HomeMy Public PortalAbout5751 ROSEMEAD BLVD_Building__ WORKERS'COMPENSATION DECLARATION �
insure,hereby
certif catte of Worke s'tCompensation Insurance, APPLICATION F R BUILDING P E RM I T
oM a certified copy f(Sec. 3800,�cbCo� � COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No.dg 01037- Company
o32 Company
may' �q O� BUILDING r
�l Certified copy is hereby furnished. 9a" FOR APPLICANT TO FILL IN ADDRESS�74� I �/• -��
❑ Certified copy is filed with the county building inspec- BUILDING / n
tion department. //�� �� � �/ ADDRESS S�N1 � �/� 1W1_I^t
Date 1�G,GL Applicant`L_ P! K CITY �.��• r ZIP LOCALITY
_N OF BLDGS. NEAREST
CE FICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT N ON LOT CROSS ST.
COMPENSATION INSURANCEASSESSOR
(This section need not be completed if the permit is for one TRACE BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) - TEL.
OWNER s aftloo. NO. USE ZONE MAP
I certify that in the performance of the work for which this �f _ NO.
permit is issued, I shall not employ any person in any manner ADDRESS �/�� CIS /4115,640 SPECALL n}
so as to become subject to the Workers'Compensation Laws. O
CITY-6!77 zC L s zip U
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE JPROCESSED BY ix
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ZONE t0
Exemption, you should become subject to the Workers' p 3 V
Compensation provisions of the Labor Code;you must forth- ADDRESS ,9 � v CL
with comply with such provisions or this permit shall be _ TEL STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked. CONTRACTOR 'Lee NO. Z
LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. AeA DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS , W AJ+a •... NO.
. `'f
(commencing with Section 7000)of Division 3 of the Business SEWER MAP
]v
and Professions Code,and my license is in full force and effe t. CITY !'Jo►� m c LICCLASS �i BK PG VALIDATION
y SQ. Fr. NO. OF NO.OF CHECK
License Number 7 Z 9 y Lic. Class G SIZE I STORIES FAMILIES ONE
VALUATION
Contractors W.4J g l o'Q Date DESCRIPTION OF WORK pZ S ,��5 NEW ❑ ; 00
❑
❑I am exempt under Sec. C t ADDpolo
ALTER ❑
B.BP.C. for this reason REPAIR ❑ $
Date: USE OF
EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL FINAL
OWNER-BUILDER DECLARATION (PRINT) 3S•un�i No. 8�G
I hereby affirm that I am exempt from the Contractor's License DATE
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
s_
Professions Code): PRESENT BY
BUILDING A
❑ I, as owner of the property, or myemployees with ADDRESS �`'� > >Ir
wages as their sole compensation,will do the work and ,
the structure is not intended or offered for sale(Section LOCALITY ® 33011 =
❑ 7044, Business and Professions Code.) MOVING TEL.CONTRACTOR NO. .iL
I,as owner of the property,am exclusively contracting
with licensed-contractors to construct the project (Sec- r'r-` s
tion 7044, Business and Professions Code.)
ADDRESS I T
REQUIRED TOTAL SETBACK FROM EXIST. ,+je w-7 i a
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH =`�'
I hereby affirm that there is a construction lending agency for FRONT n -r TEMD
the performance of the work for which this permit is issued P.L. -'=t CMD
(Sec. 3097, Civ. C.). SS
IDE a �I}-
1 I ISL. 162.38
Lender's Name
ICHECK
•• ��o6ti
fop TDMA Ref.#
B P.C. Fee$ O Permit Fee �1 Q
Lenders Address [:}[ (i3r e I j)
I certify that I have read this application and state that the Issuance Fee
above information is correct. I agree to comply with all County Investigation Fee /
ordinances and State laws relating to building construction, Total Fee LDMA Perm. # u Ic
and hereby authorize representatives of this County to enter r ,=
upon the above-men'oned property for inspection purp ses.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent R6te
WORKERS'COMPENSATION DECLARATION 'S
hereby affirm that I have a certificate of consent to self I CAT I N " B U 0 L D I IV '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. Company f`BUILDING
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ��/
❑ Certified copy is filed with"the county building inspec- FADDRESS_
NG ,jr r;09V
tion department. S_
Date Applicant zIP LOCALITY
NO.OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' F LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or.less.) TEL.
:1 OWN U NO, USE ZONE MAP
I certify that in the performance of the work for which this NO.
permit is issued, I shall not employ any person in any manner ADDRESS -O 4)604 a SPECIAL
t
so as to become subject to,.ihe Workers'Compensation Laws. q����� CONDITIONSs p
[ADDRESS
Y ��1� ZIP /GfOCf G�
Date Applicantim
CHITECT O TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY
NOTICE TO APPLICANT:.If, after, making.this Certificate of GINEER 1 L• NO CONST. ZONE O
Exemption, you should become subject to the Workers' B Compensation provisions of the Labor Code, you must forth- •23 z-a trs� Z�' �T/E�.CG � IL
with comply with such provisions or this permit shall be TEL• Z! STATISTICAL CLASSIFICATIONAPT. .deemed revoked. NTRACTOR NO — Z_
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. ' DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS J*r1 NO.
SEWER MAP
(commencing with Section.7000)of Division 3 of the Business LIC. ��
and Professions Code,and my license is in full force and effect. CIN CLASS BK. PG. VALIDATION
SQ. FT NO.OF NO,OF CHECK
License Number Lic, Class SIZE [� STORIES FAMILIES ONE
.� VALUATION
Contractor Date DESCRIPTION OF WORK NEW $�® a Civil
�JGsfe" LG �/� i / ADD
❑I am exempt under Sec. ' d �•sr1
ALTER ❑ s. i'-'c 1
B.BP.C. for this reason REPAIR ❑ '
$
Date: USE OF a T T 'H.`
EXISTING BLDG. DEMOL [Ell
Signature ` APP(ICANT�,f�` NL. 0 _
¢¢�^���JJ FINAL
OWNER-BUILDER DECLARATION PRINT A DATE. Z Z r'' 1 "i' �3-' "
I hereby affirm that I am exempt from the Contractor's License p'� tJ / ' ' '` 'l i°7
Law for the following reason'(Section 7031.5, Business and ADDRESS �3 zo (lam �� FINAL e''j-jAN; ,
301
Professions Code): °PRESENT By
I; as owner of the property,'or m employees with BUILDING
P P Y YADDRESS �•-•••; ,�
wages as their sole compensation,will do the work and
LOCALITY
the structure is not intended or offered•for sale(Section
7044, Business and Code.) MOVING TEL. +L'=�'+z r'C' ;
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. 1`=� d UP °!aA°-r.,
with licensed contractors to construct the project (Sec- T
tion 7044, Business and.Professions Code.) ADDRESS _
REQUIRED TOTAL SETBACK FROM- EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency-for FRONT }°.i"
the performance of the work for..Which this permit is issued P.L. t G-
(Sec. 3097, Civ. C.). SIDE #eir'i °Off
P.L..
Lender's Name
P.C. Fee$ /CJ�'y Permit Fee q0 LDMA Ref. # f 1 flfjl 1liyIJ
_ 2.
:'
Lender's Address
1622
, y
1 AM I certify that I have read this application and state that the Issuance Fee .�� � LDMA P/C# ® �'°'+=
above information is correct. I agree to comply with all County Investigation Fee
ordinanc laws'rela' g to building construction, I Total Fee Y. LDMA Perm.#
r an ry ize re s tives of this County to enter
z° on th -m nti ro rty for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or nt Date
WORKERS' COMPENSATION DECLARATIONI.herea
to
in.�a bor affirm certif carte of Wo ke s'tnt Compensation ificate eInsuran elf APPLICATION BUILDING PERMIT
or a certified copy thereof(Sec. 3800, Lab. C.) ICOUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy Nb.i/G� Company ! , ;
EICertified copy .is hereby furnishe d'r/ �� FOR APPLICANT TO FILL IIN A DRUILIESS%
Certified copy is filed with the county building inspec- ADDRIESS /��S
tion department, d`"'
Date �� Applicant ••CITY.. �_ /� L 4-1e/ ZIP LOCALITY ,
�� OF BLDGS. NEAREST
CERTIFICATE OF•EXEMP ION FROM WORKERS' ' SIZE OF LOT '' NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) TEL.
'• OWNER � Np• USE ZONE MAP
I certify that in the performance of.the work for,which this CJS �.� SPECIAL
permit is issued,.l shall not employ any person in any manner ADDRESS CONDITIONS CL
as to become subject to the Workers'Compensation Laws. Q
CI
-Date Applicant ARCHITECT O TEL,
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT GROL
FIRE PROCESSED BY
Exemption, you should become subject to the Workers' f1 T. ZONE
Compensation provisions of the Labor Code, you must forth- `ADDRESS �DO �rLLA
with comply with such provisions or this permit shall be ;, �— //�� NO ^� STATISTICAL CLASSIFI Z
deemed revoked. CONTRACTOR /K� Q/�+ �L _
LICENSED CONTRACTORS DECLARATIONLIC. .' / CLASS.NO. DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter9 ADDRESS !�2 .tetNO. !o
F' LIC. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business CITY. OO �c �'� CLASS ���`
and Professions Code,and my licens is in full force and effect. BK. PG. VALIDATION
SQ. FT. , NO. OF NO. OF CHECK
License Number -elfUc. Class G SIZE STORIES FAMILIES ONE '
.�
�1 VALUATION
Contractc,49 ]E4',e. L %Date J DESCRIPTION OF WORK NEW ❑ $
❑I am exempt;under Sec. ADD ❑
B.&P.C. for this reason / L ❑
• � n���/ REPAIR ❑ $ ,
Date: USE OF ® ;
EXISTING-BLDG. �f /�- DEMOL
Signature APPLICANT
FINAOWNER-BUILDER DECIARATION (PRINT). DATE
�'� '��✓
.I hereby affirm that I am exempt from the Contractor's License
Law for the following'reason (Section 7031.5, Business and ADDRESS FINAL _-
Professions Code): . PRESENT B :a
❑ Cas owner of the property, or m employees with BUILDING y
P P Y: YADDRESS
wages as their sole compensation,will do-the work and LOCALITY , i(=
�_:
the structure is not intended or offered for sale(Section ••-�• -
7044,.Business and Professions Code.) MOVING', TEL.
❑ I,as owner of the property,am',exclusively contracting CONTRACTOR NO.
f!f•
• with licensed contractors to construct the project (Sec- � � � � � ,..it•( Y
tion 7044, Business and Professions Code.) ADDRESS -
REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. _.'I!i3 °,: ,j•,T;
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH
I hereby-affirm that there is a construction lending agency for FRONT i s
the performance of the work for which this permit is issued P.L.
,r �.
(Sec. 3097, Civ. C.). SIDE II f; = ti
.. P.L.
Lenders Name p _ •,;�C�.r.� n�,_-;. .
8 �O•/ ���� LDMA Ref. # H
P.C. Fee$ Permit Fee' `•i 1E+NGE i it E
Lender's Address _
I certify that I have read this application and state that the Issuance Fee o� .'� LDMA P/C#
above information is correct. I agree td comply with all County Investigation Fee
Q rll ID'S'^r l I`i f rs r- r:
3 ordinances and State laws relating to building construction, Total Fee Oa LDMA Perm. #
and hereby authorize representatives of this County to enter -r
A,4; a a s.;.
upon the above-/ ion property for inspection purposes. ,�.'i,i=.;,5
0 9 /,�f' `��, SEE REVERSE FOR EXPLANATORY,LANGUAGE '
Signature of Applicant or Agent- ~`—' Date
WORKERS'COMPENSATION DECLARATION
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, Lobe. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. "1Iyany
02. LLQf f Ott
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDADDRESS 'j e- V
Certified copy is filed with the county building ins c- BUILDING
tion��department. ADDRESS
r Date) Applican r CITY Uhl- ZIP LOCALITY
O.OF BLDGS. NEAREST
CERTIFICATE OF EXEM FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR
• (This section need not be completed if the permit is for one TRACE BLOCK LOT NO. MAP BOOK PAGE I PARCEL
hundred dollars ($100)or less.) TEL.
OWNER v ' NO. USE ZONE MAP
I certify that in the performance of the work for which this NO.
permit is issued, I shall not employ any person in any manner ADDRESS g�/A V SPECIAL
� >E
CONDITIONS a
so as to become subject to the Workers'Compensation Laws. O
CITY ZIP U
Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY W
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CO T O
Exemption, you should become subject to the Workers' _� 0
Compensation provisions of the Labor Code, you must forth- ADDRESS LU
with comply with such provisions or this permit shall be CONTRACTOR NL STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. _
LICENSED CONTRACTORS DECLARATIONIC. CLASS NO. DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS GIN25 51611111NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business LIC.
and Professions Code,and my license is in full force and effect. CITY 5 CLASSO BK. PG. VALIDATION
SQ. FT. NO. OF NO.OF CHECK
License Number Lic. ClassCIO 4:15 SIZE STORIES FAMILIES ONE
VALUATION
Contract Date� �3 DESCRIPTION OF WORK • NEW ❑ $ I/ ION GJ
• ADD ❑ tDCJ��
El ►
I am exempt under Sec.
afighl ALTER ❑
B.BP.C. for this reason REPAIR ❑ $
Date: USE OF
EXISTING BLDG. DEMOL ❑
Signature APPLICANTTEL.(PRINT) • NO. FINAL
OWNER-BUILDER DECLARATION DATE
I hereby affirm that I am exempt from the Contractor's LicensegDDRE55 CO
Ad
Law for the following reason (Section 7031.5, Business and &CKFINAL ' 23 -
Professions Code): PRESENT -•-BY
❑ I, as owner of the property, or my employees with gppDlIN V
RCGTa
wages as their sole compensation,will do the work and LOCALITY 3307 51.19
the structure is not intended or offered for sale(Section
7044, Business and Professions Code.) MOVING TEL 1
❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS ACGTA
tion 7044, Business and Professions Code.) LL?
REQUIRED YARD HWY TOTAL SETBACK FROM EXISff. 7 .4J
CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT 7 ITM
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE TOTAL 149 o 82
P.L. yy
Lender's Name Q LDMA Ref.# �C+ 149.82
P.C. Fee$ _mow. Permit Fee �c+ 's !1
Lender's Address ® °
OD
I certify that I have read this application and state that the Issuance Fee LDMA P/C#
above information is correct.I agree to comply with all County Investigation Fee ��
ordinances and State law4relat", to building construction, Total Fee LDMA Perm.# 10fl1 1/ 6 93
reb author' s of this Count to enter
up th abo a-m tionfor inspection purposes. 7468 1 Al 1118105
' • I SEE REVERSE FOR EXPLANATORY LANGUAGE
gnature ofpp icant or gent Dat
I
f
• i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS TENANT IMPROVEMENT
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9610300010
PHONE: (818) 285-0488 EXT:
LEGA ID: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 5751 ROSEMEAD BL
STRUCTURE: 2700 1 V B TEMP CA 91780
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
TENAN : MIST B DG SE: COMME USE ZONE: ISSUED ON: PROCESSED BY: EXPR
APPALET EXIST OCC GRP: B 10/30/96 TC 10/30/9
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL ODE:
CALAC INVESTMENT - 1,800
3709f-
SAN DIEGO, CA9211137 FEES D ESCR P I 0
NEW NON-BEARING PARTITION DR SING ROOMS
FEE DESCRIPTION: QUANT f,01 0W. j, AMOUNT:
P CANT: TEL. 0• o
KWOK FAI CHAN (818) 448-5231- AA BLDG PERMIT ISSUANCEa 027.75
3714 LA MADERA AVE. AE STRONG MOTION q,OTHER 1800.-00-VAL` oODSO SPECIAL CONDITIONS:
EL MONTE, CA 91732 D2 PERMIT W/O EN-.HG`S ��1800-0.0-VAL�, 82:20•
IN f !`_011 FEES f
V/
CONTRACTOR: TEL. N0: a � 1 G / Q \ 6 APPROVALS DATE INSPECTOR SIGNATURE
KWOK FAI CHAN (818) 448-5231- C \
3714 LA MADERA AVE. LIC. NO ,!+ " :) i ( 0 AT ON AND SETBACKS
EL MONTE, CA 91732 685026 -= --
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. O: 69'fl J m oFleo Cl FOUNDATIO TRENC FORMS
LIC. NO: SLAB/UNDER FLOOR
-
i RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZON3: CMP ' �UUNDERFLOOR INSULATION
:FLOOR S EA H I G
0. 0 LIES: DWELLING TS: AP /CON : STAT CLASS: ��
NO 22 ROOF SHEATHING
SCHOOL I HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS /031
NO NO NO FRAME INSPECTION
RE SPRIN LE A G RS
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR C IL SSEM.
RATED WALL ASSEMBLIES
i
RATED SHAFTS/OPENINGS
T—BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
I1
1� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SIGN
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9611040009
PHONE: (818) 285-0488 EXT:
- LEGAL ID: NUMBER OF SIGNS: I 'BUILDING ADDRESS:
ON FILE SIGN DESCRIPTION: WALL SIGN WITH CHANNEL LETTERS 5751 ROSEMEAD BL
TEMP CA 91780
SSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
TENANT: E ST BLDG SE: ISSUE VON: PROCESSED BY: EXPIRES 0 :
APPALET EXIST OCC GRP: 11/0096 TC 11/04/97
OWNER: TEL. N0: LDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
CALAC INVESTMENT - 1,200 2
SAN DIEGO, CA9211137 FEES PAID DES TIO K
0
FEE DESCRIPTION: Q NT,T N( AMOUNT: SIGN FOR NEW BUSINESS ,
APPLICANT: TEL. NO: 5 ' 9
L. A. NEON SIGN (213) 734-3361- AA BLDG PERMIT ISSUARCL 27.75
2982 W. PICO BLVD. AC STRONG MOTION RESID5 1200 00=VA 0� 0 SPECIAL CONDITIONS:
LOS ANGELES, CA D2 PERMIT W/O EN;;HC� 1200. 0-VALL 82U.
®� TOTAL FEES 1 0:45'x,
CONTRACTOR: TEL. N0: ' ,. ']-��1 APPROVALS DATE INSPECTOR SIGNATURE
L A NEON SIGN (213) 734-3361- � 1 � ❑ C--
2982 W. PICO BLVD. LIC. NO ;; "i+� J LOCATION AND SETBACKS
LOS ANGELES, CA 90006 653806 C35 -- O O
��II ,��nl SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: EL. NO: o a9 d"� �JL' Y7 0 12, n lel FOUNDATION/TRENCH FORMS
LIC. NO: SUPPORT STRUCTURE
\\
MAP N0: SEWER MAP 800K: PAGE: FIRE ZONE: CMP:
00
0. OF FA14ILIES: DWELLING ITS: APT CO D: STAT CLASS: tee!'
NO 20
SCHOOL -HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
i
REPORT ID: DPR261 ROUTE TO: 9SO508
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 1204110074
PHONE: (626) 285-0488 EXT:
LEGAL ID: I NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 5751 ROSEMEAD BL
ISTRUCTURE: 2876 1 V-B B I TEMP CA 91780
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY CAI
TENANT: JEXIST BLDG USE: COMME USE ZONE: JISSUED ON: PROCESSED BY:
(EXIST OCC GRP: B 105/17/12 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
ICALAC INVESTMENT - 85,000
13709 fq
ISAN DIEGO, CA9211137 FEES PAID 1D S RIPTION OF WORK
IT/I TO REMOVE NON BEARING LLLS, NEW NON LOAD BEARING
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IWALLS, NEW FACIAL ROOM, OFFICE AND STORAGE. 1
(APPLICANT: TEL. NO: I I
IXU, JENNY (626) 388-4919- IA1 PLANCHECK W/EN-HC 8000.00 VAL 178.90 I
16260 TEMPLE CITY BL IA1 PLANCHECK W/EN-HC 85000.00 VAL 942.70 ISPECIAL CONDITIONS:
TEMPLE CITY CA 91780 IAA BLDG PERMIT ISSUANCE 27.80
IAB STATE GREEN BLDG FEE 85000.00 VAL 4.00
1 IAE STRONG MOTION OTHER 85000.00 VAL 17.90 I I
ICONTRACTOR: TEL. NO: 1A2 PERMIT W/ENERGY-HC 85000.00 VAL 1,319.50 (APPROVALS DATE INSPECTOR SIGNATURE 1
IJ Y CONSTRUCTION (626) 570-9978- 108 CERTIF OF OCCUPANCY 101.40 I
112368 E VALLEY BLVD LIC. NO I TOTAL FEES 2,592.20 1LOCATION.AND SETBACKS 1 I 1
IEL MONTE CA 91732 895102-B * I 1 I 1
ISOILq ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: I (SLAB/UNDER FLOOR 1 I 1
IRAISED FLOOR FRAMING I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I
1 3 041 1 I I
I IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
I 0 NO 22 1 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS I I
I NO NO NO I IFRAME INSPECTION I
IFIRE SPRINKLER HANGERS
I I (INSULATION/WEATHER STRIPI I
11NTERIOR LATH/DRYWALL I�tILIN
I 1 1EXTERIOR LATH I t
1 IRATED FLOOR/CEIL ASSEM. I I 1
I 1 IRATED WALL ASSEMBLIES I I 1
IRATED SHAFTS/OPENINGS 1
I 1 I I I
1 T-BAR CEILINGS
I* ADDITIONAL DATA ON FILE I � I
I ILOT DRAINAGE I 1 1
IREPORT ID: DPR261 ROUTE TO: BS0508 I 1 1 1
I I I I I 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 CA 91780 BL 0508 1207020066
PHONE: (626) 285-0488 EXT:
ILEGAL ID: (NUMBER OF SIGNS: 1 I BUILDING ADDRESS:
ON FILE ISIGN DESCRIPTION: ILLUMINATED CHANNEL LETTER WALL SIGN I 5751 ROSEMEAD BL 1
TEMP CA 91780 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15397- 012-043 I I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY CAI
[TENANT: IEXIST BLDG USE: ISSUED ON: PROCESSED BY:
IBEAUTY LEGEND (EXIST OCC GRP: 107 /02/12 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FIW BY: CODE:
ICALAC INVESTMENT ] 2,300 2
13709 e_%/p
I
]SAN DIEGO, CA9211137 FEES PAID ID SCRIPTION OF WORK m1
[ (ILLUMINATED CHANNEL LETTER WALL SIGN I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( 1
(APPLICANT: TEL. NO: I I I
IAD ELECTRICAL ADVERTISING INC. - IAA BLDG PERMIT ISSUANCE 27.80 1 I
I IAB STATE GREEN BLDG FEE 2300.00 VAL 1.00 ISPECIAL CONDITIONS: I
1 JAX BUILDING REVIEW FEE 54.70 1 I
ID2 PERMIT W/O EN-HC 2300.00 VAL 99.00 I I
TOTAL FEES 182.50 I I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
JAD ELECTRICAL ADVERTISING INC. (626) 448-1166- I 1 I
DEA AD SIGNS LIC. NO I ILOCATION AND SETBACKS I I
19437 VALLEY BLVD. 927951 C45 I I I I I
IROSEMEAD, CA 91770 I ISOILS ENGINEER APPROVAL I [
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
] LIC. NO: I ISUPPORT STRUCTURE I I I
1 I � I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 I I I
001 I I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
NO 20
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1 SCHOOL WITHIN HAZARDOUS [
(AIR QUALITY: 1000 FEET MATERIALS I I I I I
[ NO NO NO I I I I I
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IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I
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