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Home My Public Portal About5614 ROSEMEAD BLVD_Building__ -APPLICATION FOR Il BUILDING PERMIT LDING FOR APPLICANT TO FILL IN ADDRES S ADDDRR'ESS :�G / - /L// - Ice /V o J'e.�, C OCALI " GTV T¢A" /e_ t, TT ZIP / ,pO 45 '/ CRROOSSSST n NO OF BLDGS ASSESSOR SIZE OF LOT 7 21-7/ NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ED BY TRACT BLOCK LOT NO TEL Q U CON�7� OWNER E✓- /T-/ LC NO.1 6,3--1'LC o ,(�� STATISTICAL FICATION SEW P ADDRESS o? / /-r.'6 z r LASS NO DWELL UNITS BK PG CITY Mo-z f e r e GA- ZIP / USE ZONENWO D ARCHITECT OR TEL � ? SPECIAL 65 ENGINEER NO J CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL CONTRACTOR NOBLDG SETBACK FROM LIC FRONT PROP LINE OF (STREET) ADDRESS NO TOTAL SETBACK FROM TYPE OF EXISTING LIC HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH GTY CLASS CONSTRUCTION LENDER + a NAME AND BRANCH G BLDG SETBACK FROM V ADDRESS CITY SIDEPROP LINEOF (STREET) SO FT NO OF NO OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING h SIZE $TORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH d N JJ L + Z DESCRIPTION Of WORK CO J!/'U 7 NEW — -f 7 i ADD CORNERCUTOFF YES ❑ NO ❑ ALTER IN OPEN SPACE YES ❑ NO ❑ s f / REPAIR USE OF / IN COASTAL PERMIT ZONE VES ❑ NO ❑ EXISTING BLDG O LrG DEMO( APPLICANT TEL (PRINT) Le L No _ BY(SIGN TUR �w I HEREBY WLEDGE THAT I HAVE READ THIS APPUCATKDN AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGLDLATING BUILDING CONSTRLICTION I CERTIFY THAT IN DOING ME WORK AUTHORIZED HEREBC I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF ME VATEOF CALIFORNIA IN RDATINGTO WORKMFN S COM PDbATION INwRANCE ,i SIGNATURE OF pINAL / 7 �/6-77 BY PERMITTEE �7 ATE / !� ADDRESS / TEL PC Fee 5 Permit Fee CITY NO Issuonce Fee VALUATION$ 7 O / Total Fee PLAN CHECK VALIDATION cK w o CASH PERMR VALIDATION _.A, mo cuH 486'MT 13 1 0 1 5.U0 � � ®R ZeAexe ce ASwLB Sns t:�7 Y671 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMT COUNTY OF LOS ANGELES BUILDING 1 WM J FOX. CHIEF ENGINEER FOR AFMCAM TO FU Di FOR OFFICE USE ONLY DISTRICT NO PLAN CK NO PERMIT NO BUILDINGQ ADDRESS �— _TM RECEIVED BY DATE OF APPL DATEISSUED NEAREST EST //. - CROSS ST /L B ILDIN6� O.S ic 6A A ADDRCBS Y OWNER MAIL LOGIT' C ADDRESS u NEAREST c S TEL CROSS ST E CITY NO FIRE NO Ok � TY OROIIP / ARCHITECTOR TEL ZONE PLANS J ICA ENGINEER NO BLDG 6 G C D NO SETBACK LINE �� L.♦ ! J ADDRESS APPROVED TELBY DATIfflf COMTRACTO NO r USE P VED ZONE Y DATE ADDRESS --ff ..�AHO��USE/ NUMBERING LEGAL DEfCRIPTION LOT NO OCK MAP NUMBEa IiLD'^/ w1ELD CHECK BY TRACT NO ASSIGNED BY DAT NO OFBLDGS CORRECTIONS SIZE OF LOT NOW ON LOT USE OFNO OF EXISTING BLDG. FAYLLIEI L,�6 C ...♦�7 MT+ DEBCRTION OF WOR[ /,vv ',♦, NEW I ALTERATION I ADDITION i ♦^/ D REPAIR DEMOLITION ? SO FT NO OF A/)^ D 817[ ROOMS STORIES z EXT WALL ROOF / r COVERING COVERING UBE OF GTRUCTURE 42 L41` t D ep tit u-v-- tw I AJ' L. L.OBGL v , r-440 C7 Ia I'$i.APIMOVALB 1 4m- INSPECTOR'S SIGNA AYE 1 H[R[BY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION LOCATION PLICATION AND STATS THAT THE INFORMATION GIVEN IB FORMS, MATERIALS CORRECT I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAM! FIRE STOPS, �7QtEON AND WITH ALL C NTY ORDINANC AND STATE BRACING, BOLTS LAWS REGULAT BUI C ST O FURNACE LOCATION. SIGNATURE GAS VENT, DUCTS FERMITT ADD D LATH, INT LATH, EXT AUTHORIZED AOT PLASTER, INT TMEIEA OTA EO P C f �� PLASTER. EXT VALUATION f PtQ �G FINAL Is WORKERS COMPENSATION DECLARATION hereby affirm that 1 have surcertificate of consent self APPLICATION FOR BUILDING PERMIT ine or a certificate of Workers r keCompensation Insurance or a cea f,e�dd CC07 tthereof (Sec 38DO, Lob C ) ,/ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No /IVN - Company Jam' f rll/n`''L Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS nd Certified copy a filed with the tour building I spec BUDDING /YIr- on deportment ADDRESS % Date +Z3 Applicant CITY /� ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for one TRACT BLOCK LOT NO ASSESSOR hundred dollars ($I OD)or lees ) MAP BOOK PAGE PARCEL TEL 115E ZONE l I certify that in the performance of the work for which this OWNER G NO 2 NO permit Is Issued I shall not employ any person,n any manner ADDRESS�6 /L RQSE/�'/ G✓ SPECIAL so as to become subject to the Workers Compensation Laws CONDITIONS O CITY C..1 ZIP T..D Data TEL Applicant NOTICE TO APPLICANT If, after making this Certificate OR lficafe of DISTRICT GROUP TYPE FIRE BY Q Exemption you should become subject to the Worker ENGINEER NO CONST ZONE I� Compensation provisions of the Labor Code, you must forth- ADDRESS SA8 W with comply with such provisions or this permit shall be D. deemed revoked CONTRACTOR T(/ID! NO ZTEL r (� STATISTICAL CLASSIFICATION C Z LICENSED CONTRACTORS DECLARATION f� LIC /p CLASS NO DWELL UNITS_ 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDREss I NO /69 (commencing with Section 7000)of Division 3 of the Business andLIC _ SEWER MAP Professions Code, and my license is in full force and effect CITY , N QASS Li^ SK PG vALmwnoN sG Fr HO of No OF cHEa License Number Lic Class SIZE STORIES FAMILIES ONE VAlUAT10N Contractor Dote DESCRIPTION OF WORK f rl NEW s / 300 I am exempt under Sec ADD ALTER poll B&P C for this reason REPAIR : Date USE OF EXISTING BLDG Signature APPLICANT(PRIINT r TEL FINAL 12665 A OWNER-BUILDER from t DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License #i• • • • Low for the following reason (Section 7031 5, Business and FINAL Professions Code) BULLRING By I - 49.88 13 • I, ae owner of the property, or my employees with ADDRESS • • • 49,886 wages structure ctb as their Bole compensation,will o the work and IW ' the uctuIs not intended or offered for suis(San 1206,-88 I 7041, Buslness and Professions Code) MOVING TEL ❑ 1, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec ADD tion 7041, Buslness and Professions Code) CONSTRUCTION LENDING AGENCY YARD ' 'OTAKMO* IDTH j hereby affirm that there is a construction lending agency fuFRONT the performance of the work for which this permit Is Issued P (Sec 3097, Civ C ) SIDE PL Lender's Name $ LDMA Ref N Lendx's Address P C Fr! Permit Fee , I certify that I hove read this application and state that the Issuance Fee t LDMA P/C F above information rs correct I ogree to comply with all County InvWigotbn Fee ordinances and State jaws relating to building construction,ts Total Fee tDNA Perm N and hereby Out r r resenfives of the County ro enter upon the ob, for inspection purposes M RFV9 FOR EXPLANATORY LANGUAGE Stgnorurli oflAppican,or Agent Dote COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91781 BL 0508 0004260036 PHONE (626) 285-0488 EXT LEGAL ID NUMBER OF SIGNS I BUILDING ADDRESS ON FILE SIGN DESCRIPTION BLUE W/WHITE LETTERING 5614 ROSEMEAD BL TEMP CA 917801849 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BROADWAY 5387-028-016 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY TENANT. EXIST BLDG USE ISSUED ON PR6MSED BY E NIKKO ENTERPRISES EXIST OCC GRP 04/26/00 UT 10/2 0 OWNER TEL NO 8LDGS NOW ON LOT VALUATION FINAL DATE CODE SUN CINDY S TR CINDY SUN TRUST (213) 266-0222- 70 �_ 2207 ATLANTIC BL Z/V MTPK 917546803 ---rEES PAID MUM I PLASTIC SIGN 18" X 40-- FEE 0"FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 70 00 VAL 0 50 SPECIAL CONDITIONS AX BUILDING REVIEW;FEEQ� 54 70 D2 PERMITNEVC iW%O/E70.00 VAL 43 65 p,l v E LE$TOTAL,FEES 126 60 APPROVALS DATE I SAME AS OWNER - �CONTRACTOR TEL NO OS LIC NO LOCATION AND SETBACKS XSOILS ENGINEER APPRO LIC N� 111111 MAP NO SEWER MAP BOOK PAGE FIRE ZONE i �'UBLIC WORKS NO OF FAMILIES DWELLING UNITS APT/ OND STAT CLASS NO 20 � \,SCHOULA iii_ WITHIN HAZAKLXJ� AIR QUALITY 1000 FEET MATERIALS A � I®y NO NO NO ob/Ic Service REPORT ID DPR261 ROUTE TO BS0508