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HomeMy Public PortalAbout10036 LYNROSE ST_Building__ A'.'ROAD. DEPT. `PERMIT, :IS::REQl71REi9 �. FOR-Af�Y.MATFRF�L STO FeGE U:2 WORK`. ': ' • DONE' IN THE -RoaD KIQHr oF,"wAY r p •_ APPLICATION /{� @^�.- IaI(�1., IYI p+� .� I I- . 'ppp\*e`Q•/meq y@��.���/g�I 78A899A CE}f909 a-69 .t�lPPLI CATION �.Y OR' B,U 9�u_��l G ,PES \M I.T COUNTY_OF'''LOS.:ANGELES euILDING ADDRESS`. DEPARTMENT OF COUNTY:ENGINEER ;BUILDING:AND`SAFETY,DIVISION. LocALIT" JOHN.A:.LAMBIE.,CouNTY'ENGINEER�, NEAREST, •CASSATTD. GRIFFIN, SUPT OF-BUILDING•.." CROSS ST DISTRICT-NO GROUP pE+ F CESSED BY TY POR APPLICANT.'.TO FILL, N, v�" ;. I ICONsr l BUILDING.' �{'. STATISTICAL SSIFICATION SEWER MAP 'ADDRESSDE7d�Di�.'•T�.:'.> .' ... ��((/tee, �'•j� JSK i. � -. - CLASS:.NO.SL—DWELL.UNITS CJ LOT NO.'„ BLOCK MAP -,.STATE '•.-Y.ES; - NUMBER :• HWY " - -,TRACT o r% .� USE.ZONE •' SPECIAL • - --.- - 'CONDITIONS +- NO:OFBLDGS - - l'` • SIZE OFrLOT:,.9Xf/..D C''NONV ON LOT, /. - USE OF' EXISTINGBLDG.: �.S/[`r-�yf� 'BUILDING EXIST. - .- /-/ - v� 'SETBACK YARD 'HWY ,STREET NAME - 'WIDTH...' OWNER / E'/Y�L�6 �.. . 1��� ,FRONT MAIL >�, - - P. L'.' }fes SIDE ADDRESS TEL:. P L. CITYfi9h�E '. Na . C3 INSPECTION RECORD` ARCHITECT OR TEL.',_ - - ENGINEER �L{/'il/' ,�-' . . 'NO. ,.•' ... - .:. .. 'ADDRESS: CONTRACTOR:.•.�ER�N�/Z;` - NO.- O �/Y`i- ADDRESS. - DESCRIPTION OF WORK NEW ADD $-7ALTER `REPAIR 'DEMOLISH -..: - -• r. SQ.-FT.•• �NO. OF - •NO.'.OF• SIZE „� -- TORIES - FAMILIES USE OF,. /q sTRucTU €" /,1 Y 20Ai 4 SIGNATURE APPLICANT .�krLryMr lY+�., APPROVALS �4DATE' •INSPECTOR'S-SIGNATURE - ADDRESS'�--/�"YI,j� co FOUNDATION: LOCATION ^' / 9-t Yr �------ ' FORMS;MATERIALS VA _ION $.: . �� d. _..� I ~,. FRAME: FIRE STOPS , BRACING;BOLTS..' _ CATION. ,.J ..�- -FURNACE: LO " FEE $ �..- � 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'T.O COMPLY WITHWALL COUNTY ORDINANCES AND`` 'STATE"'LAWS RE TING BUILDI C CONSTRUCTION LATH,EXT. .. . SIGNAT,URE'OF G.c HOUSE NUMBER COR -' PERMITTE �_ RECT AND POSTED ADDRESSPLY7,,.,^y.. PLAN CHECK VALIDFiTION', �K. M 0. :.CASH DE;PERMIT VALIDATIONTR cK.}RhAi ENCASH ERj ,. . s41 ` , .13 1 145 0. .. .. - 7 64638 CE #803 12/69 FOR BUILDING PERMI� - � COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK / PAGE PARCEL BUILDING AND SAFETY DIVISION ADDRESS /GI � . F JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN'W: JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN "RAREST CROSS ST. Print ori a onl DISTRI(�T.NO. • GRO TYPE R` D BY BUILDING _ d CONST. ADDRESS H V STATISTICAL CLA SIFICATION SEWER MAP LOT NO. . BLOCK CLASS 0. DWELL,UNITS PG TRACT - - .USE ZONE�MA-P /� /? - ;. NO.OF BLDGS. NO. �[ (.� SIZE OF LOT _ - NOW ON LOT _ SPECIAL - - USE OF _ - CONDITIONS - EXISTING BLDG: .. ..' � TEL. OWNER NO. BLDG.SETBACK FROM ` •FRONT.PROP.LINE OF (STREET) ADDRESS Same TYPE OF EXISTING SETBACK" HIGHWAY + YARD = TOTAL CITY 'HIGHWAY WIDTH FROM C.L. - ARCHITECT OR - TEL. } _ ENGINEER NO. -' _ BLDG.SETBACK F ADDRESS - ` SIDE PROP. LINE"OF (STREET) _ TEL �-}r7 TYPE OF EXISTING SETBACK HIGH YARD = TOTAL CONTRACTOR Virgin Roof Co. NO. 2O/-05C 07r7 -HIGHWAY WIDTH FROM C.L. ' AOOREss600 S San Gabriel Rl NO. 160650 . - - - -+ LIC. V . - „ CITY San Gabriel CLASS C-39 CORNER CUTOFF + YES,.G� _ NO ❑ - � CONSTRUCTION LENDER r O NAME AND BRANCH SEE REVERSE SIDE FOR;,SPECIAL APPROVALS ' LLJ ADDRESS fn SQ. FT. NO. OF. NO.,OF Z SIZE STORIES 1 FAWL'IES.' - NEW ❑ - - - USE OADD CTURE Reroof with 300{x`- STRUCTURE ❑ .I`. ALTER ❑ Com s .Shi les REPAIR❑ SIGNATURE OF APPLICANT. - DEMOL ❑ - VALUATION S', 1078,00 APPROVALS DATE 'INSPECTOR'S SIGNATURE FOUNDATION: LOCATION ' FEE S - - FEES 17.25 - "" FORMS..MATERIALS FRAME: FIRE STOPS, 'd HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -BRACING BOLTS ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, - 1 WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT,-DUCTS. STRUC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED . HEREBY TWILL NOT -EMPLOY' ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE, OF CALIFORNIA IN RELATING TO,. WORKMEN'S COMPENSA N INSURANCE. LATH, EXT. SIGNATURE OF. �� HOUSE NUMBER COR PERMITTEE RECT AND,-POSTED, " AODRESs FINAL 7i I JOHN F. LEWIS. PRINCIPAL STRWj=fit RAL ENGINEER PLAN CHECK.VALIDATION CK:'. M.O. CASH _ •PERMIT VALIDATIONCK. M.o.' CASH , (' 7 9.-1 L` 7 25 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES. WNi. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. 'PLANCK:NO.' -PERMIT NO. ADDRESS Baldwin Avenue - LOCALITY Los -Angeles County, RECEIVED BY DATE•OF APPL.' DATEISSUED NEAREST CROSS ST. 'Live Oak Avenue• BUILDING OWNER Linde Finance I& Develo ment CO ADDRESS MAIL Beverly Drive, LOCALITY I ' ADDRESS 232 _So. _ NEAREST' CITY CITY - Beverly Hills, No• 'CR.5-4 .55. CROSS SR. FIRE NO.OF TYPEGROUP ARCHITECTOR TEL ZONE PLANS ENGINEER Same' as above E - - ' BLDG. yy ORD.NO ADDRESS SETBACK LINE APPROVED CONTRACTOR- Same. as -above TEL. _ BY DATE USE APPROV D j• - ADDRESS - ZONE��� BY DATE LEGAL CORRECTIONS DESCRIPTION �LOT NO. 150 BLOCK TRACT 16(rr7517 -- .. NI SIZE OF LOT 27 x 107(APP) I NOW ON LOTS None - - - - - - - USE OF NO.OF NO.OF EXISTING BLDG. FAMILIES ROOMS- - - DESCRIPTION OF WORK y NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH L7 - SD.FT. 1�36.. NO.OF - .. - D ..SIZE 77 , ROOMB STORIES 1 - r WALL StU.0,o ROOF - A ?....Y J g S COVERING I COVERING - �' • USEOF:NEW Dwelling-and attached garage - .. BUILDING - Plan T0 . 767 I ,HEREBY ACKNOWLEDGE THAT 1 HAVE READ .THIS APPROVALS// ' APPLICATION AND STATE THAT THE ABOVE 16 CORRECTFOUNDATIONS: LOCATIONINSPECTORDAJTE AND AGREE-TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ING BUILDING. 7BT UCTION. FORMS,MATERIALS.FRAME: FIRE STOPS,SIGNATURE Linde Fi Ce �e -pment BRACING.BOLTS. !r_fr/!�•�C r�� PERMITT - co H, 'INT. AUTHORIZED GT GiF • oris • mgrm 1-ATH, EXT. v . 76A639A-3 7-49 $ P.C.41 /, PLASTER,INT. rf— �_ .FEE PLASTER,EXT:' .. VALUATION $ y� FEE �� �'^" FINAL- APPLICATION.-FOR BUILDING PERMIT � COUNTY'OF LOS ANGELES BUILDING AND SAFETY' WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS I hereby affirm that I have a certificate of consent'to self insure, or a.certificate of Workers'Compensation Insurance,or a certified 40636 Z CITY zIP copy thereof(Sec.3800;Lab.C.). _ _ LOCALITY Policy No- C2:3 Q Company-9 /a i : Fyn.n SIZE OF LO7 NO:OF BLDGS.NOW ON LOT ` -E Y;ertified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USEZONE MAP NO. , /� ASSESSOR MAP BOOK PAGE PARCEL Date y-!JApplicant - SPECIAL CONDITIONS WNER TEL.NO. CERTIFICATE OF EXEMPTION FROM WORKERS' YES NO COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? WAD ES (This section need not be completed if the permit is for one hundred © LJe DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY I,certify that in the performance of.twork for which this permit C— he IS issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. (/O become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. 12/ DWELL UNITS NOTICE TO APPLICANT.-If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST' NO. Exemption, you should become subject to -the Workers' CONTRACTOR TEL. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 7-H f?1 7-c&6 FRONT comply with such provisions or.this permit shall be deemedrevoked. ADDRESS - _ LIC.b[O. h' P L CLv�. R-31 7! ' SIDE } LICENSED CONTRACTORS DECLARATION CI-12,/ LIC.CLASS P L .. C I hereby affirm that'I am licensed under provisions of Chapter 9 •�� '� SEWER MAP v (commencing with Section 7000)of Division 3 of the Business and S IZE NO.OF STORES NO.OF FAMILIES C Professions Code,and my license is in full force and effect. . NEW [I Bk PG CD License Number ?_3/ RIPTION OF WORK VALUATION. Wd, Lic.Class C-3 q% r�� /1 ADD ❑ rn Contractor�M�Q/l"�Date ��"�' �/ CY ALTER ❑ ! `S�� IV � _'56'Nfi- c — ❑ I am exempt under Sec. �' REPAIR B:SP.C.for this reason DEMOL 0 te: USE OF EXISTING BLDG. URM El LDMA P/C#' i Signature QeZAPPLICANT(PRINT) TEL.NO. LDMA Perm# 1 _ S ❑ I, as owner of t roperty, or my employees_with wages as 1 t p_ ACCT.�8 their sole compensation,will do the work and the structure is ADDRESS. FINALD TE ~ "7330117 24 J not intended or offered for sale (Section 7044, Business and Q ' 'Lv Professions Code.) t- 4 WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLER HAZARDOUS MATERIAL � "� J � �I EN:�j ❑ I,.as owner of ther0 ert , am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN P P Y Y 9 THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY• licensed contractors to construct the project.(Section 7044, > TOTAL `—49 � 66 Business and Professions Code.) vas-❑_ No❑ �! `i - WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE'BUILDING .t 1,"HECK itf'J J3J OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH �/H/�� L _ CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST (Y�/rDt L/ pit'£ .. FOR GUIDELINES. AN E I hereby affirm that there is a construction lending agency for YES❑ NO❑ ' the performance Of the Work for Which this permit IS ISSUBd(.SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMDie - -• i. �, _ 3097,Civ.C.). -. PERMITTING.CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES '�''j COUNTY CODE,TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING FIV '1'� �L11ai 1i1. Ii ' Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. "' aLender's Address �s i I j (� �)}p i t L OWNER OR AGENT O' o I certify.that I have read this application and state that the above - information IS correct..1 agree to comply with all county P.C.FEE PERMIT FEE a ordin s and State laws relating to building construction,and v!f? Jd a. here y a thorize repr rltativeS of this County to enter upon ISSUANCE FEE 'the ov mentioned r party for ins ction purposes. a INVESTIGATION FEE TOTAL FEE SipnaWR of Applicant Agent Dale - SEE REVERSE FOR EXPLANATORY LANGUAGE