HomeMy Public PortalAbout6334 ROSEMEAD BLVD_Building__ 7BA696A CIE#6086-88 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING 6334 No. ROSEMEAD,
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY SAN GABRI EL , CALIF.
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST LONGDEN
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NOROUP
FOR APPLICANT TO FILL IN . GROCESSED Y
/�V+ TYPE
CONST.
BUILDING `� SEWE P
ADDRESS r 6`� O• 0SEMEAD.PSTATISTICAL LASSIFICATION* - I BK PG
CLASS. NO. DWELL. UNITS
LOT NO. _40/1 LOCK MAP .: STATE
/ NUMBER - L�-O HWY. YES NO
TRACT USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT 2—
USE
USE OF
EXISTING BLDG. BUILDINGEXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER-STEPHAN 'S HAIRSTYLISTS FRONT
MAILP•'L•
ADDRESS 6334'40.:,. ROSEMEAD, SIDE
TEL. P.L.
cITY' SACT GABRI EL'. Ca, - NO. INSPECTION RECORD
ARCHITECTOR TEL.
ENGINEER'( NO.
ADDRESS -
T�Ar„TO►RcjNEON PRODgCTSNo AT9427
ADDRESS 1240 - S.•CHAPEL•.AL HAMRRA
DESCRIPTION OF WORK
NEW ADD ALTER - REPAIR DEMOLISH
SO.FT. NO.OF NO.OF
SIZE - STORIES FAMILIES
USE OF STRUCTURE INSTALL S.F. ELECT
BY CA L
SIGNATURE OF f /_♦�///1J�i APPROVALS
APPLICANT ,/ � ��
DATE INSPECTOR'S SIGNATURE
ADDRESS 1240 olo. CHAPEL,ALHAITB FOUNDATION: LOCATION
FORMS.MATERIALS
$ r700. 00 - P,C. $ FRAME: FIRE STOPS.
t! FEE BRACING. BOLTS
VALUATION $ ® '-FURNACE: LOCATION.
FEE GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION.AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REG T1 ING CONSTRUCTION. LATH.EXT.
SIGNATURE OF �.%���(ry-f�y�y✓ "� RECT OUSE NUMBER R AND POSTED
PERMITTEE
ADDRESS
1240 So. CHAPEL .AL-HA ,-1 FINAL 3-lS�r9
CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH
APPLICATION FOR BUILDING PERMIT
• it COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDI AQgE
I hereby affirm that I have a certificate of consent to self insure, BIL IN ADD ESS /I AYIC
or a certificate of Workers'Compensation Insurance,or a certified us-(,"eo p 17!V6
ZIP
copy thereof(Sec.3800,Lab.C.) J 6 ry � S& l LOCALITY
Policy No. Company T C
SIZE .
LOT � NOOF BLDGS. N LOT
NOW O
❑ Certified copy is hereby furnished. ALINEAREST CRO /{
El Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. — `�
department. USE ZONE N . '
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL / SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' ow R j TEL.NO. (J
I C U/6 u/ (.dr Pv JDA -77 (�(� YES NO
COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL?
ADfD E S
(This section need not be completed if the permit is for one hundred C U //9�(��Q DISTRICT GROUP TYPE NST' FIRE ZONE PROCESSED BY
dollars($100)or less.) CITY / ZIP
I certify that in the performance of the work for which this permit 7 W( ex �1+'t� V,0'
is issued, I shall not employ any pe on in any manner so as to ARCHITECT OR ENGINEER TEL.NO. V
beconLe subject to the�r Workers'Co ensati n La STATISTICAL CLASSIFICATION APT CONDO
Date a �ipplicant ADDRESS CLASS NO. DWELL UNITS
NOTICE TO APPLICANT. If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
O TRA T , G
Exemption, you should become subject to the Workers' CR� 'TEL.`NO. r ,SETBACK YARD HWV PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith / f/ LpG C, J FRONT
comply with such provisions or this permit shall be deemed revoked. A?RJrS$ Z LIC.NO. B
(c v t� I` PL '-
LICENSED CONTRACTORS DECLARATION CITE _-I LIC.CLASS SIDE O
I hereby affirm that 1 am licensed under provisions of Chapter 9 4 n tf C- _'ys SEWER MAP r• - g v
(commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORES NO.OF FAMILIES ACC i °a
Professions Code,and m license is in full force and effect. NEW ❑ BK PG 10, :�� �� C
y DESCRPTIONOFW K w_I1/ !-`°/
License Number -S q/ Lic.Class e y r ADD ❑ VALUATION w
1�AJS 4S 16 A7 S r� $ .... i 3 ITEMS
Contractor Date ALTER ❑ _ z
REPAIR ❑
jI_IEAL 75 . 75—
❑ I am exempt under Sec. $ i:HECK 75.
•.1
8.8P.C.for this reason DEMOL ElLDMA P/C#
Date: USE OF EXISTING BLDG. URM ❑ CH�eyt NGE .00
Signature AP ICANT(PRI LAlt" 7 NO. c/ LDMA Perm#
❑ 1, as owner of the property, or my employees with wages as A s _aoVe �/ 6((v�� i�J[I --(J6 / j 4�j i
ZC
their sole compensation,will do the work and the structure is
not intended or offered for sale (Section 7044, Business and � -"� - FINAL DATE G 016)0+ i Ate S;ii
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J 1
❑ I, as owner of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN
Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B • A'•t• g
licensed contractors to construct the project (Section 7044, Ak T°v
Business and Professions Code.) ves❑ No❑ e!•y�
WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING 330 f
v °.t3i
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH Vf
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST T T
FOR GUIDELINES. i F EMS
I hereby affirm that there is a construction lending agency for YES❑ No❑ I f £�
the performance of the work for which this permit is issued(Sec. AL 1319 - 50
I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD _
3097,CIV.C.J. PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES r Hrr'�`/• C
COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.2D.1 40 CONCERNING �'•"i_CK U9a 13
�o Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD.
oLenders Address OWNER OR AGENr
o I Certify t at have re this application and state that the above P.C.FEE PERMIT FEE
informat n rr I agree to comply with all county , +� ��i}�i _jli �fii/, �
ordinan s a s relating to building coWent' V
a. hereby utho ntatives of this CountISSUANCE FEE � ithe abo tmel�ti operty for inspection puA `°11
INVESTIGATION FEE TOTAL FEE
sq�w a am .
SEE REVERSE FOR EXPLANATORY LANGUAGE,
r
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 0701090029
PHONE: (626) 285-0488 EXT:
LEGAL ID: NUMBER OF SIGNS: 1 BUILDING ADDRESS:
ON FILE SIGN DESCRIPTION: ONE SET OF CHANNEL LETTERS 6334 ROSEMEAD BL
TEMP CA 917801544
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5382-021-026 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON:
MI OFICINA INCOME TAX EXIST OCC GRP: 01/09/07 JK 01/04/08
OWNER: TEL. NO: . BLDGS. NOW ON LOT: VALUATION:._ FINAL D I
L BY: CODE:
G. V. D. COMERCIAL PROPERTIES INC. (714) 639-2131- 2,000
1915 A. E. KATELLA
'P ORANGE, CA 92867 FEES PAID DESCRIPTIO F W R
ONE SET OF CHANNEL LETTERS ON AN EXISTING RACEWAY READ
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INCOME TAX
APPLICANT: TEL. NO:
MF SIGN FACTORY (909) 920-9656- AA BLDG PERMIT ISSUANCE 27.75
1495 W. 9TH ST. #305 AX BUILDING REVIEW FEE 54.70 SPECIAL CONDITIONS:
UPLAND, CA 91784 D2 PERMIT W/O EN-HC 2000.00 VAL 82.20
TOTAL FEES 164.65
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
MG SIGN FACTORY (909) 920-9656-
1495 W. 9TH STREET. #305 LIC. NO LOCATION AND SETBACKS
UPLAND, CA 91784 863995 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
REPORT ID: DPR261 ROUTE TO: BS0508