINKLER HEAD FEE DESCRIPTION QUANTITY DOM AMOUNT APPLICANT TEL NO CONSTANT PIPE PROTECTION (909) 824-2962- JAA BLDG PER1IT ISSUANCE 27 75 269 W LAUREL ST DO FIRE SPRINKLER PC 400 00 VAL 82 11 SPECIAL CONDITIONS COLTON, CA 92324 D2 PERMIT W/O EN-HC 400 00 VAL 43 65 TOTAL FEES 153 51 CONTRACTOR TEL C10 - � _ APPROVALS DATE INSPECTOR SIGNATURE CONSTANT FIRE PROTECTION INC (909) 824-2962- 1269 W LAUREL ST LIC NO FIRE DEPARTMENT INSPECT �COLTON CA 92324 586922 C16 FIRE SPRINKLER HANGERS ARCHITECT OR ENGINEER TEL NO IFIRE DEPARTMENT APPROVAL LIC NO MAP NO SEWER MAP BOOR PAGE FIRE ZONE CMP 001 NO OF FAMIILIES DWELLING UNITS APT/COND STAT CLASS NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY 1000 FEET MATERTAT NO NO NO II �REPORT ID OPR261 AONf6 TO 890508 1 ' COUNTY OF LAS ANGELES TEMPLE CITY @ 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0702080048 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS BR 105 PG 86 PC 6 SQ FT STORIES TYPE 5585 ROSEMEAD BL STRUCTURE VN TEMP CA 917801802 ASSESSORINFOR14ATION NUMBER I NEAREST CROSS STREET LAS TUNAS I 5387-032-062 I THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, Cl I I TENANT IXIST BLDG D58 CODBE U36 SONE C-3 I59U6D ON PROCESSED BY EXPIRES ON CVS PHARMACY EXIST OCC GRP 02/08/07 JK 02/03/08 OWNSHI � I ICVS- R TEL NO 1BIAc3 NOW ON IAT VALUATION FINAL FINAL/y� CGDE (CVs REALITY CO (401) 770-3578- I 38,000 ___NNN/UUU///[IIIV�/ 1 CVS DR WOONSOCKET RI 02895 I FEES PAID DESCqIPTIdN OF WORK I 1 IOROUND FLOOR UNISEX TOILET ROOM IFEE DESCRIPTION QUANTITY DOM AMOUNT I MCGLMCHITECTURE (626) 7913---9119- AA BLDG PERMIT ISSUANCE 27 75 1055 E COLORADO BL AE STRONG MOTION OTHER 38000 00 VAL 7 98 ISPECIAL CONDITIONS I PASADENA CA 91106 A2 PERMIT W/ENERGY-HC 38000 00 VAL 737 27 TOTAL FEES 773 00 (CONTRACTOR TEL NO i APPROVALS DATE INSPECTOR SIO[ATURS 1 ISTEVE JULIUS CONSTRUCTION (949) 369-7820- I I I 1230 CALLE PINTORESCO LIC NO I LOCATION AND SETBACKS ISAN CLEMENI'E, CA 92672 553607 H —1-1 I SOILS ENGINEER APPROVAL I I I ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO ISIAS/UNDER FLOOR RAISED FLOOR FRAMING 1(�� I I I 1MAP NO SEWER MAP HOUR PAGE FIRE ZONE CMP U[E6RPIL10R INSULATION I I XX 3 01 I IFLOOR SHEATHING INO OF FAMILIES DIie1.LING UNITS APT/GOND STAT CLASS I NO 22 IROOF SHEATHING I I SCHOOL WITHIN FA2ARD0U9 SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION I I REQUIRED TOTAL SETBACK PRAY IXIST I FIRE SPRINL(LER HANGERS I SET BACK YARD RWY PROP LINE WIDTH FRONT PL- 1 INSULATION/WEATHER STRIPI SIDE PL- I I I INTERIOR LA /DRYWALL EXTERIOR LATH (I I IRATED FLOOR/CEIL ASSEM I RATED WALL ASSEMBLIES (RATED SHAFTS/OPENrNGS I i� I IT-BAR CEILINGS LAT DRAINAGE ]REPORT ID DPR261 ROUTE TO 890508 I I I I I I