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