The URL can be used to link to this page

Home My Public Portal About5817 ROSEMEAD BLVD_Building__ y WORKERS' COMPENSATION DECLARATION n to self insure,,oraa certif cane of Worke srlificate Compe sat on f coent Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, La C.) ��J,��,,? � COUNTY OF LOS ANGELES, BUILDING AND SAFETY Policy Nol_I/<Ls' Company TASSESSOR G ❑ Certified copy is hereby fu FOR APPLICANT TO FILL IN P—lCertified copy is fi with h my b ilding i spec- BUILDING tion 6depprt ADDRESS Date e� CITY ZIPY O. OF BLDGS. CERTI ICATE OF EXEMPTION,FROM WORKERS' SIZE OF LOT NOW ON LOTT. ' COMPENSATION INSURANCE (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. OK PAGE PARCEL hundred dollars ($100)or less.) TEL OWNER O, 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 SPECIAL a CONDITIONS so as to become subject to the Workers Compensation Laws. O ,• CITY !rV l ZIP U Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER DISTRICT GROUP TYPE FIRE PROCESSED BY CONST. ZONE Exemption, you should become subject.to the Workers' �_ �y r / w tj Compensation provisions of the Labor Code, you must forth- ADDRESS �/�� V CL with comply 1 'th such provisions or this permit shall be EL. STATISTICAL CLASSIFICATI APT. CONDO. t/7 deemed revoke CONTRACTOR O. ✓� Z LICE,S D CONTRACTORS DECLARATION LIC. ` CLASS NO. �_ DWECL✓UNITS I hereby affirm t I am licensed under provisions.of Chapter 9 ADDRES .'� NO. (co ng it Sectio 000)of Division 3 of the Business LIC. SEWER MAP _ d Profe 'sion C nd my 'cense is in full force and effect. CITY ' CLASS c" BK PG VALIDATION L� SQ. FT. NO. OF NO. OF CHECK License N m r ✓ L1c. lass SIZE I STORIES FAMILIES ONE VALUATION Contraci0 Date ✓ DESCRIPTION OF WORK ` .`X Y NEW Z] $ t I �0/�l (�I am exempt under Sec. ADDj-, ALTER 1J B.&P.C. for this reason & .��' REPAIR,❑ $ Date: El USE OF EXISTING BLDG. �j A L Signature APPLICANT `TEL. FINAL `Cr (PRINT), f10 t i ' OWNER-BUILDER DECLARATION , DATES 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 By j BUILDING ❑ I, as owner of the property, or my employees with ADDRESS aa. wages as their sole compensation,wil l do the work and "'-(= _ the structure is not intended or offered for sale(Section LOCALITYPoo `��__ 7044, Business and Professions Code.) MOVING tEL. _ • ' f {=?° ❑ I, as owner of the property, am exclusively contracting CONTRACTOR 10. _ T HENS with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code.) TOT AJ 202- 21 REQUIRED TOTAL SETBACK FROM EXIST.[ CONSTRUCTION LENDING AGENCY' SETBACK YARD HWY PROP. LINE WIDTH " I hereby affirm that there is a construction lending agency for FRONT CHECK the rformance of the work for which this permit is issued P.L. kC A G t= °_i 3 (Sed 097, Civ. C.). SIDE = � f`3- P.L. Lend s Name P.C. Fee$ f.� /� 3 9 LDMA Ref. # 0! i00-0 01 IL Lende Permit Fee jj t r o erti that I have ead this application and state that the Issuance Fee' J LDMA P/C# abov nformation is orrect. I agree to comply with all County Investigation Fee LL,, ord'n ces and Stat laws relatin o.building construction, Total Fee T LDMA Perm. # an re author' a of this County to enter u entioned property for inspection Rurpo es. I SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent .Date t 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 0312020017 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: 1 BUILDING ADDRESS: ON FILE SIGN DESCRIPTION: 'TENJU TEA HOUSE' & LOGO 5817 ROSEMEAD BL TEMP CA 92780 ASSESSOR INFORMATION CUMBER: NEAREST CROSS STREET: LAS TUNAS DR 5397-012-043 I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: TENJU TEA HOUSE EXIST OCC GRP: 12/02/03 JK 11/26/04 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN. BY: CODE: 3709C INVESTMENT - 2,000 SAN DIEGO, CA9211137 FEES PAID DESCRIPTION OF WORK ONE SET OF CHANNEL LETTERS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SIGNS EXPRESS (626) 443-3333- AA BLDG PERMIT ISSUANCE 27.75 2446 MERCED AVE AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS: S EL MONTE D1 PLANCHECK W/O EN-HC 2000.00 VAL 82.11 D2 PERMIT W/O EN-HC 2000.00 VAL 82.20 TOTAL FEES 192.56 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SIGNS EXPRESS MANUFACTURING CO. (626) 443-3333- 2446 MERCED AVENUE LIC. NO LOCATION AND SETBACKS SOUTH EL MONTE CA 91733 552097 C45 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO NO I REPORT ID: DPR261 ROUTE TO: SS0508 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 0311210035 PHONE: (626) 285-0488 EXT: LEGAL 1D: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SO. FT STORIES TYPE OCCUP GROUP 5817 ROSEMEAD BL STRUCTURE: 1400 1 VN B TEMP CA 92780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: COMME USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: TEN JU TEA HOUSE EXIST OCC GRP: B 12/12/03 JK 12/06/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL D E FIN BY: , CODE: CALAC INVESTMENT (858) 565-8333- 50,000 2J�. 3709 CONVOY ST #300 SAN DIEGO, CA92111 FEES PAID DESCRIPTION OF WORK TI FOR TEA SHOP: NONBEARING PARTITION,TBAR CEILING, A/C DUCT FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: DANIEL TAI (626) 359-3568- Al PLANCHECK W/EN-HC 50000.00 VAL 779.73 11921 GOLDRING RD AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: ARCADIA 91006 AC STRONG MOTION RESID 50000.00 VAL 5.00 A2 PERMIT W/ENERGY-HC 50000.00 VAL 917.36 TOTAL FEES 1,729.84 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE IMPACT CONSTRUCTION (626) 821-5308-- 15902 HALLIBURTON RD 125A LIC. NO LOCATION AND SETBACKS HACIENDA HEIGHTS CA 91745 479410 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 04 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS i NO NO NO FRAME INSPECTION I_ �-L/ FIRE SPRINKLER HANGERS / INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH RATED F OOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY J LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0106140045 PHONE: (626) 285-0488 EXT: -OF SIGNSt; 1 au NUMER ON FILE SIGN DESCRIPTION: KID'S WEAR & TOYS 5817 ROSEMEAD BL TEMP CA 92780 ANNOY INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS DRIVE 5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: fSS ON: VOSED BY: EXPIRES ON: KIDS WEAR AND TOYS EXIST OCC GRP: 06/14/01 UT 12/11/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: IN DA NA B CODE. CALAC INVESTMENT 3,200 3709 SAN DIEGO, CA9211137 FEES PAID ION OrWORK INSTA.--L ONE SET OF CHW�aETTERS %i`L`LM. WINON ILLUMINATED FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: "MARY'S" PIN MOUNT APPLICANT: TEL. NO: MOEN ROSS (818) 842-5221- AA BLDG PERMIT ISSUANCE 27.75 2545 N ONTARIO ST AE STRONG MOTION OTHER 3200.00 VAL 0:67 SPECIAL CONDITIONS: BURBANK CA 91504 AX BUILDING REVIEW FEE 54.70 NONE D2 PERMIT W/O EN-HC 3200.00 VAL 115.80 CONTRACTOR: TEL. NO: TOTAL FEES 198.92 APPROVALS DATE INSPECTOR SIGNATURE ELECTRICAL ADVERTISING, INC. (818) 842-5221- 2545 N ONTARIO ST LIC. NO LOCATION AND SETBACKS BURBANK, CA 91504 97986 C45 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: 0 - TIONPRENCH FOES LIC. NO: SUPPG T STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 20 SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS NO NO No REPORT ID: DPR261 ROUTE TO: Bs05O8 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 +BUILDING PERMIT, DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ANEW RESIDENTIAL ,, BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL`O5O8-9911080012 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUI•LD'ING_ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 5817 ROSEMEAD`BL STRUCTURE: 0 1 VN R3 -TEMP-CA-92766- ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: LAS TUNAS 5397-012-043 OTHER: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: USE ZONE: C-2 ISSUED ON: PROCESSED BY: EXPIRES ON: ANTIQUE GALLERY 11/08/99 UT 05/06/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: CALAC INVESTMENT 1,800 3709 SAN DIEGO, CA9211137 FEES PAID DESCRIPTION OF WORK ILLUMINATED CHANNEL LETTER WALL SIGN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: FIRST SIGNS CO. (626) 448-1616- AA BLDG PERMIT ISSUANCE 27.75 9647 E. RUSH ST. AE STRONG MOTION_,-gltER1800.O0 VAL 0.50 SPECIAL CONDITIONS: S. EL MONTE, CA D2 PERMIT W/0fEN_HG,------�—..9_800.00 VAL 82.20 ILLUMINATED WALL SIGN ® ��¢�+TO�A� � 110.45 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE � �3 FIRST SIGN CO. (626) 448-1616- �- 9647 E. RUSH ST. LIC. NO LOCATION AND SETBACKS SOUTH EL MONTE, CA 91733 15640 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0/ 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING f� MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: ( (�� D /{1 �K UNDERFLOOR INSULATION 5 3VAV NO. OF0 (1��J!! ST LEVEL FLOOR SHEATH N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS NO +' €s; ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS \ �' tB+, ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO Q _' � FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM . EXIST 4g, + � �0( BLDG DEPT. FRAME INSPECT SET FRONTTAPL-CK YARD: HWY: PROP LINE: WIDTH: 'C �+eD1/9C a SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL * ADDITIONAL DATA ON FILE REPORT ID: DPR261 ROUTE TO: BSO5O8 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 0012010004 PHONE: (626) 285-0488 EXT: DUPLICATE LEGAL ID: NUMBER OF SIGNS: 1BUILDING ADDRESS: ON FILE SIGN DESCRIPTION: WALL SIGN 5817 ROSEMEAD BL TEMP CA 92780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: LUCKY GALLERY EXIST OCC GRP: 12/01/00 UT 05/31/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: TSAI JIN L;SYOU H;CHIN ZONG;CHIN CH - 750j 15801 VALLEY BL FEES PAID DESCRIPTION OF WORK ONE SET OF CHANNEL LETTER WALL SIGN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: FIRST SIGN CO. (626) 448-1616- AA BLDG PERMIT ISSUANCE 27.75 9647 E. RUSH ST. AC STRONG MOTION RE§- D 750.00 VAL 0.50 SPECIAL CONDITIONS: SO EL MONTE, CA AX BUILDING�RR V EW-FEf� 54.70 N._ D2 PERMIT WlOAEG`�" �750�00 VAL 65.40 �.�� TJT 'AD�F 148.35 CONTRACTOR: TEL. NO: APPROVALS��/,,� APPROVALS DATE INSPECTOR SIGNATURE FIRST SIGN CO. (818) 448-1616- 9647 E. RUSH ST. LIC. NO LOCATION AND SETBACKS SOUTH EL MONTE, CA 91733 605688C45 SOILS ENGINEER APPROVAL i ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION/TRENCH FORMS LIC. N0: 1111111 SUPPORT STRUCTURE MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: MPO U D �] W® [�,�J IL�� kU1C`��``�� NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS NO 20 ' B� SCHOOL WITHIN HAZARDOUSKa NO AIR QUALITY: 1000 FEET MATERIALS [� ' NO NO NO El 'g-, E] ®'c Se rvlce REPORT ID: DPR261 ROUTE TO: BS0508 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 0106140045 PHONE: (626) 285-0488 EXT: LEGAL 1D: NUMBER OF SIGNS: I BUILDING ADDRESS: ON FILE SIGN DESCRIPTION: KID'S WEAR & TOYS 5817 ROSEMEAD BL TEMP CA 92780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS DRIVE 5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: KIDS WEAR AND TOYS EXIST OCC GRP: 06/14/01 UT 12/11/01 OWNER:INVESTMENT TEL. NO: - BLDGS. NOW ON LOT: VALUATION: FINAL D�E�.. NAL BY: CODE: CALAC3709 SAN DIEGO, CA9211137 FEES PAID DESCRIPTION OF WORK f INSTALL ONE SET OF CHNNEL LETTERS ILLUM. W/NON ILLUMINATED FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: "MARY'S" PIN MOUNT APPLICANT: TEL. NO: MOEN ROSS (818) 842-5221- AA BLDG PERMIT ISSUANCE 27.75 2545 N ONTARIO ST AE STRONG MOTION OTHER 3200.00 VAL 0.67 SPECIAL CONDITIONS: BURBANK CA 91504 AX BUILDING REV3;EW-FEE-�"�'�, 54.70 NONE D2 PERMIT W/0 EN4 ELE„-3200:00 VAL 115.80 L CONTRACTOR: TEL. N0: OTAb FEES'\ 198.92 �� y lZ 7 i ��v-_ \ APPROVALS DATE INSPECTOR SIGNATURE ELECTRICAL ADVERTISING, INC. (818) 842-5221- � 2545 N ONTARIO ST LIC. NO LOCATION AND SETBACKS BURBANK, CA 91504 97986 C45 Y r� )'' \,� SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: q l ~� �`\ FOUNDATION/TRENC FORMS LIC. NOei� � ll SUPPORT STRUCTURE MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMDDO i t 1tL,11 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: -- - ---— - — SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS `• � ,' � ' -�, NO NO NO Ll l � REPORT ID: DPR261 ROUTE TO: BS0508