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Home My Public Portal About5612 ROSEMEAD BLVD_Building__ • I. k L � WbRKERS'COMPENSATION DECLARATION hereby affirm fthatica I have r cs'Come of tioncon"qto self` APPLICATION FOR BUILDING PERMIT insure or a camficob of Workers' Compensation In u�ance or a certified copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company r7Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUIEDI ADDRESS ✓ (E Certified copy is filed with the county building in spec BUILDIpec tion department ADDRESS Y � Date Applicant CITY Lb T ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS NO OF SLOGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON7 CROSS ST O O g (This section need not be completed If the permit Is for one TRACT ✓ DICK LOT NO /3 ASSESSOR hundred dollars (5100)or leu ) MAP BOOK PAGE PARCEL TEL Lig 2 E I certify that In the performance of the work for which this OWNER �) 1 NO L« � NO permit is Issued, I shall not employ any rson I any manner AWRE55 S I r CJ60SPECIAL so as to became sir ect to the Worke I tion Laws CONDITIONS °�T 7sy Dine 7 Applicant L/ CITY ( ZIP d' NOTICE O APPLICANT If, cher making V. Certificate of ARCHITECT OR TEL DISTRICT GROUP CO ST FIRE ByENGINEEO Exemption, you should become subject to the Workers' U Compensation provisions of the Labor Code, you must forth ADDRESS C Ly� with comply with such provisions or this permit shall be TEL13L deemedrevoked CONTRACTOR STATISTICAL CLASSIFICATION APT (n Z LICENSED CONTRACTORS DECLARATION LIC CLAM 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 and UC SEWER MAP Profeuions Code, and my license Is in full force and effect CITY SK e—_PG V/LLmAT10N SO FT NO OF NO OF CHECK Llceme Number Llc Class SIZE STORIES F LIES ONE VALUATION ` Connector Date DESCRIPTION OF WORK NEW U I am exempt under Sec M ✓&AAr_y f A00 S , ALTER B&P C for this reason VP-4ov REPAIR S Date USE OF EXISTING BLDG DEMOL Signature APPuCANT TEL NO FINAL �{,� d, ;291120A P OWNER-BUILDER DECLARATION DATE U 1 hereby off am that I am exempt from the Contractor's License # • • •,• 2 3 Law for the following reason (Section 7031 3 Business and ADDRESS F Pro tons Code) BUILDING �' / 1 • 3 Q Q 9 Q I, as owner of the property or my employees with wages o i their sale compensation will do the work and S ADDRESLOUEIS the structure Is not Intended or offered for sale(Section 70", Business and Professions Code) MOVING TEL • •3 0 Q 9 0 5 I, as owner of the properly, am exclusively contracting CONTRACTOR NO ' with licensed contractors to construct the project (Sec ADDRESS 0a ()3-88 bon 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY um YARD HWV TOTALPROP LINE WIDTH I hereby affirm that there so construction lending ogency for FRONT 3 9 4 6 2 A the performance of the work for which this permit Is mued P L ,• • • • • (Sec 37, Civ C ) SIDE 09 1 7L it . 366.50 Lenders Name LDMA Ref Y 042 Lendu Lender's AddreP C Fee i Perms Fee •'• 3 6 4 5 0 1 certify that I have rood this application and ir6-88 ate that the Ismance Fee O � IDMA,P/CY above Inform on a correct I agree to comply with all County Invpbgmion Fee ordinances a Stora laws relating to budding constructton, Total Fee E o LDMA Perm Y R and hereby horlze re osentabves of this County to enter Upon thea merftw ed property for Inspech purposes EEM REVERSE FOR EXPLANATORY LANGUAGE 'Sp of Ar.com or Agent Dab COUNTS OF IAS ANGELES TEMPLE CITY K 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1105110045 PHONE (626) 285-0488 EXT LEGAL ID NUMBER OF SIGNS 1 ON FILE SIGN DESCRIPTION INSTALLATION AND REMOVAL BUILDING ADDRESS 1 I 1 5612 ROSEMEAD BL 1 TEMP CA 917801849 (ASSESSOR INFORMATION NUMBERNEAREST 1 N�STAGE556� 4�� 5387-028-016 SP59GRID HLOCALITY TEMPLE CITY, Cl TENANT 8%IST BLDG USe I NEN ASIAN KITCHEN EXIST OCC GRP 105/11D ON PROCESSED BY 105/11/11 SR 1OWNEA TEL NO SLAGS NOW ON LAT VALUATION FI DATE FINAL BY CODE 6if CHEN, TONY (626) 696-6355- 2 500 5610 ROS EMFAD BLVD TEMPLE CITY CA 91780 FEES PAID ID SCA PT ION OF WORK SIGNAGE INSTALLATION AND REMOVAL FRE DESCRIPTION QUANTITY DOM AMOUNT APPLICANT TEL NO CHU, MICHAEL (626) 636-6355- IAA BLDG PERMIT ISSUANCE 27 80 4156 PECK RD NF AS STATE GREEN BLDG FEE 2500 00 VAL 1 00 ISPECIAL CONDITIONS EL MONTE CA 91732 AX BUILDING REVIEW FEE 54 70 D2 PERMIT W/O EN-HC 2500 00 VAL 99 10 TOTAL FEES 182 60 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SUCCESS SIGN AND AWNING INC (626) 444-8181- 2812 PECK ROAD LIC NO LOTION AND SETBACKS TEL MONTE CA 91731 896068 • SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/ CH FORMS LIC NO SUPPORT STRUCTURE I I I MAP NO SEVER MAP BOOK PAGE TIRE ZONE CMP 00 NO OF FAMILIES DWELLING OMITS APT/GOND STAT CUSS NO 20 I I SCHOOL WITHIN HAZARDOUS 1 AIR QUALITY 1000 FEET MATERIALS NO NO NO I• ADDITIONAL DATA ON FILE REPORT ID DPR261 ROUTE TO BS0508 COUNTY OF LOS 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 1103150046 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS ON FILE SQ FT STORIES TYPE OCCUP GROUP 5612 ROSEMEAD BL (STRUCTURE 2400 1 V-B A-2 TEMP CA 917801849 [ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5387-028-016 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, C TENANT E%IST BLDG USE RESTA USE ZONE 1ISSUED ON PROCESSED BY (ISH KITCHEN RESTAURANT 1 E%IST OCC GRP A-2 105/04/11 SR 1OWNER TEL NO [SLOGS NOW ON LOT VALUATION IFI DATE FINAL. BY CODE [ ]PHAN DUE K (213) 792-8583- 110 0201 11't1 1539 E DEWSY AVE (SAN GABRIEL CA 91]]6 [ FEES PAID DESCRIPTION OF WORK TENANT IMPROVEMENT-RESTAURANT KITCHEN AND SERVICE AREAS IEEE DESCRIPTION QUANTITY DOM AMOUNT APPLICANT TEL NO I [ INGUYEN, FRANK (626) 523-0366- 1A1 PLANCHECK W/EN-HC 110020 00 VAL 1,330 40 [ [ [1]11 MAGELLEN RD IAA BLDG PERMIT ISSUANCE 27 80 1SPECIAI. CONDITIONS 1 WEST COVINA CA 91]9] IAB STATE GREEN BLDG FEE 110020 00 VAL 5 00 IAC STRONG MOTION RESID 110020 00 VAL 11 00 A2 PERMIT W/ENERGY-HC 110020 00 VAL 1,565 20 CONTRACTOR TEL NO [ TOTAL FEES 2,939 40 APPROVALS DATE INSPECTOR SIGNATURE ISTC CONSTRUCTION CORPORATION (626) 286-1664 19089 OLIVE STREET LIC NO LOCATION AND SETBACKS [ 1TEMPLE CITY CA 91780 6849548 SOILS ENGINEER APPROVAL I ARCHITECT OR ENGINEER TEL NO , FOUN"TION/TRENCH FORMS [ NGUYEN, FRANK (626) 523-0366-, I 11711 MAGELLAN ST LIC NO (SLAB/UNDER FLOOR [ WEST COVINA CA 91789 NONE I [RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 3 09I iFLOOR SHEATHING IND OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS 0 NO 22 _1 (ROOF SHEATHING [ [ SCHOOL WITHIN HAZARDOUS [ SHEAR PANELS (AIR QUA L QUALITY 10EET 000 FMATERIALS [ I 1 FRAME INSPECTION Q FIRE SPRINKLER HANGERS I I I [ INSULATION/WEATHER STRIP( I ANTERIOR LATH/DRYMa*.r I IE%TERIOR LATH I [RATED FLOOR/CEIL ASSEM I I (RATED WALL ASS GTIDLIES [ [ (RATED SHAFTS/OPENINGS I T-BAR CEILINGS ll I LOT DRAINAGE I I I I REPORT ID DPR261 ROUTE TO BS0509 I I I I I I