The URL can be used to link to this page

Home My Public Portal About5787 ROSEMEAD BLVD_Building__ i� WORKERS'COMPENSATION DECLARATION W♦;ATLrt Cte,.;r fiereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Poli y No /-M V K1mpony ,IG BUILDING Certified copy is hereby furnished. NT TO FILL IN ADDRESS ❑ Certified copy is filed with th count,116 ilding inspec- fADDRE=;SSF95� Inspec- tion department. LOCALITYDate Applicant 14)t �i ZIP ,NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 3Z� ,�� 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.) L' USE ZONE MAP OWNER N0. • NO. I certify that in the performance of the work for which this 60,^�fy_�� . SPECIAL >- permit is issued, I shall not employ any person in any manner ADDRESS T�vw" CONDITIONS CL as to become subject to the Workers'Compensation Laws. �ICZ Q ' CITYALI 'ZIP i N J Date Applicant ARCHITECT O TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. �J' '� O CONST. ZONE Exemption, you should become subject to the Workers' tt �y �j g UJ Compensation provisions of the Labor Code, you must forth- ADDRESS �. V 201O J-a 417 V ✓ n, with comply with such provisions or this permit shall be TEL• '1 STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTORWM* NO {o' 1 LICENSED CONTRACTORS DECLARATION //�� LIC. CLASS NO.�DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS1. W— NO. (commencing with Section 7000)of Division.3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY t a CLASS- BK. PG VALIDATION �+1 �7 SQ. FT NO. NO.OF CHECK License Number J[��r J Lic. Class '� SIZE STORIES FAMILIES ONE VALUATION Contractor NeWW—L-u"+� to �r f DESCRIPTION OF WORK NEW ❑ /�1, -AAA 6 IL ADD ❑ $ W (I tJIJ, ❑I am exempt under Sec. r'" ALTER ❑ A%.- it 8.8P.C. for this r 'son $ -"� ' REPAIR ❑ 3I:r .7�•`' 111 nj.' USE OF EXISTING BLDG. 'Z DEMOL ❑ v� APPLICANT FINAL 'rEw"�' ' Signature � �L• I_ O ER-BUIL DECLARATION (PRINT) NO.. 'OOS4 °OIt1L �'�� I hereby affirm that I am exempt from the Contractor's License DATE -��(r .l• Law for the following reason (Section 7031.5, Business and ADDRESS FINAL CHECK Professions Code): PRESENT By �°' CHANGE •!_i_ El1, as owner of the property, or my employees with BUILDING wages as their sole compensation,will do the work and jp , !'� the structure is not intended or offered for sale Section 0-� 7044, Business and Professions Code.) ( MOVING TEL, / / I It 4s�1-�I}3 1 Ll 1.sl'+= El 1, NO. 9 Q dZ .I,as owner of the property,am exclusively contracting �� 'r1jj°j u,I_; with licensed contractors to construct the project (Sec- ADDRESS 777. tion 7044, Business and Professions Code.) CONSTRUCTION LENDING AGENCY BET BACK YARD HWY TOTAPROPLINE ROM EXIST.IDTFI �� I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name S / 'OP •7 LDMA Ref.# Lender's Address Fe7 P.C. e$ Q � Permit Fee G. � 1 certify that I have read this application and state that the Issuance Fee r LDMA P/C# ► above i forma' n i rrect.I agree to comply with all County Investigation Fee ordina ces and tate ws relating to building construction, Total Fee 1994 o LDMA Perm. # an reb orize r presentatives of this County to enter g up the a-m nti ned property for inspection purposes. oOk- 111 1 A SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ure of Applicant or Agent Date WORKERS' COMPENSATION DECLARATION p� hereby affirm that I'havecertificate of consent to self A P P L 9 AT ® WILDING P E RIM I T insure, or a certificate of Worr kers' Compensation Insurance, is or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Nog J_ZOQ CompanyS7';Y7r" 4'i9jon ❑ Certified co is hereby furnished. FOR APPLICANT TO FILL IN BUILDING PY Y ADDRESS .306 .Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS O -� /3400 Le- ov/rtx/rr 5163.t/.� CITY �C-1y,0A � a ZIP LOCALITY Date Applicant NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION 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 i TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL OWNER (` =f Nom/3' '3 8a4 USE ZONE AP I certify that in the performance of the work for which this SPECIAL a permit is issued, I shall not employ any person in any manner `'ADDRESS.,!20p O0 t' -(/ so as to become subject to the Workers'Compensation Laws. CONDITIONS O CITY -O e ye,9 zIP19910 i V Date Applicant ARCHITECT OR TEL. 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER .i NO. DISTRICT GROUP TYPE _ ZON PROC ' _) O Exemption, you should become subject to the Workers' ✓ T4 Compensation provisions of the Labor Code, you must forth- ADDRESS / �� a with comply with such provisions or this permit shall be STATISTICAL CLAS SIHCA N, APT. CO DO. u) deemed revoked. s. CONTRACTOR 7E w ��'�� Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. D L. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS O/ NO. O SEWER MAP (commencing with Section 7000)of Division 3 of the BusinessJ LIC. and Professions Code,and my license is in full force and effect. CITY . , .SLc�O ' SU LAss BK PG VALIDATION SQ. FT. NO. OF NO.OF CHECK License Number -43-s402023010—clic. Class 0--/D SIZE STORIES FAMILIES ONE VALUATION Contractor_ N/YCat"/TG Date gi DESCRIPTION OF WORK /� �j NEW El am exempt under Sec. '�d /,J �- �� - ADD ❑ $ pop ALTER ❑ B.&P.C. for this reason $ Date ❑ ' :� •• USE OF REPAIR EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL• FINAL. OWNER-BUILDER DECLARATION (PRINT) �+ Tpp�NO. V_'7y DATE I hereby affirm that I am exempt from the Contractor's License �- ADDRESS '�3dvL x- Law for the following reason (Section 7031.5, Business and FINAL Professions Code): :? PRESENT By ,e1.yI ❑ I, as owner of the ro ert or m employees with +BUILDING t P P Y% YADDRESS �-� wages as their sole compensation,will do the work and 33 i r� the structure is not intended or offered for sale(Section LOCALITY 1 • 7044, Business and Professions Code.) MOVING TEL. L I, as owner of the property,am exclusively contracting CONTRACTOR NO. A::--Fc s with licensed contractors to construct the project (Sec- " ADDRESS ,_ tion 7044, Business and Professions Code.) �til�i :,:;, t 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 the performance of the work for which this permit is issued P.L. +a"E ,r-";t =r (Sec. 3097, Civ. C.). SIDE it L u a .�+9 P.L. Lender's Name g 'P.C. Fee$ i Permit Fee -�y �M° Ref.# t' 4 i• ? Lender's Address �7 � C r �S 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 �/ _{._(;�,I-LI'IvI ordinances and State laws relating to building construction, Total Fee /• LDMA Perm. # = and hereby authorize representatives of this County to enter t I_•=''.' i h'it �- upon the abo -m ntione property for inspection purposes. o s,/tis ��7 ��• SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Applicant or Agent Date 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 0203190050 PHONE: (626) 285-0488 EXT: CONSTLEGAL ID: NO. OF G ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 5787 ROSEMEAD BL STRUCTURE: 2300 1 VN, B TEMP CA 91780 ASSESSOR IOR 0 R: NEAREST CROSS STREET: LAS TUNAS 5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TEA S B G : COMME S SS D 0 R .. CINGULAR WIRELESS EXIST OCC GRP: B 04/12/02 JK 10/09/02 OWNER: TEL. NO: SLOGS. NOW ON—LOT:-----V AL TIO : FINA4!5L DATE FI A :BODE: CALAC INVESTMENT (858) 565-8333- 70,000 SAN DIEGO, CA9211137 FEES PAID DINE—RITT-To-WOF INTERIOR TENANT IMPROVEMENT FOR CELLULAR PHONE STORE FEE DESCRIPTION: QUANTITY: LION: AMOUNT: APPLICANT: 0• CONTRACTOR MANAGEMENT GROUP (310) 343-3430- B1 PLANCHECK W/ENERGY 70000.00 VAL 933.92 525 S DOUGLAS ST#230 AA BLDG PERMIT ISSUANC27.75 SPECIAL CONDITIONS: EL SEGUNDO 90245 AC STRONG MOTIOVyoRES'1-D AO.A0 VAL 7.00 IA2 PERMIT W ORGY— .lOO�O�iVAL 1,148.68 CONTRACTOR: TEL. N0: OCA R' 6T��'�E 2.117.35 APPROVALS DATE INSPECTOR SIGNATURE CONTRACTOR MANAGEMENT GROUP (310) 343-3430- + �V 525 S STE 230 DOUGLAS ST LIICC. NO I LOCATION SETBACKS 6470 B EL SEGUNDO, CA 90245 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: L. 0: FOUNILATIONPRENCH FORMS LIC. NO: 1111111 SLAB/UNDER FLOOR AISED FLOOR RAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP' UNDERfL00R INSULATION 3 01 Ir c L C VV G K 01� FAMILIES: DWELLING ITS: CO D: 1 T CLASS: FLOOR SHEATHING NO 22ROOF SHEATHING v ❑ a` SCHOOL HAZARDOUS '� r rt: SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS Q ❑ Trt,!_ NO NO NO El ® - FRAME INSPECTION 46 El __pp``0 �S R N ER A GERS ` ervi �Ith INSULATION/WEATHER STRIP INTERIOR L H D EXTERIOR LATH RATED F OOR CE S . RATED WA L SSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRWINAGF 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 0705020018 PHONE: (626) 285-0488 EXT: ILEGAL ID: INUMBER OF SIGNS: 3 I BUILDING ADDRESS: 1 1 ON FILE (SIGN DESCRIPTION: INSTALL ONE ILLUMINATED WALL SIGN ANDI 57877 RROOSEMMEAD BLTEMP CA 91780 1 (ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: I 15397-012-043 I I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl (TENANT: [EXIST BLDG USE: (ISSUED ON: PROCESSED BY: EXPIRES ON: 1 AT & T [EXIST OCC GRP: 05/02/07 JK 04/26/08 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF NAL DATFI CODE: I 1S LEW AND ASSOCIATES (858) 565-8333- 1 1,680 1 1 3709 CONVOY ST. 300 ISAN DIEGO, CA9211137 I FEES PAID 1 SCRIPTIO OF WORK vI I I IINSTALL ONE ILLUMINATED WALL SIGN AND REPLACE 2 FACES ON 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IEXISTING DOUBLE FACED ILLUMINATED POLE SIGN. 1 (APPLICANT: TEL. NO: I 1 I 1JEFF REICH (818) 675-5849- IAA BLDG PERMIT ISSUANCE 27.75 I 12439 MAGNOLIA #113 IAX BUILDING REVIEW FEE 54.70 SPECIAL CONDITIONS: I INO.HOLLYWOOD 91607 ID2 PERMIT W/O EN-HC 1680.00 VAL 82.20 1 1 I I TOTAL FEES 164.65 I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IMALL SIGNS AND SERVICE (818) 764-1909- I 1 1 112439 MAGNOLIA BLVD #113 LIC. NO I ILOCATION AND SETBACKS IN HOLLYWOOD CA 91607 811074 C45 I I I I 1 I I ISOILS ENGINEER APPROVAL 1 I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I LIC. NO: I ISUPPORT STRUCTURE I I 1 I I I )I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: :I I I I I 001 I I I I 1 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I I NO 20 I I I I I I SCHOOL WITHIN HAZARDOUS I 1 1 1 1 1AIR QUALITY: 1000 FEET MATERIALS NO NO NO 1 1 1 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I REPORT ID: DPR261 ROUTE TO: BS0508 I I 1 1 I 1 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 0205280009 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: I BUILDING ADDRESS- ON R S:ON FILE SIGN DESCRIPTION: "CINGULAR WIRELESS" IN BLACK, ORANGE 5787 ROSEMEAD BL TEMP CA 91780 ASSESSOR IN-FORMATION NU R: NEAREST CROSS STREET: LAS TUNAS 5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUE ON: PROCESSED EXPIRES ON: CINGULAR WIRELESS EXIST OCC GRP: 05/28/02 JK 11/24/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEFINAL B CODE: CALAC INVESTMENT - 1,140 �j '] d L 3709 CONYOY ST #300 i SAN DIEGO, CA9211137 FEES P D -DERSOR-IMON OF WORK ILLUMINATED CHANNEL LETTERS PEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TE O: GARY W SCHAUER (619) 527-6100- AA BLDG PERMIT ISSUANCE 27.75 4444 FEDERAL BLVD 6X BUILDING REVIEW FEE 54.70 SPECIAL CONDITIONS: SAN DIEGO 92102 q2 PERMIT W/O EN-HC 1140.00 VAL 82.20 TOTAL FEES 164.65 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SIGNTECH ELECTRICAL ADVERTISING (619) 527-6100- i 4444 FEDERAL BLDG LIC. NO I LOCATION AND SETBACKS SAN DIEGO CA 92102 457406045 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: O: - I RO NDS 0 / R NC FOR S LIC. NO: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 0. OF FAMILIES: DWELLING S: AP CO : STAT C S NO 20 SCHOOL IN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO CG-G 'bL — .tao[ c, C&r,--- i REPORT I • DPR261 ROUTE TO: BS0508 COUNTY OF IAS 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 1306060056 PHONE: (626) 285-0488 EXT: 1 LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:ON FILE SQ. FT STORIES TYPE OCCUP GROUP 5787 ROSEMEAD BL I _ISTRUCTURE: 7279 1 V-B M I TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 15397-012-043 [ THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY CA TENANT: JEXIST BLDG USE: COMME USE ZONE: (ISSUED ON: PROCESSED BY: IMURATA (DAISO) YOSHIHIDE JEXIST OCC GRP: M 107/31/13 SR OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: DAWEr FI AL BY: CODE: ILEW (S.LEW & ASSOCIATES INC), SUSAN (858) 565-8333- 1 333,670 13709 CONVOY STREET I ISAN DIEGO CA 92111 FEES PAID [D CRIPTION fF WORK TENANT IMPROVEMENT PROJECT40 CONSTRUCT NEW RETAIL SHOP, I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: OFFICES, STORAGE AND RESTROOMS WITH NO INCREASE IN THE I (APPLICANT: TEL. NO: I [BUILDING SQUARE FOOTAGE I IBLIZMAN, YOSHIKAZU (310) 768-2700- 1A1 PLANCHECK W/EN-HC 333670.00 VAL 2,769.40 I I 1879 W 190TH STREET IAA BLDG PERMIT ISSUANCE 27.80 ISPF.CIAL CONDITIONS: 1 GARDENA CA 90248 AS STATE GREEN BLDG FEE 333670.00 VAL 14.00 I 1AE STRONG MOTION OTHER 333670.00 VAL 70.10 I I _IA2 PERMIT W/ENERGY-HC 333670.00 VAL 3,258.20 1 ICONTRACTOR: TEL. NO: ID7 ADDNL PLANCHECK FEE 0.50 HOU 54.70 (APPROVALS DATE INSPECTOR SIGNATURE I ISATOH BROTHERS INTER., INC. (310) 768-2700- 108 CERTIF OF OCCUPANCY 101.40 I_ 1 1879 W. 190TH #935 LIC. NO I TOTAL FEES 6,295.60 ILOCATION AND SETBACKS [ 1 1 IGARDENA CA 90248 743636 * 1 1 1 I I I ISOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH I I ISATOH BROTHERS INTERNATIONAL (310) 768-2700- I 1 1 1879 W. 190TH STREET #910 LIC. NO I ISLAB/UNDER FLOOR I 1 I GARDENA,CA 90248 743636 B I [RAISED FLOOR FRAMING I 1 I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CdP•1 (UNDERFLOOR INSULATION I I I 1 3 001 1 I I I I IFLORR SHEATHING 1 I I [NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I 0 NO 22 1 IROOF SHEATHING I I I I I- i_ -D._J 0 _l�if� I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS t I (AIR QUALITY: 1000 FEET MATERIALS I I_ NO NO NO I I I I I FRAMES INSPECTION I 1 IFIRFi SPRINKLER HANGERS I I 1 1 (INSULATION/WEATHER STRIP[ I I [ I (INTERIOR LATH/DRYWALL I I I [ 1 (EXTERIOR LATH [ 1 I 1 I [RATED FLOOR/CEIL ASSEM. 1 I I 1 1 IRAT£D WALL ASSEMBLIES 1 I 1 I 1 IRATE:-) SHAFTS/OPENINGS 1 1 IT-BAR CEILINGS [ 1 I 1* ADDITIONAL DATA ON FILE 1 1 ILOT DRAINAGE I 1 1 I IREPORT ID: DPR261 ROUTE TO: BS0508 I 1 I I COUNTY,OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1307010027 PHONE: (626) 285-0488 EXT: [LEG ON FILE I NO. OF CONST NEW I BUILDING ADDRESS: I SQ. FT STORIES TYPE OCCUP GROUPI 5787 ROSEMEAD BL I ISTRUCTURE: 0 1 V-B B I TEMP CA 91780 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS I 15397- 012-043 1 I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY CAI I 1 TENANT: EXIST BLDG USE: COMM USE ZONE: R-3 ISSUED ON: PROCESSED BY: IDAISO CALIFORNIA LLC 1EXIST OCC GRP: B 107/01/13 SR 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF ATE FI Y: CODE: I ILEW (S.LEW & ASSOCIATES INC), SUSAN (858) 565-8333- 1 5,000 I I 13709 CONVOY STREET I I I` ISAN DIEGO CA 92111 I FEES PAID rpTT01i OF WORK I I I IDEMOLITION NON STRUCTURAL WALLS, DRYWALL, FLOORING REMOVAL 1 [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IAND PLUMBING FIXTURES I [APPLICANT: TEL. N0: IFURUTA, EDDIE (310) 768-2700- IAA BLDG PERMIT ISSUANCE 27.80 1 [ 1879 W 190TH STREET 1AC STRONG MOTION RESID 5000.00 VAL 0.50 [SPECIAL CONDITIONS: [ 1GARDENA CA 90248 IAX BUILDING REVIEW FEE 54.70 D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 1P /�)/ 1� TOTAL FEES 215.60 I \ ` a \� V � (CONTRACTOR: TEL. NO: I IAPPR VALS DATE INSPECTOR SI NA RE \I ISATOH BROTHERS INTER., INC. (310) 768-2700- [ 1 I 1879 W. 190TH #935 LIC. NO I ILOCATION AND SETBACKS I 1 [GARDENA CA 90248 743636 1 I I 1 (SOILS ENGINEER APPROVAL I I I ARCHITECT OR ENGINEER: TEL. NO. - I IFOUNDATION/TRENCH. I I 1 LIC. N0: I [SLAB/UNDER FLOOR I 1 i [RAISED FLOOR FRAMING 1 [ [ I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( UNDERFLOOR INSULATION I I 1 3 001 IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 1 0 NO 22 1 1ROOF SHEATHING ",Le SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS ( 7 I I (AIR QUALITY: 1000 FEET MATERIALS I 1 NO NO NO 1 (FRAME INSPECTION -�1 I 1 i [FIRE SPRINKLER HANGERS 1 I I [ [ 11NSULATION/WEATHER STRIPI I I I 1 (INTERIOR LATH/DRYWALL I I[ I I v ai A I 1 [ 1EXTERIOR LATH [ I IRATED FLOOR/CEIL ASSEM. I I I IRATED WALL ASSEMBLIES I I I 1 [RATED SHAFTS/OPENINGS IT-BAR CEILINGS I I I I* ADDITIONAL DATA ON FILE I I I ILOT DRAINAGE I [ IREPORT ID: DPR261 ROUTE TO: BS0508 I • I I I I I