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Home My Public Portal About5818 ROSEMEAD BLVD_Building__ 'HAHBHA 0135-3 3-56 FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY BUILDING Deportment of County Engineer ADDRESS County of Los Angeles LOCALITY . W. WM.J.FOX.COUNTY ENGINEER PNEAREST11l I CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. - /k 11 � MAP FOR APPLICANT TO FILL IN DISTRICT NO. GRTOUP (TYPE 1`,/ I8�•BK -? PG EWER O� •L CONST. lL. Lam• `J! BUILDING L�P/, /`�. •os }�} i' MAP►:: NUMBER c7'L Q O HWY NO BUILDING ADDRESS �J (� ! i err +ro n LOT NO. BLOCK USE ZONE SPECIAL A CONDITIONS TRACT i.)V „j pp NO.OF SLOGS. EXIST. BUILDING _SIZE OF LOT �')+L"J :�~ I NOW ON LOT/tZI9R Q SETBACK YARD HWY STREET NAME WIDTH USE OF ' _ � q EXISTING BLDG./✓I//S"'�/� . FPROL T � r��, �`� 4 - SI OWNER 1 - Aa` t�I ► P. LE MAIL r ADDRESS O TRACT DWELL. I UNIT 5 INDUSTRIAL TEL I DWELL. I UNIT CITY NO. 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 1 UNIT 7 ADDN..ALT.. ETC. ENGINEER NO. 3. APT. UNITS 8 MISCEL. ADDRESS I /yam 4 COMMERCIAL CONTRACT® a /V NO. �f ' INSPECTION RECORD ADDRESS �` 51++�' E-P DESCRIPTION OF WORK NEW 0% ADD ALTER REPAIR DEMOLISH SC. FT. NO.OF NO.OF I �� SIZE STORIES FAMILIES ! <�r UJ GJ LDy^ ,l S L/)f A,7;1:-/-) ,/ USS-, ST UCT--R_E �� /�C r iL�'✓ �-”` ' ' ;rja— -: ,L c d��' S(J,i i/' r�(i.:?{3 2 lld'yIF SIGNATURE O7-6� APPLICANT QI ,'��J: •ti! p01V / y 4' APPROVALS V1ti%I j', •''I ADDRESS S� �? a�_ ��--{ /��•�`�ti'. � •-:��vn. f DATE INSPECTOR'^331GNATURE FOUNDATION:LOCATION r.- /� �. P.C. $` Q) FORMS.MATERIALS �'• f i''::�i��r{ i' �i ` 4• [—•� o oo' FEE N• FRAME: FIRE STOPS. II.. ,C �J,er�-±.-•+ i BRACING.BOLTS "IU ��t. rig{: 'r •rp'f'�1- �� . VALUATION Q 9 $ t? ' FEE + FURNACE:LOCATION, I�r�� J� �J✓�-1111I��e. f 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS GAS VENT,DUCTS APPLICATION AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- &Ii,;'{ r5;;;'. •. !•�; > TION. r LATH.EXT. SIGNATURE O � HOUSE NUMBER COR- —7 r '► PERMITTE r�S' T'' RECT AND POSTED / '►i I! � � ' �;�!►+±° '-1+`�` ADDRESS P �r� �/� tom - �' FINAL WM.J.FOX,COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSPECTOR ' O G } ( ;��4 9 3 0 APR 10 1 6 1 3.� O s 0 u `< - 0 -3 OR� � �' 2 � � WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self A P P L I CAT I ® BUILDING RM' Insure, or a certificate of Workers'Compensation Insurance, i or a certified copy thereof(Sec. 3800, Lob. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No..4 3� y _4 ComponInnatsi W16BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS Date Applica CITYtag ZIP LOCALITY JIf CERT ICATE OF EXEMN FR94 WORKERS' NO.OF BLDGS. NEAREST COMPENSATI INSU ANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSORhundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL r TEL. USE ZONE MAP I certify that in the performance of the work for which this OWNER NO. NO. permit is issued, I shall not employ any person in any manner i' SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS 8 Date Applicant CITY ZIP . NOTICE TO APPLICANT: If, after making•this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE OCESSED BY O Exemption, you should become subject to the Workers' ENGINEER NO. �I( /) CONST_ ZONE 1— Compensation provisions of the Labor Code, you must forth- ' ADDRESS �`� K V3 L+� with comply with such provisions or this permit shall be , D. deemed revoked. EL. STATISTICAL CLASSIFIC TION APT. CONDO. N CONTRACTOR NO�le LICENSED CONTRACTORS DECLARATIONLIC• CLASS NO. DWELL. UNITS e I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code,and my license is in full force and effect. CITY CLASSBK VALIDATION ,� ,� q SQ.FT. NO.OF NO.OF CHECK License Number t:A 3 f �, Lic.Class SIZE STORIES FAMILIES ONE ADVALUATION Contract Date V- DESCRIPTION OF WORK - NEW ❑ $ S5.0=r== ,® Alt 11 0151 . D Qj 7 I am exempt under Sec. rALTER Q B.BP.C. for this reason REPAIR Q� $ Date: USE OF V DEMOL f EXISTING BLDG. Signature APPLICANT TEL.."7.0® FINAL g® 9 0 8,5 A' PRINT NER ILDER DECLARATION NODATE I hereby off that I am exempt from the Contractor's License ADDRESS rte/a # 0 0 0 0 0.1' Law for the following reason (Section 7031.5, Business and FI Professions Code): NG I, as owner of the property, or my employees with ADDRESSSS o o '] (] wages as their sole compensation,will do the work and o o o 7$,0 0'L5 7044, Business and Professions Code). MOVING TEL. 0302-88 the structure is not intended or offered for sale(Section LOCALITY I,as owner of the property,am exclusively contracting CONTRACTOR NO. With licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETQBACK YARD HWY TOTAPROPLINE WIDTH ` I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is Issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name a P.C.Fee$ Permit Fee � LDMA Ref.# Lender's Address I certify that I have read this application and state that the Issuance Fee (!•� LDAM P/C# g above information is correct. I agree to comply with all County: Investigation Fee 'q ordinances and State laws relating to building construction, Total Fee LDMA Perm. # $ and ereby auth presentatives of this County to enter $ u the abc, m do ed property for inspection purposes. a4ZI SEE REVERSE FOR EXPLANATORY LANGUAGE Signa e o Applicant or Agent to APPLICATION FOR BUILDING PERMIT i + COUNTY OF LAS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING AD SS� I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS —/ or a certificate of Workers'Compensation Insurance,or a certified �Oi5�is7E'a CL � ' copy thereof(Sec. 3880e0.Lab.C.) (� CITY ZIP pgJ//� Poll o. ZeA vT 9D Company—J/Q rrt7 �1 (/ o LOCALITY T— SIZE OF LOT NO.OF BLDGS.NOW ON LOT 7 Wr Certified copy is hereby furnished. �—7 NEAREST CROSW. ❑ Certified copy is filed KMP building inspection TRACT ,�� BLOCK LOT NO / dep t t USE ZONE MAP NO. Date Appli ASSESSOR MAP BOOK PAGE PARCEL �/ ®p� SPECIAL CONDITIONS CERTIFICATE OF FROM WORKERS' OW R TEL NO,�. p�COMPEURANCE �''4 2 !.(Irp'� WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) 1 certify that in the performance of the work for which this permit CITiG ZIP /7&v is issued, I shall not empigy any person in.any manner so as to ARCHITECT O NGINEER TEL NO. cam' become ub'ect t orkers'Com ;Von Laws. � STATISTICAL CLSIF/KATION APT CONDO Date Applica ADDRESS / CLASS NO.s� DWELL UNITS NOTICE TO APPLICANT.- If, afte aking this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject t0 the WorkersCONTRAOR TEL NO. _ L SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith f•'rG/�J 6 eJl�Cl� FRONT comply with such provisions or this permit shall be deemed revoked. ADD S LIC.NO PL LICENSED CONTRACTORS DECLARATION •3 SE G3Li SIDE CITY LIC. LASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 ;4 '.."n, / 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 license is in full force and eff t. NEW ❑ BK PG ® a 'r DESCRIPTION OF WORK VALUATION O License Number Lic.Clas ADD ❑ Contractor ,�C�.vIJ' Date ALTER ❑ Z�o ti �� REPAIR ❑ O ❑ I am exempt under Sec. B.&P.C.for this reason �l�io4�+01C' "000e / DEMOL [I U USE OF EXISTING FLOG • LDMA P/C# D Date: ��dE�G� URM ❑ 7 co APPLICANT(PRINT) TEL NO. LDMA Perm# �3 _z ❑ I, as owner of the property, or my e s with wages as 40 3 Z ACCT e Q their sole compensation, will dot rk and the structure is ADDRESS � O not intended or offered for (Section 7044, Business and Ji ��b FINAL DATE Q 3303 77.38 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �S {1{1 OR A MIXTURE CONTAININ A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J 4CCT -. ❑ I, as owner of the roperty, am exclusively contracting with AMOUNTS SPECIFIED O E HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY lFF1{iiiiii••44 u R licensed contrac to construct the project (Section 7044, YES❑ NO Business and P fessions Code.) ��3 158.85 WILL THE INTENDED USE OF THE BU;DUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMI FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDI COAST AIR QUALITY MA ENT DISTRICT(SCAOMDI SEE PERMITTING CHECKLIST FOR ITEMS GUIDELINES I hereby affirm that there i nstruction lending agency for YES❑ No TOTAL 236.23 ip the performance of the for which this permit Is Issued(Sec. (HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. (� r'/ 1 TITLE 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20 140 CONCERNING HAZARDOUS CHECK ?a6 0 23 Lender's N e MATERIAL$ �ANpFpR OBTiVNIN G A PERMIT FROM THE SCAOMD Lender' AddressfiT� CHANE .00 0 OWNER OR AGENT c I certify that I have read this application and state under penalty c of perjury that the above information is correct.I agree to comply P.C.FEE (�� PERMIT FEE r a with all unty ordinances and State laws relating to building o / 000-0001 $/ 895 CD constr ion, and hereby authorize representatives of this County ISSUANCE FEE i} �O 174 Lt 1 F'{'� �j a 17 C13 r upon the a ve-mentioned property for inspe``' n purposes. c� , W W.A. INVESTIGATION FEE TOTAL FEE n V—VI•I m AQnI .9 SEE REVERSE FOR EXPLANATORY LANGUAGE H COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT .s DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0304230024 PHONE: (626) 285-0488 EXT: DUPLICATE LEGAL 0. OF CONST E BUILDBUILDIJNG ADDRESS: TR: 5905 LT: 131 SQ. FT STORIES TYPE OCCUP GROUP 5818 ROSEMEAD SL STRUCTURE: 416 1 VN R3 TEMP CA 917801831 ASSESSOR INFORMATION N BE GARAGE: NEAREST CROSS STREET: LAS TUNAS 5387-014-028 OTHER: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TEA E DG S USE ZONE: MUM 0 : PROCESSED BY: ES ON: EXIST OCC GRP: 05/13/03 JK 05/07/04 OWNER: TEL. NO: B DGS. NOW ON LOT: ALUATION: F AT FINAL BY: CODE: SALAMA;ADEL A (626) 533-2734- 16,000 5818 ROSEMEAD BL TEMPLE CITY 91780 FEES PAID DESCRIPTION Up WOR ADD BEDROOM AND BATHROOM; CONVERT ENCLOSED PATIO TO DININGRM PPLICANN EL. 0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TOTAL WHEN DONE:3BR/3BA ADEL A SALAMA (626) 533-2736- AA BLDG PERMIT ISSUANCE 27.75 5818 ROSEMEAD SL AC STRONG MOTION RESID 16000.00 VAL 1.60 SPECIAL CONDITIONS: TEMPLE CITY 91780 81 PLANCHECK W/ENERGY 16000.00 VAL 296.77 82 PERMIT W/ENERGY 16000.00 VAL 349.14 CONTRACTOR: TEL. NO: TOTAL FEES 675.26APPROVALS DATE INSPECTOR SIGNATURE SAN MICHAEL GENERAL CONTRACTOR (626) 533-2734- 5818 ROSEMEAD BLVD. LIC. NO LOCATION-AND SETBACKS TEMPLE CITY, CA 91780 777203 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER.-- L. 0: FOUNDATION/TRENCH FOR S LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 0. OF FAMILIES: DWELLING TS: P COND: STAT CAS 1ST LEVEL FLOOR SHEATH NO 21 2ND LEVEL FLOOR SHEATH SCHOOL THI AZARD S ROOF S EAT I G AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED —T-To- L SETBACK FROM EXIST BLDG DEPT. FRAME SP C SET BACK YARD: HWY: PROP LINE: WIDTH: FRT P �_ SHEAR PANELS I S IO ER P Z �hX 4 '� ds pr�C&P-0-FC7,00AA &A4 INTERIOR LATH/DRYWALL � U� ?'� I•F�ZdfT� ��ooR--• � EXTERIOR LATF �/Z�a•3� LOT DRAINAGE SMOKEEEC NDE ICS FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508