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HomeMy Public PortalAbout5595 ROSEMEAD BLVD_Building__ APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENAp�T OF COUNTY BUILDING MARCHITECTOR OR APPLI ANT TO FILL IN ADDREss n. //�� LOCALITY G ZIP 8�/ NEAREST CROSS ST NO OF BLD 5 ASSESSOR NOW ON LO MAP BOOK PAGE PARCEL DISTRICT GR P TYP FIRE ESSED BY BLOC /�OQ O ZON TEL t-/ CJ NO STATISTIC-wMfAL CLASS)FICA ION EWE P CLASS NO DWELL UNITS B PG �/�� b USE ZONE NMAOP DD / ZIP / N/ .b OR TEL �Z SPECIAL ENGINEER NO CONDITIONS ADDRESS E� ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRA CTO® EI TEL q J 7�j BL SETBACK FROM I / Y� FR NT PROP LINEOF (STREET) ADDRESS IO 16 T. No a16$a9 NIG AY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY �� CIUS " FRONT PROP LINE HIGHWAY WIDTH CONSTRUCTION LENDER T + - NAME AND BRANCH BLDG SETBACK F ADDRESS CITY SIDEPROP LINEOF (STREET) 50 FT NO OF NO OF CHECK HIGHWAY + YARD - TOTAL SETBACK TYPE OF EXISTING 512E STORIES FAMILIES ONE SIDE PROP LINE HWAY WIDTH t3 DESCRIPTION OF WORN NEW + = d DD ❑ CORNER CUTOFF YES ❑ NO ❑ ? ALTER ❑ IN OPEN SPACE YES ClNO ❑ EPAIR❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLOC DEMOL APPLCA EL (PRINT) 1 BY (SIGNATU El HEREBY ♦CKNOWL E THA HAVE READ THIS APPLICATION ANO !TATE THAT TXE BOVE I! CORRECT ANO AGREE TO COMPLY WITH ALL ORDINANCE! AND LAW! REGULATING BUILDING CON- STRUCTIORI CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE !T TE OF CALIF NIA IN RELATING TO WORKMEN e C SIGNATURE ` FINAL /lI AY PERMITTEE DATE ADDRESS Q ciT 1j DNOL PC Fee$ Permit Fee VALUATION Y tt IpuBnce Fee � Ch L�-J�fJ!a to Total Fee Z� PLAN CHECK VALIDATION � No CASH PERMIT VALIDATIO CN M o c.SH 329�°NDV 1723 0 7720 ` 499�-WDV 29 1 D 1 2.00 MAGMA CS*SGGe 1E/73 APPLICATION FOR RMIT FOR APPLICANT TO FILL IN (PrIM or type only) BUILDING �- COUNTY OF LOS ANGELES ADDRESS S,j F4'Eq DEPARTMENT OF CO ENGINEER clry L� zIPBUILDING A SAF DIVISION NO OF BLBUILDING SIZE OF LOT NOW ON ADDRESS Al A T BLOCK LOCALITY NEAREST OWNER CROSSST ASSESSOR ADDRESS MAP BOOK PAGE EL DISTRI GROUP TYPE FIRE P ESSED BY {ITV ZIP ST ZONE ARCHITECT OR 41,1044 ) ENGINEER STATISTICAL CLASSIFII ATI SEWER MAP ADDRESS CLASS NO /•rte DWELL UNITS BK PG CONTRACTOR S USE ZONE MAPNO CcADDRESS 1� ('j(,V LICjOY �D_2SPECIAL OryEby � ` CONDITIONS CONSTRUCTION LENDER ROAD DEPARTMENT APPROV U D ES ❑ NONAME AND BRANCH BLDG SETBACK FROM FRONTPROP LINEOFMwL (STREET) ADDRESS CINHIGHWAY + YARD TOTAL SETBACKFROM TYPEOF EXISTING SOFT NO Of NO OFCHECK FRONT PROP LINE HI AY WIDTH SIZE STORIES FAMILIES ONE Y DESCRIPTION OF WORK allIGHWAY -- 1B J O ROPBLDG �LINE OF CK M (STREET( O `l TOTAL SETBACK FROM TYPE OF EXISTING AY + YARD SIDE PROP LINE HIGHWAY WIDTH N USE OF Z EXISTING BLDG +APPLICANT CORNERCUTOFF VES ❑ NO ❑(PRINTiN SPACE YES NO BV(SIGNATURE �� STAL PERMIT ZONE VES NO VALUATION$ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND CAWS LOING CONSTR ION CENITFY THAT IN DOING THE WORK A IED HUES LL ANY PERSON IN VIOLATION OF THE(/BOR OF THE ST OF 1 gHATI i WORKMENSCOM PENSATK7N NS SIGNATURE PERMITTEE ADDRFSS FINALTEL CITY NO DATE MAKE CHECKS PAYABLE TO FEE PC $ ////7777 FET $ HARVEY BRANDT COUNTY ENGINEER C PLAN CHECK VALIDATION CK IN o CASH — PERMIT VALI TION GK RE o CASH 7 99AG 16 2 .3 0 l L) 619 - - 4 6.8 0 Asa^ 9 7 5 AUG 31 1 0 7 8.0 0 Ae(i mR IM63 a#805375 APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER RU I LD I N G PERMIT BUILDING AND TY DMSION INEAR ING FOR APPLICANT TO FILL INEss BUILDINGLA5 TUN ' ADDRESS LITY CITU Cl ZIPEST ST NO OF BLDGSSOR SIZE OF LOT NOW ON LOTOOK PAGE RCEL RICT GROUP YPE FIRE PRO SSED BY TRACT BLOCK LOT NOf� ONST ZONTELCJOWNER NOSTICAL C AS FICATION1SEWER MAP ADDRESS L LASS NO WELL UNITS Blf/ PG ZIP 80NE MAP NO OARCHITECT OR TELSPECIAL ENGINEER NOCONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR EL37 BLDG SETBACK FROM C LIC FRO PROP LINE OF (STREET) A DORESSI S ♦ s IDNO Z90HIGH AY + YARD TOTAL SETBACK FROM TYPE OF EXISTING CITY C 9OZZI LILCA. J(W FRONT PROP LINE HIGHWAY WIDTH CONSTRUCTION LENDER + NAME AND BRANCH BLDG SET ROM ADDRESS CITY SIDE PROP LIN (STREET) SO FT NO OF NO OF CHECK HIGHWAY + YARD = TO TBACK FROM TYPE OF EXISTING EL' SIZE STORIES FAMILIES ONE SIDE PRO NE HIGHWAY WIDTH DESCRIPTION OF WORK NEW EG• I►NN! /'V OD ❑ CORNER CUTOFF YES ❑ NO Z ALTER ❑ ❑ IN OPEN SPACE YES ❑ NO ❑ USE EPAIR EXISDT NG BLDG EMOL ❑ IN C``O`ASTAL PEliM IT ONE ^I, YES ❑ NO Cj APPLICANT IA (PRII%PWft1 ♦ 1"Y 1 BY IL f,4 EY ACKNOWLEDGE A OE THAT I HAVE REND TNID N TO CO TIOM I•I ( l .'h 1 IV}•�4i Vi 1 �\ AND !TATE THAT THE ABOVE 18 CORRECT AND AGREE BU TO COMPLY WITH ALL ORDINANCES AND LAW! REGULATING BUILDING NO CON \�`• �� �. _ - N ..> - 5TRUCTION1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR COSDE DI THE SMT[ Of GLIFO IN R[LAT NO TO OCOM T S1NC !' SIGNATURE RE O FINAL,Aqqqq /' (3 V B PERMITT DATE .- ADORESS //SR.''�.! L 7''77 M CQWMaZ7. NEO Lv707_ZtO P C Fee$—BMW Permit Fee a gso OtB PLAN CHECK VALIDATION CK M 0 CASHP�RNRT VALIDATION CN .0 CASH 956-�tw 18o / 127♦30 1 nwlaew CC*1 I:hk/ 5 nl M' -a 1 U APPLICATION FOR BUILDING PERMIT FOR APPLICANT JOFILL IN (Print or type only) BUILDIr.a � COUNTY OF LOS ANGELES �,•-. ADDRESS _7 J r;� G3L DEPARTMENT OF COUNTY ENGINEER CITY �� �'`Y' (' jIP �;' BUILDING AN SAFETY DIVISION NO.OF BLDGS. BUILDING V f G SIZE OF LOT NOW ON LOT ADDRESS TRA BLOCK LOT NO. LOCALITY I C TEL. NEAREST OWNER .�.7✓� jJ.�S �6. NO. CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE PARCEL /� DISTRICT GROUP TYPE FIRE PROCESSED BY -CITY �� Lti ZIP CONST. ZONE ) ARCHITECTTEL. /7 ENGINEER (� !-- �r NO �� `y /n � _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS `/ � �L./SCJ CLASSNO.� DWELL.UNITS _ BK PG TEL r CONTRACTOR n'ES NO.� ' USE ZONE MAP / LIC. NO ADDRESS 'y/ Q`y , ..,�.;J!1� NO. �_SPENbA! CODITIONS CLASS /�`� ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CO STRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FROW PROP.LINO'OF ' (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.F y NO.OF NO.OF CHECK HIGH`.'' + YARD = FRONT PROP.LINE HIGHWAY WIDTH CL SIZ /, STORIES, ��L FAMILIES ONE - Y DESCRIPTION OF WORK NEW ❑ + r, O ✓d-r ADD ❑ BI DC' ,ETBACK FROM (STREET) O SIDED'"'^ UNEOF ALTER ❑ AL+ YARD = TOTSETBACK FROM TYPE OF EXISTING U HIGH. AY— AY SIDE PROP.LINE HIGHWAY WIDTH Z USE OF REPAIR [01 EXISTING BLDG. �i DEMOL ❑ + APPRINA TEL -�"/ . CORNER CUTOFF YES ❑ NO [3 N O EN SPACE YES El ❑ BY ISIGNAT URQ sem= y �✓ �`` IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES - AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO W/)QRKMEN S COV. PENSATION INSURANCE. SIGNATURE PERMITTEE ADDRESS i ryl y` o+� r" ' TEL. DAT L ' BY CITY NO. MAKE CHECKS PAYABLE TO: FFT E E HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK. Wo. CASH PERMIT VALIDATION C` CK.- M.O. CASH alfi\l v FJ c J v y! V r" u 431 ®s 76A63BA CE#803 3-75 ORKERS COMPENSATIOA'*ECLAit•ATION nwe oracer that I haver cs C ate Compensation Imuran to self APPLICATION FOR BUILDING PERMIT \ �uisure or a certificate of Workers Compensation Irnuron �,1 I. or a certified copy thereof (Sec 3800 La Clyri' Policy o _Company L`.%40000NTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county bud g rasp BUILDING ` ) tion department ADDRESS LSA. Date Applicant CITY l �_ "ZIP S C LOCALITY RT ICATE OF EXEMPTION FROM W RS' ' NOtiOF BLDGS- NEAREST COMPENSATION INSURANCE SIZE OF i0T I NOW ON LOT ST (This section need not be completed if the permit is for oneTRACT s BLOCK ASSESSOR LOT NO _ hundred dollars ($100)or less ) MAP BOOK PAGE PARCEL EL USE ZONE I certify that in the performance of the work for which this OWNER I.. NO NO _ permit is Issued I shall not employ any person in any manner V p ! SPECIAL w as to become w�T bled to the er Com Bono Laws ` llliii OONpITIONS U Date }1A-E-1L�Apphcant CITY ZIP NOTICE to APPLICANT If after mokmq his Certificate o} ARC NE T Op DISTRICT GROUP TYPE FIRE PROCE r BY 0 Exemption you should become subject to the Worker /� CONST ZONE U Compensation provisions of the Labor Code, you must forth ADDRESS 0 �- L// LLssaJJ with comply with such provisions or this permit shall be TEL STATISTICAL CIASSIFICA N APT, Cf)deemed revoked CONTRACTOR NO Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO LL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of thte Business and LIC SEVER MAP Professions Code and my license is in full force a effect CITY CLASS Sz 'J SO FT NO OF NO OF CIECK � �' VALIDATION License N ber rl O Lic Class SIZE STORIES FAMILIES ONE r- VALUATION �rT� Controdo n r Dote DESCRIPTION OF WORK NEW 4 F1 1 am exempt under Sec ADD f IMMA ALTER B 8P C for this reason sece REPAIR $ - ;2 1 0 5 9 A Date EXISTING BLDG DE's # e e e e 23 Signature - APPLICANT TEL ,FINAL 1 1,3 4 a 3.1 OWNER-BUILDER DECLARATION PRINT C NO DAT I hereby affirm that I am exempt from the Contractor s Licenser/ W p • 1,3 4 Q 311 6 Law for the following reason (Section 7031 5, Business and ADDRESS L _FIJI IKAV Professions Code) BPRESENT UILDING 1 1.03-88 1, as owner of the property, or my employees with ADDRESS woges as their sole compensation,will do the work and 1 the structure is not Intended or offered for sale(Section LOCALITY ���v{ • 7041, Business and Professions Code) MOVING TEL AMA - 1, as owner of the property, am exclusively contracting CONTRACTOR NO 33a7 1596.75 with licensed contractor to construct the project (Sec- - rest. tion 7041, Business and Professions Code) ADDRESS _ ---� 1 ITM CONSTRUCTION LENDING AGENCY SET iLac YARD hfsvY LIFE EXIST �, _. 1596.75 I hereby affirm that there is a construction lending agency for p a ry�/y/ the performance of the work for which this permit Is issued P MTLbIs 1596.75 (Sec 3097, Civ C ) SIDE /�L� CK ry� PL CFIA - - •00 Lender's Name y - Permit Fee SO SMA Ref i _ Lender's Address Lam, I certify that I hove read this application and state that the issuance Fee y _ jDA P/C R MW-Ml 66/89M above information a correct 1 agree to comply with all CountyInvntponon he r 37814 1 AI110t09 8 ord,raraes and Sate jaws relating to building construction, Total Fee l / jOMA Perm 1 R o reby au)4onze representatives of this County to enter u abov enho property for inepectt p rptxlel O iH REVEM KM UVMNATORY LAMGUAW Signout of Applrcam«Agent 1:11,10 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 1401090025 PHONE (626) 285-0488 EXT - LEGAL ID NUMBER OF SIGNS 2 BUILDING ADDRESS BK 62 PG 3 PC SIGN DESCRIPTION NON-ILLUMINTED PANELS INSTALLED ON EXI 5595 ROSEMEAD BL TEMP CA 919801802 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS 15387-031-060 1 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY Cl � � I TENANT EXIST BLDG USE ISSUED ON PROCESSED BY SUPER A FOODS/EVOLUTION RECYCLING IEXIST OCC GRP 101/09/14 SR OWNER TEL NO BLDG5 NOW ON LOT VALUATION FINAL. DATE FINAL BY CODE SUPER A FOODS (5621 755-3434- 1 1,350 1 / 7200 DOMIMON CIRCLE l/v COMMERCE, CA 90040 1 FEES PAID DESCRIPTION OF WORK 1 1 (2) NON-ILLUMINATED PANELS INSTALLED ON EXISTING PYLON SIGN IFEE DESCRIPTION QUANTITY UOM AMOUNT PANEL 2'X 71- 14 SF EACH APPLICANT TEL NO 1JOHN CRISPIS (310) 251-4561- AA BLDG PERMIT ISSUANCE 27 80 15010 VENICE BLVD IAB STATE GREEN BLDG FEE 1350 00 VAL 1 00 SPECIAL CONDITIONS 1350 00 VAL 12 10 IIOS ANGELES CA 90019 ID2 PERMITEW/0 EN-HCC CK W/O HC 1350 00 VAL 82 20 1 1 'TOTAL FEES 193 10 1CONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE TAKO TYKO SIGNS (800) 731-6012- 15010 VENICE BLVD LIC NO 1 VOCATION AND SETBACKS 1 1 LOS ANGELES CA 90019 690492 ISOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO 1FOUNDATION/TRENCH FORMS LIC NO SUPPORT STRUCTURE I I � I I I (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 00 NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS NO 20 SCHOOL WITHIN HAZARDOUS 1AIR QUALITY 1000 FEET MATERIALS NO NO NO I I I I I I I I I I I I I I I I I I I I ADDITIONAL DATA ON FILE I 1 I 1 I I I " REPORT ID DPR261 ROUTE TO BSO508 COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0907140011 PHONE (626) 285-0488 EKT LEGAL ID NO OF CONST NEW BUILDING ADDRESS 1 BK 62 PG 3 PC SQ FT STORIES TYPE OCCUP GROUP 5595 ROSEMEAD SL I STRUCTURE 27085 1 V-B M TEMP CA 917801802 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET IAS TUNAS 5387-031-060 - THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY Cl ITT ISUPER A FOODS IEXIST BLDG USE CQ'R!E USE ZONE ISSUED ON PROCESSED BY I EXIST OCC GRP M 11/10/09 SR I IOWN132 TEL NO IBLDGS NOW ON LOT VALUATION (FINAL DATE Frf�nnr BY CODE ISUPER A FOODS (562) 755-3434- I 275,000 V V 17200 DOMIMON CIRCLE COMMERCE CA 90040 FEES PAID DESCRIVTION OF WORK TENANT IMPROVEMENT FOR GROCERY STORE FEE DESCRIPTION QUANTITY DOM AMOUNT I APPLICANT TEL NO I I TRULAVE (909) 336-9768- 1A1 PL.ANCHECK W/EN-HC 275000 00 VAL 2,388 81 1 PO X 930 IAA BLDG ITWINOPEAKS CA 92391 A8 STATE GREEN BIT LDG FELE 27 75 E 275000 DO VAL 11 00 SPECIAL CONDITIONS IAE STRONG MOTION OTHER 275000 00 VAL 57 75 CONTRACTOR ,I,� IA2 PERMIT W/ENERGY-HC 275000 00 VAL 2 810 37 P R RACTOR E CONTRACTORS (562) 2D1-3957- I NO TOTAL FEES 5 295 68 APPROVALS DATE INSPECTOR SIGNATURE 114714 SABINE DRIVE LIC NO 1 LOCATION AND SETBACKS LA MIRADA, CA 90638 808513 B I SOILS ENGINEER APPROVAL I ARCHITECT OR &T.'GINE6R TEL NO FOUNDATION/TRENCH FORMS I TRUIOVE CHRIS (909) 336-9768- PO BOE 930 LIC NO ISLAS/UNDER FLOOR TWIN PEAKS, CA 92391 NONE (RAISED FLOOR FRAMING MwP NO SEWER MAP BOOK PAGE FIRE ZONE CMP IUNDERFLOOR INSULATION 1 3 041 1 ]NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I IFLOOR SHEATHING I NO 22 I (ROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS SHEAR PANELS LAIR QUALITY 1000 FEET MATERIALS I NO NO NO I' FR M INSPECTION � � ° \ e FIRE SPRINKLER HANGERS — 1 1NSUTATION/WEATHER STRIP( INTERIOR LATH/DRYWALL IEXTfiRIOR LATH I C'mtLEVy11 J 1`or' `, ( C�0 �FN— RATED FLOOR/CEIL ASSEM , �lV l)eev J'j (4kA64+N RATED WALL ASSEMBLIES 3vill -{)o few . RATED SHAFTS/OPENINGS I T-BAR CEILINGS IAT DRAINAGE I I I REPORT Ip DPR261 ROUTE TO 890508 I I I CQU[^.Y 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 0909090002 PHONE (626) 285-0488 EXT LEGAL ID NUMBER OF ADDED/RELOCATED BUILDING ADDRESS IBK 62 PG 3 PC SQ FT SPRINKLER HEADS 5595 ROSEMEAD BL STRUCTURE 27085 TF CA 917001802 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET IAS TUNAS 5387-031-060 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE ISSUED ON PROCESSED BY SUPER A FOODS EXIST OCC GRP 109/09/09 SR 1 OWNER TEL NO BLDGS NOW ON LOOT VALUATION PINAL DATE PINAL BY CODE SUPER A FOODS (562) 755-3939- 10 000 17200 DOMIMON CIRCLE � R COMMERCE, CA 90040 1 FEES PAID CRIPTION OF WORK IFIRE SPRINKLER T I (147 SPRINKLER HEADS) (155 PLUG HEADS) IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 APPLICANT TEL NO I ANDERSON (714) 635-6500- IAA BLDG PERMIT ISSUANCE 27 75 12810 E MIRALOMA IAB STATE GREEN BLDG FEE 10000 00 VAL 1 00 ISPECIAL CONDITIONS ANAHEIM, CA 92806 AX BUILDING REVIEW FEE 54 70 1 1D2 PERMIT W/O EN-HC 10000 00 VAI, 216 60 1 TOTAL FEES 300 05 CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE (FIRE PROTECTION SPECIALIST (714) 635-6500- 12810 MIRAIOMA AVE LIC NO (FIRE DEPARTMENT INSPECT 1 ANAHEIM, CA 92806 464915C-16 FIRE SPRINKLER HANGERS ARCHITECT OR ENGINEER TEL NO FIRE DEPARTMENT APPROVAL LIC NO MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP 001 NO OF FAMILIFS DWELLING UNITS APT/GOND STAT CLASS NO 20 SCHOOL WITHIN HAZARDOUS 1AIR QUALITY 1000 FEET MATERIALS 1 1 NO NO NO 1 1 1 1 1 I I 1 I I REPORT ID DPR261 ROUTE TO BS0508 I j I I I I CGUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORM 9701 LAS TUNAS SIGN BUILDING AND SAFETY / ]AND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0909090032 PHONE (626) 285-0488 EXT LEGAL ID NUMBER OF SIGNS 6 BUILDING ADDRESS IBK 62 PG 3 PC ISIGN DESCRIPTION ILLUMINATED WALL SIGN, FALL SIGN ON RI 5595 ROSEMEAD BL TEMP CA 917801802 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET IAS TUNAS 15387-031-060 1 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE ISSUED ON PROCESSED BY SUPER A FOODS MIST OCC GRP 109/09/09 SR OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE BRISTOL HOLDINGS GLC (212) 832-0200- 9 800 1 ���0 �(1 135 E 55TH ST 9y N Y N Y 10022 FEES PAID 1DESCRIPTION OF YORK � (1) 145 75 S F ILLUMINATED WALL SIGN (1) 27 S F FRILL SIGN FEE DESCRIPTION QUANTITY DOM AMOUNT ION RACEWAY (1) 17 5 S F WALL SIGN ON RACEWAY (1) 24 0 S F APPLICANT TEL NO 1GOHN CRISPIS (310) 251-4561- AA BLDG PERMIT ISSUANCE 27 75 5010 VENICE BLVD AB STATE GREEN BLDG FEE 9800 00 VAL 1 00 SPECIAL CONDITIONS 1L0S ANGELES CA 90019 AX BILDIG REV54 70 1D2 PERMITN W/O ENI-HC E 9800 00 VAL 216 60 TOTAL FEES 300 05 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE ITAKO TYKO SIGNS (800) 731-6012- 15010 VENICE BLVD LIC NO (LOCATION AND SETBACKS LOS ANGELES CA 90019 690492C45 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO SUPPORT STRUCTURE 1 MAP NO SEWER MAP BOOR PAGE FIRE ZONE CMP 1 001 �NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY 1000 FEET MATERIAL NO NO NO ADpITIONAL DATA ON FILE REPORT ID DPR261 ROUTE TO BS0508