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HomeMy Public PortalAbout5807 ROSEMEAD BLVD_Building__ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY ADDRES ` WORKER'S COMPENSATION DECLARATION S FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING I hereby affirm that I have a certificate of consent to self insure, j� " v or a certificate of Workers'Compensation Insurance,or a certified CITY "S ZIP copy thereof(Sec.3800,Lab.C.) LOCALITY . Policy No. Company �/YSlil)� i+�i�i SIZE OF OT NO.OF BLDGS.NOW ON LOT ,/ ❑ Certified copy is hereby furnished. NEAREST CROS ST. Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. dep rtment. USE ZONE MAP NO. DatApplicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS RTIFICATE OF EXEMPTION FROM WORKERS' TEL NO. OWNER COMPENSATION INSURANCE �T WITHIN 1000 FT OF SCHOOL? YES NO This section need not be completed if the per is for one hundred ADDRESS ( P I AS pkef�bv' DISTRICT GROUP 4TYPCONST. FIRE ZONE PROCESSED BY dollars($100)or less.) Y P permit CITY ZIP I certify that in the performance of the work for which this is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.� DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. 9y SET BACK YARD HWY PROP LINE WIDTI4 Compensation provisions of the Labor Code, you must forthwith 5A ¢p — �, k b FRONT comply with such provisions or this permit shall be deemed revoked. DRESS LIC.Np. P L AD LICENSED CONTRACTORS DECLARATION PAQ4 b G SIDE CITY ��/ LIC.CLASS P L. I hereby affirm that I am licensed underprovisions of Chapter 9 ! l`�V YA B r LA SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my lice a is in full force and effect. NEW ❑ BK PG a License Num n y LiC.CIas3 DESCRIPTION OF WORK ADD ❑ VALUATION , C Contractor Date ALTER ❑ $ - a El am exempt under Sec. h REPAIR El $ F BAP.C.for this reason DEMOL ❑ LDMA P/C# LCl Date: USE OF EXISTING BLDG. URM ❑ co Signature23e APPLICANT(PRINT) TEL NO. LDMA Perm# ❑ I, as owner of the property, or my employees with wages as ........ Z ACCT their sole compensation, will do the work and the structure is ADDRESS Q AL•G 1.T riot intended or offered for sale (Section 7044, Business and FINAL DATE Q C 3307 50,510 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL _l ❑ I, as owner of theproperty, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 6 1 Y 9 I AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES❑ No❑ ACCT.s Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ��''yy�7 102 .30 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ! 330 f l0o 30 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR I i Et tsi 'GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ } ti N the performance Of the Work for which this permit IS ISSUed(SOC. tIHAVEREAD THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE sCAOMDPERMITTING TOTAL 152- 811 W 3097,CIV.C.) � �CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, /' i {{ N TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS CHECK jrr`,,/,a VLI Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 0.1 Lender's Address I CHANGE .00 O OWNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE _�y�� PERMIT FEE /� N with all county ordinances and State laws relating to building ' ' ®'v ��`� DOOCI-0001 5l1/tf93' m construction, and hereby authorize representatives of this County ISSUANCE FEE �^ a to enter upon the ab -mentioned property for AS purposes. I �e� �� "7 718 1 All u:,37 CD ,f INVESTIGATION FEE TOTAL FEE /�rad• � O FW—.W—m Apwlme.1w ` / O` SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION .. I hereby d certificate that I have certificate of consent to self P C I®IV OR BUILDING P E RM I T insure, or a certificate of Workers'Compensation Insurance, ora certified copy thereof(Sec. 3800, Lo C.) ��,�0�37 • COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company U L�t�-� El ' Certified copy is hereby furnished. 7/—,yd- FOR APPLICANT TO FILL IN BUILDIN •�ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING t�O tion Zpaarttment. .� ADDRESS -1/-/7 J-y ` clTY !tQ1�G C:f ZIP LOCALITY Q� Date Applicant NO.OF BLDGS. NEAREST -CERTIFICATE OF EXEMPTION FROM WORKERS' . SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR r, (This section need not'be completed if the permit is for one 'TRACT BLOCK LOT NO. MAP BOOK Jr�J PAGE G�� PARCEL 006 hundred dollars ($100)or less.) } TEL. OWNER 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 �� ^� ar SPECIALCONDITIONS so as to become subject to the Workers'Compensation Laws. /1 O + Cl �%/G 6AZIP Date Applicant AR ITECT O ,{' �[ TEL. . 0 NOTICE TO APPLICANT: If, after making this-Certificate of ENGINEER /1! %. Cr7r7r � NO.g�t 3'��/ DISTRICi GROUP TYPE FIRE P CESSED BY O -` ''• CONST. ZONE 1-- Exemption, you should become subject to the Workers' ��L ,t^�� ,p, Compensation provisions of the Labor Code, you.must forth- .ADDRESS 3�3(o / ,r'}'T r\�� �� N with comply with'such provisions, or this permit shall be ° TIJ�J �/ �iVf TEL !� o'/ y� P Y P P - STATISTICAL CLASSIFICATION -APT CONDO. Z deemed revoked. CONTRA OR NO. �a ,;:�. n - LICENSED CONTRACTORS DECLARATION. (J9 r LIC. C�S`,Q CLASS NO. DWELL. UNITS, .„ _ ADDRESS ,�• NO. 61 F ym ' I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. a --:- : and Professions Code,and my license is in full force and effect. CITY _ CLASS ,t BK VALIDATION T T SQ. FT. NO. OF NO.OF CHECK ' License•Number_ d/ L}c.`Class SIZE S �� STORIES FAMILIES .�- ONE "- i- VeALLyUUA.LTIIOON Contractor '•��-- T+•-w�� Date "� �- DESCRIPTION OF WORK NEW ❑ ElI am'exempt under Sec. 7-~7- lIallVZ74r-- 4f ADD ❑ ' ® 3"� i��3G ,[, (_ BAP.C. for this reason - ALTER El USE OF /��S' �A?r REPAIR ❑ / i IwI_I,u'= Date' EXISTING BLDG. �'��'f? t�' DEMOL ❑ '^ J eF 1 h,171 i+n-I•it + TEL• S7(PRINT). NO. FINALSignature—OVN �ERDE DECARA ION APPLICANT DATE )"l _12-.1I hereby affirm that I am exempt from the Contractor's License 1 s Law for the following reason (Section 7031.5, Business and ADDRESS J i8Z DEQ. �t� /W� P • � FINAL ` Professions Code): PRESENT By ❑ I, as-owner of the property, or m employees with BUIL P , Y. YADDRESS . ;;";;i�t7 ;L, ;! _ wages as their sole compensation,will do the work andy - the structure is not intended or offered for sale(Section LOCALITY ® cxg;;,tG6/ 7T �. 7044, Business and Professions Code.) MOVING TEL. ❑ I,,as owner of the property,am exclusively contracting CONTRACTOR NO. I with licensed contractors to construct the project (Sec- ADDRESS -i�--•:r "' `•7 tion 7044, Business and Professions Code.) �� J• C iWEC-`. =.'= _ ;J REQUIRED TOTAL SETBACK FROM EXIST. v, _ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTHl_l 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. -1 ..' ,� � Lender's Name } R; o $ P.C. Fee$ O`� . O� permit Fee 3, 3 LDAAA Ref. Lender's Address o, I certify that I have read this application and state that the 47 Issuance Fee 7� LDMA P/C# Poo above information is correct. I agree to comply with all County Investigation.Fee �s�J �f�j' ordinances and State laws relating to building construction, Total Fee /i 7 J LDMA Perm. # and hereby authorize representatives of this County-to enter upon the above-mentioned property for inspection purposes. o 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 FOR . ,� U I L D I N G P E RM I T 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 BUILDING y ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING f �• e> tion department. ADDRESS 5a/� /�, ` I'I��1 JV ��! � Date Applicant CITY pf'e � ZIP LOCALITY 6-P _ (/ CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT O.OF BLDGS. NEAREST' 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 I PARCEL hundred dollars ($100)or less.) n L, OWNER Y Y O, USE ZONE MAP I certify that in the performance of'the Work for which this [r�1 s-f NO. P employ Y Pe Y Oi�f C�I�J� /Ltd/ `: SPECIAL ermit is issued, I shall not em to an person in an manner ADDRESS CONDITIONS 13- so as.to become subject to the Workers'Co pensation Laws. V , 2 CITY 6N //� C/ zlp a Date �" Applicant ARCHITECT OR TEL. DISTRICT. GROUP TYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after'making This Certificate of ENGINEER NO. CONST. NE F- Exemption, you-should become subject to the Workers' U Compensation provisions of the Labor Code, you must forth- ADDRESS !/ � �G a with comply with such provisions or, this permit shall be ` T n ;;STATISTICAL CLAS$JF,��ION P. CONDO. Z deemed revoked. CONTRACTOR OM�� �0 — LICENSED CONTRACTORS DECLARATIONQ IC. y/b� CLASS NO. DWEL. UNITS ' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS®S� /7Ff' O• KE /bw - LIC. SEWER MAP ='s (commencing with Section 7000)of Division 3 of the Business }2 ,, �j l and Professions Code,and my license is in full force and effect. CITY /� i/OCLASS GT BK. PG. _ VALIDATION _.... t:: e � SQ. FT.+rd 6 NO. OF NO.OF CHECK License Number t:-/� •Lic, Class �'� SIZE r STORIES FAMILIES ONE - }} VALUATION _' Contractor •'P Date �`- `� DESCRIPTION OF WORK .,� NEW ❑ $ v 4 ©p i I 'V L` �^ ,�` ^ ADD ❑ -".. ❑I am exempt under Sec. � �'7 W� s� • ALTER B.BP.C. for this reason $ ' REPAIR ❑ Date' USE OFEXISTING BLDG. DEMOL ❑ 'q. APPLICANT /`�� TE ":i`i"," `;tr:4, Signature (PRINT) (:.rr�Ti� YN M ' FINAL 1'.;-i-'.= '•'' :`s;t OWNER-BUILDER DECLARATION . DATE I hereby affirm that I am exempt from the Contractor's LicenseADDRESSTJ�f C:.v �! �vP *® /"+��° Law for the following reason (Section 7.031.5, Business and FINAL Professions Code): PRESENT B :=.::. . ❑ I, as owner of the property, or m employees with BUILDING Y . P P Y. YADDRESS ;Mj�; wages as their sole compensation,will do the work and = 7 ; LOCALITY // the structure is not intended or offered for sale-(Section' -r �_ 7044, Business and Professions"Code.) . MOVING TEL. _i[:;y,F ❑ 'I, as owner of theproperty,am exclusive) contractingCONTRACTOR NO. _ with licensed-contractors to construct.the project (Sec- _ I � x•-� - 13 tion 7044, Business and Professions Code.). ADDRESS /� _ ;: _ REQUIRED TOTAL SETBACK FROM EXIST. L=`` j`t9 L"= CONSTRUCTION LENDING AGENCY SET BACK YARD- HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT Ly c#'+'.SG the performance of the work for which this permit is issued P•L•• (Sec. 3097, Civ. C.). SIDE- Lender's Name - - $ r�1-3— Lender's � LDMA Ref. # i-'+ (A j i P.C. Fee$ o��''�� Permit Fee s Lender's Address '' ' 41 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 laws relating to building construction, Total Fee � '53LDMA perm. # and hereby authorize represe tatives of this County to enter i upon t 6 e-mentione perty for inspection purposes. o e � SEE REVERSE FOR EXPLANATORY LANGUAGE igndture of App scant or Agent Date ',•* WORKERS'COMPENSATION DECLARATION I hereby affirm that I have certificate of consent self A P P L I CAT I O W F O R WILDING P E RM I T I uFe, or a certificate of Workers' Compensation Insurance, r; a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. 03 CompanyD ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRI �� ❑ Certified copy is filed with the county building inspec- BUILDING � p O ' �S;o%D tion dep rtment. ADDRESS /� //�� �T7"� Date' Applicant CITY �� C,4ZIP LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FlIbM 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.) � s.� T EL.OWNER USE ZONEMAP 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 SPECIAL CONDITIONS so as to become subject to the Workers'Compensation Laws. OO CITY ZIP Date Applicant ARCHITECT OR TEL. DISTRICT I GROUP TYPE FIRE I PRqqSSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CON T. ZO O Exemption, you should become subject to the Workers' &C;)�7 LU Compensation provisions of the Labor Code, you must forth- ADDRESS 5O a_ with comply with such provisions or this permit shall be CONTRACTOR TEL.NO STATISTICAL CLASSIFICATION APT. O. Z deemed revoked. LICENSED CONTRACTORS DECLARATION �� i,elZL� lO f—ry(C�� CLASS NO. DWELL..UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS V'� `� (commencing with Section 7000)of Division 3'of the Business / LIC. �+_(�} SEWER MAP and Professions Code,and license is in full force and effect. CITY CLASS BK, PG. VALIDATION �O � � -� SQ. FT. NO. OF NO.OF CHECK License Number Lic. Class T SIZE STORIES FAMILIES ONE ^� VALUATION Contractor "/�y�i`�te / �c� DESCRIPTION OF WORK t/v/�'LL��C7I�� NEW O�,I ❑I am exempt under Sec. //`� ADD 1:1 $ ► ALTER ❑ B.BP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT NT) TEL L FINAL(PR / OWNER-BUIL EP DECLARATION r '! ! DATE ~Z I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS!sl FINAL , Professions Code): PRESENT By El �tBUILDING .•1� °v I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and r'13 7 412:'°?5 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. ? ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. -- with licensed contractors to construct the project (Sec- MCA °F P. ADDRESS _ tion 7044, Business and Professions Code.) .j�1 • REQUIRED TOTAL SETBACK FROM EXIST. a- CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT y 1 the performance of the work for which this permit is issued P.L. ° ,� (Sec. 3097, Civ. C.). SIDE i 1C ��./ s a' a r L. Lender's Name 7.6' �f ,Q LDMA Ref. # 177. P.C. Fee$ / Permit Fee � 'v ; CLNIANGE ,Xt Lender's Address r I certify that I have read this application and state that the Issuance Fee �� g !DMA 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 LDMA Perm. # 11131313-1313131 ,/11/92 and hereb�����nspectlon this County to enter r ,.y° , upon•the pu es. �'C``'' � �� °t•- I SEE REVERSE FOR EXPLANATORY LANGUAGE Signature1f Applicant or Agent bate 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 1401220064 PHONE: (626) 285-0488 EXT:. (LEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I 1 ON FILE SQ. FT STORIES TYPE OCCUP GROUPI 5807 ROSEMEAD BL I 1 (STRUCTURE: 5167 1 V-B A-2 I TEMP CA 91780 1 (ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: 15397-012-043 1 . I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY CAI (TENANT: (EXIST BLDG USE: COMME USE ZONE: (ISSUED ON: PROCESSED BY: 1 ICHUAN'S RESTAURANT (EXIST OCC GRP: A-2 105/13/14 SR 1 1OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1F DAT FI Y: CODE: 1 ICHEN, QU (626) 616-5089- 1 150,000 1 1 13042 SYCAMORE AVENUE I _ 1 ILA CRESENTA CA 91214 1 FEES PAID JD9SCRIPTIO14 OF WORK 1 I I (TENANT IMPROVEMENT FOR CHUAN'S RESTAURANT I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I 1APPLICANT: TEL. NO: I I I IZHANG, BINGYING (626) 570-9978- 1A1 PLANCHECK W/EN-HC 150000.00 VAL 1,582.40 1 1 1119 S ATLANTIC BLVD 1AA BLDG PERMIT ISSUANCE 27.80 (SPECIAL CONDITIONS: 1 1MONTEREY PARK 91754 IAB STATE GREEN BLDG FEE 150000.00 VAL 6.00 1 1 I IAE STRONG MOTION OTHER 150000.00 VAL 31.50 I 1 1 IA2 PERMIT W/ENERGY-HC 150000.00 VAL 1,861.60 1 1 (CONTRACTOR: TEL. NO: ID7 ADDNL PLANCHECK FEE 1.00 HOU 109.40 (APPROVALS DATE INSPECTOR SIGNATURE 1 1JY CONSTRUCTION GROUP INC. (626) 332-6789- IFS INV WORK W/O PERMIT 344.00 DOL 344.00 1 1 11214 E EDNA PLACE LIC. NO 108 CERTIF OF OCCUPANCY 101.40 (LOCATION AND SETBACKS 1 1 I ICOVINA CA 91724 963661 1 TOTAL FEES 4,064.10 1 1 1 I 1 1 (SOILS ENGINEER APPROVAL 1 1 1 1ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I I I 1DRP INC. (626) 570-9978- 1 1 1 1 I 11119 S. ATLANTIC BLVD. #119 LIC. NO: 1 (SLAB/UNDER FLOOR I 1 1 (MONTEREY PARK, CA 91754 NONE 1 I 1 1 1 I IRAISED FLOOR FRAMING 1 1 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 1UNDERFLOOR INSULATION I I 1 1 1 3 OOI (FLOOR SHEATHING I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 1 -1-1 I 1 0 NO 22 1 (ROOF SHEATHING I I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I 1AIR QUALITY: 1000 FEET MATERIALS 1 1 I I'll I NO NO NO I (FRAME INSPECTION _ 1 y 1 1 1 (FIRE SPRINKLER HANGERS--71 1 1 1 11NSULATION/WEATHER STRIP( I 1 1 I 11NTERIOR LATH/DRYWALL I I 1 1 1 EXTERIOR LATH 1 I 1 1 (RATED FLOOR/CEIL ASSEM. I I 1 1 1 (RATED WALL ASSEMBLIES 1 1 1 IRATED SHAFTS/OPENINGS 1 I 1 1 IT-BAR CEILINGS , I I I 1 1 ILOT DRAINAGE f I 1 (REPORT ID: DPR261 ROUTE TO: BS0508 1 1 1 1 I I I I I I lY , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS FIRE SPRINKLER BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1404090095 PHONE: (626) 285-0488 EXT: LEGAL ID: 1 NUMBER OF ADDED/RELOCATED BUILDING ADDRESS: ON FILE I SQ. FT SPRINKLER HEADS 125807 ROSEMEAD BL 1 ISTRUCTURE: 800 TEMP CA917 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 15397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY CAI TENANT: JEXIST BLDG USE: IISSUED ON: PROCESSED BY: I 1CHUAN'S RESTAURANT 1EXIST OCC GRP: 104/22/14 SR 1 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF INAJ, DATE FINAL Y: CODE: 1 ICHEN, QU (626) 616-5089- 1 1,500 1 13042 SYCAMORE AVENUE I I Y ILA CRESENTA CA 91214 1 FEES PAID IDE13ChIPTI N OF WORK 1 I I IFIRE SPRINKLERS - TENANT IMPROVEMENT 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I JAPPLICANT: TEL. NO: I I 1 IDELTA FIRE PROTECTION (818) 764-7990- IDO FIRE SPRINKLER PC 1500.00 VAL 82.10 1 J 17356.FULTON AVE JAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I IN HOLLYWOOD 91605 JAB STATE GREEN BLDG FEE 1500.00 VAL 1.00 1 I ID2 PERMIT W/O EN-HC 1500.00 VAL 82.20 I 1 1 TOTAL FEES 193.10 1 ICONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE J IDELTA FIRE PROTECTION AND EQUIPMENT (818) 764-7990- 1 1 1 17356 FULTON AVENUE LIC. NO 1 IFIRE DEPARTMENT INSPECT 1 1 1 INORTH HOLLYWOOD, CA 91605 555329 C16 1 I I 1 1 I 1 IFIRE SPRINKLER HANGERS 1 1 JARCHITECT OR ENGINEER: TEL. NO: IFIRE DEPARTMENT APPROVAL( I 1 LIC. NO: 1 I 1 1 1 I I I I 1 O MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01 I I I I I I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I NO 20 1 SCHOOL WITHIN HAZARDOUS 1 J I I I JAIR QUALITY: 1000 FEET MATERIALS 1 1 1 1 1 1 NO NO NO 1 1 1 1 1 I I I J I I J 1 I I I I 1 1 I I I I I I I I I I I I I I I I I I J I I I I J I I 1 (REPORT ID: DpR261 ROUTE TO: BS0508 1 I I 1 1 J I I I I r t'. COUNTY OF LOS ANGELES TEMPLE CITY # 0506 BUILDING PERMIT ` DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1404090096 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: 1 ON FILE I SQ. FT STORIES TYPE OCCUP GROUPI 5807 ROSEMEAD BL 1 1 (STRUCTURE: 1000 1 V-B B I TEMP CA 91780 1 (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: 1 15397-012-043 I OTHER: I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY CAI I I I I (TENANT: 1EXIST BLDG USE: COMME (ISSUED ON: PROCESSED BY: 1 ICHUAN'S RESTAURANT 1EXIST OCC GRP: B 104/22/14 SR 1 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF AL DATE FIN CODE: 1 ICHEN, QU (626) 616-5089- 1 1,750 .// 13042 SYCAMORE AVENUE I 1 ` I ILA CRESENTA CA 91214 I FEES PAID ID SCRIPTION OF WORK 1 IKITCHEN HOOD FIRE SUPPRESSION SYSTEM INSTALLATION I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I (APPLICANT: TEL. NO: I I I IDELTA FIRE PROTECTION (818) 764-7990- IDI PLANCHECK W/O EN-HC 1750.00 VAL 82.10 1 I 17356 FULTON AVE IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: I IN HOLLYWOOD 91605 IAB STATE GREEN BLDG FEE 1750.00 VAL 1.00 1 I I ID2 PERMIT W/O EN-HC 1750.00 VAL 62.20 1 I 1 1 TOTAL FEES 193.10 I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE IDELTA FIRE PROTECTION AND EQUIPMENT (818) 764-7990- 1 1 17356 FULTON AVENUE LIC. NO I ILOCATION AND SETBACKS I I I INORTH HOLLYWOOD, CA 91605 555329 C16 I I I I 1 I I ISOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I I - � LIC. NO: I ISLAB/UNDER FLOOR I I 1 I I I 1 I IRAISED FLOOR FRAMING 1 1 I I � IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I 1UNDERFLOOR INSULATION I I I I I 3 OOI IFLOOR SHEATHING I I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I I 1 NO 20 1 IROOF SHEATHING 1 1 I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS 1 1 .1-1 1 I NO NO NO 1 IFRAME INSPECTION I I � I 1 IFIRE SPRINKLER HANGERS I I 1 I I I I 1 11NSULATION/WEATHER STRIPI I I 1 I IINTERIOR LATH/DRYWALL 1 1 I I I I 1 1EXTERIOR LATH I 1 1 I I I 1 1 IRATED FLOOR/CEIL ASSEM. 1 1 1 1 1 IRATED WALL ASSEMBLIES 1 1 1 I I I I 1 IRATED SHAFTS/OPENINGS I 1 I I I I 1 1 IT-BAR CEILINGS 1 1 1 I I I 1 1 ILOT DRAINAGE I I 1 1 IREPORT ID: DPR261 ROUTE TO: BS0508 1 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 1405070049 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: 2 BUILDING ADDRESS: I ON FILE ISIGN DESCRIPTION: 2 SETS CHANNEL LETTER SIGN (LED) ILLUI 5807 ROSEMEAD BL TEMP CA 91780 I ]ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: 1 15397-012-043 I ] THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY CAI ITENANT: (EXIST BLDG USE: (ISSUED ON: PROCESSED BY: I ICHUAN'S RESTAURANT (EXIST OCC GRP: 105/07/14 SR (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFI AL DATE FIN Y: CODE: S LEW & ASSO. (858) 565-8332- 1 4,8001� (�i 3709 CONVOY ST #300 ISAN DIEGO CA 92111 I FEES PAID IDEJCRIPT109 OF WORK I 1 I 12 SETS CHANNEL LETTER SIGN (LED) ILLUMINATED & (2) AWNINGS I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 1 JAPPLICANT: TEL. NO: I1 J IYU JINCHENG (626) 443-9288- IAA BLDG PERMIT ISSUANCE 27.80 J 1 19468 GARVEY AVE JAB STATE GREEN BLDG FEE 4800.00 VAL 1.00 ISPECIAL CONDITIONS: IS. EL MONTE CA 91743 IDI PLANCHECK W/O EN-HC 4800.00 VAL 112.70 I J ID2 PERMIT W/O EN-HC 4800.00 VAL 132.60 I J 1 TOTAL FEES 274.10 I J ICONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE I INEW SIGNS AND PRINTING (626) 571-9288- 1 1 J 19468 GARVEY AVENUE LIC. NO I ILOCATION AND SETBACKS I I I ISOUTH EL MONTE CA 91743 956512 1 1 I I J I J ISOILS ENGINEER APPROVAL J I J JARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I I LIC. NO: 1 ISUPPORT STRUCTURE I I J I I I I I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J I I I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: J I I I NO 20 1 SCHOOL WITHIN HAZARDOUS I I I I I JAIR QUALITY: 1000 FEET MATERIALS J J J NO NO NO J I J J J 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 I I I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I 1 J I I I I I I