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Home My Public Portal About10055 LYNROSE ST_Building__ DEPARTMENT OF BUILDING AND SAFETY- APPLICATION FOR PERMIT ,COUNTY OF LOS ANGELES � ' WM. J. FOX. CHIEF ENGINEER LDINU FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ' BUILDING Baldmin Avenue DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS afy'®�'9 �•► S�l�•,3 LOCALITY Los Angeles County RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST Live Oak Avenue �el- 3 ` %_ l S' CROSS ST. BUILDING � L rOf OWNER Linde Finance & Development ADDRESS C> MAIL Corp• LOCALITY C ADDRESS 232 So. Beverly Drive CITY Beverly Hills, Calif IE• C�' 5-4455. cROSSST. � GROUP ARCHITECTOR TEL. ZONE PLAN9 TYPE � ENGINEER Same as above NO.' BLDG. ORD.NO. ADDRESS SETBACK LINE ��d APPROVED CONTRACTOR Same as above NEL* BY DATE O. USE APPRO D_ ADDRESSZONE BY �y� DATE DESCRIAL PTION /LOT NO. 55 BLOCK , ,,- CORRECTIONS TRACT 169 7 SIZE OF LOT55 X 107 (App) I NONOW.OF BLOBS ON LOTT None USE OF NO.OFNO.OF EXISTING BLDG, FAMILIES ROOMS DESCRIPTION OF WORK NEW 6 ALTERATION ADDITION O A REPAIR MOVING L DEMOLISH L7 Sq.FT. NO.OF Z SIZE 1236 ROOMS STORIES r WALL ROOF COVERINGUSE OF WStucco I COVERING Wood Shim $ BUILDING Dwelling and attached garage Plan 107 B L76 76' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY NANCES FOUNDATION: LOCATION AND STATE LAWS G BUILDING NST U TION, FORMS, MATERIALS , � ,,,�.,^. FRAME: FIRE STOPS, G�vr SIGNATURE O F. BRACING,BOLTS Linde 1 n�. t, e ent PERMITT n L H, INT. f �� AUTH ORJZJ:D • ,J 'o LATH, EXT. 2 Gi AA IV 76A63SA-3 7-49Lqma��I� P.C.$ PLASTER,INT. FEE -7. ER,EXT. VALUATION 3I ? ' ANAL FEE `J 76A638A CE4803 5-65-.APPLI CATION FOR BUILDIP G PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ,JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ) COLEMAN W. JENKINS,SuP'T.OF BUILDING CROSS ST. DISTRIC .,1NO. G TYPE. P S BY FOR APPLICANT TO FILL IN , 7 G CONST. BUILDINGS TATISTICAL SSI FICA TION SE E AP ADDRESS �40 o Z �S CLASS NO.- DWELL UNITS. B PG LOT NO. S LJ� BLOCK USE ZONE MAP TRACT f / N O. SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT SSS NOW ON LOT USE OF �(� � EXISTING. BL G. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OWNER 4LU4- NO' TYPE OF E%ISTI NG SETBACK HIGHWAY 'I' YARD = TOTAL ADDRESS V O C9 HIGHWAY-4 IWIDTH FROM C.L. pi CITY BLDG. SETBACK FROM ARCHITECT OR I TEL. ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FROM C.L. ADDRESS TEL. + _ }, CONTRACTOR NO 3 LIC V� (� CORNER CUTOFF YES NO O ADDRESS NO 4 CITY Cc I ► "L SS SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK W CL NEW. ADD ALTER REPAIR DEMOLISH / I Z SQ.FT. / NO. OF NO. OF SIZE f0 STORIES FAMILIES G+�' USE OF _ j • STRUCTURE^7"O t C.Uv L>✓C.f h- 1.;_ SIGNATURE OF APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P C PMT. n FOUNDATION, LOCATION FEE$ FEE$ ! O'(� FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS /S(f AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY OROINANC ES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. le",� j TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURA ' LATH. EXT. !0 SIGNATURE OF , �� HOUSE NUMBER COR- PERMITTEE RECT AND POSTED g�'" ADDRESS O FINAL (sr —Z JOHN F. LEWIS, PRINCIPAL STRUCTURAL EN{ R PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH (. 5 0 4 51 SEP 3.0 1 D 8.0 0Wr n WORKERS' COMPENSATION DECLARATION is ' re y 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 c. 3800, Lab. C.) y .: �, p m-✓��r � � COUNTY OF LOS ANGELES BUILDING AND SAFETY Po c No. ��Com a Certified copy is hereby furnished. FOR APPLICANT TO FILL IN Ao aEss � Certified copy is filed with the county building-in spec- BUILDING tion department' ADDRESS L Date E;-6—C// Applicant icanT � tY'`w .' / ICITY�f'74�� -` ZIP + `CJ LOCALITY CERTIFICATE OF EXEMPTIONFROM WORKERS' `' " ' NO.-OF-BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT I CROSS ST. j2�f� (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 rI`n� TEL. ' USE ZONE MAP I certify'that the performance of the work for which this OWNER (,f� ( NO. NO. permit is issued, ('shall not employ any person in any manner ✓� 67 / SPECIAL - -- so as to become subject to The Workers'Compensation Laws. ADDRESS { G� CONDITIONS u CITY G-r ZIP _ 09 Date 'Applicant ARCHITECT TEL. NOTICE TO APPLICANT: If, after making this Certificate of 1( DISTRICT . GROUP TYPE FIRE PROCESSED.BY ENGINEER v CONST.' ZONE L Exemption,' you should become subject to the Workers' 1 Compensation provisions of the Labor Code,-you must forth- LU ADDRESS 7 W. T ✓' U' i`-� `� - - ) - LU with comply with such provisions or this permit shall be TEL STATISTICAL CLASSI ICATIOM APT. ONDO: L' deemed revoked. CONTRACTOR NO. �&0� r LICENSED CONTRACTORS DECLARATION - tlC. CLASS t 6. DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS / ilJ NO. q� (commencin with Section 7000 of Division 3 of the Business and SEWER MAP 9 ) •_ - LIC.-- Y Professions Code, and my license is in full force and effect. CITY I✓ CLASS P BK" 'PG. ' ) VALIDATION SQ. FT NO. OF NO. OF CHECK _ License.Numbe � Lic.Class SIZE .' STORIES FAMILIES ONE DM ,rt� t VALUATION �`w DESCRIPTION44�4 "1 /_J(Or _ Contracto Date/ 5 P&LAV\PAT(b NA ❑ $ ❑ I am exempt under Sec. l�T `w��f -• _X 10- El , d (k Oi� . (/��'t ALTER B.BP.C. for this reason ' REPAIR ❑ $ - - USE OF Date: DEMOL EXISTING BLDG. Signature APPLICANT AA/ n TEL.NO. f 6 FINAL -2'6 9 8,.1 PRINT I•'1-C�1:: ri A OWNER-BUILDER DECLARATION - DATE.,- .. - -... #,0 e e e e I hereby affirm that I am exempt.from•the Contractor's License Law for The following reason (Section 7031.5, Business and ADDRESS VIA FI Professidns Code): PRESENTj ®;® 5 9.2 5 BUILDING e o I, as owner of the property, or my employees with ADDRESS • - - 5 9.2 5 v wages as their sole compensation,will do The work and the structure is not intended or offered for sale(Section LOCALITY c 7044, Business'and Professions Code). MOVING TEL. s I, as owner of the property, am exclusively contracting CONTRACTOR NO. 0 5.0 6 - 8 7 F7 with licensed contractors to construct the project (Sec- ADDRESS • tion 7044, Business and Professions Code). SE CONSTRUCTION LENDING AGENCY [Investigation BACK REQUIRED_ `YARD HWY TOTAPROP-LINECK FROM WIDTH, I hereby affirm that there is a constru tion lending agency for ONT the performance of the work for w ich this permit is issued - - - - - - (Sec. 3097, Civ. C.). E m / _ Lender's Name m /,�/ LDMA Ref. # - ee$ - Permit-Fee- - /- - Lender's Address /y I certify that I have read This application,and state that the — Issuance-Fee (/, LDMA P/C# - < above information is correct. I agree to comply with all County Feeordinances and State laws relating to building construction, --- Total Fee `i, CDMA Perm: # v an "authesentatives of this County to enterup prop y for inspection purposes. Q�a SEE REVERSE FOR EXPLANATORY LANGUAGE - - -Signature of Applicant or Agent -- Date