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HomeMy Public PortalAbout5628-5628 1/2-5632-5632 1/2 ROSEMEAD BLVD_Building__ 78A888A CE.#8085-SI,APPLICATION FOR -BUILDING :PERMIT COUNTY OF •LOS ANGELES BUILDING ✓ DEPARTMENT OF COUNTY ENG2MR ADORES BUII.DING AND SAFETY DMSION LOCALITY �� F JOHN A. LAMBIE, COUNTY ENGINEER 'NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DIST 1CT NO: GROUP TYPE SSED BY'� FOR APPLICANT TO FlLi IN D x'`' - CokbT. / ��7G STATISTICAL CLASSIFICATION — SEWERMAP- ADDREBUILD'SS ,7 oL d ` ZZ, I �� . K :. `G• CLASS. NO. DWELL.UNITS ; LOT NO. a BLOCK WATER NOT REQUIRED -RECEIVED c, CERTIFICATE: TRACT J Vl 6',11 I "G MAP NOCJ i(CIR�E) TAT MAJOR SECOND, LOCAL [��/� 2 // NO OF SLOGS. SIZE OF LOT 7 35 1COD NOW ON LOT 5 -USE ZONE SPECIAL / USE OF '� CONDITIONS EXISTING BLDG. 1-J //D OWNER / NO./+/ JJ BU{LDING �' EXIST. SE, YARD HWY STREET NAM WIDTH ADDRESS b. O SFf FtFW 4 C` FRONTARCHIT } ENGINEECTOR. Y I� kgs TERS" 5Y -SIDE I' ENGINEER G P.L. /,,. O V ADDRESS Z Z. �6 TELNOINSPECTION RECORD � CONTRACTOR ,.Vi �,d i I .*.4 J.2 ADDRESS 'S 3U �. S P iii - r w .DESCRIPTION OF WORK %�,�r , r f. /( r� �) ��a. c ? = H • J�.�r4,! .�!�' ` �e�rr'F F•i l.�f 7-1.i7 �s.�: '.r ,: .ri.?rl.ti.,._. NEW ADD ALTER REPAIR DEMOLISH ) SQ.FT. qF NO.OF NO.OF }i3rrf . Ifirr.^,. a l°fFrJs'G<<2 ., t'ird A'st., IZE S3 /,� STORIES FAMILIES USE OF 7�� ,/ fi�- 4r I (�~ rG'li'&17 Cl- . 7V AaC'�•�.S'. STRUCTURE .. ,' . -- r' r SIGNATURE O ` / I' ��/ �'" I.`�f�. ?'• APPLICANF.T �'el VALUATION$" Q Q 'APPROVALS DATE INSPECTOR'S SIGNATURE PMT /�U FOUNDATION:LOCATION F E $ .C. FEE $ Gf/ % `' FORMS,MATERIALS FRAME:FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCA' ION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING "GAS VENT-DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING*THE WORK r \ t�`l� x / y'r• �- AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,•INT. 1�1��' 3 J 11/fif �.%�J+b✓v"sr" - TION OF THE LABOR CODE OF,THE STATE OF CALIF, IA RELAT- 7 1 V �, ING TO WORKMEN'S C SAT ON IN SU NCE. _ ' LATH,EXT. SIGNATURE O / MOUSE NUMBER COR' ) j PERMIT°TE �� REGT AND POSTED ADDRES 1 6, 3o [FINAL CLYDE N. DIRLAK PRINCIPAL STR RAL ENGINEER PLAN CHECK VAATION cK. el.o. x PERMIT VALIDATION LIDcw al.o. cAsx J TEMPLE CHTY FOA038A CC#803•2-91 APPLICATION .FOR- BUILDING PERMIT �. E IT COUNTY OF LOS ANGELESBUILDINGir DEPARTMENT OF COUNTY ENGmEER ADDRESS 3 BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT or Bu1LDING CROSS ST. FOR'APPLICANT TO FILL IN DISTRICT O. G O.UP 1YpE ' P SED BY S(S CONST. .. BUILDING STATISTICALC SIFICATION _ S WERMAP ADD ESS _7w - 1 - 3�/ CLASS.NO. DWELL.UNIT LOT NO.• 1 BLOCK WATER NOT REQUIRED RECEIVED ❑ ` CERTIFICATE: TRACT MAP, HIGHWAY TATE AJOR SECOND, LOCAL NO.OF BLDGS.• ! NO. (CIRCLE) SIZE OF LOT NOW ON LOT J USE Z E SPECIAL : USE OF CONDITIONS VC - EXISTING BLDG. TE OWNER N BUILDINGEXIST. /may SETBACK YARD HWY STREET NAME WIDTH ADDRESS_aFRONT ik, U4 i ARCHITECT O ElL P.L. ENGINEER NO. CAOLJ3 SIDE 'ADDRES CONTRACTOR L _ INSPECTION RECORD p" ADDRESS �1 /.A. �.. �'- "�L• A�--¢w���f` / - . O DERCRfPtIbN OF WORK � W ' a -NEW ko"ADD ALTER REPAIR DEMOLISH h SQ."FT, �' r, NO.OF NO.OF ? IZE STORIES FAMILIES USE OF STRUCTURE 4, SIGNATURE APPLICANT VALUATION$ C� O P ✓_" APPROVALS. DATE INSPECTOR'S SIGNATURE P.C. PMT. r `I FOUNDATION:LOCATION FEE $ FEE $ FORMS,MATERIALS '�4 FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI BRACING,BOLTS ` /1 C•� ...'� � r L AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS I BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK , AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- •LATH,INT. ' TION OF THE LABOR�DoSFTHESTATEMCO ALIFORNIA RELAT- ING TO WORKMEN'S N INSE. - I:i4'I'H,EXT:SIGNATURE OF - HOUSE NUMBER-COR- PERMITTEE RECT AND POSTED ADDRESS 17 �•�• , FINAL CLYDE'N. DIRLAM, PRINCIPAL STRUyTuRAL ENGINEER PLAN CHECK VALIDATION H.o. CASH PFJtM VALIDATION rcq M.o. CASH LQ..0 4.4 OQI .NN 19 2 3 D 1 2..7 5A : '0771" JUD26 1 D 5.50N APPLICATION FOR. BUILDING PERMIT y F r COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, ADDRESS pD S G Z BUILDING or a certificate of Workers'Compensation Insurance,or a certified '� RoSGME" 'P 4A) T, L'. copy thereof(S C.3 Lab.C) �1, CITE n C / ZIP /��' LOCALITY k�,�icy No. '2 Company;*—'��•� SIZE OF T �f NO.OF BLDGS.NOW ON LOT Certified copy is hereby furnished. 37 �3 /. 3 SI , 5 NEAREST CROSS ST. J!!!!❑���``Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL Date � pplicant T SPECIAL CONDITIONS ER M CERTIFICATE OF EXE PTION FROM WORKERS' ovJ([�IER KRon!>c!- TEL NO. U COMPENSATION INSURANCE (Vj i —2S'2 eK SF WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADDRESS s"^� BLED � � DISTRICT GROUP TYPE CONST FIRE' NEI°I'�tOCES dollars($100)or less.) ._ CITY ZIP •� tst`` ` rel°`• I certifythat in the performance of the work for which this permit _ is issued, I shall not employ any person in any manner so as t0 ARCHITECT OR ENGINEER O. s 0q 1 i E become subject to the Workers'Compensation Laws. D CS/I /U f ,p T L N 4 6�2 STATISTICAL CLASSIFICATION Date Applicant ADDRESS P Q. /�I A CLASS NO.�� DWELL UNITS O. NOTICE 70 APPLICANT., If, after making this Certificate of 00 ,S Lw S �1 1 ^�i 00 REQUIRED TOTAL SEAM -FROM EXIST . Exemption, you should become subject to the Workers' C NTRACTO TEL NO. �� SET BACK YARD HWY PRO(?i ILVK�.1 WIDTH =;ILI Compensation provisions of the Labor Code, you must forthwith /v i 3 FRONT comply with such provisions or this permit shall be deemed revoked. S LIC.NO. PL - LICENSED CONTRACTORS DECLARATION Y j LIC.C PILE i-IL1tji0 i11001 12. 1 hereby affirm that I am licensed underprovisions of Chapter 9 C4 ! 1==' f I' I, °', (commencing with Section 7000)of Division 3 of the Business and Q.FT SIZE NO.OF STORIES NO.OF FAMILIES SEWER MAP s �L (_'°-t. Professions Code,a RI I'c nse is in full force and ffect. 280 S f NEW ❑ BK PG }d License Number �7 Lic.Class DESCRIP}TI{O�N1,O(�.WORK _ App ❑ VALUATION O Contractor Date 2 �Np" �Mh�f &UI J s�� V QiIY�� W f-0 T, AvoA t>o S/mo O. ALTER , ` IM ❑ 1 am exempt under Sec. REPAIR 11 $ Q B.BP.C.for this reason DEMOL ❑ W LDMA P/C# Date: USE rOF EASTF BLLDDG.A/ URM ❑ -- IL 67 Signature APPLICANT(PAINT 1 TEL NO. / LDMA Perm# Z ❑ I, as owner of the property, or my employees with wages as 0 ��/� -66SZ Z H •s'I° their sole compensation, will do the work and the structure is ADDRESS f O - -, fir:• >~ 4[OO FINAL DATE •%�='- not intended or offered for sale (Section 7044, Business and S Lu S C- CAS Q _ Professions Code.) f 9��� s t �}R WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting with C 11 . -�y�q AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY � _ � licensed contractors to construct the project (Section 7044, TOT AL 2S0 _ -23.— YES❑ NO Business and Professions Code.) r. � .r ;'1 ?=' WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING CHECK --- OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH __ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. T'I��- 0,j?. G a j U � "I hereby affirm that there is a construction lending agency for YES El No CM the performance of the work for which this permit is issued(Sec. _ _ a I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 9 s pr;;� :Z 3097,CIV.C.) CHECKLIST.(.UNDERSTAND MY REQUIREME ER THE LOS ANGELES COUNTY CODE. 'IN I IL—01110 i j I,t^: 4 a t :ta • (, i TITLE 2,CHAPTER 2.20 SECTIONS 2. THROUGH 2.20.140 CONCERNING HAZARDOUS _ Lender's Name MATERWLS AINING A PERm7T�ROM HE SCAOMD. -T.- o Lender's Address OWNER O Exr r s L' 0 o I certify that 1 have read this application and state under penalty of perjury that the above information is rest.I agree t0 Comply P.C.FEE PERMIT FEE J N with all county ordinances a to laws relating to building construction, and hereby, a onze representatives of this County ISSUANCE FEE / to enter he ntioned property for insp71?.'ap�poses. ,%\ //f O INVESTIGATION FEE TOTAL FEE ^'CCJ:� J • ;7A ,Modcam O arDM /7 SEE REVERSE FOR EXPLANATORY LANGUAGE ; WORKERS'COMPENSATION DECLARATION #70197 22;,�C"` 7—/ 4YI hereby affirm that I have certificate of consent to self APPLICATION FORBUILDING PERMIT insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. W0007146Company_ Beaver Insurance PY is hereby Certified co furnished. BUILDING ❑ y ® Certified copy is filed with the county building inspec- BUILDING FOR APPLICANT TO FILL IN ADDRESS tion department. ADDRESS 5628 N,, Rasamead 131yrf. n Date 6/24/87 Applicant Virgin Roof Co„ clTyTemple City ZIP 917 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 ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZONE MAP J / I certify that in the performance of the work for which this OWNER NO. NO / e 7 -- — --7 permit is issued, I shall not employ any person in any mannerSPECIAL 911.so as to become subject to the Workers'Compensation Laws. ADDRESSRgtGR CONDITIONS O CITY ZIP 1108 RS Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE ESSED BY ENGINEER NO. Exemption, you should become subject to the Workers' U CONST. ZONE U Compensation provisions of the Labor Code, you must forth ADDRESS 51 DU with comply with such provisions or this permit shall be deemed revoked. TEL STATISTICAL CLASSIFICATION APT. CONDOJg CONTRACTOR NO. a LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. 16()65n N (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code,and my license is in full force and effect. CIT CLASS r q BK PGVALIDATION SQ.FT. NO.OF NO.OF CHECK License Number 160650 Lic.Class C39 SIZE STORIES IFAMILIES ONE Contractor V i r i n Roof CO_ Date 6/24/87 VALUATION DESCRIPTION OF WORK NEW ❑ g' $12,712.00 ❑:, ❑ I am exempt under Sec. _ ronf. Apply 1 #99 2#11 ADDALTER ❑ .: B.BP.C. for this reasonREPAIR ❑` $ Date: US OF EXISTING BLDG. DEMOL ❑ Signature APPLICANTTEL. FINAL -4 l OWNER-BUILDER DECLARATION PRINT) V i'I' i n Roof Co NO.28 —0 0 DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESSFINA� Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY /L, � ��j�`v 7044, Business and Professions Code). MOVING TEL. /f 1, as owner of the property,am exclusive) contracting CONTRACTOR NO. ,.__ y g InO— y� �734,4A with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). G # 0 0 0 0 0 1 REQUIRED TOTAL SETBACK FR M CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 1 -.153.00 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE ° ° 153,006 P.L. Lender's Name 0626 x$7 Lender's Address P.C.Fee$ Permit Fee 142 a 5O LDMA Ref. # I certify that I have read this application and state that the Issuance Fee 10.50 LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 193.00 LDMA Perm.# and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. (DIC941 SEE REVERSE FOR EXPLANATORY LANGUAGE i Lure of Applicant or Agent I Dat OO COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT ! TEMPLE CITY CA 91780 BL 0508 9902010049 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CONST BUILDING DRESS: ON FILE SO. FT STORIES TYPE 5628 ROSEMEAD BL STRUCTURE: 0 VN TEMP CA 917801803 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5387-028-021 (THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY TENANT: -Egi-sTMEMOG USE. COMME USE ZONE: R-3 ISSUED ON: PROCESS BY: EXPIRES ON: EXIST OCC GRP: 02/01/99 UT 02/01/00 OWNER: TEL. NO: i BLDGS. NOW ON LOT: VALUATION: FINAL DATEFINAL BY: COD RENSAC INC (626) 447-5350- 3 9,000 7• 'A 1020 HUNTINGTON DR SMAR 911081828 FEES PAID DESCRIPTION OF WORK FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: NG REMOVE AND REPLACE WITH BUILT UPR FISYSTEM iAPPLICANT: TEL. O: , ROYAL ROOF (800) 400-7692— AA BLDG PERMIT ISSUANCE 27.75 996 E. PRICE ST. AE STRONG MOTION 0 Fg� 9000.00 VAL 1.89 SPEC AL CONDITIONS: POMONA, CA D2 PERMIT W/0 E 000.00 VAL 199.80 — — 9 �NGEQ.EATO•o FEES 229.44 CONTRACTOR: TEL. 0: I QcJ �/�/A APPROVALS -DATE INSPECTOR SIGNATURE •ROYAL ROOF CO. (800) 400-7692- ' 1 996 E. PRICE STREET LIC. NO OCA ION AND SETBACKS POMONA, CA 91767 413067/C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENG EER: TEL. TO /r FOU D TION/TR NCH FORMS LIC. NO//! 1111111 SLAB/SUNDER FLOOR t L RAISED FLOG R G !MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: GMF:= �l UNDERFLOOR INSULATION 147H265 3 U L J C V��O���� F 00 SHEA HING NO. OF FAMILIES: DWELLING UNITS: PT/CO D: ST CL SS:— NO 22 0 ROOF SHEATHING �� SCHOOL WITHIN HAZARDOUS igEl 'eT '��'. SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ! Q I .t, l NO NO NO A �g FRAME INSPECTION REQUIRED OT SETBACK FROM EXIST 48Li FIRE SP ER AGE SET BACK FRONT PL— YARD: HWY: PROP LINE: WIDTH: ��c Service Iha' INSULATION/WEATHER STRIP SIDE PL- INTEJIOR LATH/DRYWALL , EXT RIOR LATH i RATEO FLOOR/C L ASSW. RATED WALL ASSEMBLIES RATEDF-SHAFTS/OPENINGS i T—BAR CEILINGS i OT DRAI GE REPORT ID: DPR261 ROUTE TO: BS0508 i , I i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9902010049 PHONE: (626) 285-0488 EXT: LEGAL D: NO. OF CONST BUILDING ADDRESS: ON FILE SO. FT STORIES TYPE 5628 ROSEMEAD BL STRUCTURE: 0 VN TEMP CA 917801803 ASSESSOR INFORMATION BER: NEAREST CROSS STREET: LAS TUNAS 5387-028-021 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY TENANT: EXIST BDG E: COMME us ZONE: R-3 ISSUED ON: PROCESSED B : EXPIRES ON: EXIST OCC GRP: 02/01/99 UT 02/01/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: a�� COD RENSAC INC (626) 447-5350- 3 9,000 h 1020 HUNTINGTON DR (i SMAR 911081828 F ES PAID ESC PT IO 0 OR FEE DESCRIPTION: 9UANTITY: UOM: AMOUNT: REMOVE AND REPLACE WITH BUILT UP R FING SYSTEM i' APPLICANT: EL. O: ROYAL ROOF (800) 400-7692- AA BLDG PERMIT ISSUANCE 27.75 996 E. PRICE ST. AE STRONG MOTION 0 ESI R�9000.00 VAL 1.89 SPECIAL CONDITIONS: POMONA, CA D2 PERMIT W/ EN-�f�Q0.00 VAL 199.80 �N���E$ 0 ® FEES 229.44 CONTRACTOR: TEL. N0: �oS �/�/Ty APPROVALS DATE INSPECTOR SIGNATURE ROYAL ROOF CO. (800) 400-7692- 996 E. PRICE STREET LIC. NO LOCATION AND SETBACKS POMONA, CA 91767 413067/C39 d SOILS ENGINEER APPROVAL ARCHITECTOR ENGINEER: TEL. 0: - �/ OU D. TION/TRE C FORMS LIC. NO• 111111 SLAB/UNDER FLOOR ISD FLOOR FRAMING ; MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: MP UNDERFLOOR INSULATION 147H265 3 �4 U L C MY O ILOF, K S FLOOR S I G 0. OF FAMILIES: LLI G S: APT CO D: STAT CL S . NO 221-1 O 0 ROOF SHEATHING �2 SCHOOL WITHI A R O S ti- r., SHEAR PANELS i5 r, AIR 9UALITY: 1000 FEET MATERIALS ❑ NO NO NO A El "��; FRAME INSPECTION REQUIRED 0 SETBACK FROM EXIST X16 �� FIR S P R I LER A G RS SET BACK YARD: HWY: PROP LINE: WIDTH: �Z 11 FRONTPL- f:+ Service Thai vV INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/UR- XTERIOR LATH MATED FLOOR7CE L S RATED WALL ASSEMBLIES RATED SHA S/0 I GS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508