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Home My Public Portal About10052 LYNROSE ST_Building__ VEPARTMENT OF BUILDING AND SAFETY F APPLICATION FOR PERMITdM COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER' i FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTR�ICNO. . PLAN CK NO. PERMIT NO BUILOINM ADDRESS Baldwin Avenue 9 . 5'1 ' 2 LOCALITY d1r3S Angeles CU�lYIu RECEIVED BY DATE OrAPPL. DATEISSUED it4' av m "oaass Live Oak Avenue OWNER �+• . C BUILDING• 0.��4"' fes. � ®S Linde Finance Ar Develo_nmPnt nr7, ADDRESS (f ADDRESS 232 South Beverly D-mye., - LOCALITY b MAIL �� _ - - - NEAREST t��_ cITYBe�Terly Hills. Calif. w L-CR 5®111155m CROSS ST. ��11rAd� - FIRE NO.OF TYPE ^^ OROU._P,�..r.+. ARCHITECT OR .TEL. ZONE - PLANB ENGINEER "S2MP a.S ahOVP .NO. . BLDG. s fs'9 y ORD.NO. ADDRESS - � SETBACK LINE i APPROVED f Smile a s ab ove TEL. BY DATE CONTRACTOR NO. USE � APPROVED., ADDRESN ZONE BY DATE LEGAL DESCRIPTION LOT NO. 1).11 BLOCK ,�"`f' ":' CORRECTIONS ,! TRACT 169 K7 - - NO.OF BLDGS. _ _SIZE OF LOr,++T `�5 X 107 (APP NOW ON LOT NO USE OF I NO.OFI NO.OF u - EXISTING BLDG. FAMI [e ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH p SQ.FT. - NO.OF _ - Z SIZE 1.330' - _ROOMS 6.. STORIES ,. - .> _.WALL-- - ROOF-' - ---- -- —. ,.- - -D01 1 ---- -- -- -- —_. -- - -----_ -- --- COVERING 'fi17Pf•U 'I COVERINGanite - U6E OF NEW BUILDING P1e11.1nn anti atta.checl rre_rane Plan 106 Bm — R HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVAL'S/' ` APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR 'IYATE FOUNDATION.: LOCATION AND AGREE TO COMPLY WITH ALL.COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING.BOLTS PERMITTEE Linde Finance & Develonment �� o LATH, INT.., AU•THORI�YE 1 t T _� rp .liv+Cl�e /A GURL rb t1 v s W.LJlUfd `VjC —.rj'e3jdento LATH, EXT. r 7GA63BA-3 230 $ - P.C,III r PLASTER,INT. /� �� FEE f PLASTER,EXT. VALUATION VLI FINAL FEE APPLICATION FOR BUILDING PERMIT FOR'APPLICANT70 FILL IN (Prirlr or type only) BUILDING COUNTY OF' LOS ANGELES ADDRESS S ` DEPARTMENT OF COUNTY ENGINEER CITY ZIP /� (� BUILDING AND SAFETY DIVISION NO.OF SLOGS. BUILDING SIZE OF LOT 0 NOW ON LOT ADDRESS �Cf /t2�,.i72-�- •c{^� J. TRACT BLOCK LOT NO. LOCALITY TEL NEAREST / / OWNERJoe NO. CROSS ST. w =/ ASSESSOR ADDRESS %��-- '� ti-e. -x�= MAP BOOK - - PAGE PARCEL r •( DISTRICT GROUP TYPE FIRE CESSED BY CITY i� �i� /ZIP c'17J� CONST. � Z9NE� ARCHITECT ORTEL.' -`.-�� D�j V /•� c R-' ENGINEER NO. STATISTICAL CLASSIFICATION SEWER/MAP ADDRESS CLASS NO.�DWELL.UNITS . ,�•� BKP- PG CONTRACTOR TEL. USE Z1 ONE MAP LIC. � NO. A U ADDRESS NO, l t�J SPECIAL IT ONS CITY LIC, . CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO'❑ CONSTRUCTION,effNDER NAME AND BRANCH BLDG.SETBACK FROM �y� (STREET) FRONT PROP.LINE OF ADDRESS CITY HIGHWAY } YARD -_ TOS AL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH, SIZE STORIES FAMILIES 'ONE } 2 DESCRIPTION OF WORK NEW ❑ �� L� J O BLOG.SETBACK FROM V ADD SIDE PROP.LINE OF (STREET) ALTER ❑ _ TOTAL SETBACK FROM TYPE OF EXISTING O� HIGHWAY } YARD - REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH V W USE OF t `' } - d N EXISTING BLDG, t,ID DEMOL ❑ Z APPL.ICANTEL `f'7ty, CORNER CUTOFF YES C] NO ❑ (PRINT) ,S / /O _ BY (SIGNATURE) If'\ ___ IN OPEN SPACE YES.❑ NO 1:1. @�trL LHEREA QQ'� IN COASTAL PERMITZONE YES NOATION,F.EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION y t / .ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ALL ORDINANCES AND LAWS REGULATING BUILDINGCON- �yTION. I CERTIFY THAT IN DOING THE WORK.AUTHORIZEDY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OFTMECODE OF THE STATE OF CALIFORNIA IN RELATING TOEN'S COMPE NSA TURE OFTTEESS�1 - - TEL / FINAL A BYn (e i NO.K DATEMAKE CHECKS PA YA BLE 7 0: FE'+ FEEPMT.IRVEY T. BRANDT, COUNTY ENGINEER / PLAN'CHECK VALIDATION CK. M.O. CASH _ PERM VA JDATION CK. M . CASH 5 9 SE9�1 v 1. 2.0 0 76A638A CE 4PBO3 5/74 WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate,of consent to,self APPLICATION O -.FOR . BUILDING PERMIT � insure, or a certificate of Workers' Compensation-Insurance, _ or a certifjed copy thereof(Sec. 3800; Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY CC . .. - :Poli No. Company!J - 'Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS &M 2 ElCertified copy is filed with the county building inspec- BUILDING 1CC5� tion department. 1 ADDRESS 1 _ r Date_L-;Ue Applicant.- CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WO KERS' -NO.OF BLDGS:'- - NEAREST. - COMPENSATION'INSU RANCE SIZE OF LOT NOW ON LOT CROSS (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 ..-1 TEL.. �.ij 3� USE ONF� MAP OWNER—.) U (� I certify that in the performance of,the work for which this e_ } NO SPECIAL permit is issued, I shall not employ any person in any manner ADDRESS '' CONDITIONS ' so'as to become subject to the Workers'Compensation•Laws. O CITYZIP 0r: Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT-` If,,after Making this Certificate of DISTRICT GROUP TYPE FIRE PROCE ED BY y I _ ENGINEER NO. 1`6jr ; CONST;. ZONE Exemption, ou' should become subject to 'the Workers' S / , � � Compensation-provisions of the Labor Code, you must forth ADDRESS - �/ W with comply-.with,. such provisions or this permit shall be' _ d� Q/ STATISTICAL CLASSIFICATION APT. CO O. deemed revoked.. CONTRACTOR a u' rJ� v'�oO LICENSED CONTRACTORS DECLARATION -- LI Q�^ a CLASS NO. 2( DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Q�� S•� � NO�:JW�L (commencing with Section 7000)of Division 3 of the Business andSEWER MAP Professions Code, and my license is.in full force and effect. CITY CLALIC.-SS 01 -39 . BK PG VALIDATION t SQ_FT. NO.OF NO..OF CHECK License Number Li Class �� SIZE STORI FAMILIES ONE VALUATION Contract •� ` NEW- � �t D � - d S/ DESCRIPTION'OF WORK - ADD ❑ a �0,O0 _ am exempt under Sec: ,� ALTER ❑ , {.. ❑ B.BP.C. for this reason � REPAIR $ ' Date: USE OF DEMOL ❑ EXISTING BLDG. Signature APPLICANT TEL. FINAL f� OWNER-BUILDER DECLARATION PRwT) NO. DATE '� -• - •• I-hereby affirm that I am exempt from the Contractor's License ' Law for the following reason(Section 7031.5, Business and ADDRESS FIN ' "z 6 4 0`0 A Professions Code): PRESENT Y< BUILDING. A # o 0 0 6 oil I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY I o o 4 0 50 the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL.' ' x. 1, as owner of the property, am exclusively contracting CONTRACTOR NO. 0 0 0 4 0 5 0 ct with-licensed-contractors to-construct the project (Sec- tion 7044, Business and Professions Code). ADDRESS 1,2 6—8 7 FRIREDYARD HWY TOTAL SETBACK FROM . . X T. CONSTRUCTION LENDING AGENCY PROP. LINE WIDTH hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097, Civ. C.).Lender's Name //'' LDMA Ref. # Lender's Address Permit Fee. tVI certify that I have read this application and state.that the _ .. Issuance Fee :S✓ LDMA P/C# ' Q above information is correct. I agree to comply with all County Investigation Fee �j ordinances - o and State laws relating to building construction, Total Fee LDMA Perm. # - u and hereby authorize representatives of this County to enter upon th above-mentioned pr perty for inspection purposes. _ . SEE REVERSE FOR EXPLANATORY LANGUAGE OO Signature r Applicant or Date i