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Home My Public Portal About5603 ROSEMEAD BLVD_Building__ APPLICATION FOR COUNTY OF L09 ANGELES 51 f BUILDING PERMIT °BUI DNGANDSAF DIVISIONR !! FOR APPLICANT TO FILL IN BUILD G BUILD NG < ADDRESS LOCALITY 3 I,G^ NEAREST CITU ZIP CROSS CROSS ST a NO OF BLDGS ASSESSOR SIZE OF LOT- NOW ON LOT MAP BOOK PA PARCEL DISTRICT F�I�R�IE.R� P ESSED BY pL TRACT BLOCK L TNO op �0 OWNER T TNfl0111-„o STATISTICAL IFICAT N SEWER MAP toa ADDRESS CLASS NO DWELL UNITSL BK . PG y CITU ZIP �UESE ZONE NOP OO / ENGINARCHITECT O TEL L R P. SPECIAL ENGINEER - {i CONDITIONS ADDRE ROAD DEPARTMENT APPROVAL REQUIRED VES El NO 1:1 CONTRACTOR NO BLDG SETBACKFROM LIC FRONT PROP LINE OF (STREET) ADDRESS NO TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH CITY- AL CLASS CONSTR TION LENDER + NAME AND BRANCH BLDG SETBACK FROM V ADDRESS CITY SIDE PROP LINE OF ISTREETI 0 50 FT NO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING SIZE CO STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH a DESCRIPTION OF WORK NEW _ qDD CORNER CUTOFF YES ❑ NO C] ALTER IN OPEN SPACE VES ❑ NO ❑ USE OF REPAIR ❑ NO ❑ IN COASTAL PERMIT ZONE V6 EXISTING BLDG DEMOL APPLICANT 'EL n (PRINT) NO �•'•' BY ISIGNATUREI ' 5- - eye ^ I HEREBY ACKNOWLEDGE THAT I HA D MIS APPLICATION AND STATE I �`-' •7 ( GDJ�' /UA/LONG ` THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AM IAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AIITIKORIZED HEREBY I WILL NOT E OY ANY PERSON IN VIOLATION OF THE T%(j2SM HE STATEOF CALIFORNIA IN RELATING TO WORKMEN SOOM PEIdATION INSURA E SITiNATURE OF FINAL 3” / BY PERMITTEEjjL— DATE ADDR TEL CITY PC Fee E 2. Permit Pea 42� NO l �4� OOU Issuance Fee D U VALUATION Total � PLAN CHECK VALIDATION <zD M0 CAD" VALIDATION �cI r o AaH 1 0 B�AUs 3 21 1.0 5 72 •wy"� La ' n NQC;A r — 1`0 �� o�nsy N r � I Ivu ��n`tj SS " mR 76AG"A ce IsoaA e/» ♦� 00 Ei► n r APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY P!Z4,0 LICANT TO FILL IN ADDRl Ap LOCALITY e-,, T NEAREST ZIP CROSSST /, NO OF BLDGS ASSESSOR NOW ON LOT MAPBOOK PAGE PARCEL ` DISTRICT GROUP TYPEFIRE P ESSED BY BLOCK L S CON$ ZONE_ TiJr� OWNE 2 P STATISTICAL[ FICATION SEWER /�,, ADDRESS CLASS NO �(� DWELL UNITS BK (6V j Cltt ZIP ENGIITL NEER T O Q VALUATION A D D R E BLDG ETBA K FROM TEL FRIXJT PROP LINE OF YST REET CONTRACTOR '� NO TOTAL TOTAL SETBACK FROM TVPEOF EXISTING LIC HIGHWAY + YARD- FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO C + att STcsss CONR ION LENDER BLDG SETBACK FROM NAMEANDBRANCH SIDE PROP LINE OF ISSTING HIGHWAY + YARD TOTAL PROP SETBACK FROM TYPEOF EXISTING ADDRESS CITU SIDE PROP LINE HIGHWAY WIDTH O SO FT NO OF NO OF CHECK + u SIZE STORIES FAMILIES ONE O DESCRIPTION OF WORK NEW PC Fee$ Permit Fee ADD Issuance Fee N ALTER Z REPAIR 0 ?oral Fee USE OF EXISTING BLDGI DEMOL APPLICANT TEL - - (PRINT) N t D BY(SIGNATURE) IHEREBY ACKNOWLEDGE THAT I •READ THIS APPLICATON AND STATE _ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES t AND LAWS REGULATING BUILDING CDNSTRUCTION I CERTIFY THAT IN DOING THE WORK AUIHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON INNIOIAT1pN OF THE IA BOR CODE OF SiAiEOF CALIFOIfNIA IN REIATMGiO WORKMEN SCOM PENSATIA INSURANC SIGNATURE OF L PERMITTEE L=Q ` ADDRESS � �ZCL ,. CITY �'i r•.� r� �T i USE ZONE MAP I ! ASPECIAL _ V� CONDITIONS r BY DA"EL ��-3—� �' / 7 5 1AW 0 •1 15 1.0 U Aso aB/BOO DMIV 0/'/el -21E 1'1 I• J APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL INTB QBUILDING ��sC�ADDRESS me-m CITYCHY ZIPTNO OF BLDGSRSIZE OF LOT NOW ON LOTK PAGEPARCEL / T GRO &-1 - FIRE SSED Y TRACTQ 5 BLOCK LOT NOZON EL Ve OWNER NOSTATISTICALCLA IFI CATIN SEWER ADDRESS777filliM&I y, CLASSNO IFI UNITS BK 6PG CITY r ZIP n/��]J EA RC NGIINEER OR TVA V(S NO-1J 1��/ VALUATION $ �Sv' _ ADDRESS :jW a Skire, ( BLDG SETBACK FROM TEL FRIXJT PROP LINE OF ISTREET) CONTRACTOR NO HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING _ LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO LIC + CITY CLASS CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF (STREET) STING HIGHWAY + YARD TOTAL PROP SETBACK FROM TYPE A EXISTING 0 ADDRESS CITU SIDE PROP LINE HIGHWAY WIDTH Q' 50 FT NO OF NO OF CHECK + Y SIZE Z STORIES FAMILIES ONE L O DESCRIPTION OF WORK S NEW PC Fee S Perm if Fee 0 1� a ❑ 6 VELI ADD Issuance Fee ALTER Z_ REPAIR ❑ Tolol Fee USE OF DEMOL EX15TING BLDG ,y 1.1 ( p APRPRINTTI Ec.G �1IQ'lO oev— NO EL 2 G< I a3 BY ISIGNATUREI IUZK� HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APRICATION AND STATE fpe THAT THE ABOVEIS CORRECT AND AGREE TO OOMRY WITH ALL ORDINANCES y X78 ITT AND LAWS REGLIATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE 2 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM PENEATKIN INSURANCE i 1 6 2 4 A SIGNATURE # 1 1 1 1 1 1 PERMITTEE ADDRESS 1711 JR&I /�^�s Q� = 2 116100 CITY k �`'�/ TEL do 2 •1 1 06 1 006 O LSE�IOO�N6 MAP 1204 -78 C1\ SPECIAL A CONDITIONS 1 FINALr..�(� BY DATE S j WORKERS COMPENSATION DECLARATION 1 hereby affirm fllht I haver certificateomp of tion In, to self APPLICATION FOR BUILDING PERMIT msure, or a certificate of Workers Compensation Insurance, or a certified copy thereof (Sec 31M, lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company ❑ Certified copy a hereby furnished FOR APPLICANT TO FILL IN CRESS 03 A) Ro-someAo ❑ Certified copy is filed with the county building inspac- - Ra5Q N)1Pj`tCJ ' tion department Date Applicant CITY CIT NO oVZiNp LDGS _ LOCALITY L 1 T NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS S1 1,4S aA14S COMPENSATION INSURANCEASSESSOR (This section need not be completed if the permit is for one TRACT &OCC' I LOT NO-- MAP BOOK( PAGEPARCEL hundred dollars ($IOD) or less ) LIam�'� � TELF.. OWNER Lp�f N 7r) G NOL7� �' USE ZONE MAP 1 comity that in the Performance of the work for which this , ct� t0.J permit is issued, I shall not employ any person in any manner ADDRESS 33 r�~ I C-L SO b� �f - �j-3 CONDfnONS n, so as to become subject to the Workers'Compensation Laws �1Z7 1 O CITY �l/ f /� E' ZIP Dare Applicant ARCHITECT TEL l f4 0c NOTICE TO APPLICANT If, after making this Certificate of ENGINEER sp fir) DISTRICT GROUP CA TT FIRES By' 0 Exemption, you should become subject to the Workers' 6 *Z.I�d _ , I/ Compensation provisions of the Labor Code, you must forth- - - ADDRESS-5314<' M o N � rG , ��-.LYY�� CL with comply with such provisions or this permit shall beTEL STATISTICAL CLASSIFICATION A C DO N deemed revoked CONTRACTOR .F pJU 1 s.b NO z LICENSED CONTRACTORS DECLARATION UC CLASS NO DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business LIC I SEWER MAP and Professions Code,and my license is in full force and affect _ CITYCLASS BK LPG VALIDATION SO NO OF NO OF CHECK r , License Number Lic ClassSIZE Q6 STORIES I FAMILIES ONE ,T., VALUATION , Contractor Date DESCRIPTION OF WORK NEW ❑ s (^ ADD' ❑ ALLT.' ❑I am exempt under Sec D OCrL E'L•f 1�T W�� P ALTER ❑ 3��7 4:rV.J i -B SP C for this reason er )242STQIr'-w"7— _ REPAIR _$�✓�Ol O _ 1 ITE11; , Da° Exlsnr4G a Dc 4-r DEQ Ol ❑ ✓✓✓ TOTAL 430— 95 r Signature APPLICANT TE1 '1f4�J FINAL OWNER-BUILDER DECLARATION (PRINT) l NO 1'S'Al. r.HECY, 430.F5 ' ` "I_ DATE I hereby affirm that I am exempt from the Contractor s License - ADDRESSS SAS M Lv v�Uh 6r ) f�O ,C0 Law for the following receon (Section 7031 5, Business and FINAL Professions Code) NT _ _ _ .) _ Byef BUILDING _ _ _ _ I��-1��01 �16f ❑ 1, as owner of the property or my employees with ADDRESS wages e3"ctutheir issale comped compensation, for the work and LOCALITY ► M _ 1 2 610 5-0 the structure is not intended or offered for sola Section 7044, Business and Professions Code ) MOVING -TEL - - - - - ❑ I os owner of the property, am exclusively contracting CONTRACTOR NO 1 ' with licensed contractors to construct the project (Sec ADDRESS • A(,GT.T tion 7044, Business and Professions Code ) 11 , DTH- CONSTRUCTION LENDING AGENCY SET UB,II YARD HWY TOTAL SETBACK FROM PROP LINE (IST 605,23 1 hereby affirm that there is a construction lending agency for FRONT - 1 ITEMS ) the performance of the work for which this permit is issued " P L , (Sec 3097, Civ C ) SIDE PL , �, TOTAL 605. 28' Lender s Name _ ,... „ -' { 605.28- 9 05 70 �j Ref ! yh ' u P C Fee�3 . 1 Permit Fee ' Lender s Address ! CHANGE .OD a I certify that I have read this application and state that the Oy Iswon<e Fee C! above information n correct I agree to comply with all County Investigation Feenn _ ordinances and State laws relating to building construction, iota) Faro O�� Perm R 00OO-0001 4111/90 and hereby authorize represent Ives of this County to enter the above- entioned prcPeNy for rmpection purposes V v 0027 1 AM 7:3: 1c) RSE D SEE MVEFOR 9MANATORY LANgI�Oi� ,� M gnaiu of Applicant or Agent Date �] G'i DCP4?4u is am-i.L 0LT SL)MV'A Onw O A%'r WORKERS COMPENSATION DECLARATION I T C, �I hereby affirmracer that I hauter certificate of tionconsent r self APPLICATION FOR BUILDING PERMIT DISI insure, or a certificate of Workers'Compensation Insurance, or a ce of ed thereof (Sec 38DO Lab C F 7� f_ F� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy c _ rCompany �- BUILDING Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRess Certified copy Is filed with the em y bmldm pec BUILDING cc I de mens ADDRESS �� JC�' LOCALITY G!'i NEAREST Date f �Appican T CITY f ZIP CROSS ST RT ICATE OF EXEMPT I OM WORKERS NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT AP BOOK PAGE PARCEL M (This section need not be completed if the permit is for one TRACT BOCK LOT NO USE ZONE O hundred dollars ($1X10)or less ) _ _ NO TEL - ,�, SPECIAL } • I certify that In the performance of the work for which this OWNER NO CONDITIONS 0. permit Is Issued, I shall not employ any person In any manner �r� DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers Compensation Laws ADDRESS -"S^mmo CONST ZONE V � K Date Applicant CITY I C ZIP STATISTICAL FICAT TEL CONDO OR V NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT NO CLASS NO - DWELL UNITS_ Exemption, you should become subject to the Workers' d Compensation provisions of the Labor Code you must forth-, ADDRESS SEWER MAP with comply with such provisions or this permit shall be Z deemed revoked CONTRACTOR — NO BK PG, VAUDATION LICENSED CONTRACTORS DECLARATION UO I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION (commencing with Section 7000)of Division,3 of the Business and LIC Professions Code, and (m(y/license is in full force and effect CITY OASS - License Number 1/ 11E/ Llc Clair 50 FT NO OF NO OF CHECK SIZE STORIES (1MI FALIES ONE (J'�- s. Contractor HaRv_Date I DESCRIPTION OF WORK �1 NEW ❑ 3 �/ QOr �v , ADD ❑ F1 I am exempt under Sec ALTER ❑ pNAI / _� 2,7'9 6 0 A B&P C for this reason ' REPAIR E] DATE # • • 0023• rZ 3 Date USE OF p�rri-..I FINAL EXISTING BLDG 4�G>'riV MMOL ❑ 2 • 0'.'4 8 0 Signature TEL OWNER-BUILDER DECLARATION APa�NTT W NO •,• • • IL8 0 6 I hereby affirm that I am exempt from the Contractor s License L i Law for the fallowing reason (Section 7031 5, Business and ADDRESS Z� I 1 1 3 0-8 2 Professions Code) I PRESENT , ❑ I, as owner of the property or my employees with BUILDING Z.3 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section ! LOCALITY 7044 Business and Professions Code) MOVING TEL I (,a 1, as owner of the property, am exclusively contracting _ CONTRACTOR No ;27961 A with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code) ADDRESS /" • • • • • 1 REQUIRED TOTAL SETBACK FROM EXIST a 2 • • 3 Q,0 0 CONSTRUCTION there is a LENDING AGENCY SET BACK YARD HWY PROP U WIDTH 1 hereby affirm that there In a construction lending agency for FROM - - the performance of the work for which this permit Is Issued P L •'• • 3 4 0 0 5 (Sec 3097 Civ C ) PL 1130-82 Lenders Name _ Lenders Address i Permit Fee •I certify that I have read this appllcction and state that the i Issuance Fee above Information is correct I agree to comply with all County Inveaugaeon Fee ordma State lows r laking to building construction, Tocol Fee r �� an eby u raze r am totiv f th County to enter 7SYJ up ,he v ant nod p p on p ^ _ I I SEE REVERSR FOR EXPLANATORY LANGUAGE SigrwNre of Appllmnt or Agen Dotal _ �s WORKERS COMPENSATION DECLARATION11 hereby affum shot I have orf¢ote of aansent to se r1 APPLICATION FOR BUILDING PERMIT ins ar o cern6cate of Workeri off`mpensationlnsurance , '6 aTertdied copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES _ BUILDING AND SAFETY Policy No Company BUILDING Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADOREss Certified copy is filed with the county building inspec- BUILDING /. _ tion department ADDRESS LOCALITY H NEAREST Dote Applicant CITY Tem le City ZIP 91780 CROSS ST 5 -� CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT EXI S t q B1dCffJOWONLOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE /J B� hundred dollars($100)or less ) TRACT BLOCK LOT NO [, TEL eJJJi' SPECIAL } I certify that in the performance of the work for which this OWNER s —NO CONDITIONS d jMlmif is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Workers Compensation Laws ADDRESS 6 OS/ CONsr Z U aTY La Mirada ZIP x Vlow Dote Applicant ARCHITECT OR_ _ TEL STATISnG4l CLASSIFICATION r APT ONDO NOTICE TO APPLICANT If after making this Certificate of ENGINEER _- - - _ NO - CLASS NO DWELL IN W Exemption, you yshould become subject to the Worker r Compensation provisions of the Labor Code, you must forth- ADDRESS = - SEWER MPA with comply with such provisions or this permit shall be - I Z deemed revoked CONTRACTOR I nr- t�j LO _ BK PG ( (p VALIDATION LICENSED CONTRACTORS DECLARATION i1 LIC I hereby off irm that I am licensed under provisions of Chapter 9 ADDRESS O 1a91DATION , (comrTmming with Section 70W)of Division 3 of the Bininew and ' Professions Code, and my license o in full force and effect r cITY La M r LCLASS f , SO FT NO OF MO OF CHECK OOO _ License Number Uc Class— SIZE STORIES =01rES ONE ' Contractor Dote DESCRIPTION OF WORK NEW ❑ S ` Ell am exempt under Sec dry storage room and ADD El ALTER ❑ FINAL DATE 8 8P C for this reason employee r r REPAIR ❑ i Date USE OF EXISTING BLDG DEMOL ❑ flNAL v Signature APPLICANT TEL - OWNER-BUILDER DECLARATION PRINT NO I hereby off irm that I am exempt from the Contractor s License , Law for the following reason (Section 7031 5, Business and ADDRESS Professions Code) PRESENT O j, as as their of the property, or my employees with BUILDINGd ADDRESS e 6 9 ) 2 A wages sole compensation,will o the work and the sfruct dure a fLocAuTYTemple not intended or offered for sale(Section - 70", Business and Professions Code) MOVING TEL �i ' • ' ; 1, as owner of the property am exclusively contracting CONTRACTOR NO ' with licensed contractors to construct the project (Sec- 2 • • U 5 0 G tion 7041, Business and Professions Code) ADDRESS i REQUIRED TOTAL SETBACK FRCW1 EXIST • • • 4 j 7 G PJ CONSTRUCTION LENDING AGENCY SET BAIX YARD HWY PROP LINE WIDTH hereby affirm that there is a construction lending agency for F; _ ! 0 ) Jr'-82 the performance of the work for which this permit is issued P L n (Sec 3097, Civ C ) SIDE ' PL s Lender's Name PC F.$ Permn Fee Lender s Address ' 19 I certify that I have read this application and stale that the Inuarice Fee above information is correct I agree to comply with all County Investigation Fee ordinances and State jaws relating to building construction Total Fee 7 onhereby authorize representatives of this County to enter n the above-m ntioned property for inspection purposes &~_ � — SEE IIEVEISE FOR EXPLANATORY LANGUAW wN Slgrre of nt or Agent Dob r 4 WORKERS COMPENSATION DECLARATION _ SI hereby affirm that I havecertificate of consent to ,elf APPLICATION FOR BUILDING, PERMIT LIIS insure, or a certificate of Workers kers Compensation Insurance, or a certified copy thereof (Sec 38DO Pb C COUNTY OF LOS ANGELES BUILDING AND SAFETY Pat tcy No Company G BUD)IN Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS / Certified copy is filed with I)re—ZIFunty,bu g iospec- BUILDInIG /J� s hon department ADDRESS % LOCALITY Date ti • NEAREST ' ✓Applicant CUV s.[/ ZIP CROSS ST CERTIFICATE OF EXEMPTION WORKERS' NO OF&DGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one �' l USE ZONE MAP hundred dollars ($100)or leu ) ' BLOCKCT LOT EL� - INO SPECIAL Y I certify that in the performance of the work for which this OWNER ^ CONDITIONS d permit is issued, I shall not employ any person in any manner ,,{{..�� DISTRICT GROUP TYPE FIRE PROCESSED By O so as to become subject to the Workers'Compensation Laws ADDRESS Y ' CONST ZOt� V 2 o - Date Applicant CITY rtE�OR ZIP TELo 70� STATISTICAL CLASSIFICATION APT ONDO O ARCNOTICE TO APPLICANT If after maks this Certificate of V Exemption you should become subject to the Workers NGINEER r NO Q.455 NO DWELL UNI15 a, Compensation provisions of the Labor Code you must forth- ADDRESS IrL< SEWER MAP N with comply with such provisions or this permit shall be TEL s ? deemed revoked CONTRACTORWf , / NO BK PG VALIDATION LICENSED CONTRACTORS DECLARATION i 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS s NO`fr y L LON f (commencing with Section 7000)of Division 3 of the Business and LIC /' �• Professions Code, and my license is in full force and effect CITYCLASS G 0 Poo.50 FT r NO OF NO OF CHECK License Number Lic Class Gam\ SIZE STORIES FAMIUES ONE r� NEW s Contractor Dote�b- . NpN WORK ❑ ADD I am exempt under Sec r ALTER ❑ FINAL y B&P C for this reason REPAIR O DATE Date USE OF DEMOL FINAL EXISTING BLDG Ey Signature APPLICANTTEL �A OWNER-BUILDER DECLARATION PRINT NO 4 r I hereby affirm that I am exempt from the Contractor s License ADDRESS •� t <7 4 5 5 A Law for the following reason (Section 7031 5, Business and Professions Code) /�� ❑ I as owner of the BUILDING Z + property, o• my employees with ADDRESS Z' Z 2'-'- 6 0 5'0, wages as their sole compensation will do the work and the structure is not intended or offered for sale(Section LOCALITY - . 60 5 0 Q i 7044, BusmenOVING and Professions Code) MTEL / L Z O� • • ❑ 1, as owner of the property am exclusively contracting _ CONTRACTOR NO —i �'9_g 2 with licensed contractors to construct the project (Sec- ADDRESS ` tion 7DM Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH _I hereby affirm that there is o construction lending agency for FST the performance of the work for which this permit is issued P L ZSec 3097, Civ C ) SIDE PL ` Lender's Name 8 Lender's Address PC Fee$ Permit Fee 6045DI I certify that I have read this application and state that the Issuance Fee c S above informotion is correct I ogres to comply with all County Investiganon Fee /� C lj�( in e jaws relating to building consmuctlan, Total Feeof this County to enter uen on property for inspection purposes O to �� - SEE REVERSE FOR EXPLANATORY LANGUAGE _ Signature of Applicant or Agent Dote , ms • CDUNTY OF LOS ANGELES TEMPLE CITY L` 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0010170039 PHONE (626) 285-0488 EXT LEGAL ID NO OF MNST BUILDING ADDRESS BK 105 PG 86 PC 3 SO FT STORIES TYPE 5603 ROSEMEAD BL STRUCTURE' VN TEMP CA 917801804 ASSESSOR INFORKAFION NUMBER NEAREST CROSS STREET BROADWAY 5387-031-063 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY TENANT- EXIST BLDG USE COMME USE ZONE C-1 ISSUED ON PROCESSED BY MmTwff� DENNY'S RESTAURANT EXIST OCC GRP 10/17/00 UT 04/16/01 OWNER NO OLDGS NOW ON LOT VALWMTMF— FINAL DATE TrUL BY — CODE –TE ELTINGE GRAZIADIO;SAMPSON DEV CO L - 8,000e � FEES PAID fiESCICfR /TRSlr6F/ T/0 EXISTING BUILTUP ROOF, REROOF WITH HOT MOP SYSTEM BASE FEE DESCRIPTION QUANTITY LION AMOUNT APPLICANT TEL NO SAMSON ROOFING (949) 498-7118- AA BLDG PERMIT ISSUANCE 27 75 230 AVENIDA GRANADA AE STRONG MOTION OTHER 8000 00 VAL 1 68 SPECIAL CONDITIONS SAN CLEMENTE, CA D2 PERMIT W/0•EN= 8000 00 VAL 183 00 PNGELESTOTT� ES 212 43 CONTRACTOR: TEL NOAPPROVALS DATE INSPECTOR SIGNATUR�— SAMSON ROOFING (949) 498-7118- �,OS UNTy 230 AVENIDA GRANADA LIC NO LOCATION AND SETBACKS SAN CLEMENTE, CA 92672 623012 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH F6W LIC N0�MAP NO- 1111111SLAB/UNDER FLOOR 147"265 3 UWnTFEMIMNSULATION l ,,-,UBLIC WORKS) FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS No zz� I,..,, - - ,rw tl_ SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS \ t '-A NO NO NO A �y DgFRAME INSP5CTION KLMUIRLD TOTAL FIRE SPRINKLER HANGER-9— SET BACK YARD HWY PROP LINE WIDTH /C FRONT PL- `SE'�VLCB -(alaINSULATION/WEATHER S SIDE PL- INTERIOR LATH/DRYWALC-- EXTERIOR LATH RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 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 0108130067 PHONE (626) 285-0488 ENT LEGAL ID: NUMBER OF SIGNS 1 _BUlrLDTffG ADDRESS' BK 105 PG. 86 PC 3 SIGN DESCRIPTION DENNY'S DINER 5603 ROSEMEAD BL TEMP CA 9178018% ASSESSOR INFORMATION NUMBER STREET. TUMAS 5387-031-063 THOMASTPCGE 5596 GRIDASH4 LOCALITY TEMPLE CITY TENANT: EKIST BLDG USE ISSUED ON- PROCESSED BY EXPIRES ON DENNY'S EYIST OCC GRP 06/27/01 UT 02/23/02 OWNER TEL NO SLOGS NOW ON LOT VALLIATI FINAL BY -cmr- ELTINGE GRAZIADIO;SAMPSON DEV CO - 5,000 kt:tS PAID DESCRIPTION ILLUMINATES POLE SIGN N/LANSCAPING FEE DESCRIPTION QUANTITY UOM• AMOUNT: AP LICANT TEL NO MACH EL (661) 242-2237- AA BLDG PERMIT ISSUANCE 27 75 PO BOR 55067 AE STRONG NOTION OTHER 5000.00 VAL 1 OS SPECIAL CONDITIONS VALENCIA CA 91383 D1 PLANCHECK,W/O=EN;HC775000 00 VAL 112 71 D2 PERMIT,W/0-EN-Hc E LE S 5000`00 VAL 132 60 /05 P.1a" TOTAL'�EES 274 11 CONTRACTOR TEL NOAPPROVALS DATE INSPECTOR SIMUTaT MIINCHEL AND CO (818) 894-3883- V f. P 0 BOX 55067 LIC NO LOCATION AND SETBACKS VALENCIA, CA 91385-0067 483691 C45 EHRLICH, DAVID R (805) 987-4989-�/ P 0 BOX 1069 LIC iiillll CAMARILLO, LA 93011 C 174477YFp_'/- � MAP NO SEWER MALP BOOK: PAGE 1Lo mUC WOR" KE NO OF FAMILIES DWELLING UNITS APT/COND NO 20 VHAZARDOUS fj � AIR QUALITY 1000 FEET MATERIALS No NO No A r❑ \®f ! y `b/,c ServNUce That�ok REPORT 10 DPR261 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9U 1 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE Ory CA 91780 BL 0508 9903310030 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS BK 105 PG 86 PC 3 SQ FT STORIES TYPE OCCUP GROW 5603 ROSEMEAD BL STRUCTURE 0 1 VN A3 TEMP CA 917801804 ASSESSOR INFORMATION NUMBER N5387-031-D63 THOOMASTPAGESS596 GRID STREETSH4UAALOCALITY TEMPLE CITY TENANT EXIST BLDG USE COMME USE ZONE ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP A3 05/07/99 VG 11/03/99 OWNER TEL NO BLOGS NOW ON LOT VALa(rr6W— FINAL DATE FINAL BY ELTINGE GRAZIADIO,SAMPSON DEV CO - 35,000 �_ /]d FEES PAID 6ERRTF OR OFWORK L MINOR RENOVATION OF DENNY'S RESTA NT--ENTRY AND TOILET APPLICANT- —7n—WF— FEE DESCRIPTION QUANTITY UOM AMOUNT ROOMS FOR DISABLED ACCESS FRED COOK ARCHITECTS (714) 966-1415- Cl PLANCHECK W/HC 35000 00 VAL 535 90 3184-8 AIRWAY AVE AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS: COSTA MESA, CA AE STRONG MDTIOM�OTHERIN 00 VAL 7 35 C2 PERMIT W/NAND ICAPE LE c 35000`00 VAL 630.47 CONTRACTOR TEL. *0 Ph1 TOTAL)FEES 1,201 47 APPROVALS DATE I NsPR9VF3T9W70WF-- GREISEN CONSTRUCTION, INC. (818) 248-1291- �5 1901 BROADVIEW DR LIC NO LOCATION AND SETBACKS GLENDALE, CA 91208 352551/B FRED COOK ARCHITECTS (714) 966-1415 3184-B AIRWAY AVE LICNO• 111in l COSTA MESA, CA 92626 NONE MAP NO SEWER MAP BOOK: PAGE FIRE 3 RIUBLIC WORKS FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/CDND STAT CLASS' NO 22 \' ROOF SHEATHING ,ii SCHOOL WITHIN HAZARDOUS -+y f fl'� SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS A <�PIZ NO MO NO y FRAME INSPECTION Service Thate1( IINTERIOR LATH/DRYWALL RATED WALL ASSEMBLIU— T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G 91780 BL 0508 0108130067 PHONE: (626) 285-0488 EXT DUPLICATE LEGAL ID: NUMBER OF SIGNS: I BUILDING ADDRESS BK 105 PG. 86 PC: 3 SIGN DESCRIPTION DENNY'S DINER 5603 ROSEMEAD SL TEMP G 917801804 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS 5387-031-063 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY TENANT EXIST BLDG USE: ISSUED ON. PROCESSED BY EXPIRES ON DENNY'S EXIST OCC GRP 08/27/01 UT 02/23/02 OWNER TEL. NO BLDGS. NOW ON LOT VALUATION FlDAY FINAL BY OWE ELTINGE GRAZIADIO,SAMPSON DEV CO - 5,000 r�.. FEES PAID 1SESCRTPTiUUF WURK ILLUMINATES POLE SIGN W/LANSCAPING APPLICANT: -Tn--96- FEE DESCRIPTION QUANTITY- LION AMOUNT MACHEL (661) 242-2237- AA BLDG PERMIT ISSUANCE 27.75 Po BOX 55067 AE STRONG MOTION OTHER 5000 00 VAL 1 OS SPECIAL CONDITIONS VALENCIA CA 91383 D1 PLANCHECK-W/O_EN-HC�5000 00 VAL 112.71 D2 PERMIT W/O-EN-HCE LxESTOT-5000:00 VAL 132 60 ELAL,FEES 274 11 CONTRACTOR TEL NOAPPROVALS DATE INSPECTOR SIGNATGWE-- MANCHEL AND CO (818) 894-3883- /0 tiTy P 0 BOX 55067 LIC NO ?� LOCATION AND SETBACKS VALENCIA, G 91385-0067 483691 CAS s SOILS ENGINEER APMRNAr- ARCHITECT OR ENGINEER: TEL NO FOUNDATIONITRENCH FORMS EHRLICH, DAVID R (805) 987-4989- P 0 BOX 1089 LIC NO _ 11111 i1MpmT STRUCTURE CAMARILLO, CA 93011 C 17447 MAP NO- SEWER MAP BOOK PAGE FI 1 . UmoL�� VV®[ KS NO OF FAMILIES DWELLING UNITS APT/COWD $TAT CLASS ND '20 ( r4HAZARDUUS ' AIR QUALITY I 1000 FEET MATERIALS NO NO NO Service That�o` REPORT ID DPR261 ROUTE TO: BS0508 e COUNTY OP LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0506160018 PHONE (626) 285-0488 EXT LEGAL ID - NO OF CONST BUILDING ADDRESS BR 105 PG 86 PC 3 SQ FT STORIES TYPE 5603 ROSEMEAD BL STRUCTURE VN TEMP CA 917801804 ASSESSOR INFORMATION N'WBER NEAREST CROSS STREET 5387-031-063 - THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE CONNR USE ZONE C-1 ISSUED ON PROCESSED BY EXPIRES ON DENMYS RESTAURANT MIST OCC GRP 06/16/05 JK 06/11/06 _ _ OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE Y CODE DENNYS RESTAURANT (805) 896-9084- 6 000 1 ��❑I 5603 ROSEMEAD BLVD r TEMPLE CITY CA 91780 FEES PAID DESCRIPTIONMVPSWORK INSTALL EFS STUCCO ON FACIA ELEVATION FSE DESCRIPTION QUANTITY VOM AMOUNT APPLICANT TEL NO ) SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AE STRONG NOTION OTHER 6000 00 VAL 1 26 SPECIAL CONDITIONS D2 PERMIT W/O HN-HC 6000 00 VAL 149 40 TOTAL FEES 178 41 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS 0WHM - LIC NO LOCATION AND SETBACKS _ SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCR FORMS LIC NO SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOR PAGE FIRE ZONE CHT UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PARELS AIR QUALITY 1000 PEST MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM MIST FIRE SPRINKLER HANGERS SET BACK YARD EW PROP LINE WIDTH FRONT PL- INSULATION WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM RATED MALL ASSEMBLIES RATED SHAFTS/OPENINGS - - T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROWE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY Y 0504- BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9805120042 PHONE (818) 285-0488 EXT LEGAL ID: NUMBER OF SIGNS 3 BUILDING ADDRESS BK 105 PG 86 PC 3 SIGN DESCRIPTION ILLUMINATED 5603 ROSEMEAD Bl TEMP CA 917801804 1 \ ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS ' 5387-031-063 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY TENANT. EXIST BLDG USE ISSUED ON PROCESSED BY EXPIRES 69 DENNY'S EXIST OCC GRP 05/12/98 UT 05/12/99 OWNER TEL NO BLDGS NOW ON LOT 4 4_.� ELTINGE GRAZIADIO,SAMPSOM DEV CO - \ \ 3,000 /._'S.QvQD �( FEES PAID DESCRIPTIONOFC wumx 3 SINGLE FACE WALL SIGNS (41 X 81) APPLICANT. —7n__9U_ FEE DESCRIPTION QUANTITY UOM AMOUNT SUPERIOR ELECTRICAL ADVERTISING (562) 495-3808- AA BLDG PERMIT ISSUANCE 27 75 1700 W ANAHEIM ST AE STRONG MOTION OTHER-3000 00 VAL 0 63 SPECIAL INDITIONS LONG BEACH AX BUILDING REVIEW,FEE—_� * 54 70 B2 PERMIT W/ENERGYNGE L F 03000'00 VAL 109 07 5 P TOTAL-FEES 192 15 CONTRACTOR -TEL NOAPPROVALS ____9TE INSPECTOR SIGNATURE SUPERIOR ELECTRICAL ADVERTISING (800) 995-9099- \0 T}- 1700 W ANAHEIM LIC NO LOCATION AND SETBACKS LONG BEACH CA 90813 5094 SOILS ENGINEER APPRUVAr- LIC NO � ll� li•tSUPPORT STRUCTURE F9M_Wff7TE9EFW BOOK PAGE FIRE ZONE "FUL ��O �VOIFRKS) ') No NO OF FAMILIES DWELLING LIMITS APT/CWIIW �LA�Z zo d G C,\ O SCHOOL WITHIN O I� AIR QUALITY 1000 FEET MATERIALS �/� 0 }'r�, d NO NO NO 0 � e\,6 s Ice Shat�ot • ADDITIONAL DATA ON FILE • 1 REPORT ID DPR261 ROUTE TO: SS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGH BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9905210005 PHONE: (626) 285-0488 ENT: LEGAL ID: NUMBER OF SIGNS 5 BUILDING ADDRESS BK 105 PG: B6 PC 3 SIGN DESCRIPTION: ILLUMINATED WALL SIGNS (31'1 X 121) 5603 ROSEMEAD BL TEMP CA 917801804 ASSESSOR INFORMATION NUMBER 5387-031-063 THOMASTPAGE. 59966REEGRID SH4UAALOCALITY TEMPLE CITY TENANT EXIST BLDG W ISSUED ON. PROCESSED BY EXPIRES DENNY'S EXIST OCC GRP 05/26/99 UT /7 11/22/99 - OWNER TEL NO: BUDGS NOW ON LOT- VALUATION FINAL DATE FINAL 11 ELTINGE GRAZIADIO,SAMPSON DEV CO - 3,000FEES PAID 61•S /__fI `p {< 3 CHANNEL LETTER WALL SIGNS - 31•X12' FEE DESCRIPTION: QUANTITY LON AMOUNT APPLICANT- TEL. NO MAMCHEL AND CO. (818) 894-3883- AA BLDG PERMIT ISSUANCE 27 75 16317 DEVONSHIRE ST AE STRONG MOTION OTHER 3000 00 VAL 0 63 SPECIAL CONDITIONS GRANADA HILLS, CA AX BUILDING REVIEW*FEEmmome—\ 54.70 D2 PERMIT V/0 EH,HC-E L E C 3000.00 VAL 99.00 /OS P toiAUFEEsT 18z.oB CONTRACTOR. TEL NO: APPROVALS DATE INSPECTOR 31MUTUffr— MANCHEL AND CO (818) 894-3883- V V Y 16317 DEVONSHIRE ST LIC. NO rMMTMN AND SETBACKS GRANADA HILLS, CA 91344 483691 I FOUNDATION/TRENCH F6W LIC N01111111 MAP NO SEWER MAP BOOK PAGE: 10PUBLIC WORKS 1 . NO OF FAMILIES DWELLING UNITS APT/CUND STAT CLASS' NO 20 Ll ,�y t AIR QUALITY 1000 FEET MATERIALS NO NO NO An j ,VA REPORT ID DPR261 ROUTE TO BSD508 r.