HomeMy Public PortalAbout5809 ROSEMEAD BLVD_Building__ • 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 0403190001
PHONE: (626) 285-0488 EXT:
LEGA ID: B R O S G S: 5 BUILDING ADDRESS:
ON FILE SIGN DESCRIPTION: 3 SETS OF ILLUMINATED WALL SIGNS & FA 5809 ROSEMEAD BL
TEMP CA 91780
ASSESSOR- INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, C
TENANT: EXI T B DG USE: ISSUED ON: PROCESSED BY: EXPIRES ON:
BLOCK BUSTER EXIST OCC GRP: 03/19/04 VG 03/14/05
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: COMECALA :
3709CCONVOYTST. - 6,000 C;-L2-y
SAN DIEGO, CA9211137 FEES PAID DESCRIPTION OF WORK
INSTALL 3 SETS OF ILLUMINATED CHANNEL LETTERS AND FACE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CHANGE IN POLE SIGN
APPLICANT: TEL. NO:
BRADLEY SIGN ADVERTISING (909) 948-7232- i AA BLDG PERMIT ISSUANCE 27.75
AE STRONG MOTION OTHER 6000.00 VAL 1.26 SPECIAL CONDITIONS:
D1 PLANCHECK W/0 EN-HC 6000.00 VAL 126.99
D2 PERMIT W/O EN-HC 6000.00 VAL 149.40
TOTAL FEES 305.40
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
BRADLEY SIGN ADVERTISING (909) 948-7232-
10390 REGIS COURT LIC. NO LOCATION AND SETBACKS
RANCHO CUCAMONGA, CA 91730 795630 C45
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 0: FOUNDA ION/TRE CH FORMS
LIC. NO: SUPPORT STRUCTURE
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:
00
0. OF FAMILIES: DWELLING NITS: APT/COND: STAT CLASS:
NO 20
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
REPORT ID: DPR261 ROUTE TO: BS0508
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 SL 0508 0404230019
PHONE: (626) 285-0488 D?:
LEGAL D: No. OF CO ST NEW BUILDING ADDRESS:,
ON
DDR SS:-
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 5809 ROSEMEAD SL
STRUCTURE: 4553 1 VN B TEMP CA 91780
ASSESSOR. INFORMATION-NUMBER: NEARES$T'-CROSS STREET: LAS TUNAS
5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, C
TENANT: EXIST B DG SE: COMME USE Z IS5 DON: PROCESSED BY: EXPIRES ON:
BLOCKBUSTER EXIST OCC GRP: B 06/03/04 VG 05/29/05
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FI. L TE/ BY: CODE:
CALAC INVESTMENT (858) 565-8333- 75,000
3709 CONVOY ST.
SAN DIEGO, CA9211137 FEES PAID [IESCRIPTION OF WORK
INTERIOR NON-STRUCTURAL T.I. TO EXISTING RETAIL LEASE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SPACE FOR BLOCKBUSTER
APPLICANT: TEL. O:
FAST TRAK PERMIT SERVICE (909) 279-0604- Al PLANCHECK W/EN-HC 75000.00 VAL 1,024.75 _
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AE STRONG MOTION OTHER 75000.00 VAL 15.75
A2 PERMIT W/ENERGY-HC 75000.00 VAL 1,205.60
TOTAL FEES 2,273.85
CONTRACTOR; TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
MAGNUM ENTERPRISES (714) 828-1191-
2515 W WOODLAND DR LIC. NO LOCA71ON AND SETBACKS
ANAHEIM, CA 92801 436517/B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TR NC ORMS II
TARLOS AND ASSOCIATES (949) 250-4117-
17802 MITCHELL NO. LIC. NO: SLAC/UNDER FLOOR
IRVINE, CA 92614 NONE TZ _
�n, ISfff FLCOR FRAMING _ u!
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I,NDERFLOOR. INSULATION
3 04
FLOOR SHEAT IN�f G
NO. OF FAMILIES: DWELLING UNITS: APT/CO D: STAT CLASS: '
NO 22 ROOF SHEATHING
SCHOOL WITHIN AZARDOUS ISEF�T1R PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
FIRE SPRINKLER HANGERS
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
SATED FLOORICEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPE GS
T-BAP. CEILINGS
* ADDITIONAL DATA ON FILE
OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS05O8
WORKERS' COMPENSATION DECLARATION IrLr
!I hereby affirm that I have certificate of consent to self ® P P CAT 1®N F® BUILDING
I L®I N G PER I T
insure, or a certificate of Workers' Compensation Insurance, GI""® s�
ecy—IN-a-s�dompan
ified copy 33 ab � COUNTY OF LOS ANGELES BUILDING AND SAFETY Y
mertified co ;s hereby furnished. FOR APPLICANT TO FILL IN " BUILDING
PY • Y �'�:ADDRESS 111- '��'O 9 /e"+C vwl
❑ Certified copy is filed with th daty building ins c- ADDRBUILDENG
SS MO'J W �-0SF•° p 8 WIp �T/,
tion department.
Dateg �'� y'T' Applic f '.CITY e4 ZIP.. LOCALITY 49*42
NO.OF BLDGS. NEAREST
CERTI KATE 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 one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) TEL.
OWNER 1p �{�NO• : USE ZONE MAP
I certify that in the performance of the work for which this NO.
permit is issued, I shall not employ any person in any manner ADDRESS mac. n_ •;/ ��. SPECIAL a
�i�,.
CONDITIONS
so as to become subject to the Workers'Compensation Laws. = O
�. CIN ZIP' U
Date Applicant ARCHITECT O TEL• 7 DISTRICT GROUP TYPE FIRE PROCESSED BY
NOTICE TO APPLICANT: If,.after making this Certificate of ENGINEER %"e— svCdyl'R'$lo. 03 CONST. ZONE
Exemption, you should become subject to the Workers' c
Compensation provisions of the Labor Code, you must forth- ADDRESS 5 g= 111 Apl?AIo 9�i Q p- _,• (L
with comply with such provisions or this permit shall be ►' 71 N
•• STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. CONTRACTOR ��l.Pz dC S$GJCr+�f:Tl . _ � ;', ••• ,
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWElL. UNITS r
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES (?S L� ili2�KT ��. NO..��g- N
(commencing with Section 7000)of Division 3 of the Business LIC. .. �,.. SEWER P � •�s4
and Professions Code,and my license is in full force and effect. µ CIN - 1 D 4- CLASS. BK; y;•:• �/ALIDATION 408.72
t7 6088j•� SQ. Fr. NO. OF NO.OF CHECK ��+�1
License Number Lic. Class SIZE STORIES FAMILIES ONE s 1 ITEMS
_ VALUATION' ,,x:'.'.
/ 9 „�ff Cr} { DESCRIPTION OF WORK NEW
ADD ❑ s 25�O� ,1 SJ 1 AL 408®72
Contract qf5-�, �����Date I
❑I am exempt under Sec. T.I.
BAP.C. for this reason ALTER �HKK 408.72
USE OF REPAIR $ CH"E .VV
EXISTING BLDG. DEMOL
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION. (PRINT) M NO. DATE j 0-1 3v, ti i DOW-0001 9/ 5192
I hereby affirm that I am exempt from the Contrac s License
Law for the following reason (Section 7031.5, usiness and ADDRESS FINAL 1 1 Soak
Professions Code): PRESENT By i�4 s :a
❑ I, as owner of the property, or m em to ees with BUILDING
P P Y� Y P Y ADDRESS ._ 7 �1� #-�
wages as their sole compensation,will do the work and "'C, _�y_•;r
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code.) MOVING TEL. _ ! 1101.1
CONTRACTOR NO.
I, as owner of the property,am exclusively contracting TC,-.AL �; ,g,: '�'
with licensed contractors to construct the project (Sec- ' `iI- --
tion
'
ADDRESS
tion 7044, Business and Professions Code.) �• (.�.,�G;_K 5.1 r e-r,
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH CHANGE tZ
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 r y
P.L. 9/2-41 Lender's Name P MA.Ref. # t= �yoi
o �J .rte_��:
$ / C• /� LD C r}
Lender's Address P.C. Fee$ i Permit Fee O,cf r
I certify that I have read this application and state that the Issuance Fee ��• 7d LDMA,P/C# , f
above information is correct. I agree to comply with all County Investigation Fee 3 ✓`
ordina ate laws relating to building construction, Total Fee • LDMA Perm. # ti
a ereby auth ze rep es of this County to enter
U on the above- arty f liispection purposes.
A "go
716 - 4-a' "/ SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Age Date
WORKERS' COMPENSATION DECLARATION ' ' �'�� '" "�23
k�a'- b affirm that I have a certificate'of consent to self
in3''re, o'=•sa certificate of Workers' Compensation Insurance, APP I CAT I®N F® BMILDING PERMIT
or a cerflfied copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
❑ -Certified co is hereb furnished. - FOR APPLICANT TO FILL IN BUILDING
PY Y 1� ADDRESS
❑ Certified copy is filed with'thecounty building inspec- BUILDING j5pa ��
.tion department. ADDRESS OO
��
Date � Applicant CIN L' �/IZipLOCALIO. OF BLDGS. -^NEAREST STM �•� -LG
CERTIFICATE OF EXEMPTION FROM-WORKERS' SIZE.OF LOT NOW ON LOT CROSS S7.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if'the permit is for one TRACT 0200.4a A BL LOT NO MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.) 4 aTEL.
OWNER ltd a ��Q NO. + USE ZONE MAP
I certify that in the performance of the work for which this ® c, SPE
P employ y P Y Ci ( �,* SPECIAL
ermit is issued, I-shall not em to an person in an manner ADDRESS O �lV1 CONDITIONS
so as to becomesubjectto the Workers'Compensation Laws. O
p�1y^/� CITY ( ZIP U
Date Applicant ARCHITECT OR TEL.
NOTICE.TO APPLICANT:.If, after makin this rtific a of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY O
CONST. ZONE
Exemption, you•should become subject to the orkers'
Compensation provisions of the Labor Code, you must forth- ADDRESS •�� _ !� G�! CL
withcomply with such provisions or this permit shall be L• STATISTICAL CLASSIC ATION,� APT. CONDO. N
deemed revoked. - � � _ CONTRACTOR /. O. — vC .�y(/J Z
LICENSED CONTRACTORS.DECLARATION LIC. �s CLASS-NO. DWELL. TS
I hereby affirm that Pam licensed under provisions of Chapter 9 ADDRESS , J NO. r
�-� ��pQ. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business CITY 61 v �L76E LCA'SS
and Professions Code,and my license is in full force and effect. BK PG._
VALIDATION
`/-w�.�n� SQ. FT. NO. O NO.OF CHECK
License Number ��Uc- Clas�!sp' SIZE STORIES FAMILIES ONE '.
Contractor ate r/~fd'^2Z DESCRIPTION OF WORK /u VALUATION pig
NEW ❑
❑I am exempt under Se . DD ❑ ,:
B.&P.C, for this reason ALTER ElS ' REPAIR ❑ $
Date: USE OF s:
EXISTING BLDG. EMOL ❑
Signature APPUCANi,�r TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO,
I hereby affirm that I am exempt from �
m the Contractor's License w DATE
Law for the.following reason (Section 7031.5, Business and ADDRESS .1 P U �1e .� FINAL ��� _ 23
Professions Code): r PRESENT By / ,�na
ElBUILDING
I, as owner of the property, or my 'employees with ADDRESS r
wages as their sole compensation,will do the work and, LOCALITY ,� �7 +E■
the structure is not intended or offered for sale(Section
7044, Business and Professions Code.) MOVING TEL.
❑ 1,as owner of the property,am exclusively contracting CONTRACTOR NO. ACC
with licensed contractors to construct the project (Sec-
ADDRESS
tion 7044, Business and Professions Code.) ADDRESS n-p
REQUIRED TOTAL SETBACK FROM EXIST. .�r.�r�!! 205ej
CONSTRUCTION LENDING AGENCY SE7 BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT ? -�'EM
the performance of the,work for which this permit is issued P.L. _ _
(Sec. 3097, Civ. C.). SIDE TOTAL , m .5
P.L. -, _
Lender's Name b. CHECK v,� „
S p/� LDMA Ref.# CHANGE ■00
P:C. Fee$ �(p,b� Permit Fee �O(J� � �� 19
� Lender's Address
1 certify that.1 have read this application and state that the Issuance Fee LDMA P/C#
i
above information is correct.I agree to comply with-all County Investigation Fee• �]i��l�_�f�1 a/i���7
ordinances and State laws relating to building-construction, Total Fee LDMA Perm. # t-'
o and hereby authorize representatives of this County to enter
up1 AM on upon the a ove-m tioned property for inspection purpos s.
o
so.-/O--)Z SEE REVERSE FOR EXPLANATORY LANGUAGE
Signatuo.6f 4plicao&Agent Date