HomeMy Public PortalAbout5833 TEMPLE CITY BLVD_Building__ APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS s�
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS
or a certificate of Workers'Compensation Insurance,or a certified CITY ZIP
copy thereof(Sec.3800,Lab.C.) LOCA TY
Policy No.1046140 Company STATE FUND SIZE OF LOT NO.OF BLDGS.NOW ON LOTy Com`G.
❑ Certified copy is hereby hed. NEAREST CROSS ST.
IN Certified copy is filed ith the ounty building i spection TRACT BLOCK LOT NO.
department USE ZONE MAP NO.
Da 'tom Applica ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO.
COMPENSATION INSURANCE -W SHINCTON IMIENTORY SEITCE 295-1156 WITHIN 1000 FT.OF SCHOOL? YES NO
This section need not be completed if the permit is for one hundred ADDR SS
( P P DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
dollars($100)or less.)
I certify that in the performance of the work for which this permit cITTEMPLE CITY ZIP 91780 �0�
is issued, I shall not employ any person in any manner so as to
become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO.
STATISTICAL CLASSIFLGATION APT CONDO
Date Applicant ADDRESS CLASS NO. DWELL UNITS
NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED 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 BAND01 ROOFING 2RR-4040FRONT
comply with such provisions or this permit shall be deemed revoked. ggE E. VALLEY BLVD 4` 1 37 P L
LICENSED CONTRACTORS DECLARATION SIDE
CITY LIC. S P L
I hereby affirm that I am licensed underprovisions of Chapters SAN GABRIEL C. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. NEW 11BK PG ® a
License Number 4 5 19 3 7 Lic.Class C-19 DESCRIPTION OF WORK ADD ❑ VALUAMONO (�
Contractor (hate 1-31-98 REROOF BUILDING WITH 3 PLY ALTER E:] $ U Uv/ � j U
cc
❑ I am exempt under Sec. FIBERGLAS ROOFING SYSTEMS. REPAIR ❑ $ •��1 4
AGGTs
B.BP.C.for this reason DEMOL ❑ LDMA P/C# 3303 227°54• W
Date: USE OF EXISTING BLDG. URM 01 ITEt1S CL
CL
Signature APPLICANT(PRINT) TEL NO. LDMA Perm# TOTAL 227-54 Z
11I, as owner of the property, or my employees with wages as qp — Z
their sole compensation, will do the work and the structure is SfyE VALLEY BLVD SG CA 91776 CHECK 227°54
not intended or offered for sale (Section 7044, Business and FINAL DATE ( Q
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL vvz- 6 00-CHANGE °00
❑ I, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
Y 9
licensed contractors to construct the project (Section 7044, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY Business and Professions Code.) 0000-0001 2t/ 1/��
YES❑ No 11
WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BURRING ILI
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH L
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR 4661 1 AM11106
GUIDELINES
I hereby affirm that there is a construction lending agency for YES❑ No❑
CM the performance Of the work for which this permit is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
m 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LRS ANGELES COUNTY CODE,
TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2 20 140 CONCERNING HAZARDOUS
i Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD.
C3 Lender's Address
OWNER OR AGENT
O
o I certify that I have read this application and state under penalty
oP.C.FEE PERMIT FEE
of perjury that the above information is correct.I agree to comply
N county ordinances and Stat ws relating to building
constru on, and hereby ,u rize re entatives of this County ISSUANCE FEE
t enter pon the abo - oned p p y for inspection purpo �. 42 3 b
INVESTIGATION FEE TOTAL FEE f�.w
Sq rsl« t Dtio •.J
SEE REVERSE FOR EXPLANATORY LANGUAGE
WORKERS'COMPENSATION DECLARATION
850698 RL
hereby affirm that I have certificate of consent to self APPLICATION" FOR BUILDING PERMIT �
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. o
IV85-22515+ mpany Fremont Indemnity
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS 5833 Temple City Blvd.
Date 1/6/86 Applicant Virgin Roof Co _ CITY Temple City ZIP LOCALITY 1
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE rADRDDRESIS7]50
LOT NOW ON LOT ROSS ST.
(This section need not be completed if the permit is for one .ASSESSOR
hundred dollars ($100)or less.) BLOCK LOT NO. MAP BOOK PAGE PARCEL
EL. USE ZONE MAP
1 certify that in the performance of the work for which this WaShingtOn Inventor V1CeS NO.
permit is issued, I shall not employ any person in any manner E1 Cajon Blvd. San Diego � SPECIAL911.
so as to become subject to the Workers'Compensation Laws. ' CONDITIONS Vttn: Charlie Gurken ZIP 92115
Date Applicant 29
ECT OR TEL.NOTICE TO APPLICANT: If, after making this Certificate of DISTRICT G OUP TYPE FIRE PROC SED BY bER NO. � � CONST. ZONE
Exemption, you should become subject to the Workers' Ci on
Compensation provisions of the Labor Code, you must forth- ADDRESS li 7! IL
6111
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASS!§I�ATION APT. DO.
deemed revoked. CONTRACTOR Virgin Roof Co NO. 287-0507 ,�,;�/
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS
-
I hereby affirm that I am licensed under provisions of Chapter 9 'ADDRESS P 0 BOX J NO 160650
(commencing with Section 7000)of Division 3 of the Business and LSC SEWER MAP
Professions Code, and my license is in full force and effect. CITY San Gabriel CLASS C39 BK PG VALIDATION n
160650 C�9 SD.FT. NO.OF 1 i NO.OF CHECK 0 3 9 2 3fi
License Number Lic.Class SIZE STORIES FAMILIES ONE c
VALUATION
Contractor Virgin Roof Cafe 1/6/86 DESCRIPTION OF WORT ear off to sheathii gEW ❑ $ 10,000.00
REPAIR # a a a a a 1
and re-roof with #30, # 15 and 1' 3L� 'i ® I a 1 2 4 8 8
I am exempt under Sec.
B.BP.C. for this reason and gravel. 48 squares ALTER E], $ o 0 1 2 U 8 8 5
USE F
Date: EX SONG BLDG. Commercial DEMOL ❑ .
01,24-86
Signature APPLPRINT) Virgin Roof Co TEL 287-0507 FINAL L )
OWNER-BUILDER DECLARATION DATE✓
I hereby affirm that I am exempt from the Contractor's License P 0 BOX J San Gabrie 1 9 1778
Low for the following reason (Section 7031.5, Business and ADDRESS FIN
Professions Code): `PRESENT
❑ 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
7044, Business and Professions Code). MOVING TEL.
1,as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM I
SET BACK PROP. LINE WIDTH '
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
a
P.L.
Lender's Name '
� P.C. Fee$ Permit Fee
114.38 LDMA Ref. #
Lender's Address
I certify that I have read this application and state that the IsFee 10.50 LDMA P/C N
¢ above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee 124.88 LDMA Perm. N
and heby authorize represenfativ of this County to enter
o upon eabove-mentioned ropert for inspection purposes.
0
• ` SEE REVERSE FOR EXPLANATORY LANGUAGE
Sig ure of Applicant or Agent Date
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 SL 0508 0204100006
PHONE: (626) 285-0488 EXT:
LEGAL 10: - NO. OF CONST NEW BUILDING ADDRESS-
TR: 6561 LT: 622 BL: .001 SO. FT STORIES TYPE OCCUP GROUP 5833 TEMPLE CITY BL
STRUCTURE: 0 1 VN Al TEMP CA 917802113
ASSESSORNEAREST CROSS STREET: LAS TUNAS
8587-015-031 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG COMM5 USE ZONE: T99aff-69-- -BY: EXPIRES ON:
CHINESE AMERICAN BUDDHIST ASSOCIATI 1EXIST OCC GRP:- ESSED-
A1 07/18/02 C JK 01/14/03
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINA NAL BY: CODE:
CHINESE AMERICAN BUDDHIST ASSOCIATI - 7,830 r
4814 MUSCATEL AVE
ROSEMEAD 91770 -
T.I. WORK: INSTALL 3 FRONT WINDOWS & PIGEON-PROOF AWNING
FEE DESCRIPTION: QUANTITY: LION: AMOUNT:
APPLICANT:
WANG (626) 821-0572- AA BLDG PERMIT ISSUANCE 27.75
735 W. DUARTE #203 AC STRONG MOTION RESID 7830.00 VAL 0.78 SPECIAL CONDITIONS:
ARCADIA 91007 Al PLANCHECK W/EN-HC-- - --18000.00 VAL 343.10 '
A2 PERMIT.W/ENERGY-HC- --7830.00 VAL 210.45
_.: TOTAL FEES 582.08
CONTRACTOR: TEL. N0: ° -1— ��% �`•`�;,;:, APPROVA S DATE INSPECTOR SIGNATURE
NATIONAL BUILDER INC (626) 821-0572-
735 W DUARTE RD STE 203 LIC. NO LOCAAND SETBACKS
ARCADIA, CA 91007 497755 B
r SOILS ENGINEER IPPROVAL
ARCHITECT OR ENGINEER: . N _ ..1� 0 C
i
LIC. N0: SLAB/UNDER FLOOR
RAISED ISE G
MAP NO: SEWER MAPBOOK: PAGE: -FIREONE: CMP: UNDERFLOOR INSULATION
3 04 ;
. . .- • ,i i FLUOR S N
0. G .
NO 22 ROOF SHEATHING
S , SF€Af�
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION FIRE N
_ Ei HANGERS
INSULATION/WEATHER ST I
. 5 ,
INTERI
OR
EXTERIOR L T
RATED WALL ASSEMBLIES
RATED SHAFTS/OP5NINGS
S
LOT DWNAGEi
REPORT ID: DPR261 ROUTE TO: BS0508
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 rr- BB_U G PERMIT ;
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS �LENANT IMPROVEMENT c
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA CIL 0508 98012
PHONE: (818) 285-0488 EXT:
LEGAL ID: OF CONST NEW v ADDRESS.
TR: 6561 LT: 622 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5833 TELE-C.I-W-BL—
STRUCTURE: 0 1 VN E2 `fiEMI (CA 917802113
ASSESSOR rNFORMATION NUMBER: NEAREST CROSS STREET:
8587-015-031 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT:
EXIST BL G S COM USE ZONE: ISSUED 0PROCESSED B EXPIRES N:
MANDRA SOCIETY EXIST OCC GRP: B 02/25/98 UT 02/25/99
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: 1FRAL DATE FINAL BY: CODE:
TIEN, STELLA (626) 570-4556- 10,000
1766 WARWICK AVE. `C uQ 1
SAN MARINO, CA FEES PAID DES
ADD ONE HANDICAP BATHROOM, REMOVE 6 WALLS, ADD 7 NEW WAILS
FEE DESCRIPTION: QUANTITY: UOM: AND /
APPLICANT: TEL.
SAME AS OWNER - 81 PLANCHECK W/ENERGY 10000.00 VAL 203.64
AA BLDG PERMIT ISSUANCE-=-=-_ 27.75 SPECIAL CONDITIONS:
AC STRONG NOT IONoRESID_: �1.0000.':OOeVAL 1.00
B2 PERMIT W/ENERGY,'- L 7'000OKO.O�VAL 239.58
''j G, ��-TOTAL�FEES�:��� 471.97
CONTRACTOR: TEL. NO: e 1'�-- ���A=� a APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER LIC. NO `'�' r.�' . •�; LOCATION N SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT ENGINEER: 0: f,� �, FOUNDATIONPRENCH FORMS
LIC. N0: --- _ ---- SLAB/UNDER FLOOR
RAISED FLOOR FRA G
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 04
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING I S: T/COND: STAT CLASS:
NO 22 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAJME INSb TISO-N , Orr
FIR SPRINKLER HANGERS G
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWALL 3� 7%
EXTERIOR LATH If.
RATEDR ASSEM.
RATED WALL ASSEMBLIES
RATED S S OP IGS
T-BAR CEILINGS
LOT DR_AMGE
REPORT ID: DPR261 ROUTE TO: BS0508
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 1110310074
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 6561 IT: 622 BL: .001 I SQ. FT STORIES TYPE I 5833 TEMPLE CITY BL I
STRUCTURE: V-B I TEMP CA 917802113 1
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 1
18587-015-031 I I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
I L L I
TENANT: EXIST BLDG USE: RESID USE ZONE: C-1 (ISSUED ON: PROCESSED BY: I
EXIST OCC GRP: 110/31/11 SR I
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFI AL DATE FI BY: CODE: 1
(TING, LAM (626) 286-5064- 1 21,000 1 I
1 FEES PAID IDE IPTIO OF WORK 1
ITEAR•OFF EXISTING, INSTALL CLASS A GAF RUBBEROLD TORCHDOWN I
,FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I
(APPLICANT: TEL. NO: I I I
ISEDONA WEST ROOFING (626) 294-1909- lAA BLDG PERMIT ISSUANCE 27.80 1 I
1 IAB STATE GREEN BLDG FEE 21000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IAE STRONG MOTION OTHER 21000.00 VAL 4.40 I I
ID2 PERMIT W/O EN-HC 21000.00 VAL 402.60 I 1
I I TOTAL FEES 435.80 I 1
1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISEDONA WEST INC. (626) 294-1909- [ 1
(2650 S. MYRTLE AVE B-10 LIC. NO 1LOCATION AND SETBACKS I 1
MONROVIA CA 91016 891842039 * I I I I I
I I ISOILS ENGINEER APPROVAL I I I
1ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: (SLAB/UNDER FLOOR I I I
� I I I
I IRAISED FLOOR FRAMING I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:j (UNDERFLOOR INSULATION I I I
115OH269 3 001 1 1 I
I 1 IFLOOR SHEATHING I 1 I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
0 NO 22 1 [ROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
1AIR QUALITY: 1000 FEET MATERIALS I I I 1
1 NO NO NO 1 IFRAME INSPECTION I I
I [
I I IFIRE SPRINKLER HANGERS
I
I I I
I I 11NSULATION/WEATHER STRIPI I 1
1 I INTERIOR LATH/DRYWALL I I 1
EXTERIOR LATH I I 1
IRATED FLOOR/CEIL ASSEM. I I I
1 (RATED WALL ASSEMBLIES I I I
[RATED SHAFTS/OPENINGS I 1
IT-BAR CEILINGS I 1
*. ADDITIONAL DATA ON FILE I
I LOT DRAINAGE I I 1
IREPORT ID: DPR261 ROUTE TO: BS0508 I I I 1
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 0307080056
PHONE: 0626) 285-0488 EXT:
LEGAL ID: NO. OF CONST
TR: 6561 LT: 622 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 5833 TEMPLE CITY BL
STRUCTURE: 4100 1 VN B TEMP CA 917802113
ASSESSOR N OR 0 B : NEAREST CROSS STREET: LAS TUNAS
8587-015-031 TROMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT: EXIST DG : COM 0 SSUDO : PROCESSED BY: EXPIRES O :
MM BAKERY EXIST OCC GRP: B 09/24/03 JK 09/18/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
TING LAN HUA (626) 705-0960- 80,000
260 S WALNUT GROVE A.�'y
SAN GABRIEL 91776 F55S PAID DESCRIPTION OF WORK L.41
TI FOR RETAIL BAKERY: WALKIN COOLER & FREEZER, BAKING EQUIP
APPLICANT: 0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: RESTRM, SINKS & TYPE 2 HOOD
JEREMAIAH C JAVIER (626) 288-6898- Al PLANCHECK WEN-HC 80000.00 VAL 1,073.15
573 MONTEREY PASS #C AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
MONTEREY PARK 91754 AC STRONG MO.T.ION.__RESI'D7:-!--�80000.00 VAL 8.00
A2 PERMIT W/ENERGY=HC— X80000.00 VAL 1,262.53
CT,OTAL'FEES 2,371.43
CONTRACTOR: TEL. N0: ��' �-j `'Vf. ,�� APPROVALS DATE INSPECTOR SIGNATURE
BENCHMARK CONSTRUCTION (626) 856-0385-
4:
4737 N. VINCENT AVE. LIC. NO f ' / 17� E LOCATION AND SETBACKS
COVINA, CA 91722 760885 B /, ,
OILS ENGINEER APPROALaf ✓ i
ARCHITECT OR ENGINEER: TEL. NO: 0 DA IO TRENC
,
ORMS /1
LIC. NO( I; _I i , ILL- SLAB/UNDER FLOOR
RAISED FLOOR
FR ING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZON3: ;I CMP0�4 I I'ri� � ;, ; � .i �� � � 'k UNDERFLOOR INSULATION
; FLOOR SHEATHING
0. OFF I ES: DWELLING UNITS: A /COND: STAT C ASS: -- --- --- - -- ------------ -- ----� i
NO 2 ----- i� ,1 - — �;y ROOF SHEATHING
SCHOOL WITHIN AZARDO S i�' r /1�/tib SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
4 ;A,+ FRAME INSPECTION
J�
�, 4•�; / If - FIRE SPRINKLER HANGER
S
INSULATION/WEATHER STRIP
INTERIOR L / RWALL f
.�.
v
EXTERIOR LATH
RATED FLOOR/CEIL ASS
RATED WALL ASSEMBLIES
RATED—SHAFTS/OPENING
T-BAR CEILINGS
0 GE
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 0404080040
PHONE: (626) 285-0488 EXT:
L R-OF S S: I BUILDING ADDR SS:
TR: 6561 LT: 622 BL: .001 SIGN DESCRIPTION: ILLUMINATED CHANNEL LETTER 5833 TEMPLE CITY BL
TEMP GA 917802113
ASSESSOR T ON NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-015-031 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT: EX ST BLD USE: OU-E 0 PROCESSED EXPIRES ON:
TW BAKERY EXIST OCC GRP: 04/30/04 VG 04/25/05
OWNER: TEL. N0: BLDGS. NOW ON LOT: VAL U TION: FINA.L�DAT FINAL BY: CODE:
TING LAN HUT (626) 705-0960- 1,160 )//
260 S WALNUT GROVE •'
SAN GABRIEL 91776 FEES PAIDN OF WORK
1 SET ILLUMINATED CHANNEL LETTER 32 S.F.
APPLICANT: TELFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
. NO:
28K SIGNS MFG CO (626) 960-4588- D1 PLANCHECK W/O EN-HC 1160.00 VAL 82.11
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION RESID 1160.00 VAL 0.50
D2 PERMIT W/O EN-HC 1160.00 VAL 82.20
CONTRACTOR: TEL. NO: TOTAL FEES 192.56APPROVALS DATE INSPECTOR SIGNATURE
28K SIGNS MFG CO (626) 960-4588-
13075 E. GARVEY AVE. LIC. NO LOCRION AND SETBACKS
BALDWIN PARK, CA 91706 775215 C45
SOILS ENGINEER APPROVAL
ARCHITECT-TR E GINEER: 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/GOND: STAT CLASS:
NO 20
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
REPORT ID: DPR261 ROUTE TO: SS0508
' COUNTY OF LCIS ?NGELES TEMPLE CITY # 0508 BUILDI!!_ rERtlii
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0408/60021
PHONE: (626) 285-0488 EX-I:
LEGAL I NUMBER OF SIGNS: ILDING ADDRESS:
TR: 6561 LT: 622 BL: .001 SIGN DESCRIPTION: NEW AWNING I 5833 TEMPLE CITY BL
TEMP CA 917802113
ASSESSOR. INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-015-031 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
TENANT: — EXIST BLDG USE: ISSUED ON: PROCESSED BY: TUTU 9 ON
T. W. BAKERY EXIST OCC GRP: 0$/18/04 JK 08/13/05
OWNER: TEL. NO: BLOCS. NOW ON LOT: � VALUATION: �TNINAIC DATE FINAL S": CODE:
WASHINGTON INVENTORY SERVICE (619) 565-8111- 1,200 I �(�n[��
9265 SKY PARK CT I fll'�'(I`�-Il 11
FEES PAID 'UFaC•ZlPlIU. _ R��
INE! i!WFING
FEE DESLRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
RAINBOW AWNING CO. INC. (626) 448-9287- Di PLANCHcCK W/0 EN-HC 1200.00 VAL 82.11
2335 1/2 DURFEE AVE AA BLDG HERMIT ISSUANCE 27.75 SMEC-1 L CONDITIONS:
EL MONTE, CA 91732 AE STRONG MOTION OTHER 1200.00 VAL 0.50
D1 PLANCHE� 20
K W/O EN-HC 10.00 VAL 82.11
TOTAL FEES 192.47
CONTRACTOR: TEL. N0: 1APPROVALS DATE INSPECTOR SI ,TARE
RAINBOW AWNING CO., INC. (626) 448-9287-
2335 1/2 DURFEE AVE LIC. NO IL= ION AND SETBACKS
EL M:ONTE, CA 91732 NONE _
"OI!' yGINEER APPROVAL
TROCKITECT ORE INFER: — TFL. NO: =^�:r:=P nt: 1----- -- ----`---i
i�T�uid!TPE�I'C�i ORMZ
LIC. N0:
P'u4P i10: SEWER MAP BOOK: PAGE: FIRE ZONE: ChEF T
NO. OF FAMILIES: DWELLING UNITS: API/•OND: ST�LASS:
NO 20
SCHOOL WITHIN HAZARDOUS I�—
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
1
REPORT ID: DPR261 ROUTE TO: BS05O8 '—