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Home My Public Portal About6503 ROSEMEAD BLVD_Building__ ow70A038A Ci 4803 ♦/TZ ;noc *ewe APPLICATION FOR BUILDING PERMIT fl COUNTY OF LOS ANGELES —ASSESSOR �J DEPARTMENT OF COUNTY ENGINEER MAP BBUILDING PARCEL OO } K PAGE BUILDING AND SAFETY DIVISION ADDRESS O J ,SAKE CHECKS PA]ABLE TO \ HARVEY T BRANDT, COUNTY ENGINEER LOCALITY R "P7107MILL. N NEAREST (Print or Not Only) CROSS ST BUILDING �j DISTRICT NO OUP PE PROC BY ADDRESS O v � ��JJ�'X1O g CONST STATISTICAL CLASSIFIC ON SEWER LOT T BLOCK CLASS NO�DWELL UNITS-1BK P TRACT USE ZONE MAP NO OF BLDGS NOO SIZE OF LOT NOW ON LOT SPE IAL USE OF CONDITIONS EXISTING BLDG lajai 0/ OWNER - IryS� T L o'QBLDG SETBACK FR ADDRESS FRONTPROP LINE STREET) T ,O TYPE OF EUSTI NG SETBACK HIGHWAY } YARD = TOTAL CITY HI HWAY WIDTH FROM C L ARCHITECT OaAW CJLTEL _ ENGINEER � )) O BLDG SETBACK FR Y ADDRESS y 4/�'. I�/�`�(/� �, (J SIDEPROP LINE OF (STREETI U CONTRACTOR N KS�C pL H GITPt 01Y"1 OTIHG FROM C l GHWAY } YARO = TOTAL CK e O ADDRESS NIOA O 6u WW CITY CILASS C-yo CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS Sp FT NO OF NO OF SIZE /O STORIES FAMILIES I NEW USE OFl ADD Li STRUCTURE D �--N ALTER ❑ SIGNATURE OF REPAIR❑ APPLICANT DEMOL ❑ VALUATIONS D APPROVALS DATE INKPEC R'S SIGNATURE PCPMTFEE 3 , FEE 3 �i ON QO FOFORMS I MATERIALS OCATION j FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND 3TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OP THE LATH INT LABOR CODE OF TH STATE OF CALIFO 1 N RELATING TO WORKMEN'S COMPO ION INSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED AooREss FINAL p��, PLAN CHECK VALIDATI H M O CASH PEl13�Y{ V ON CN .0 CASH i ��r 0 3 0 2�3 APRD 9,60 s f ]('_ 0 6 2 2t3 LPR18 1 D 1 5.00~ 76A638A CE .603 4/72 • • p4 c/ APPLICATION FOR BU DING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGg., PARCEL BUILDING AND SAFETY DIVISION BUILDING l7�S 03 STAKE CHECKS PAYABLE 70 ADDRESS HARVEY T BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANTFILL IN NEAREST CROSS ST BUILDING DISTRICT NO G UP YPE PR SSE BY ONlT ADDRESS S TISTICAL CLASSIPTCAlIMN SEWER MA LOT NO BLOCK CLASS NO DWELL UNITS_ BK�PG96 TRACT USE ZONE MAP NO OF BLOGS ^ NO ZO V SIZE OF LOT NOW ON LOT / I SPECIAL USE OF l CONDITIONS EXISTING BLDG OWNER / ' t pL " �- B SETBACK FROM ADDRESS v �1 F ONT PROP LINEOF (STREET) . EOFJEXISTING SETBACK HIGHWAY + YARD = TOTAL CITY HI Aj WIDTH FROM C L ARCHITECT TEL + _ y ENGINEER k NO Q/ Y GK BLDG p ADDRESS SIDE PRR OP LINE OF (STREET) Gi TYPE OF E%ISTING SETBACK HIGHWAY + = TOTAL Cd CONTRACTORTE 'ie/470 HIGHWAY WIDTH FROM C L LI Ci ADDRESS NO + = d LIC H CITY CLASS(2/0CORNER CUTOFF YES ❑ NO ❑ z CONSTRUCTION AND BRANCH NAMENDER SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS Vvv I SO FTNO OF NO OF ^� Nom, ❑ SIZE STORIES FAMILIES USE OF k ADD STRUCTURE ALTER ❑ SIGNATURE OFREPAIR❑ APPLICANT ENOL ❑ VALUATIONS APPROVALS GATE iNn•EcroR a SIGNATURE P C PMT FOUNDATION LOCATION FEE 5 7jzFEE S /-21400 FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL ORDINANCES AND LAWS REGULATING BUILDING COM- GAS VENT DUCTS STA UC TION I CERTIFY THAT IM DOING THE WORK AUTHORIZED HERESY I WILL NOT EMPLOY AMY PERSON IM VIOLATION OF THE LATH INT LABOR CODE OF THE STATE OF CALIF IA IM RELATING TO WORKMEN a COMP TION INSURANCE LATH EXT SIGNATURE 0 1 HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS/3KF FINAL PLAN CHECK VA / _ bi N O CASH LpNUPA4}✓ ,1 1f0 3 0 173 0 GA6 cj 373 AFR 1 g 1 D 1 2.00— 16A63BA CE .803 4/72 APPLICATION FORBUILDING PERMIT 4 COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK 10 PAGE 112 PARCEL BUILDING AND SAFETY DIVISION BUILDING 6503 Rosemead Boulevard MAKE CHECKS PASABLE 70 ADDRESS HARVEY T BRANDT. COUNTY ENGINEER LOCALITY Temple Cit FOR AP L FILL IN NEAREST CROSS ST Emperor Avenue Qwg type only)BUILDING DISTRICT NO G OU CNSE ESSED BY ADDRESS 6503 Rosemead Boulevard s,D oNST STATISTICAL CLASSIFICATION SEWER MAP LOT NO 59 BLOCK CLASS NO WELL U TS23pt P0 TRACT USE ZONE MAPNO OF 0 .�T�.. S1ZE OF LOT On Record NOW ON LOTS SPECIAL USE OF On Record l•� 'f/ CONDITIONS EXISTING BLDG OWNER The Southland Corp. TEL465-2101 — NOBLDG SETBACK FROM ADDRESS P O. BOR 698 FRONTPROP LINEOF (STREET) TWE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY La ppMRRe� a Calif. 02-41 HIGHWAY WIDTH FROM C L ARCH ENGINEER L. Jacobson TEL683-2876 + BLDG SETBACKFROM ADDRESS 6370 Magnolia Ave, Riverside SIDEPROP LINE OF (STREET) TELTYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CC CONTRA CTOFTava g 1ione Const NO 684-8870 HIGHWAY WIDTH FROM C L ADDRESS 3405 Arlington Ave. No 278222 + _ CIL. LIC CITYRiverside, 92506 CLASS B CORNER CUTOFF YES ❑ NO Z CONSTRUCTION LENDER NAME AND BRANCH None SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SO FT NO OF 1 NO OF NEW SIZE STORIES FAMILIES ❑ USE OF ADO STRUCTURE / L11 CE-c ALTER ❑ (i SIGNATUR O REPAIR❑ APPLICAN DEMOL ❑ VALUATI S C APPROVALS PATE INSPECTOR•e SmH 1LRE PC PMT +J FOUNDATION LOCATION FEE S FEES C� FORMS MATERIALS FRAMEFIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AMO STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL OR0INANCES AND LAWS REGULATING BUILDING COM- GAS VENT DUCTS STRUCTION CERTIFY THAT IN GOING THE WORK AUTHORIZED HEREBY I WILL MOT EMPLOY ANY REPEOM IM VIOLATION OF THE LATH INT LABOR CODE OF THE STATE OF CALI FOR MIA IM DILATING TO WORKMEN'S IPEMSATIOM IMSURAN LATH EXT SIGNATURE O PHOUSE NUMBER COR- ERMITTE -' ADDRESS 340 Arli t0 A RECT AND POSTED FINAL PLAN CHECK VALIDATION cK m, CASH _ PERMIT VALIDATION CK M o(CA9 Ar, 1019 _ 1 0 24.00- _ �� 75A538A Ct u503 4/72 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING 4AI,F CHOCKS PA]":1HLF 70: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print r t nl CROSS ST. L BUILDING DISTRICT NO. GROUP TYPE ROC SED BY ADDRESS „ �.- y CONST. STK715TTCAL CL S PON SEWER MA LOT NO. BLOCK CLASS NO._Jg• OWELL,UNITS_ BKV PGS TRACT r USE ZONEMAP NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT /(' SPECIAL USE OF L CONDITIONS EXISTING BLDG. EL. OWNER NO, BLDG.SETBACK FROM __- ADDRESS FRONT PROP.LINE OF - (STREET) TYPE OF EXISTING1 SETBACK I HIGHWAY +y YARD = TOTAL CITY HIGHWAY WIDTH I FROM G.L. ARCHITECT OR TEL. + �- ENGINEER NO. - C. ' -"� LDG.S KFROM (STREET) y ADDRESS i _ SIDE PROP.LINE OF W Ij TEL. TYPE OF EXISTING1 SETBACK )tAMWAY + YARD = TOTAL CONTRACTOR .No. HIGHWAY WIDTH JFROIAC.L. �- /7 ADDRESS NOC. + -�� /' --- LIC. O CITY CLASS CORNER CUTOFF YES ❑ NO ❑ d CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT, NO. OF NO, OF ` NEW SIZE STORIES FAMILIES USE OF ADD STRUCTURE ALTER ❑ REPAIR❑ SIGNATURE OF APPLICANT f"% ( DEMOL ❑ VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEES FORMS. MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS 3TRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED NERE BY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF CALIFORW N RELATING TO - WORKMEN'S COMPENSATION INSURANCE. ��" LATH, EXT. SIGNATURE OF {' HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION o cASH f 1 TaAa,BAr�.11� APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGELES BUILDING S-n r DEPARTMENT OF COUNTY ENGINEER ADDRESS V BULDRNG AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CASBATTD GRIFFIN BBPTor Bm Lcl— GRO 9 DISTRICT NO GROUP SEWER MAP FOR APPLICANT TO FILL IN : = PE BK Po BUILDING CONST ADDRE88 STAT1871CA SSIFICATION LOT NO 1 BLOCK CLASS NO LL UNIT MAP NUM ER Q HVAjTTF YES NO TRACT E NE SPECIAL NO OF BLDGS /{[ CONDITIONS IZ SE OF LOT N 1"X1001 NOW ON LOT USE OEXISTP SOO U IN LD BUILDING YARD HWY STREET NAME EXIST 1 SETBACK OWNER WIDTH FRONT / MAIL P L ADDRESS 41DE CI NOL P L ARCHITECTOR TEL INSPECTION RECORD ENGINEER NO ADDRES CONTRACTOR1:1. !JlMVO _ L lore�L D D E88 DESCRIPTION OF WORK �i -2 -S 3� 'I &- C9F DA/ NEW D ALTER REPAIR DEMOLISH 9O PT NO OF NO OF (// *H F ✓ q/I(,L SIZE O STORIll FAMILIES USE O CTURE r A Sok-r Q oc 81GNATUR!OP APPROVALS APPLICANT N /�7xL DATE INSPECTOR SSIGNATURE ADDRESS FOUNDATION LOCATION s IORMS MATERIALS _ P G i FRAME FIRESTOPS �J�j�y Q FEE BRACING BOLTS VALUATIONf S Q FURNACE LOCATION FEE GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY DINANCES AND STATE LAWS REO INO BUILDIN ONSTpUCT10N LATH EXT L' HIONATUREOF �IOUBE NUMBER COR —_ PERMITT! RECTI AND POSTED r ADDRESS FINAL CLYDE DIRLAM PRI NCI PAL ST CT RAL ENGINEER PLAN CHEM VALIDATION u r o CATH PERMIT VALIDATION CK r o GAGE L 0212 OM .nrbr 2 3 1 e 13 5 0 IDT 76A636A CE X809 1/7I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PA PARCEL BUILDING AND SAFETY DIVLSION BUILDING ADDRESS _50,93 COLEMAN W JENKINS. GUI T of BUILDING LOCALITY BIRFOR A L C TO LL IN NEARES 1n1 or type oI CROSS ST BUILDING DISTRICT Na- G TYPE PR ESSED BY ADDRESS 8 CONST STATISTICAL CLASSIFICATION SEWER LOT NO BLOCK / CLASS NO DWELL UNIT��_ BK PG !7 TRACT USE ZONEI MAP NO OF BLDGS NO ZOCJ SIZE OF LOT NOW ON LOT ?/ SPECIAL USE OF ' CONDITIONS EXISTING BLDG p OW NER IAlliB T$v$ lions NOL 684-887 BLDG SETBACKFROM ADDRESS3 5 Arlington-Riverside FRONTPROP LINE OF (STREET) TYPE OF ISTING SETBACK HIGHWAY } YARD = TOTAL CITY HIO AY WIDTH FROM C L ARCHITECT OR TEL O } _ ENGINEER NO 'BLDG SETBACK FROM ADDRESS / SIDEPROP LINEOF (STREET) CONTRACTOIYreen Bros. ,InC .N - 9 8 H`Ip EoAF WIIDTHG FROM CCL HIGHWAY } YARD = TOTAL pp t� ADDRE55543 W. Woodbury Rd LIC + = o CITY t$ BAS CLASS C- l CORNER CUTOFF YES ❑ NO ❑ LAI CONSTRUCTION LENDER y NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z ADDRESS SO FT NO OF NO OF NEW ❑ SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE Demolish dwelling-- ALTER ❑ SIGNATURE OF REPAIR❑ APPLICANT DEMOL VALUATION 5 900,00 APPROVALS DATE INSPECTOR'. SIGNATURE P C PT FOUNDATION LOCATION FEES FM Q FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STAT[ THAT THE ABOVE If CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAW& REGULATING BUILDING CON- GAS VENT DUCTS STRUC TIOM C[RTIFY THAT IN DOING THE WORK AUTHOR I2ED HERC&T I IL NOT [MPLOY AMT PCRfOX IN VIO LA TI OM 01 T. LATH INT LA&OR CO OF THE STAT[ QI CAL If ORMIA IM REL NO TO WORKM[N'a 0M P[MIATION INS URAMCC LATH EXT SIGNATURE HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL ENGINEER PLAN CHECK VALIDATION CR HO cABH JOHN F LEWIS PRINCIPAL STR URAL PERNIIr VALIDATION cN NO uBH I ACTe 1 2 4 41J 'u 26 1 v 1 .00- 76AG38A CE 4803 4/72 r ' APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUIIAING AND SAFETY DIVISION BUILDING � MAKE CHECKS PAIAHLE 70 ADDaE55 HARVEY T BRANDT, COUNTY ENGINEER LOCALIT FOR APPLICANT TO FILL IN NEAREST CROSS ST BUILDING Q3 - DISTRICT NO GROUP TYPE ESS B ADDRESS S CONST STATISTICAL CLASSIFICATION SEWER MA LOT NO BLOCK CLASS NO L�DWELL UNITS-_j_ BK &PO TRACT USE ZONE MAP NO OF BLDGS NO /G SIZE OF LOT OW ON LOT SPECIAL USE OF -L CONDITIONS EXISTING BLDG OWNER C.(- NE 62101 BLDG SETBACK FROM ADDRESS K FRONT PROP LI NE OPS (STREET) 5 TYPE OF ISTIHG SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWAYWIDTH FROM C L ARCHITECT �gNEL OQ + _ (/ ENGINEER �/'+ U BLDG SETBACK FROM ADDRESS d OSIDE PROP LINE OF (STREET) o TEL TYPE OF EXISTING SETBACK H WAV + YARD = TOTAL U CONTRACTOR U t NO HIGHWAY WIDTH FROM BA: L O ADDRE3 /V o G = J LIC d CITY CLASS CORNER CUTOFF YES ❑ NO ❑ _ NA E AND BION L NJDER ��-_ SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SONO OF i NO OF NEW ❑ SIZ STORIE FAMILIES USE OF ADD ❑ STRUCTUR tEPAIR❑ ALTER ElSIGNATURE R APPLICANT OL �y� O VALUATION S 5 W/ APPROVALS DATE INSPECTOR'S SIGNATURE PC PMTFOUNDATION LOCATION FEE S FEES I -157- FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, RACING BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY WILL OT EMPLOY ANY PERSON IN VIOLATION OF THE LA TH INT LABOR CODE THE STAT[ OP CA IIORMIA IN ELATIRG TO WORKMEN P[NBATIONINBURI�o LATH EXT SIGNATURE O 11 HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL I 22P3 PLAN CHECK VALIDATION CK AID DASH _ PERMIT VALIDATION 0 MO CASH L� 1 1 6 3" Fa 21 1 21.75- 'Hs 76AO6BA "M(REV 11/78) APPLICAT1011Y�FOR 131.110DkG PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDDRESS BUILDING ADDRESS 5'03 LOCALITY NEAREST CITY L / ZIP CROSS ST NO OF BLDGS ASSESSOR SI ZE OF LOT NOW ON LOT MAP BOOK PAGE PARC DIST ICT ROUP TYPE FIRE ED BY TRACT BLOCK LOT NO �D CON OWNER E CG/ OWNER Q/d /� STATISTICAL CjLA��51� TION ER ADDRESS 6503 /Y CLASS NO`-� DWELL UNITS BK CITY / ZIP ARCHITECT OR TEL VALUATION $ yl ENGINEER NO ADDRESS BLDG SETBA K FROM TEL 413 7�7 FRONT PROP LINE OF (STREET( CONTRACTO _ $ NO vI HIGHWAY + YARD _ TO 7AL SETBACK FROM TYPH EXISTING ADDRESS �Li /L// .1O Ll CNO Z81 FRONT PROP LINE HIGHWAY WIDTH CITY /(/ CLASS ��[ CONST UCT ION LENDER _ BLDG SETBACK FROM NAME AND BRANCH � SIDE PROP LINE OF (STREET( HIGHWAY + YARD TOTAL SETBACKFROM TYPE OFIGHWA EXISTING `1 ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH , SO FT NO OF NO OF CHECK + SIZE STORIES FAMILIES ONE USE ZONE NO O DESCRIPTION OF WORK "�' NEW dx (�-p SPECIAL 14.4v,+7 ES ADD v CONDITIONS ALTER FINAL BY ! _ REPAIR DATE `�v 7�A�—t�A` USE OF DEMOL EXISTING BLDG APPLICANTTEL (PRINT NO (� ? /� • / A G= BY(SIGNATUR ^ rT ' ' / Y I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE u THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES V AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DO(NG THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATEOF CALIFORNIA IN RELATING10 WM/EN�SCOM PENSATION INSURANCE /y J?. �8 21 9 A SIGNATURE OFfl/,U PERMITTEElop ADDRESS $ 2 • • 6 1 0,0 CITYTNO 7- 6 1, 0 0 D PC Fee$ T/ Permit Fce 7 > ' Issuance Fee / 1 ] I Total Fee d"U is 7APd:TBA " C=JREV If/78) — APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS LOCALITY CITU NEAREST CROSSZIP NEAREST O OF BLDGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE I PARCEL DISTRICT GROUP TYPE FIRE P SSED BY TRACT BLOCK LOT NO - CONST TEL - Q �IIV/ OWNER te oe eAXQWpw C. NO STATISTICAL CLASWItATION SEWER MAP ADDRESS^ Q CLASSNO DWELL UNITS SK PG / CITY G'" ZIP ' ARCH'TEC7 OR {. TEl VALUATION $ ENGINEER (- C NO �46 7070 ADDRESS BLDG SETBACK FROM _ TEL FRONT PROP LINE OF .(STREET CONTRACTOR C �NO TOTAL SETBACK FROM TYPEOF EXISTING ADDRESS LIC NO HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH S'rr c7 + — CITY LICUSS C-4 CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF IS HIGHWAY + YARD - TOTAL SETBACK FROM TYPE EXISTINSTIN G ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH Q SO FiNO OF NO OF CHECK + V SIZE - STORIES FAMILIES ONE USE ZONE MAP Q DESCRIPTION OF WORK • NEW SPECIAL ADD ❑ �- CONDITIONS ALTER FINAL ?-5� BY REPAIR DATE USE OF DEMOL �i EXISTING BLDG _ �rj'�' n A� _ _ APPLICANT TEL / ` 2 A 8 2 2 0 A (PRINT) < 79 # . . . . 23 BY ISIGNATUREI _ _ 7 2 • O O I HEREBY ACXNYWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE RE LAATINGG SUILDINGVE 15 CMECT DA�EE TO COMPLY F CONKI STRUCTN I CERTIFY THAT IN DOING TITH ALL HE ANDLAWS • • 3 u 0 05 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VKTAIKJN OF V THE LABOR CODE OF E STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 COM - 1213-79 PENSATION INSUPA SIGNATURE OFNAA I PERMITTEE 8 2 21 A ADDRESS O TEL - # . . . . . 1 CITYNO < � 2 • • 5200 PC F"$ ^' `" PermitFee > • - 520013 Issuance Fee FRI Totol Fee r � Y WORKERS COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self InAPPLICATION FOR BUILDING PERMIT sure or a certificate of Workers Compenation Insurance or a certified copy thereof ( ec 3800 L COUNTY OF LOS ANGELES BUILDING AND SAFETY Pohcy Now V r Company Certfied copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy Is filed with the n mg mape< BUILDING .sw,s tion epanment ADDRESS 0� rcii.�0 LOCALITY NEAREST (Sate Applicant CITY ZIP CROSS ERTI ICATE OF EXEMPTION FROM WORKERS NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT Z NOW ON LOT MAP BOOK IaPAGE PARCEL (This section need not be completed If the permit is for one TRACT A" C�USE ZONE NO O hundred dollars ($100)or leu ) BLCK:K L07 NO r > /►'J TEL f SPECIAL Q I certify that in the performance of the work for which this OWNER CONDITIONS permit is Issued, I shall not employ any person in any mannerDISTRICT I GROUP JIYPE FIRE PROCE By I so as to become subject to the Workers Compensation Laws ADDRESS /']O ELI O CY CONST 1 ' ZONE _ _er Data Applicant CITU ( ZIP STATISTICAL CLASSIFICATION 1/ •�7 CONDO— NOTICE TO APPLICANT If after making this Certificate of ARCHER ITECT OR TE W Exemption you should become subject to the Workers ENGINECLASS NO a� DWELL UNITS_ N Compensation provisions of the Labor Code you must forth ADDRESS SEWER P Z with comply with such provisions or this permit shall be deemed revoked I CONTRACTOR NO S BK I'�+ VALIDATION LICENSED CONTRACTORS DECLARATION �/� UC /� I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS{)/ QA(� NO /7S VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC 7 9, /'-s.-il Professions Code Q4andddJ my license is ,n full force and effect CITY.lrlt SA eW4- CLASS $ z"l V A-/ NO License Number :551 /�� be Class( SIZEFT/.XaV STORNO IE .Y FAMILIIES CHECK Contractor YI D_, , ZWAJ'1�—Date AP-11 Ja'd DESCRIPTION OF WORK 91 NEW ❑ $ I am exempt from the licensing requirements as I am aADD / licensed architect or a registered professional engineer ALTER FINAL 42 6 -� acting in my professional capacity (Section 7051 , REPAIR DATIE Business and Professions Code) USE OF EXISTING BLDG 60~7' �� ❑ FINAL Llc or Reg No Late APPLICANT -D ^ TEL OWNER-BUILDER DECLARATION PRINT LJ !/ /Ai cr_ NO 4/77 -f�y I hereby affirm that I am exempt from the Contractor s License ADDRESS �S/3 /�(� d O e>J A / / Law for the following reason (Section 7031 5 Business and Professions Code) ' OBUILDING 1 as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work andn w1 'P 2 6 3 S R &)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 _ D/. _ f�f 1 with licensed contractors to construct the project (Sec V FO dC.! 2 - 29350 h 44 on 70 , Business and Prafesslons Code) ADDRESS r CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH - 293500' REQUIRED TOTAL SETBACK FROM EXIST I hereby affum that there is a construction lending agency for FRONT _/mai I-0 16-80 the performance of the work for which this permit is issued _ PL /il (Sec 3097 Cry C I SIDE PL lender s Name �7 $ Lender s Address P C Fee$ Pmm,t Fee C:2SO > I certify that I have read this application and state that the tssuance Fee above information is correct I agree to comply with all County Inveshganon FeeO / ordinances and State laws toting to building construction Total Foe O� J� and he' Le th re a ntatwes of this County to enter upon th be e e ho property for inspection purposes e /O v SEE REVERSE FOR EXPLANATORY LANGUAGE ^ Signature of Applicant or Agent pate ms - - APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS I hereby affirm that have a certificate of consent to self insure 03 �J CSC p or a certificate of Workers Compensation Insurance or a certified /C copy thereof(Sec 3000 Lab C) Srrr(e Irddp cm ZIP LocALITv Policy No 70Z OFA CompSIZEE OOF DT any F LOT a G�iT NO OF BLIX3S NOW ON LOT ❑ Certified Copy is hereby furnished / NEAREST CROSS ST Certified copy Is filed with the County bulldog Inspection TRACT BLOCK LOT NO department '/- I !' USE ZONE MAP NO Date /�/7-6' Apphcanl /`J✓dWb� ^Lam'✓ J�� ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS OWNER rEL tic° COMPENSATION INSURANCE vill Y173 . WITIFIN 1000 FT OF ScrgoL? YES NO (This section reed not be completed it the permit s for one hundred ADDRESS dollars IS 100)or less) 637 E. 5kneo✓O STi DISTRICT GROUP ZPEONST FIRE ZONE PROCESSED BY I certify that in the performance of the work for which this permit -fl��,,,�y LI,y �9/76L IsDerwin Issued I shall rom t eploy any In any manner so as to �/ tY become subject to the Workere Compensation Laws ARCHITECT OR EER TEL NO STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NODWELL UNITS AIOTICE TO APPLICANT It after making this Certificate of REWIRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers CONTRACTOR / TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code you must forthwith /C.tj/af N .✓ .✓ Gs 90 FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO P L LICENSED CONTRACTORS DECLARATION1761 'e#, /✓T �� SIDE CRY LIC CLASS P L I hemby affirm that I am licensed underprovlslors of Chapter 9 /✓G2nqP4 «' SEWER MAP (wmmengng with Section 7000)of Division 3 of the Business and SO FT SIZE NO F STORIES NO OF FAMIUES Professions Code aril my license Is In full face and effect NEW BK PG d License Number La Class C'ys DESCRIPTION OF WORK ADD ❑ VALUATION , Q Contractor'ZA"6 FJWe .✓N+/ Date /— fr .✓ TAC / �' ALTER $ ��'P"j" U .✓Et G dJ�a / 0 ElI am exempt under Sec REPAIR ❑ $ BBPC for this reason DEMOL ❑ LOMA P/C A W e� Dante USE OF EXISTING BLDG URM ❑ `�_ Signature � `dyAiIIy APPLICANT(P TI TEL NO LOMA Pmmw Y a Z I as owner of the property or my employees with wages as 71-I.T. Elr c their sole compensation will do the work and the structum s ADDRESS F �3U7 UJ.Sri rat Intended or offered for sale (SeCiXe 7044 BUsmess and FINAL DATE C Professions Code) WILL T E APr1UM OR Funis EVIL ING accLrvwT HANDLE A mwARDwS uiTERAL ^2 R 7 El as Owner of the property am exclusively contracting with OR A MIXTURE CONTNMNl EQUAL To G A HAZARDOUS IWUERI OR GREATER THAN THE Q 1 licensed COntractom t0 construct the project (Section 7044 � 75 3 IED ON THE HAZARDOUS MATERALS INFORMATKIN GUM? FINAL BY > ACr T•r Business and Professions Code) YES❑ rq -7l i-: 12.40 WILL THE I rIDED USE OF THIALIIM3 E BUBY TIE APPLICANT OR FU UR aUIUYN - GOMT An QUAUREOUTV MANAOEIAENT DISTRICT le(' Dl MS�ICN OR E PEPMRTWG CHECKLIST FOR CONSTRUCTION LENDING AGENCY �u„ s f.. ITEM: I hereby affirm that them is a construction lending agency for YES 11 rm Cl VITAL I IV - 90 the performance of the work for which this permit is Issued(Sec IHAVEFEAD IvzulDOusMATErIALs osoRMATaN cuoE AMITFE scAaso EERMnTmQ TT m\ 3087 Cry C) CIECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE Los M UDE iS COUNTY CO TITLE Z CHAPTER 2 20 MGTCNS 2 20 100 THiOUGH Z TO 1.0 COWEPNNG HAZAFDOUS Lenders Name MATERAL” WHT�q NO FDR OlIAM 1 A PEF FROM THE SCAQVD Ii L1Jklk.T .I})1 Lenders AddressQIYf Jl/ /✓V.L/•-!//IJ I11"IIY�C O aeEP wcnr yyy I certify that I have read this application and state under penalty y of perjury that the above information s Correct I agree to conDy PC FEEws1-574-10 . ^O PERART FEE •�U, R with all county ordinances and State Lamating to building /� Construction and hemb �Iy y authorize representatives of this County ISSUANCE FEE �I/ ��-I� 1 tU 111 :4_I ^ a m enter upon the abave-men/tm�ored property for Inspection purposes 491( MESTIGATION FEE TOTAL FEE / I• LM SEE REVERSE FOR EXPLANATORY LANGUAGE r ti COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT I= DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS TENANT IMPROVEMENT BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0403110025 PHONE: (626) 285-0488 EXT:LEGAL ID: NO OF CONST ---NEW— BUILDING ADDRESS , ON FILE SO FT STORIES TYPE OCCUP GROUP 6503 ROSEMEAD BL STRUCTURE 3600 2 VN B SGAB CA 917751936 _ ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET EMPEROR - 5381-030-009 - THOMAS PAGE 596 GRID H1 LOCALITY SAN GABRIEL, C TENANT: EXIST BLDG USE- COMME USE-ZONE ISSUED ON: PROCESSED BY ExPTRES ON SAN GABRIEL VALLEY DENTAL GROUP EXIST OCC GRP B- - 06/14/04 VG 06/09/05 OWNER TEL NO SLOGS NOW ON LOT VALafffffF_ FINAL DATE FINAL BY ROSENBERG, JOSEPH (626) 286-2156- 100,000 /��/. V 7215 ROSE14EAD BLVD 7 .r TEMPLE CITY 91780 6E6CR71s TENANT IMPROVEMENT FOR DENTAL OFFICE FEE DESCRIPTION QUANTITY LKIM AMOUNT COREY/BRAEUTIGAM (626) 449-9380- Al PLANCHECK N/EN-HC 100000 00 VAL 1,206 69 696 E. COLORADO #226 AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS PASADENA, CA 91101 AE STRONG MOTION OTHER 100000 00 VAL 21 00 " A2 PERMIT Y/ENERGY-HC 100000 00 VAL 1,490 23 NOTAL FEES 2,805 67 TEL -NO APPROVALS DATE INSPECT09 SIGNATURE SOUTH CAL CONSTRUCTION (818) 264-1531- - 6419 VANALDEN AVE LIC NO LOCATION AND SETBACKS RESEDA, CA 91335 756435 B SOILS ENGINEER APPOVA7 ARCHITECT OR ENGINEER TEL NOFOUNDATION/TRENCH FOR COREY, BRAEUTIGAM (626) 449.9380- , 696 E COLORADO BLVD , #226 LIC NO SLAB/UNDER FLOOR PASADENA, CA 91101 PONE RAISED FLOCR FUMING MAP NO: SEWER MAP BOOK G _—_ds UNDFRFLOORINSULATION 3 04 FLUOR 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 MO FRAME INSPECTIONINTERIOR LATH/DRYWALU— ff/5-0 �— FIRE SPRINKLER HANGRT__ RATED WALL ASSERLIEs RATED SHAFTS/DPENING§— T-BM CEILINGS �y REPORT ID.ID. DPR261 ROUTE TO BS0508 i COUNTY OF LOS ANGLLES ,ENPLE CITY N 0508 BUILDIn- -,. I1 DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN DUILDING AND SAFETY / LAND DFVELOPMENT 1FMPLE CITY CA 9178, BL 0508 0,10IiOG,3 PHONE (626) 285-04C3 LAT LEGAL D NUMBER OF SI ON FILE SIGN DESCRIPTION 1 CHANNEL L-��, C FCELIGLASS FACES 6503 ROSEMEAD BL1��UIZKATION NUMBER II �,rR CA 917751936 ASSECS�o "E^REST CROSS STREET "'OR 5381-_33-LC9 _ ThOMAS PAGE 596 GPiD l LOCALITY SAN GAL,-, TENANT MIST 3LF EXIST OCL GFP 10/14/04 JK 10/09/05 OWNER ENBER� JOSEPH ((26) 2_ -2 — S ICt, h 0 + L 3,�0 `Tf ,Up/q ( •v 7215 ROSEMEAD BLVD IC/ CIS— I TEMPLE CITY 91780 FIES ;770— ES„ TION OF WORK - 1 CrANN-� LTRS, 2 PCEXICG�ASS FACES FEE DESLP'PTI04 OOAni'TY 110}7 AM0IAIT APDL'TCAITT I A STAR SINGS (318) 982-1611- AA REVIEW FEE 54 70 11920 VALERIO ST AA 6LD',^PtRf'IT ISSUANCE 27 75 ler E-C CUND N HOLLYLPJOD CA 91605 D' _ C,ECY "/0 EN-HC !--2 "+ ^" L 98 43 T TO _ �.5 180 88 IRA.lcl' l 1 IP,r6GVA S lt. P�CC f�R SI GNA - A STAR SIGNS 818) 982-1611- 119e, VAIERIO STREET LIC NO EOCATIOW iN NORTH hOLLYWOOD, CA 91605 592403C45 ..0 I., - "1 f PROVAI ARCTLITECT OR rWFITTI!kR' TEL NO LIC NO I „F"SSR .,AN BOOK — :RE 20M� E 00 I Nif_ - Iii�bpELCTA `k6�LASS� -- —I NO 20SCHOOL WITHIN HAZfiRDOUS AIR eJALI,T 1000 FEET :lAI L„lALS nu NO nO I -- _-- REPORT ID DPR261 ROUTE TO BS0508 76AU31 CE k803 1/7I � � � Y7 �° ! l APPLICATION FOR BUILDING PaMI I COUNTY OF LOS ANGELES ASSESSOR PA CEL MAP BOOK E DEPARTMENT OF COUNTY ENGINEER BUILDING �r BUILDING AND SAFETY DMSION ADDRESS COLEMAN W. JENKINS, BURT OF BUILDING LOCALITY L NEAREST FOR APPLICANT TO FILL IN CROSS ST, Print ort a onl DISTRICT N9. GROUP TY PE. P ESSED BY 1 ( CONST. BUILDING r/`"� + .,lj, � j ADDRESS 6S�J r;. �` 57AT1 STICAL CL SSIFICA71ON SEWER.(M�AP LOT NO. BLOCK CLASS NO.�.J--DWELL.0 ITS BK/1F PG (.G Cl TRACT - NOOF SLOGS. USE ZONE MAP �Z h _ . /�y Cl LV� l�, NOW ON LOT ( ' -lj SPECIAL SIZE OT CONDITIONS _ USE OF EXISTING BLDG. p��1111112 � � � c: TEL. //r CJ - Af4d C-`, NO.'jl4'+7 /C.� OWNERS 1 I SLOG.SETBACK FROM ja4C,y/F, C, (STREET) FRONT PROP,LINE OF ADDRESS r•I �' L V TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL HI HWAY WIDTH FROM G.L. CITY 'y A� TEL. / ' l_ +AR ENG NIEERT YJ )F It, NO, BLDG.SETBACK FROM fL1 (STREET) f{ SIDE PROP.LINE OF Y I ADDRESS y t' TYPE OF EXISTING 5ETBACK HIGHWAY + YARD = TOTAL d O qq NoL�/ GI HIGHWAY WIDTH FROM C.L. U CONTRACTOR lg C. NO.Y[J, % ADDRESS._, L�Jj R /u +' LICV CITY 175��/� c "' CLASS CORNER CUTOFF YES ❑ NO ❑ C- CO TRUCTION LENDER ZtT--,Q- SEE REVERSE SIDE FOR SPECIAL APPROVALS Z NAME AND BRANCH ADDRESS I NO OF NO. OF NEW SIZE`- yGCJ STORIES FAMILIES ADD ❑ c! `.... USE OF pp c�J " L,� c!,It�� STRUCTURE l .� /""`` ALTER ❑ REPAIR❑ ' / `(( SIGNATUF ^T APPLICA )�5 DEMOL ❑ ��/, NNT 6t , ✓�/'� APPROVALS DATE IN CTOR'S SIGNATL VALUATION $� 0 . . L j[, PMT ( FOUNDATION: LOCATION / 7 r/" FEE S ��J`ll�✓Cc� FEES 2 / O FORMS. MATERIALS FRAME: FIRE STOPS. C� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION BRACING, BOLTS , AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE' LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON, GAS VENT, DUCTS STRUCTION. I C RTIFY THAT IN DOING THE WORK AUTHORIZED LATH, INT. i HEREBY 1 WILL HOR EMPLOY ANY PERSON IN VIOLATION OF THE A LABOR CODE F THE 'VETE Of AL IFORNIA RELATING TO EXT. C WORKMEN'S E1J$A]Idd )NSU CE. LATH, SIGNATURE '(/J : HOOU5SE NUMBER COR- '3 RECT AND POSTED PERM TT ADDRESS r FINAL JOHN F. LEWIS. PRI GIPAL STFIORAL r 'LAN CHECK VALIDATIO DK, M.D. CASH' PERMIT VALIDATIQfLr «. Lilo v 1 3 D 13 8.60- 5 Jr ? 651J f�u21 b 231 .00 ` ' I