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HomeMy Public PortalAbout5827 ROSEMEAD BLVD_Building__ WORKERS'COMPENSATION DECLARATION , Z�Gt� �•I sure, 6 f,a c m that I have certificate of consent to self P L I C� I® ®R BUIL®I N G PERMIT' ''i'r?Sure, o,,a certificate of-Workers' Compensation Insurance, ora p�certified copyt ereof (-Se . 3800, Lob. C.) �1- /t• / COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company �� S F�61J BUILDING -��I�❑ Certified copy is hereby furnished.' FOR APPLICANT TO FILL IN ADDRESS '17 ,a iL J� Certified copy is filed with the county building inspec- BUILDI G 2 7 S��m LZ L� 5 1-)�l� , tion department. I� CITY ir'E M P�-L^ G I T ZIP LOCALITY Dat Applic t !' NO.OF BLDGS. NEAREST CER IFICATE OF EXFJNPTI 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 ' TRACT BLOCK LOT NO. _ MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) �� IZ (��071 F 1�J�NO.v ,��� USE ZONE MAP OWNER _ _ NO. I certify that.in the performance of the work for which this / r SPECIAL > permit is issued, I shall not employ any person in any manner ADDRESS �(� ��0 PI lV y ��' �^+�C. CONDITIONS so as to become subject to the Workers'Compensation Laws. G L: G / J � + O CITY / ZIP C Z 3 Z Date Applicant ARCHITECT OR / TEL. i DISTRICT GROUP TYPE FIRE LPROCESSED BY O NOTICE TO APPLICANT: If, after making this .Certificate of. ENGINEER NO. fs 0-1 CONST. ZONE U Exemption, you should become•subject'to the Workers' Compensation provisions of the Labor'Code, you must forth- ADDRESS �//� V w CL with comply with such provisions or this permit shall be• / TEL• 3 STATISTICAL CLASSIFICATIO APT. CONDO. N deemed revoked. CONTRACTOR J4 Trf G(y� NO. zZ3-�(� t Z LICENSED CONTRACTORS DECLARATION. /1/ L ���r- LIC. CLASS NO. DWEL NITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Z7< : 1_A G -JJ NO.t-f 31 (commencing with Section-7000)of Division 3 of the Business /l CSC LIC. '� I SEWER MAP and Professions Code,and my license is in full force and effect. CITY. 0`� CLASS�5 3 BK VALIDATION 4 SQ. FT. NO. OF NO. OF HECK License Number. Lic. Class t f SIZE STORIES' FAMILIES ONE + VALUATION Contractor Date /0lif I DESCRIPTItON-OF WORK. NEW �-1� $ El am axe pt Sec. '` iN 7� (v ADD LJ ALTER ❑ B.&P.C. for this reasonUSE OF _ REPAIR ❑ $ ' Date' EXISTING BLDG. J? /Q / DEMOL ❑ APPLICANT r. TEL. Zl Signature OWNER-BUILDER DECLARATION (PRINT) d'✓ f iJ 2s� Nl!� ��NO.Zz' �{!'�/ FINAL I hereby affirm that I am exempt from the Contractor's License 1 ;ADDRESS Zz1-'4 �" Sr �'� �f0 3 f DATE •Lf -' �` Law for the following reason (Section 7031.5, Business and FINAL Professions Code): PRESENT By t�_•_• z ElBUILDING I; as owner of the property, or myemployees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 1 7044, Business and Professions Code.) MOVING TEL. ® :.�: ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. (il•t.i ,s with licensed contractors to construct the project (Sec- ADDRESS F ;;" o --- j : , tion 7044, Business and Professions Code.) � �-" CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROPALINEFROM WIDH r i�"_E*iw I hereby affirm that there is a construction lending agency for FRONT _� _ rte: the performance of the.work for which this permit is issued P.L. - w—� '.--r• (Sec. 3097, Civ. :PILD CHECK �x+10.!� Lender's Name— 'C"H Ii•€ 3 / // a LDM #A'Ref. p P.C. Fee$ , 7v Permit Fee �1 Lender's Address ? ' I cert6 that I have read this application and state that the Issuance Fee vS LDMA P/C# ® €;;%'] t1'; above information is correct. I agree to comply with all County Investigation Fee. 3 ordinances and State laws relating to building construction, Total Fee LDMA Perm. p ir'i AN °tis' "•' and hereby authorize representatives of this County to enter uPon the abo -me o ed pya arty for inspection purposes. jSEE REVERSE FOR EXPLANATORY LANGUAGE Signature of pplicant or'gent D to WORKERS' COMPENSATION DECLARATION ificate of conent to self insure,or °a-cerrtif cate of Workers've a CompensationsInsurance, APPLICATION FOR SUILDIN45 PERMIT or a certifi d co[Py thereof(S1�800o ,-Lab. C i COUNTY OF LOS ANGELES BUILDING AND SAFETY Po icy 3- aov- cx� ' No. mpan BUILDING".:2ElCertified copy is hereby furnished. FOR APPLICANT TO FILL IN UN l'C 1P0 ADDRESS 7 Oe ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS W y Df ante` Applicant CITY t�. ZIP LOCALITYzzl _e:s, NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKER ' 11-7-f( 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 I LOT NO. MAP BOOKPAGE PARCEL hundred dollars ($100)or less.) TEL OWNER NO. USE ZONE MAP I certify that in the performance of the work for which this 9s�.�,,,�,, NO. permit is issued, I shall not employ any person in any manner ADDRESS 2W SPECIALCL so as to become subject to the Workers'Compensation Laws. CONDITIONS O CITY ` ZIP U Date Applicant ARCHITECT O ppm TEL. D! 11 1L -S NO,2I�� DISTRICT GROUP TYPE FIRE`- PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER CONST. ZONE-•�•! O Exemption, you should become subject to the Workers' Q ✓ , w' Q� Compensation provisions of the Labor Code, you must forth- :!: ADDRESS p � y��/10 L'&C 1C0L�¢ �O -- W with comply with such provisions or this permit shall be w: TEL STATISTICAL CLASSIFICATION 4-APT. _CONDO. ft, &0 t deemed revoked. CONTRACTOR O. Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS {` '-i NO I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS w �� SEWER MAP ' - ''"- ' �+' _ � �•• (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY G CLASS - BK PG. A-11_F�ILIDATION �/ SQ. FT. NO. OF NO.OF CHECK License Number yZ' �f Lic. Class v SIZE STORIES FAMILIES ONE i�fsf!]l= VALUATION Contractor Dte J G_.L_ DESCRIPTION OF WORK NEW ❑ ,t_j: a � $ADD ❑ , DI 300 ❑I am exempt under Sec. _ ALTER B.&P.C. for this reasonJ I�Qy $ �z� - t °:r. USE OF REPAIR ❑ �.l'iL •;: it «=°_l_I te. EXISTING BLDG. DEMOL ❑ Signature APP(PRI T)� TEL Z! FINAL OWNER-BUILDER DECLARATIO / � DATE I hereby affirm that I am exempt from the C tractor's License OZ .li Ii.I�i_�I•��•'_ l 7 f :�;`r'_ Law for the following reason (Section 7031.5, Business and ADDRESS 4 Lam iyfa FINAL Professions Code): � PRESENT By •�;I I,s, :i �� • "•'; BUILDING -- ❑ I, as owner of the property, or my employees with ADDRESS wages as their solecompensation,will do the work and 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- ADDRESS tion 7044, Business and Professions Code.) 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. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name "// LDMA 8 Lender's Address P.C. Fee$ � 4 C�/� permit Fee Ref. # � I certify that I have read this application and state that the Issuance Fee a LDMA P/C# 3 above information is correct. I agree to comply with all County Investigation Fee r iy ordinances and State laws relating to building construction, Total ` LDMA Perm. # and hereby auth ze rep sen 'ves of this County to enter upon the v entio d p pe ty r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature c�f­Applioonf4f Aylt Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9808060002 PHONE: (818) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: 3 BU LING ADDRESS: ON FILE SIGN DESCRIPTION: ILLUMINATED CHANNEL LETTERS 5827 ROSEMEAD BL TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST B GSE: ISSUED ON: PROCESSED BY: EXP RES ON: MENS WAREHOUSE EXIST OCC GRP: 08/06/98 UT /06/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATEFINA CODE: CALAC INVESTMENT - 9,800 3709 SAN DIEGO, CA9211137 FEES PAID ESCRIP ION OF WOR 3 CHANNEL LETTER WALL SIGNS, WERNALLY ILLUMINATED FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PPLICANT: TEL. 0• CAL-NEON SIGNS (408) 289-1883- AA BLDG PERMIT ISSUANCE 27.75 1577 ALMADEN RD. AE STRONG MOTION OTHER800.00 9.800.00 VAL 2.06 SPECIAL CONDITIONS: SAN JOSE AX BUILDING-REVIEW.-FEE-= 54.70 TOTAL-.FEES 84.51 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE CAL-NEON SIGNS (408) 289-1883- ;• ' ';� �,� ' `�' �' ; 1577 ALMADEN RD LIC. NO J r` . �• + LOCATION AND SETBACKS SAN JOSE, CA 95125 385665 C45 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: r'r i i \ '' OUNDATION/TRENC FORMS- LIC. OR SLIC. N0: SUPPORT STRUCTURE MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 0. OF FAMILIES: DWELLING ITS: T CO D: STAT CLASS.: NO 20 1' , SCHOOL WITHIN HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS f !ryr NO NO NO `� w REPORT ID: OPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 —BUT CUT 0 PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS _ TENANT IMPROVEMENT 43UILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 --BL 0508 9806150054 PHONE: (818) 285-0488 EXTJ•- EGA D: NO. OF CONST NEW B LDi , ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP -5827 ROSf:MEAO�BL_ STRUCTURE: 0 1 VN B -�TEMP_CA-91780- ASSESSOR INFORMATION N MBER: NEAREST CROSS STREET: 5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: —EXIST—Off USE: COMME USE ONE: ISSUED 0PROCESSED BY: EXPIRES ON: MEN'S WEARHOUSE EXIST OCC GRP: B 10/21/98 UT 10/21/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DA E FINAL BY: DE: CALAC INVESTMENT 000 - 100,000 2--1 r qq SAN DIEGO, CA9211137 FEES PAID DESCRIPTION OF WORK TENOT-1MPROVEMENT=71LL^fNTERIOR� FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:- APPLICANT: MOUNT:-APPLICA : TEL. NO: -- GLENN MORLEY (888) 847-0690- Al PLANCHECK W/EN-HC 100000.00 VAL 1,259.35 8380 CHURCH ST. AA BLDG PERMIT ISSUANCE —,4 27.75 SPECIAL CONDITIONS: GILROY, CA AE STRONG MOT_I.ON�OT;HER---100000:00 VAL 21.00 A2 PERMIT W/ENERGY-A;ELEM00„„OOO-.0P-VAL 1,481.60 ' OTAL'�F�ES�� 2,789.70 CONTRACTOR: TEL. NO: /© v`✓v o�� APPROVALS DATE INSPECTOR SIGNATURE COMMERCIAL CONSTRUCTION SVCS INC. (800) 847-0690- 8380 CHURCH ST. STE G LIC. NO LOCAlIO D SETBACKS G I LROY, CA 95020 732087 B / I�� /S' �• -. s �` SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: EL. NO: - �,J I� i *� '� 1� FOUN6A 0 R NCH FOR S LIC. N0; jlll �_�'_ I 11ip1 SLAB/UNDER FLOOR WISED FLOOR FRAMING --- -— ---- ------ ------------ - MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CF)P,!: _1 i�! �' I ���� `117 /”`��� 11�� UNDERFLOOR INSULATION 3 0 - �”' _ �`-�' 1;.f7 ��l�L'J � l:`'`.��_yi FLOG SHEATHING 0. OF FAMILIES: DWELLING NTS: AP CO D: S A C ASS: i r <� NO 22 �a' << § U :� 4 ;, f ROOF SHEATHING SCHOOL WITHIN RAMARD-00- — 4�1 \ f r� �l r , �" ' ' :; SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS �i `_ ;, ! �,f FRAME INSPECTION NO NO NO L ` �{��� '• w F I E SPRINKLER HANGERS ' e-rrC G' 4di�'�3a INSULATION/WEATHER STRIP INTERIOR ATH/DR EXTERIOR LATH RATED FLOOR/CE ASS M. RATED WALL ASSEMBLIES RATED S AF S/OPE I GS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 • ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMS-T� , DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS DEMOLITION , BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 \,--BL 0508 9810150,060 PHONE: (818) 285-0488 EXT: GAL ID: NO. OF CONST U LD NG ADDRESS- '-ON FILE SO. FT STORIES TYPE 5827 ROSEMEAD BL STRUCTURE: 0 -TEMP-CA-91780-- ASSESSOR INFORMATION BER: NEAREST CROSS-STREET: LAS TUNAS 5397-012-043 THOMAS PAGE: 7 GRID: LOCALITY: TEMPLE CITY TENANT: E IST BL G SE: COME— USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/15/98 UT 10/15/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY:n CODE: CALAC INVESTMENT - 1 0 11-6-U /`d/A/� SAN DIEGO, CA9211137 FEES PAID UFSOMPTI—ON-OF WORK - FEE DESCRIPTION: QUANTITY: UOM: AMOUNTDEMOLISH INTERIOR WALLS FOR T.e ---— APPLICANT: TE . VO• COMMERCIAL CONS. SERVICES INC. (408) 847-0690- AA BLDG PERMIT ISSUANCE 27.75 8380 CHURCH ST. #G 02 DEMOLITI�INSPEC 163.50 SPECIAL CONDITIONS: GILROY, CA 95020 OTA FE S 191.25 , ELES CO CONTRACTOR: TEL. NO: OGJ ��/,. APPROVALS DATE INSPECTOR SIGNATURE COMMERCIAL CONSTRUCTION SVCS INC. (800) 847-0690- 8380 CHURCH ST. STE G LIC. NO PEDESTRIAN PR0 EC IO GILROY, CA 95020 732087 B SEWER DISCONNECTION ARCHITECTOR ENGINEER: TEL. 0: ABANDON PRIVATE DISPOS LIC. NO: 1111111 NDERGRND STRUCT REMOVAL AND SOIL RECOMPACTION 1MAP NO: 50H265 SEWER MAP BOOK: PAGE: FIRE ZONE: CM0 [P(�Un DL C W O F no'K vc03� 0. OFFAMILIES: D L G TS: APT/CO D: STAT CLAS-S-.% NO 24 O 0 O ❑ ?���'- SCHOOL I A ARDOUS AIR QUALITY: 1000 FEET MATERIALS O NO NO NO El ❑ Service That REPORT ID: DPR261 ROUTE TO: BS0508 r , 2 v ti COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0011140037 PHONE: (626) 285-0488 EXT: LEGAL0. OF CONST BUILDING AD RESS: ON FILE SQ. FT STORIES TYPE 5827 ROSEMEAD BL STRUCTURE: 0 VN TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5397-012-043 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: E IS DG S : COMME USEZONE: C- SS ED 0PROCESSED B EXPIRES ON: EXIST OCC GRP: 11/14/00 UT 05/14/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FI BY: CODE: 3709 AC INVESTMENT - 6,000 �o„� SAN DIEGO, CA9211137 FEES PAID -DEORTI-Frl-OW OF WOR REPAIRING ONE STEEL COLUMN-AUTO DAMAGED FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: E . NO: PAUL DAVIS RESTORATION (714) 228-0895- AA BLDG PERMIT ISSUANCE 27.75 14670 FIRESTONE BLVD AE STRONG MOTION OTHER 6000.00 VAL 1.26 SPECIAL CONDITIONS: .LA MIRADA, CA D1 PLANCHECK�W/0"EN- HC--.-: -6000.00 VAL 126.99 D2 PERMIT W%0'EN-HC,= 26000:00 VAL 149.40 L E TOJ L-FEES 305.40 CONTRACTOR: TEL. N0: � APPROVALS DATE INSPECTOR SIGNATURE PAUL DAVIS RESTORATION (714) 228-0895- 14670 FIRESTONE BLVD. LIC. NO ��'✓` LOCATION AND SETBACKS LA MIRADA CA 90638 510431 B SOILS ENGINEER APPROVAL R H TEC OR ENGINEER: TEL. N0: - i ;- f-,, i 1 f., �` 0 DATION TRENCH ORMS LIC. NOi;� -- II� II I I 1 ' SLAB/UNDER FLOOR RAISED FLOORFR I G MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: 'CMP",%-�­ r f j ��;� �� f,�+']�r "`f�� �? �, UNDERFLOOR INSULATION 150H265 3 'Ok 1 C t� . Ll FLOOR SHEATHING 0. OF FAMILIES: DWELLING UNITS: P /COND: STAT CLASS: -- — --- -—------- --- --, NO 22 - _-- - rs' f it �- -- --"--" -i ROOF SHEATHING SCHOOL WITHIN AZARDOUS �� 1 ! t; /�/ SHEARPANELS AIR QUALITY: 1000 FEET MATERIALS ' J I ;1 NO NO � �yf �f FRAME INSPECTIONNO FLi REQUIRED TOTALSETBACKFROM EXIST FIRE SPRINKLER H ANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: /Jkloz/x FRONT PL- * INSULATION/WEATHER STRIPqvj _ CeSIDE PL- R OR LATH/DRYWAL EXTERIOR LATH RATED FLOORMIL ASSEM. RATED WALL ASSEMBLIES RATED TS OP NI GS T-BAR CEILINGS LOT DRAINAGE- REPORT RAIN GREPORT 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 0804150008 PHONE: (626) 285-0488 EXT: LEGAL ID: INUMEER OF SIGNS: 2 BUILDING ADDRESS: ON FILE ]SIGN DESCRIPTION: ILLUMINATED WALL SIGNS 5827 ROSEMEAD BL TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 15397-012-043 1 1 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl 1 TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: 1EXIST OCC GRP: 104/15/08 SR 10/12/08 OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1FINAL DA FIN BY: CODE: 1 ICALAC C/O LEW & ASSOCIATES (858) 565-8333- 1 10,000 ell 13709 CONVOY ST. #300 1 I ISAN DIEGO, CA9211137 FEES PAID D SCRIPTION OF WORK I 1REMOVE AND RELOCATE ONE ILLUMINATED WALL SIGN FROM 5787 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IROSEMEAD BLVD. INSTALL TWO (2) NEW ILLUMINATED WALL SIGNS APPLICANT: TEL. NO: I ITHERRIAULT (619) 527-6100- IAA BLDG PERMIT ISSUANCE 27.75 1 14444 FEDERAL BLVD. LAX BUILDING REVIEW FEE 54.70 ISPECIAL CONDITIONS: I SAN DIEGO CA 92102 ID2 PERMIT W/O EN-HC 10000.00 VAL 216.60 I I 1 TOTAL FEES 299.05 1 I (CONTRACTOR: TEL. N0: I IAPPR0VALS DATE INSPECTOR SIGNATURE I ISIGNTECH ELECTRICAL ADVERTISING (619) 527-6100- I 1 14444 FEDERAL BL LIC. NO I ILOCATION AND SETBACKS I I ISAN DIEGO,CA 92102 457406 C45 I I I I I I I ISOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: I ISUPPORT STRUCTURE I I I I I I 1 I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ I I I I I 001 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 I I I I NO I I 1 I 20 SCHOOL WITHIN HAZARDOUS I I I I LAIR QUALITY: 1000 FEET MATERIALS I I I I I 1 NO NO NO I I I I I I I I I I I I I I I I I I I I I I 1 1 I 1 I I 1 1 I I 1 I I I I I I I I I I I I I I [REPORT ID: DPR261 ROUTE TO: BS0508 I I I 1 I I I I I C! 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 0804080052 PHONE: (626) 285-0488 EXT: [LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE OCCUP GROUP 5827 ROSEMEAD BL (STRUCTURE: 5187 1 V-B M I TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5397-012-043 1 1 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl TENANT: JXXIST BLDG USE: COMME USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: AT & T STORE JEXIST OCC GRP: C 106/16/08 SR 12/13/08 1 OWNER: TEL. NO: IBLDGS. NOW ON IAT: VALUATION: FINAL D TE FIN BY: CODE: ICINGULAR WIRELESS (719) 439-6304- 1 150,000 / �j�(7 11360 HAZALINE LAKE � � (N COLORADO SPRINGS FEES PAID 1D CRIPTION OF WORK TENANT IMPROVEMENT WORK, NEW PARTITIONS, NEW CEILING, NEW I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IPOWER AND FINISHES 1 ]APPLICANT: TEL. NO: I I I IXAMUS & KELLER ARCHITECTS (562) 216-5244- ]A1 PLANCHECK W/EN-HC 150000.00 VAL 1,582.38 I 1100 W. BROADWAY IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: ]LONG BEACH CA 90802 IAE STRONG MOTION OTHER 150000.00 VAL 31.50 [ IA2 PERMIT W/ENERGY-HC 150000.00 VAL 1,861.62 I TOTAL FEES 3,503.25 1 (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ] IMENEMSHA DEVELOPMENT GROUP (310) 343-3430- 1 1 14950 W. 145TH ST. LIC. NO I ILOCATION AND SETBACKS ] [ 1 IHAWTHORNE, CA 90250 647870 B [ I I 1 [ ISOILS ENGINEER APPROVAL I [ [ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I IXAMUS AND KELLER ARCHITECTS (562) 216-5244- 1 1 ] 1 1 1100 W. BROADWAY STE. 6015 LIC. NO: [ SLAB/UNDER FLOOR [ LONG BEACH, CA 90802 C20397 1 RAISED FLOOR FRAMING I 1 IMAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:] (UNDERFLOOR INSULATION I I [ 1 3 041 1 I [ ] I I IFLOOR SHEATHING ] [ [ INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I ] I I NO 22 1 IROOF SHEATHING ] SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I [ I ]AIR QUALITY: 1000 FEET MATERIALS I I1 [ [ NO NO NO 1 IFRAME INSPECTION I ]FIRE SPRINKLER HANGERS I [ I 1 (INSULATION/WEATHER STRIPI ] 1 I 1 IINTERIOR LATH/DRYWALL I ] I 1 I ]EXTERIOR LATH I I 1 1 (RATED FLOOR/CEIL ASSEM. I 1 1 I IRATED WALL ASSEMBLIES I ] ] 1 1 IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I ILOT DRAINAGE [ ] I 1 IREPORT ID: DPR261 ROUTE TO: BS0508 I I ] [ [ I I I ] I