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HomeMy Public PortalAbout6264-6276 ROSEMEAD BLVD_Building__ WORKERS'COMPENSATION'DECLAI'ATIM insureI.hereboraafirm certifcaiteo4Workersve a rTificate of Compensatonent. to Insuranef APPLICATION FOR BUILDING PERMIT or acerci red copy thereof (Sec. 3800, Lab' C.)' _ COUNTY OF LOS ANGELES BUIL'DhNG AND'SAFETY ' al c1 yTlo: —3C�aq'Co npany C7� Certified copy is hereby furnished.• FOR APPLICANT TO FILL IN ADD F ADDRESS �- _Certified copy is filed with the county building inspec- It tion.,depaeiment.• ADDRESS I �ZICJ� M T Dare -1�-f�UAoplic i CITY LC— � ZIP (�(�� LOCALITY �I�( ` CERTIFICATE OF EXEMP - -NO:OF BLDGS. NEAREST COMPENSATION INSURANCE' SIZE OF LOT NOW ON LOT CROSS ST. L (This section,need'noT be completed if The permit is for one ASSESSOR hundred dollars ($100)or.less.) TRACT BLOCK LOT NO. o y MAP BOOK PAGE PARCEL 1 ��, TEL. e� USE ZONE MAP OWNER 1. t NO.`c t r I I certify that in the.perforrnance of the work for which this NO. 2-•C%�� �. permit is issued, I shall not employ any person in'dny manner ��—� SPECIAL so,as'to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS V Date APPlicanT CITY. - i. ZIP (:2A7(=)-r7140 ARCHITECT R TEL. O NOTICE'TO APPLICANT:'If, after making"this Certificate of DISTRICT,' GROUP TYPE FIRE P ESSED.BY ENGINEER cl G NO:' q CONST ZONE U Exernotiori'; .you should become subject to'the Workers' ��--� _O W Compensation provisions of The Labor Code, you must forth- ADDRESS . ��forth- 9L comply with, such provisions or this permit shall be deemed revoked. TEL. STATISTICAL CLASSIFTION APT. CO CONTRACTOR _ NO. LICENSED CONTRACTORS DECLARATION , ,A' LIC 27 sL CLASS NO. DWELL. UNITS I he affirm that I am licensed under provisions of Chapter 9 ADDRESS C7 0 l� NO. CSO (commencing with Section 7000)of Division 3 of The Business and ff LIC. SEWER MAP Professions Code, and my license is in,fullforce"and effect. CITY ls(f T< CLASS VALIDATION •� SQ. FT. NO. OF NO. OF CHECK BK. � PG. License Number CJ7 2� Lic.Class_ SIZE STORIES FAMILIES ONE ..VALUATION Contract Date --- � DESCRIPTION OF WORK - NEW $ ' ^ ADD r� , I am exempt uer Sec. C7 ._.. � ^ ALTER 22 3 5. B.&P.C. for this reason REPAIR $ 1 b Date: ` USE OF DEMOL EXISTING BLDG. Signature APPLICANT TEL. FINAL ° 1 1 .1`6 OWNER-BUILDER DECLARATION (PRINT) 4121 - �rl� NO. DATE I hereby affirmthatI am exempt from the Contractor's Licenser� O 1,.1'6-•8 5 Law for the following reason (Section 7031.5, Business and ADDRESS 1706 �/v � i G FI " Professions Code): PRESENT BUILDING I, as.owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work andIV/-'the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). 'MOVING TEL:' ""' z 9 1 56 A r7I, as owner of the property, am exclusively contracting CONTRACTOR NO. ; with-licensed contractors to construct the project (Sec- - " "' ° 1` Tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM ° 1 4 b 3' CONSTRUCTION LENDING AGENCY _ SET BACK YARD HWY PROP. LINE WIDTH _ I hereby affirm that there is a construction lending agency for FRONT ° ° 1 4 3,6 3 the performance of the work for which this permit is-issued P.L. O 1, 1'6=85 (Sec. 3097, Civ. C.). SIDE _ P.L. Lender's Name o / LDMA Ref. # P.C. Fee$ - 30 �/ Permit Fee - -� �1�� - .. .. - Lender's Address (.certify-.that I have read this,application-and state that the Issuance Fee D -CDMA P/C# - ¢ above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to.building construction, 3 � , Total Fee t LDMA Perm. # u and hereby authorize representatives of this County to enter m upon the above-mentioned property for inspection purposes. .o j 1(y, C, SEE REVERSE FOR EXPLANATORY LANGUAGE -- - ce-ef.Appliseai-ehA -_ - I Date - - - . . -- •-- -_. _ .QQ i 1: ;l r �1:;�(?RKERS"COMPENSATION DECLARATION'., fl hereby affirm that I have a qertificate,of consextt to self•. `� insure, ora certificate of Workers'Co'mpensatipn'tnsuronce; , .?k 6. APF L l SAT I O N -FOR B U I_L D I N G PERMIT ' of'o certified cop-7y thereof (Sec. 3800; Lab. C.) Poli SNo.64-730(4A%Company, �( �liy T 7& COUNTY.QF LOS ANGELES BUILDING AND SAFETY Gr Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS (� Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS4 EI�y LOCALITY .. NEAREST Date — Ap CITY 2 "CA� ZIP t O CROSS ST. Y CERTIFICATE OF EXE LNo. OF BLDGS. ASSESSOR COMPENSATION INSURAN SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need riot be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. SPE f TEL. G SPECIAL I certify that in the performance of the work for which this OWNER � t4L - r* ,o NO. :1 Vt .. CONDITIONS permit is issued, I shall not employ any person in any mannerDISTRICT ..GROUP TYPE FIRE PR CESSED BY O so as,to become subject to the Workers'Compensation Laws. ADDRESS (0-LG PU; �'r CONST. ZONE U CITY v"l ZIP`! ,1 1 ty S,a� Fp 1' i Date ApplicantSTATISTICAL CLASSIFICATION APT. CONDO. (— NOTICE TO APPLICANT: If, after making this Certificate of ARCHITT TEOL ' U ER Exemption, you should become ,subject to the Workers'' CLASS NO. DWELL. UNITS L!! Compensation provisions of the Labor Code, you must forth- IL ADDRESS to � �,(`[ SEWER MAP with comply with such provisions or-this permit shall beZ deemed revoked. 'TEL. t L VALIDATION BK. PGC CONTRACTOR (�� NO. d LICENSED CONTRACTORS DECLARATION LIC. ``-- I hereby affirm that I am,licensed under provisions of Chapter 9 ADDRESS N0.2'. �7�J VALUATION i (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force,and effect. ' CITYCLASS $ '7 ©od r/I I, O A SQ. F 2 /� NO.OF NO. OF CHECK Number Lic..Class SIZE 7 V/ STORIES ', FAMILIES ONE pop- License y . NEW; $ ` ,t DESCRIPTION OF WORK 3` Contractor to ,2%—�U� 4-- 1• ADD- am ALTER :E FINAL _ ?,3 L. B.BP.C. for this reason &. REPAIR DATE O t-I 1 7-84, USE OF ❑ Date: EXISTING BLDG. DEMOL FIN Signature APPLICANT TEL. OWNER-BUILDER DECLARATIONPRINT I hereby affirm that I am exempt from the Contractor's License , Law for the following reason (Section 7031.5, Business and . ADDRESS Ct(Ic S L 7Q►u A--- DY7— Professions Code): PRESENT BUILDING I, as owner of the property, or my employees with I ADDRESS wages as their sole compensation,will do the work and z, 1 2 2 7 A the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. J'1, 13 7.7 5 1, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct-the project(Sec- 01, 137,75 3 tion 7044, Business and Professions Code). ADDRESS t£QUIRED YARD HWY TOTAL SETBACK FROM EXIST. 121 4=8 4 CONSTRUCTION LENDING AGENCY T`" SET BACK PROP. LINE WIDTH ► 1 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 FD P.L. ie Lender's Name ``�, P.C. Fee$ Permit Fee 2V Lender's Address //yy I certify that I have read this application and state that the Issuance Fee V e5 above information is correct. I agree to comply with.all County Investigation Fee g ordinances and State laws relating to building construction, Total Fee 1 � and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. i i SEE REVERSE FOR EXPLANATORY LANGUAGE Sig Lure of A licant r A ent Date ®s r WORKERS' COMPENSATION DECLARATION off insure, or W certifito?e of Workers'tComte of pensat on ensuran ont to f APPLICATION FOR BUILDING P E RM I T or a certified copy thereof (Sec. 3800,Lab.C. / COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.'Company Lair // Certified copy is hereby furnished. FOR APPLICA FILL IN BUILDING r ADDRESS (J Certified copy is filed with the county building inspec- BUILDING tion department. / ADDRESS Date / Applicant CITY' - _SP ZIP LOCALITY `CERTIfICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. V (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL /� TEL. USE ZONE MAP I certify that in the performance of the work for which this OWNER y.! 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 ZIP • Date Applicant ARC ITEC70 TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY Exemption, you should become subject to the Workers' CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS �/ c � with comply with such provisions or this permit shall be _ deemed revoked. TEL. STATISTICAL CLASSIFICATION APT. CO . CONTRACTO NO. q -� LICENSED CONTRACTORS DECLARATION LIC. CLASS NO._ LGDWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS; 9�(�J• �% (commencing with Section 7000)of Division 3 of the Business and LIC. �^ p SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS C� BK PG VALIDATION y� �`/��� SQ. FW NO. OF NO. OF CHECK p„ License Number s i6pi Lic.Class SIZE STORIES FAMILIES ONE yc/ VALUATIONNEW 1 09.3A Contractor z";" ,-4�<`7Bt4te DESCRIPTION OF WORK ADD 0 DI am exempt under Sec. $ te, 0111. # ° o,°i• 23 ALTER I ° ° 3 7. 5 0 B.BP.C.for this reason REPAIR $ W DEMOL 37.50 Date: USE OF o 0 o N EXISTING BLDG. - Z' Signature APPLICANT A-P-L1c _ TEL FINAL rI .1,0 8 o 8 8 OWNER-BUILDER DECLARATION PRINT) NO. - DATE I hereby affirm that I am exempt from the Contractor's License J 5 �2 W i�/ Lam• FI Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRE ENT aBUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and z 1 0 9 4"A the structure is not intended or offered for sale(Section LOCALITY ,gyp t C 7044, Business and Professions Code). MOVING TEL. ' ' � �J # o o m!e o,1 CONTRACTOR NO. I, as owner of the property, am exclusively contracting 1 I ° ° 4 9 8 8 with licensed contractors to construct the project (Sec- _ tion 7044, Business and Professions Code). ADDRESS �.,'� y'e ° ° 6 4 9 8 8 0 FROM CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL SETBACK WIDTH I 1,0 8i688 .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 o P.C. Fee$ I L V Permit Fee 3 LDMA Ref. # Lender's Address ' 3 g 1 certify that I have read this application and state that theIssuance Fee LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee LDMA perm. # and hereby authorizer pr sentatives of this County to enter < upon t above-menti ne property for inspection purposes. a ' ` SEE REVERSE FOR EXPLANATORY LANGUAGE n Signature of 'PI can,or Agent ate .. 1 1060 WBr42S'COMPENSATION DECLARATION sure, � rm;that I have a certificate Compensation of consent to Self .APPLICATION. FOR 6 U I L D I N G A PERMIT � ' �fnsur2, 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 El Certified copy is herebylfurnished. FOR APPLICANT TO FILL IN ADDRESS 952--64 Certified copy is'filed'with e county building'in'spec- BUILDING tion dep&rim nt ADDRESS (O IV p � (/J/y� e - - Date /'Applican �f� CITY �c�yy� _ C��l ZIP LOCALITY CERTIFIC TE OF EXEMPTION FROM WORKERS' - N15. OF BLDGS. NEAREST. �•• _ /; COMPENSATION 1INSURANCE" SIZE OF LOT NOW ON LOT CROSS Sr. . (This section need'notabe�completed if the permit-is for one - - -- - ASSESSOR` _hu.ndred dollars ($100)or,,less.,) TRACT BLOCK LOT NO. MAP BOOK ' PAGEPARCEL TEL' USE ZONE MAP I certify that in the performance of the work for which this OWNER L\ `CLE 2 NO. L( NO. permit is issued, I shall not employ any person in any manner � __`` }� c' C-•� SPECIAL -- so as,to become`sublect to the Workers'Compensation lows- ADDRESS{ \1� fT"J CONDITIONS o V _. CITY Avx� C-01- ZIP ._ 6- Date Applicant ARCHITECT OR TEL. NOTICE 'TO APPLICANT: If after.makin- this'Certificate of DISTRICT. GROUP TYPE FIRE PRO SSED BY g ENGINEER t'4C7-�j� NO. CONST. ZONE Exemption;•you should 'become'subject to.'the' Workers'' �- ) U -Compensation provisions of-the'Labor-Code, you-must forth- J v LU with comply with such: provisions .or .this permit shall be` ,-. ADDRESS - - _ __ 9L deemed revoked. y TEL. ATISTICAL N �a ST SIFICATIO APT. ONDO: CONTRACTOR �O �� Yl/\�_ NO. �j%�� LICENSED CONTRACTORS DECLARATION LIC CLASS NO� �LDWELL. UNITS 1 hereby affirm that I,am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section-0 'of Division 3 of the,Business and _ -"_._ LIC. - - SEWER MAP Professions'Code, and my I�cen ie ism full force and effect. CITY CLASS _ BK ' �; VALIDATION' � �/ SQ. FT. NO. OF _ NO.OF - CHECK �. �?)3d.. License,Number (� ' Lic Class SIZE 20.J STORIES FAMILIES _ ONE 4o ® o 0 2 ALUAT V ION z [ NEW. a ;. DESCRIPTION•OF'WORK " tractorte, ADD s (000 ao 1 - 25182' tonI am exempt under Sec' _____" —_ -_ Y vQ_IfVLQJVLT ALTER ❑ 0 0 2 5 1:-8 2 B.BP.C. for'This reason' REPAIR _❑ $ Q 1.-1 3=8 7 te: O USE OF p EXISTING BLDG. DEMOL Si nature APPLICANT / TEL. ' g ER-BUILDER DECL RATION PRINT) F. (�Dv1 AL QZN0.�1`t $Qd _�t� FINA -1-hereby-affirm-that I am exempt from the Contractor's License DA - - Law for the following reason (Section 7031.5, Business and ADDRESS ZZ3rj Professions Code): PRESENT - wn BUILDING 'I, as owner of the property, or my employees with ADDRESS " __. wages as their sole compensation,will do the work and '' "'- the structure is not intended or offered for sale(Section LOCALITY ' 4,'9.A - .7044, Business and Professions Code). MOVING' TEL6 5:- - I, as owner of the property, am exclusively contracting CONTRACTOR NO. # 0 0 0 0 0; with licensed contractors to construct the project (Sec- - - - -" -" '- _. . • -" - tion 7044, Business and Professions Code). ADDRESS" 1 0"3 0 6 7 5. - CONSTRUCTION LENDING AGENCY -.,REQUIRED.- -YARD" -, TOTAL SETBACK FROM _ XIST.`. _. o.o.3 06 7 5 SET BACKHWYPROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT �. ,8 7 the performance of the work for which this permit is issued --- P.L. ? - 2 :., (Sec. 3097, Civ. C.). SIDE . ' P.L. Lender's Name o r' •``� �` LDMA Ref. # P. Fee$ Permit Fee Lender's Address .1 certify that I have read this application,and.state that the _ Issuance Fee LDMA P/C# a above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to,building construction, _ v and hereby authorize representatives of this County to enter Total Fee `�� LDMA Perm. # - a e above-mentioned pro erF f inspection p rpose Q - SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicantor Agent - - - 'Date - - •• _ _" ' . ._ ., -- _ ._ _. Qv i WORKERS'COM?ENSATION DECLARAT'OON I hereby affirm that 1 have a(cerfr om e'of'consent to self A PP L I CATION F O R' B 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 Certified copy is hereby furnished. . FOR APPLICANT TO FILL IN BUILDING In ADDRESS 1/ � Certified copy-is filed with thecounty'building i'nspec- BUILDING �(��' � '`'Tion department: ADDRESS VJ Ci4 Date Applicant + CITY +J ZIP LOCALITY CERTIFICATE OF EXEMPTIONL FROM WORKERS' " 0.-OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT. OW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR r hundred,dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL' L_0 TEL. OWNER 11 M 1 A� — iV NO.' " ' USE ZONE MAP 2 I certify That m The performance of the work for which this ^ NO. permit is issued, I shall not employ any person in any manner /� (ice SPECIAL O so'as To be 4APLsICANT: ublecl to,the Workers'Compen tion Laws. ADDRESS '+ 1' 1 t°1C3� CONDITIONS V .CITY_ � ZIP�'.(� �. Date Applicant ARCHITECT OR TEL. DISTRICT GROUP, TYPE FIRE _ - PROCE SED BY O NOTICE' 'If, diter making this Certificate of ENGINEER NO. Exemption, you'should become subject to the-Workers' �-j�r� �j CONST:• ZONE u Compensation provisions,of The Labor Code, you must forth- ADDRESS `�Lv�• F✓�� -V - 6 - •L comply p p hall be /��, "'' ,^ 1 TEL. ,(�+��. STATISTICAL CLASSIFICATION APT. JCOfDO. deemed revoked.with such provisions or this permit s CONTRACTOR lJt LAi\1 NO.��!_ t�S"�7 _ LICENSED CONTRACTORS DECLARATION .—-- CLASS NO. DWELL.UNITS hereby affirm that I am licensed under provisions of Chapter 9 ADDRESSC 7q0 Z ' _fl (J S NLICO'Z T SEWER MAP i (commencing with Section7000)of Division3 of the Business and LIC. Prof essions'&cle, and my license is in'full force and effect. CITY fc4 CLASS "BK: PG VALIDATION _ SQ. FT. NO. OF NO. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE ti _�� VALUATION �r Contracto �j'r Dare DESCRIPTION OF WORK `C KFADD NEW ❑ ; F,%. F. I am exempt under Sec. ALTER ❑ B.BP.C. for this reason REPAIR ❑ s 2205.5 A Date: USE OF EXISTING BLDG. !�-� 1 5� �+ DEMOL ❑ # e o a o.2 3 r Signature APPLICANT TEL. FINALE G OWNER-BUILDER DECLARATION (PRINT) NO. DAT ( e 'e 81.29 ..I hereby-affirm that l am.exempt.from the Contractor's License ' Law for the following reason (Section 7031.5, Business and ADDRESS FIN y Professions Code): a ., PRESENT By iF o © - 81.2 9 BUILDING I, as owner of the property, or my employees with ADDRESS _ o,5 1 7=85• wages 6s their sole compensation,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 2 7J O,2 A �l tion 7044, Business and Professions Code). \ I `� •' 1� CONSTRUCTION LENDING AGENCY SETT BACKK YARD HWY TOTAPROP.LINEFROM. - WIDTH, "# e o 0 0.2 3,-- hereby affirm that there is a construction lending agency for FRONT the performance-of the work for which this-permit-is issued P.L. ( ) e-0 8 1,2 9 (Sec. 3097, Civ. C.). SIDE " m P.L. = o Lender's Name _ 9 c1 eg1,2 o \�+ LDMA Ref. # O 8 P.C. Fee'$ - t - Permit Fee ✓ t b3 - -- - 21 ''5 Lender's Address _ 6 w I certify.that 1-have read this application and state that_the (� Issuance Fee (/ .j �- kDMA P/C# above information is correct. I agree To comply with all County Investi ation Fee z . *:tr ordinances and State_laws relating to.building construction, _ g Total Fee 3 LDMA Pe`rm.•# 1` - v and hereby authorize presentatives of this County to enter z upon t e above-men ned property for inspection pur ores. ® _ S. d �/�� ✓ ? SEE REVERSE FOR EXPLANATORY LANGUAGE ' -Signature of Applicant or Agent - - - Date- - - - - -. - - - - - - r , WORKERS'COMPENSATIOU DECLARATION i here affirm that I have a certificat�`of consent to'self o O insure, r a certificate of Workers' Compeiftotton'insurance, �LQ�D O ] FOR [3 M d D l Jel or a certified copy thereof 'Sec 3800, Lab C ) , COUNTY OF LOS ANGELES -- � BUIL IR1G AND SAFETY _ P y Nompany EM—DING' Certified copy is hereby furnished a.�FOR APPLICANT TO FILL IN ADDRESS r ❑ Certified copy is filed with the county ildi g i s ec- BUILDI tion department ADDRESS LOCALITY c� NEAREST Date ✓ Applicant v CITY ZIP f CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' N OF BLDGS ASSESSOR COMPENSATION INSURAN E SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL ,(This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less ) TRACT BLOCK LOT NO NO SPECIAL (. (.certify, that in the performance of the work for which this OWNER NO \/ CONDITIONS permit is issued, I shall not employ any person in any mannerg3l DISTRICT GR4P TYPE FIRE PRGC ED BY O so as to become subject to the Workers'Compensation Laws ADDRESS CONST / I z ZONE V s - V/ 0 Date Applicant CITY ZIP" STATISTICAL CLASSIFICATION APT CON O ARCHIT CT OR T NOTICE TO APPLICANT If, after making this Certificate of 1i Ti LU Exemption, you should become subject to the Workers' CLASS NO DWELL UNITS Compensation provisions of the Labor Code, you must forth- ` ADDRESS SEWER MAPwith comply comply with such provisions or this permit-shall be _ deemed revoked CONTRACTOR BK PG, VALIDATION- LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS G VAL 21!ON (commencing with Section 7000)of Division 3 of the Business and LIC ,. 'L j Q®'0 Professions Code, and my license is in full force and effect CITY CLASS `� $ D �� SQ FT NO OF NO OF CHECK License Number .Lic _Class C SIZE STORIES FAMILIES ONE Contractor �J/T: Date��� DESCRIPTION OF WORK ADD ZW/Vo VA O ❑ I am exempt under Sec. �,2 6 516 A . ALTER ❑ FINAL �j B&P C for this reason �� REPAIR ❑ DATE `6 L/ # 0 0 0 0 2 3 j USE OF Date C EXISTING BLDG DEMOL E] FIN 1 0 1 1 31-1 6 Signature APPLICANT TEL OWNER-BUILDER DECLARATION PRINT NO 0 01 131 1 6 U I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS Profess ians'Code) E EN 0 8 0 9—8'S BUILDING 1, I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,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 i. 2 2 781 6 A with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) # 0 a 0 0 0 1 REQUIRED TOTAL ETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PRSOP LIN WIDTH' I hereby affirm that there is a construction lending agency for FRONT �1 - 1 4 363 the performance of the work for which this permit is,issued PL '0'0 1 4 3 6 3 (Sec. 3097, Civ C ) SIDE m :PL Lender's Name //^ 0 a 2 3 -8 5 P C Fee$ r b Permit Fee � -3 - Lender's Addre I certify that I' ve "prenta non'and state that the Issuance Feeabove mforma to is comply with all County I Investigation Fee ordin es a tote building construction, Total Fee 1112 Z-3an ere y a t onzeof this County to enter u n he bo -menor mspectioryp� - a SEE REVERSE FOR EXPLANATORY LANGUAGE ®t Signatur —I Applicant or Agent Date e q .c..-• WORKERS'COMPENSATION DECLARATION 1 ` ' I hereby affirm jhaLi,have a certificate of consent to self i, A P'P L I CAT I O N - FOR' B U I L D I N G ' P E RM I T , insure, or rTficate of Workers' Compensation Insurance . e :.. <. ., or a certified copy thereof (Sec.-3800, Lab. C.) ,• . . = COUNTY OF LOS ANGELES BUILDING-AND SAFETY Policy No. Company.- BUILDING Certified copy is hereby furnished: - FOR APPLICANT TO FILL IN ADDRESS 60 Certified`copy is filed with the county building inspec- BUILDING 7 Tion department.' ADDRESS (�`L /-?i t0� Dare /+- 19cJ Applicant . CITY � &-C- G(T =0-41? ZIP LOCALITYLie- - �iT CERTIFICATE OF EXEMPTI S' NO. OF BLDGS. NEAREST COMPENSATION INSURA CE SIZE OF LOT NOW ON LOT CROSS ST. L-C-7 k)Gc (This-section need not be completed if.the permiT is for one - ASSESSOR hundred dollars ($100)or less:), TRACT BLOCK LOFT MAP BOOK PAGE PARCEL TEL. USE ZONE MAP OWNER LtD 0" r +1 N t�v 0 O.Z 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 f/�, �l SPECIAL A. so'as to become''subject to"The Workers'Compensation Laws. ADDRESS ly 7i��/ - e,— CONDITIONS O (� Date APPllcant-, CITY_ e T ZIP t ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE >PROCESSED BY ® ' NOTICE TO APPLICANT: If, after making•'this Certificate of ENGINEER NO. CONST.: ZONE Exemption, you should become subject'to-'the Workers' Yd Compensation provisions of the Labor Code,-you must forth- ADDRESS J • with comply with such provisions or this•permit shall be f 'A'c ' TEL. STATISTICAL CLASSIFICATION APT. CONDO ' deemed revoked: CONTRACTOR- + LA%k) NO.�oof LICENSED CONTRACTORS DECLARATION - -- LIC. CLASS NO. DWELL.,UNITS — I hereby affirm;That 1 am licensed under provisions of Chapter 9 ADDRESS I'7L! O. C, 7Z Lam! (commencingwith Section 7000)of Division"3 of the Business and LIC.. SEWER MAP Professions Code,,and`my'license'is m full'#orce'and'effecT. CITY CLASS BK' VALIDATION- SQ. FT. NO. OF NO.OF- CHECK s.` License Numbei �� 7 (!J't7 Llc.Class SIZE STORIES FAMILIES ONE VALUATION nJ DESCRIPTION OF"WORK NEW Contractor - ✓ Date '1_�i� (1�� ADD E � I am exempt under Sec. ALTER ❑ ;2 3 5 5 5 A B.&P.C. for this-reason 1n REPAIR ❑ $ # 0 0 0 0 2 3 Date: DE 01 ❑ USE OF EXISTING.BLDG. \�� APPLICANT TEL y I o a 4 9,.4 1 Signature � 3�d�' - FINA ^ ` C/ OWNER-BUILDER DECLARATION PRINT) - DATE _.. hereby affirm that I am exempt,from.the Contractor's License C- (G 9 4 1 c5.� Law for the following reason (Section 7031.5, Business and ADDRESS p a rU` "C—i — �^ FINA 0 0 0 Professions Code): PRESENT "' -- BY I '1.2 7=8 5 - ❑ BUILDING I; as owner of the property, or my employees with _ ADDRESS wages as their sole compensation,will do tFework and ® 7 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- AD DRESS tion 7044, Business and Professions Code). 3 5 9.0 A REQUIRED. _.TOTAL SETBACK FROM. " CONSTRUCTION LENDING AGENCY SET BACK YARD HWY pSETB LINE WIDTH `• I hereby affirm that there is a construction lending agency for FRONT ` . ' # o o'0 0 0 the performance.of the work for which this permit is-issued - :-- -P.L. - - t (Sec. 3097, Civ. C,). SIDE - eI O (j 8 �j 3 `1 O Lender's Name a 'w: "o 0 0 6 8 (D 3�• g .. LDMA Ref # P.C. Fee$ Permit-Fee . � 204 ::. 85Lender's_Address > - Lcertify that.I have,read this-application and.state that The Issuance Fee V LDMA P/C# a above information is correct. I agree to comply with all County Investigation Fee ordinances and'State laws relating to building construction, __ S Total Fee -� LDMA Perm. # U and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. a + �� -6:57 SEE REVERSE FOR EXPLANATORY LANGUAGE CA - Si natu of plk=Lar_.Ag .. .. .Date. WORKERS'COMPENSATION DECLARATION I hereby affirm that I'have a certificate of consent to self O O D OR {� insure,'�9-tartCficatesu12 f Workers' Compensation Insurance, 8 U�1.D�LI , or a certified copy Phereof (Sec 3800, Lab C ) Policy No ' '4Company COUNTY OF LOS ANGELES BUILDING �iWD SAFE Y BUILDING Certified copy is hereby furnished - I FOR APPLICANT•TO FILL IN ADDRESS 6,12 . Certified copy is filed with th unt bdgnke BUILDING tion department ADDRESS LOCALITY _ NEAREST Date Applican CITY ZIP CROSS ST -CERTIFICATE OF EXEMPTION FROMKERS' N OF BLDGS ASSESSOR AI COMPENSATION INSURANO SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO NO EL -,� SPECIAL } I certify that in the performance of the work for which this OWNER Q' O :Lao CONDITIONS CL permit is issued, I shall not,employ,any person in any manner DISTRICT GROUP TYPE FIRE P ESSED BY O ADDRESS CONST ZONE U .so as to become subject to the Workers',Compens8tion Laws Date Applicant ARCH OR CITYZIP L STATISTICAL CLASSIFICATION r APT NDO V ` NOTICE TO APPLICANT' If, after making this Certificate of Exemption, you should become subject to the Workers' CLASS NO DWELL UNITS d Compensation provisions of the Labor Code, you must forth- ADDRESS OD 71 SEWER MAP with comply with such provisions or'this permit shall be Z deemed revoked CONTRACTOR Np BK - PG, VALIDATION LICENSED CONTRACTORS,DECLARATION LIC I hereby affirm that I'arii license8 under provisions of Chapter 9 ADDRESS ' NO -:J(:VALUATj10N _ (commencing with Section 7000)of Division 3 of the Business and LIC inJ./�7 Professions Code, and my license is,in full force and effect CITY CLASS D SQ FT NO OF NO OF CHECK License Number Lic Class SIZE STORIES FAMILIES ONE $ Contractor Date DESCRIPTION OF WORKivALLNEW O ' 1 am exempt under Sec _Q� / ADD 2 2 6 S 7 A (� ALTER E FINAL. B&P C for this reason REPAIR DATE # 0 0 0 • 23 Date. USE OF DEMOL FINAL EXISTING.BLDG BY ( - . 49.4.1 Signature - APPLICANT TEL OWNER-BUILDER DECLARATION PRINT NO D o • 0 4 9,4 1 5 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS O O 9=$Jr Professio6s Code) aBUILDING I, as owner of the;property, or my employees,with ADDRESS wages as their sole compensation,will do the work and ' the structure is not intended or offered for sale(Section LOCALITY 2 2 6 a 4 A 7044, Business and Professions Code) - MOVING -, TEL CONTRACTOR -NO 1, as owner of the property, am exclusively contracting , # 0 0 0 0 • 1 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) A • 0 1 8.22 REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH I hereby affirm that there is a construction lending agency for FRONT D o 0 0 1 2 2 r�i the performance of the work for which this permit is issued P L (sec 3097, Civ C > SIDE 0 8,-1 2_85 mP L -. Lender's Name Lender's Address P C Fee$ 1 P1111erm t Fee y�� - I certify that I have a this a ication n state that the Issuance F'J / ��v above information is or ect I ag a to corn I with all County Investigation Fee �7 3 ordina es and Stat I ws rela i g to buil i g construction, Total Fee / , d and "ere y authon pre n tiv I s ounty to enter up the bove-me ti ned r erty for ins ctio j urposes 1745 SEE REVERSE FOR EXPLANATORY LANGUAGE I/ ®t Signature of App cant or gent '"Date WORKERS'COMPENSATION DECLARATION �T.. ns APPLICATION FOR- BUILDING PERMIT I here�y affirm that .I have a certificate of,consent to self iure,='or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lob.'C.) ' c No. COUNTY OF LOS ANGELES BUILDING AND SAFETY Poli Co' 5&A0 A. BUILDING Certified copy is•hereby furnished,- FOR APPLICANT TO FILL IN ADDRESS cJ Certified copy is filed with'the county building inspec- BUILDING tion department. ADDRESS Date 7'A pplicant CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM ORKERS' NO. OF BLDGS. - NEAREST COMPENSATION 1NSURAN E SIZE OF LOT NOW ON LOT CROSS sr. This section need riot be completed if the.permit is for'one - - - ASSESSOR hundred dollars($100}or(ess.) TRACT BLOCK LOT NO. MAP BOOK' PAGE PARCEL TEL. _ _ USE ZONE MAP OWNER- - NO: I certify that in the performance of the woik for which,this NO. y. permit is issued,'I':Hall not employ any person in any manner // SPECIAL so as to become'subject.to the Workers'Compensation'Lows. -ADDRESS Cr CONDITIONS V .. Date Applicant" CITY_ ZIP. cc NOTICE TO`APPLICANT:.If, after 'making'this Certificate of ARCHITECT OR TEL. DISTRICT GROUP., TYPE FIRE PROCESSED,'BY. O ENGINEER NO. Exemption, you-should become subject to•the' -Workers' Z CONST � ZONE LU provisions,of the Labor Code you-must forth- ADDRESS - LU with comply with such provisions or this permit.,shall be � T L. STATISTICAL CLASSIFICATION APT. CONDO.- deemed revoked.' CONTRACTOR V LICENSED CONTRACTORS DECLARATION. - - -- LIC.-• CLASS NO. DWELL. UNITS 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 _ LIQ,_.- E P SEWER MA Professions Code, and my license is in full force and effect. CITY N CLASS C 41 - ' PG" 'VALIDATION �j /'+ SQ. FT. __ OF NO. OF _ CHECK n License Number J �s Lic.Class �s SIZE STORIES FAMILIES ONE �6 6 a 9 A VALUATION Contractor Date DESCRIPTION OF WORK NEW $ O # o 0 0 0 23 n ADD � _ I am exem der Sec /O ❑ , ( ° ° 9 7,2:2 ; ALTER B.BP.C. for this-reason 1^ REPAIR ❑ 3 o z0 10 9 7,2 72 Date: USE OF DEMOL ❑ 0.3 1 8 8 I_ , EXISTING BLDG. APPLICANT TEL�./� Signature PRINT)` /Q NCL7r3 /fib FINAL OWNER-BUILDER DECLARATION DATE 1-hereby affirm that-I am exempt from the Contractor's License Law for the following`reason,.(Section 7031.5, Business and ADDRESS /'1A 2 FI ' Professions Code'): '' '.' � - PRESENT Y � 6-69.0A BUILDING I, as owner of the property, or my employees with ADDRESS _ c _ _._. _ _ _ #'.° °` ° °'o; wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section' / +( ° 1 2(,(.•$8 '. 7044, Business-and Professions Code).' MOVING TEL: CONTRACTOR, NO. G S` I, as owner of the property, am exclusively contracting CON1 2 Q,&8 v with licensed'contractors to construct the project (Sec- '" li tion 7044, Business and Professions Code). ADDRESS 7 03, 7 1 8, 87. REQUIREDTOTALSETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK . YARD '"HWY PROP.LINE WIDTH l hereby affirm that there is a construction lending agency for h1n.eg.fion " the performance of the work for which this permit is issued ..-P.L.- .,(Sec. - - (Sec. 3097, Civ. C.)-_-. n _ Lender's Name g LDMA Ref. # Lender's Address Permit Fee I-certify that I have read this application and state.that the Issuance Fee• vLLDMA P/C# - a above information is correct. I agree to comply with all County ee ordinances and State laws relating to building construction, Total Fee LDMA Perm: U and hereby authorize representatives of this County to enter m upon the above- entioned rty for inspection pur oses. a • �� SEE REVERSE FOR EXPLANATORY LANGUAGE Signaturepplicant or Ageni . ' - Date vi COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS NEW COMMERCIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9703130066 PHONE: (818) 285-0488 EXT: LEGAL D: NO. OF CONST NEW DR TR: 5904 LT: 15 SQ-FT :_ STORIES TYPE OCCUP GROUP 6264 ROSEMEAD BL - STRUCTURE: 0 1 V B TEMP CA 917801560 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5384-005-001 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: ST-90T US E USE ZONE: - ISS PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/15/97 TC 05/ly98 OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATION: FINALS ATE FINAL B : 0 : SMALDINO LOUIS P;DOROTHY A - 1 49,000 .� 13583 WHITTIER BL WHIT 906051935 P DESCRIPTION INSTALLATION OF BASE TRANCEIVER S TION ON ROOF W/ 3 ARRAYS FEE DESCRIPTION: ����TIITTTY�UOM: AMOUNT: OF ANTENNA INSTALLATION APPLICANT: TEL. 0: J. M. CONSULTING CO. (310) 981-1660- D1 PLANCHECK W/O EN:HCzP 49000 WVAL64.02 AA BLDG PERMIT ISSUANCE 27]i75 SPECIAL CONDITIONS: AE STRONG MOTIONOTHER 49000:00-VAL 10:29 D2 PERMIT W/O V-HC 49000.00 VAL'� 781':20 "TOTAL FEES 1,483,.26 CONTRACTOR: TEL. NO: APPROVALS TE INSPECTOR SIGNATOR CORD COMMUNICATIONS (818) 255-0373- r ' 0 O 0 0 ,1 10741 SHERMAN WAY SUITE 9 LIC. NO 'an�� .` LOCAT(ONAND SETBACKS SUN VALLEY, CA'91'S52 701410 B * 1 ��� -- � � �� , SOILSE APPROVAL CHI OR Oo m eir i oFOUNDATION/TRENCH DCI PACIFIC (714) 475-2525- 2 EXECUTIVE CIRCLE #275 LIC. N0: iiI SLAB/UNDER FLOOR IRVINE, CA 92614 NONE RAISED AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: C 7� UNDERFLOOR INSULATION 153H265 N 64 3 04FLOOR SHEATHIW(F- )) ES: DWELLING SS: NO 19 _ }� ROOF SHEATHING SCHOOL SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO RAME INSPECT 0 FIRE SPRINKLER HANGERS Id-1 INSULATION/WEATHER STRIP INTERIORLL XTERIOR LATH RATED FL . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE � LOT DRAINAGE REPORT 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 0910200059 PHONE (626) 285-0488 EXT LEGAL ID INUMBER OF SIGNS 1 BUILDING ADDRESS ITR 5904 LT 15 ISIGN DESCRIPTION. ONE SET INTERNALLY ILLUMINATED LIGHT 6272 ROSEMEAD BL I I TEMP CA 917801560 1 (ASSESSOR INFORMATION NUMBER I 1 ' NEAREST CROSS STREET LONGDEN 1 15384-005-001 1 THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, Cl I I I (TENANT IEXIST BLDG USE (ISSUED ON PROCESSED BY 1 ISAN (EXIST OCC GRP 110/20/09 SR 1 I I I I [OWNER TEL NO IBLDGS NOW ON LOT VALUATION- IFIN D TE FINAL Y CODE 1 IVICKY (626) 623-0592- 1 1,200 1 16272 ROSEMEAD BLVD I I ITEMPLE CITY CA 91780 1 FEES PAID ID S RIPTION 6F WORK 1 1 (ONE SET INTERNALLY ILLUMINATED LIGHT BOX 1 IFEE DESCRIPTION QUANTITY UOM AMOUNT 1APPLICANT. TEL NO I IPHAM (626) 448-1166- IAA BLDG PERMIT ISSUANCE 27 75 I 1 19437 VALLEY BLVD IAB STATE GREEN BLDG FEE 1200 00 VAL 1 00 ISPECIAL CONDITIONS 1 IROSEMEAD, CA 91770 IAX BUILDING REVIEW FEE 54 70 1 ID2 PERMIT W/O EN-HC 1200 00 VAL 82 20 1 I TOTAL FEES 165 65 1 ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 IAD SIGNS - I I 19437 VALLEY BLVD LIC NO I ILOCATION AND SETBACKS IROSEMEAD CA 91770 927951 C45 I I I I IS,OILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS 1 LIC NO I (SUPPORT STRUCTURE I I I I I I I I IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I _ I 001 1= I INO OF FAMILIES DWELLING UNITS- APT/GOND. STAT CLASS I 'I NO 20 I 1 SCHOOL WITHIN HAZARDOUS (AIR QUALITY 1000 FEET MATERIALS 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 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 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 I I (REPORT ID DPR261 ROUTE TO BS0508 I 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1210240043 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST NEW BUILDING ADDRESS ITR 5904 LT 15 SQ FT STORIES TYPE OCCUP GROUPI 6264 ROSEMEAD BL I (STRUCTURE 0 1 V-B M I TEMP CA 917801560 (ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET. LONGDEN 15384-005-001 1- OTHER THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY ITENANT (,EXIST BLDG USE COMME (ISSUED ON PROCESSED BY I T-MOBILE WEST CORP iEXIST OCC GRP M 106/07/13 SR (OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DAT FINAL BY r CODE ILOUIS P/DOROTHY A SMALDINO (562) 696-6900- 10,000 1 /� 113601 E WHITTIER ST I �J 1/fien�w _ IWHITTIER CA 9605 1 FEES PAID ID CP.I ION OF WORK 1 IREPL=MENT OF ANTENNAS AND SUPPORT EQUIPMENT (FEE DESCRIPTION QUANTITY UOM AMOUNT (APPLICANT TEL NO I1 IT-MOBILE NEST CORP, KIM NGUYEN (714) 323-8905- ID1 PLANCHECK W/O EN-HC 10000 00 VAL 184 10 13257 E GUASTI RD !AA BLDG PERMIT ISSUANCE 1 - 27 80 ISPECCAL CONDITIONS IONTATIO CA 91761 IAB STATE GREEN BLDG FEE 10000 00 VAL 1 00 D2 PERMIT W/O EN-HC 10000 00 VAL 216 60 TOTAL FEES 429 50 (CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE (STELLAR TELECOM, INC (714) 373-1560- 15331 PRODUCTION DRIVE LIC NO LOCATION AND SETBACKS IHUNTINGTON BEACH CA 92649 890747 1 SOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER TEL NO- c IFOUN-ATION/TRENCH FORMS (GPD GROUP (714) 323-8905- I 1520 S MAIN STREET #2531 LIC NO: ISLAB'UNDER FLOOR 1AKRON OHIO 44311 71714 1 '( I I I IRAISED FLOOR FRAMING I I I 1MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP:J' UNDE.FLOOR INSULATION I153H265 M 90 3 001, 1_' I I IFLOOZ SHEATHING INO. OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS. 1 NO 22 I IROOFISHEATHING I I I SCHOOL WITHIN HAZARDOUS I ISHEA:, PANELS 1AIR QUALITY 1000 FEET MATERIALS I I 1 NO NO NO 1 IFRAMS INSPECTION 1 IFIREISPRINKLER HANGERS _ (INSULATION/WEATHER STRIPI II I I I I (INTERIOR LATH/DRYWALL I I I (EXTERIOR LATH I I I I I I 1' 1RATED FLOOR/CEIL ASSEM I 1' IRATFD WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I I 1 I I I IT-BAR CEILINGS I I I ILOT.DRAINAGE (REPORT ID DPR261 ROUTE TO- 8S0508 y, I 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 0508310073 PHONE (626) 285-0488 ERT - LEGAL ID NO OF CONST BUILDING ADDRESS TR' 5904 LT: 15 SQ FT STORIES TYPE 6264 6276 ROSEMEAD BL STRUCTURE 12000 VN TEMP CA 917801560 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LONGDEN 5384-005-001 - THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, C TENANT _ EXIST BLDG USE COMME USE ZONE: C-3 ISSUED ON: PROCESSED BY EXPIRES ON EXIST OCC GRP 08/31/05 JK 08/26/06 OWNER- TEL. NO BLDGS NOW ON LOT: VALUATIONFI TE FINAL BY- CODE SMALDINO LOUIS P;DOROTHY A - - 20,370 - 13583 WHITTIER BL "' _ WHIT 906051935 FEES PAID D C PT ON OF WORK S ALL 4 PLY (HOT MOPPED) CAPSHEET FEE DESCRIPTION QUANTITY UOM AMOUNT: l APPLICANT TEL NO CONEX ROOFING (714) 520-5207- AA BLDG PERMIT ISSUANCE - 27 75 2011 N BATAVIA ST AE STRONG MOTION OTHER 20370 00 VAL 4.28 SPECIAL CONDITIONS ORANGE, CA 92865 D2 PERMIT W/O EN-HC 20370 00 VAL 401.40 TOTAL FEES 433.43 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE CONEX ROOFING COMPANY, INC. (714) 520-5207- 2011 N BATAVIA ST LIC NO LOCATION AND SETBACKS ORANGE, CA 92867 753053039 '.y 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 15311265 3 01 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 ' NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD HWY. PROP LINE WIDTH - " - FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS - LOT DRAINAGE 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 BL 0508 1301030075 PHONE- (626) 285-0488 EXT LEGAL ID: NO OF CONST NEW BUILDING ADDRESS ITR 5904 LT 15 SQ FT STORIES TYPE OCCUP GROUP 6272 ROSEMEAD BL I _1STRUCTURE- 1910 1 V-B B I TEMP CA 917801560 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LONGDEN 15384-005-001 THOMAS PAGE 596 GRID H2 LOCALITY- TEMPLE CITY CAI I I ITENANT IEXIST BLDG USE COMME USE ZONE (ISSUED ON PROCESSED BY- IEXIST OCC GRP B 101/15/13 SR (OWNER- TEL NO IBLDGS NOW ON LOT VALUATION IFINAL PATE FINAL BY CODE ILI, WAN XING (626) 623-2479- I 20,000l 16272 ROSEMEAD BLVD I (TEMPLE CITY CA 91780 I FEES PAID IDESCR PTION OF WORK I IT/I NAIL SALON (INTO WALJ TO CREATE WASH ROOM, 2 FACIAL I I IFEE DESCRIPTION QUANTITY UOM AMOUNT (ROOMS, 1 OFFICE & FOOT/NAIL STATIONS (APPLICANT TEL NO I IJENG, MATT (626) 222-0624- IA1 PLANCHECK W/EN-HC 20000 00 VAL 375 90 I 1713 W DUARTE ROAD IAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS I IARCADIA CA 91007 IAB STATE GREEN BLDG FEE 20000 00 VAL 1 00 1 1 1 1AE STRONG MOTION OTHER 20000 00 VAL 4 20 IA2 PERMIT W/ENERGY-HC 20000 00 VAL 442 30 ICONTRACTOR TEL NO 108 CERTTF OF OCCUPANCY 101 40 (APPROVALS DATE INSPECTOR SIGNATURE (MIRACLE DEVELOPMENT INC (626) 674-2338 TOTAL FEES 952 60 1 1 11352 CARVIN AVENUE LIC NO ILOCATION AND SETBACKS IROWLAND HEIGHTS CA 91748 928751 1 1 1 1 (SOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER- TEL NO I IFOUNDATION/TRENCH FORMS I I I 1 LIC NO (SLAB/UNDER FLOOR i I (RAISED FLOOR FRAMING I I I IMAP NO SEWER MAP BOOK PAGE- FIRE ZONE CMP 1UNDERFLOOR INSULATION I 1 1 3 001 1 1 -1 IFLriJR SHEATHING I 1 INC OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 0 NO 22 (ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I (AIR QUALITY 1000 FEET MATERIALS 1 I I 1 NO NO NO IFRAM� INSPECTION 1 1 IFIRE SPRINKLER' SPRINKLER HANGERS/ 1 (INSULATION/WEATHER STRIPI I I 1 I (INTERIOR LATH/DRYWALL I 1 I IEXTERIOR LATH I� I I I I IRATED FLOOR/CEIL ASSEM- I IRATED WALL ASSEMBLIES I I I (RATED SHAFTS/OPENINGS I I I I I IT-BAR CEILINGS I I - I I I I I I 1 I ILOT DRAINAGE I I I IREPORT 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 1003300047 PHONE (626) 285-0488 EXT - ILEGAL ID INUM13ER OF SIGNS 1 BUILDING ADDRESS ITR 5904 LT 15 ISIGN DESCRIPTION 1 SET OF INTERNALLY ILLUMINATED CHANNI, 6264 ROSEMEAD BL TEMP CA 917801560 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 15384-005-001 _ THOMAS PAGE 596 GRID- H2 LOCALITY- TEMPLE CITY, Cl ITENANT IEXIST BLDG USE- - ' (ISSUED ON- PROCESSED BY ILITTLE CAESARS JEXIST OCC GRP 103/30/10 SR OWNER: TEL NO 1BLDGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE , 1SMALDINO LOUIS (562) 693-8292- - 2,800 - 1 113583 WHITTIER BL 1 1 1 IWHIT 906051935 1 FEES PAID IDESCRIPTION OF WORK 11 SET OF INTERNALLY ILLUMINATED CHANNEL LETTERS (WALL SIGN) 1 1FEE DESCRIPTION QUANTITY- UOM AMOUNT: 1 (APPLICANT TEL NO I I 1 IMONICA PIERCE - (909) 923-3075- IAA BLDG PERMIT ISSUANCE 27 75 1 1 11028 E ACACIA ST IAB STATE GREEN BLDG FEE 2800 00 VAL 1 00 ISPECIAL CONDITIONS 1 (ONTARIO, CA 91761 IAX BUILDING REVIEW FEE 54 70 1 1 1 ID2 PERMIT W/O EN-HC 2800 00 VAL 99 00 1 1I TOTAL FEES 182 45 1 1 1CONTRACTOR: TEL NO- I (APPROVALS DATE INSPECTOR SIGNATURE 1 1EAGLE SIGNS (909) 923-3034- 1 11 11028 E ACACIA ST- LIC NO 1LOCATION AND SETBACKS 1 (ONTARIO, CA 91761 - 619628C-45 i _ 1 1 1 1 1SOILS ENGINEER APPROVAL I I I I I I I I (ARCHITECT OR ENGINEER TEL NO 1 1FOUNDATION/TRENCH FORMS I I i LIC NO 1SUPPORT STRUCTURE I I1 I I I I I i 1MAP NO. SEWER MAP BOOK PAGE FIRE ZONE- CMP- 1 1 I I I 001 1 1 1 1 I I I I I I 1NO OF FAMILIES- DWELLING UNITS- APT/GOND: STAT CLASS 1 NO 20 I I 1 SCHOOL WITHIN HAZARDOUS 1 1 1 1 (AIR QUALITY 1000 FEET MATERIALS 1 1 1 NO NO NO EXPIRED 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 1 1REPORT ID DPR261 ROUTE TO BS0508 1 1 1 1 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 0306040009 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5904 LT: 15 SQ. FT STORIES TYPE 6264 6276 ROSEMEAD BL STRUCTURE: 6900 VN TEMP CA 917801560 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5384-005-001 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C EXIST BLDG USE: RESID USE ZONE: C-2 ISSUED . EXIST OCC GRP: 06/04/03 VG 05/29/04 OWNER: TEL. B GS. LOT: VALUATION: FINAL DTE FINAL y CODE: SMALDINO LOUIS P;DOROTHY A (562) 693-8292- 10,400 13583 WHITTIER BL WHIT 906051935 FEES PAID DESCRIPTION OF-96RY— T/O EXISTING ROOF AND APPLY BUILT-UP ROOFING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: 0: CHAFEY ROOFING - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 10400.00 VAL 1.04 SPECIALCONDITIONS: D2 PERMIT W/O EN-HC 10400.00 VAL 233.40 TOTAL FEES 262.19 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CHAFEY ROOFING (714) 636-1747- 11301 EUCLID STREET, #21 LIC. NO LOCATION AND SETBACKS GARDEN GROVE, CA 92840 679674 C39 e OILS ENGINEER APPROVAL ARCHITECT R E 0: FOUNDATION/TRENCH LIC. N0: SLAB/UNDER FLOOR RAISED R FRAMING MAP N0: ER MAP B PAGE: FIRE CMP: UNDERFLOOR INSULATION 153-265 3 04' t FLOOR SHEATHING NO. OF I DWELLING UNITS: A CLA997— NO 22 ROOF SHEATHING SCHOOL0 S SHEAR PA LS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST A SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED WALL ASSEMBLIES RATED SHAFTS/5FEUTN T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNT' OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1004010007 PHONE. (626) 285-0488 EXT ILEGAL ID NO OF CONST NEW BUILDING ADDRESS ITR 5904 LT- 15 SQ. FT STORIES TYPE OCCUP GROUP 6264 ROSEMEAD BL 1 I ISTRUCTURE 0 1, V-B B I TEMP CA 917801560 (ASSESSOR INFORMATION NUMBER _ - _ NEAREST CROSS STREET: LONGDEN 15384-005-001 THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY ITENANT IEXIST BLDG USE COMMS USE ZONE- C2 (ISSUED ON PROCESSED BY ICLEARWIRE JEXIST OCC GRP. B 105/18/10 SR OWNER TEL NO IBLDGS NOW ON LOT- VALUATION: IFINAL DATE FINAL BY CODE ISMALDINO FAMILY TRUST - 30,000 1 D 1 16262 ROSEMEAD BLVD TEMPLE CITY CA 91780 FEES PAID ID SCRIPTION OF WORK II STALL (1) NEW CABINET WITHIN (E) T-MOBILE LEASE AREA INSTI I IFEE DESCRIPTION. QUANTITY UOM AMOUNT.IALL (1) NEW (3) SECTOR ANTENNA MOUNTS WITH A TOTAL OF (3)NEW1 (APPLICANT: TEL NO I I i I (BEMIS DEVELOPMENT, JEFF PARRISH (714) 730-0606- IA1 PLANCHECK W/EN-HC 30000 00 VAL 524 61 1 . 1 1250 EL CAMINO REAL, - IAA BLDG PERMIT ISSUANCE 27 75 (SPECIAL CONDITIONS I ITUSTIN, CA 92780 IAB STATE GREEN BLDG FEE 30000 00 VAL 2 00 1 I IA2 PERMIT W/ENERGY-HC 30000 00 VAL 617 21 1�� �( •)/ 1t\Y 1 I TOTAL FEES 1,171 57 +7` I� l' �1 ICONTRACTOR TEL, NO I (APPROVALS v DATE INSPECTOR SIGNATURE I (NETWORK COMMUNICATIONS INSTALLATION (714) 278-1019- 1 ! I 12478 E FENDER AVENUE SUITE H LIC NO I ILOCAFION AND SETBACKS IFULLERTON, CA-92831 B,C10 * I 1 1 I I (SOILS ENGINEER APPROVAL I 1 (ARCHITECT OR ENGINEER: TEL NO IFOUNDATION/TRENCH FORMS I IDERRA DESIGN, INC (714) 730-0606- I 1 r ) 1-1 1 1250 EL CAMINO REAL, SUITE 216 LIC NO I ISLAB'/UNDER FLOOR I I I ITUSTIN, CA 92780 NONE1 I I 1 I IRAISED'FLOOR FRAMING I I IMAP NO _SEWER MAP BOOK PAGE- FIRE ZONE CMP I (UNDERFLOOR INSULATION I I 1153H265 3 001 1 1 I 1 I ' I IFLOOR SHEATHING 1 1 INO OF FAMILIES: DWELLING UNITS. APT/COND: STAT CLASS I I I I I NO 22 1 IROOF SHEATHING I I I 1 I I I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I 1AIR QUALITY 1000 FEET MATERIALS 1 I -1-1 1 I NO NO NO I IFRAME INSPECTION I I ' • I � I I I I (FIRE SPRINKLER HANGERS I I I I I I I I I I (INSULATION/WEATHER STRIPI I I I I 1-1 1 1 1 (INTERIOR LATH/DRYWALL I I 1 1 (EXTERIOR LATH I 1 I I I I 1 I 1 I (RATED FLOOR/CEIL ASSEM I 1 I I I I I I I IRATED WALL ASSEMBLIES I I I I I I I I I I (RATED SHAFTS/OPENINGS I I I I I I I I I 1 1 IT-BAR CEILINGS I 1 I 1 1* ADDITIONAL DATA ON FILE I 1 I I LOT(DRAINAGE I I 1 I I I I I I 1 IREPORT ID- DPR261 ROUTE TO. BS0508 I 1 I 1 I 1 I I I I 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1310310069 PHONE (626) 285-0488 EXT _ ILEGAL ID NO OF CONST NEW I BUILDING ADDRESS ITR 5904 LT 15 1 SQ FT STORIES TYPE OCCUP GROUPI 6264 ROSEMEAD BL 1 'ISTRUCTURE 0 1 V-B R3 I TEMP CA 917801560 (ASSESSOR INFORMATION NUMBER GARAGE 1 NEAREST CROSS STREET LONGDEN 1 15384-005-001 - OTHER THOMAS PAGE- 596 GRID H2 LOCALITY TEMPLE CITY 1 TENANT jEXIST BLDG USE COMME JISSUED ON PROCESSED BY ISPRINT IEXIST OCC GRP R3 111/07/13 SR OWNER TEL NO IBLDGS NOW ON LOT- VALUATION I'PESCR DAJTE F BY CODE ILOUIS P/DOROTHY A SMALDINO (562) 696-6900- � 25,000 113601 E WHITTIER ST —U1N/ IWHITTIER CA 9605 FEES PAID P1S_IO OF WORK 1 I 1 (6) (E) ANTENNAS TO BE REMOVED/REPLACED WITH (3) NEW ANTENNASI IEEE DESCRIPTION ,QUANTITY UOM- AMOUNT (AND (6) NEW RRH UNITS MOUNTED TO (E) FRAM (2) (E) CABINETS IAPPLICANT TEL NO I ITO BE REMOVED/REPLACED WITH (1) NEW CABINET (1) (E) CABINET 1 IABNER MORALES, MODUS-CORP (562) 322-5431- 1D1 PLANCHECK W/O EN-HC 25000 00 VAL 398 30 1 1149 NATOMA ST IAA BLDG PERMIT ISSUANCE 27 80 ISPECIAL CONDITIONS I ISAN FRANCISCO 941045 JAB STATE GREEN BLDG FEE 25000 00 VAL 1 00 I ID2 PERMIT W/O EN-HC 25000 00 VAL 468 60 TOTAL FEES 895 70 (CONTRACTOR TEL NO '1 (APPROVALS DATE INSPECTOR SIGNATURE (METRO RF SERVICES, INC. (909) 230-4920- 1 a 12320 S ARCHIBALD AVE LIC NO ILOCF_TION AND SETBACKS I 1 1 JONTARIO CA 91761 895236 i 1 (SOILS ENGINEER APPROVAL 1 1 JARCHITECT OR ENGINEER. TEL NO (FOUNDATION/TRENCH FORMS IW T COMMUNICATION DESIGN GROUP (224) 293-6333- 1 1 12675 PRATUM AVENUE LIC NO ,1 ISLAB%UNDER FLOOR IHOFFMAN ESTATES IL 60192 NONE _ J t I 1 (RAISED FLOOR FRAMING IMAP NO SEWED. MAP BOOK PAGE FIRE ZONE CMP JUND1?RFLOOR INSULATION I 1153H265 M 90 3 OOI - I 1 I I I 11ST'LEVEL FLOOD SHEATH - 1NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I ,R 1„ 0 NO 20 1 I2NI�I LEVEL FLOOR SHEATH I SCHOOL WITHIN HAZARDOUS IROOF SHEATHING (AIR QUALITY 1000 FEET MATERIALS II NO NO NO (FIRE DEPT FRAME INSPECTI I - 1 I JBLDG DEPT FRAME INSPECTI I 1 (SHEAR PANELS I I I (INSULATION/WEATHER STRIPI I JINTERIOR LATH/DRYWALL 1 1 I I I 1 (EXTERIOR LATH I I 1 I ILOT DRAINAGE 1 I I I 1 1 _ ISMOKE DETECTION DEVICES 1 I 1 (FIRE DEPARTMENT APPROVAL( I I 1* ADDITIONAL DATA ON FILE I I I I ' IREPORT ID DPR261 ROUTE TO BS0508 I i I I I I L COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS COMMERCIAL ADDITION BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0410140047 PHONE: (626) 285-0488 EXT: LADDRESS: TR: 5904 LT: 15 SQ. -FT STORIES TYPE OCCUP GROUP 6264 ROSEMEAD BL STRUCTURE: 300 1 V B TEMP CA 917801560 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5384-005-001 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C EXIST BLDG COMME USE ZONE: C-1 IEXPIRES . CINGULAR WIRELESS EXIST OCC GRP: B 03/17/ JK 03/12/06 OWN L. N0: BLDGS. NOW ON LOT: VALUATION: FINA - SMALDINO LOUIS P;DOROTHY A (562) 696-6900- 50,000 13583 WHITTIER BL WHIT 906051935FEES PAID C. PTION OF WORK NSTgLLATION OF 12 PANEL ANTENNA ON NEW 601 MONOPALM WITHIN APPLFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 61 D FENCE ENCLOSURE FOR CINGULAR WIRELESS I BROOKSTONE TELECOM, INC. (951) 694-4114- D1 PLANCHECK W/0 EN-HC 50000.00 VAL 678.03 27450 YNEZ ROAD #300 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: TEMECULA, CA 92591 AE STRONG MOTION OTHER 50000.00 VAL 10.50- D2 PERMIT W/O EN-HC 50000.00 VAL 797.70 TOTAL FEES 1,513.98 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNA UR BROOKSTONE TELECOM, INC. (951) 694-4114-, 27450 YNEZ ROAD SUITE 300 LIC. NO LOCATION AND SETBACKS TEMECULA, CA 92593 840244B SOILSN INEER APPROVAL ARCHITECT U MICHAEL SHEWBRIDGE (949) 251-1177- 1800 E. DEERE AVE LIC. N0: SLAB/UNDER FLOOR SANTA ANA, CA 92795 C19797 14AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATI XX 3 01 FLOOR SHEATH19U F UNITS: A C . NO 22 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR AIR QUALITY: 1000 FEET MATERIALS _ NO NO NO FRAME INSPECTION FIRE SPRINKLEff7ffKff6ffS­ INSULATIONNEATHER STRIF INTERIOR LATHIDRYWALL EXTERIOR LAT RATED I. ASSEM. RATED WALL ASSEMBLIES RATEDSHAFTS/OPENINGS T AR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508