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HomeMy Public PortalAbout10108 LYNROSE ST_Building__ 76A'538A CE 4803 4/72 t - APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE RCEL BUILDING AND SAFETY DIVISION BUILDINGV~@ /� MAKE CHECKS PAYABLE TO ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. Print ort only) BUILDING .DIST`RI T NO GRO TYP PR ESSED BY ADDRESS V Q_ J:Q CONST v / STATISTICAL CLA SIFICATION SEWER MAP LOT - BLOCK CLASS NDWELL UNITS - U � U O.ONE§APNO.OF BLDGS.SIZE OF LOT (� NOW ON LOT ECIAL USE OF ,,`` NDITIONS; EXISTING BLDG. V TEL. ' OWNER O. �13P BLDG SETBACK FROM ADDRESS jO IQ LoU FRONT PROP LINE OF (STREET) Pie TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY i` c ft HIGH WIDTH FROM C L - ARCHITECT OR TEL. _ + _ ENGINEER Ib Q} NO. BLDG.SETBACK FRO ADDRESS _ SIDEPROP LINEOF (STREET) TEL. TYPE OF EXISTING SETBACK HIGH + YARD = TOTAL C..) HIGHWAY WIDTH FROM C.L. CONTRACTOR NO. O LIC ADDRESS NO + `� w LIC. a CITY CLASS CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER NAME AND BRANCH IJ �. SEE"REVERSE SID FOR SPECIAL APPROVALS ADDRESS v� SQ FT I� NO OF I NO. OF NEW 11y SIZE (0 STORIES FAMILIES - - STRUUSE CTURE TURE T lI ADD — ALTER�31JL' L 7 SIGNATURE OF EPA IR❑ APPLICANT DEMOL ❑ VALUATION $ v APPROVALS 9ATE, iNSPF c7oR's SIGNATURE FEE $ FEE $ /�' �� rOFORMS,I MATERIAL SIO~ 9 elf FRAME: FIRE STOPS, �� S / �l I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS'- ,f AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION, WITH ALL ORDINANCES AND LAWS REG ATING BUILDING CON- GAS VENT, DUCTS A STIR UC I CERTIFY THAT IN DOIN HE WORK AUTHORIZED HEREBY I WILL N�EATE T PER N IN VIOLATION OF THE LATH, INT. �,1 LABOR CODE OFC FOR IA IN RELATING TOWORKMEN'S COM LATH, EXT, SIGNATURE OF HOUSE NUMBER COR- A PERMITTEE RECT AND POSTED ADDRESS_/_10?�dlf FINAL PLAN CHECK VALIDATION CK M 0 CASH _ PERMIT VALIDATION CK M o CASH �'�; G 2 Gam'' � 2 7 1 D 1 2,0 0 76A638A CE 9803 4/72 C � APPUCATIOI�I R `IBUIL�D NG PERMIT � COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION- BUILDING MAKE CHECKS PAYABLE TO- ADDRESS HARVEY'T. BRANDT, COUNTY ENGINEER LOCALITY - FOR APPLICANT TO FILL IN NEAREST Pr nt or type only) CROSS ST. BUILDING }^ DISTRICT NO. GR UP TYPE _ ESSE BY ADDRESS /F✓ �' /1/Tt'� a L5 - CONST./T STATISTICAL CLASSIFICATION - vv SEWER MAP LOT NO BLOCK Q"7y /tC-1 - CLASS NO DWELL,UNITS BK PG TRACT "" USE ZONEMAP •' NO.OF BLDGS i NO SIZE OF LOT 7 �U NOW ON LOT SPECIAL - - { USE OF ��vfi� _ - Zu� CONDITIONS EXISTING BLDG. TEL. /n l _OWNER _ NO 3 D BLDG SETBACK FROM ADDRESS'-••©` © /close FROUT PROP,LINE OF - (STREET) - - TYP OF EXISTING SETBACK HIGHWAY } YARD" = TOTAL CITY l - - HIGH AY WIDTH FROM C.L ARCHITECT OR _ TEL. _ - } _ ENGINEER NO a BLDG SET FROM ADDRESS SIDE PROP.LI` (STREET) C:> V TEL -- TYPE OF EXISTING SETB CK HIGHW { YARD TOTAL = CONTRACTOR NO HIGHWAY WIDTH FROM C.L -- O IC I- ADDRESS NO t = ILLA LIC CITY CLASS CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER- NAME AND BRANCH_ SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS. SQ. FTNO OF NO. OF NEW ❑ SIZE /-76 STORIES . FAMILIES El - USE OF µ� ADD - r STRUCTURE - ALTER ❑ IF SIGNATURE OF REPAIR❑ APPLICANT ��-•y�, DEMOL ❑ VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P,C d� PMT. FOUNDATION: LOCATION FEE S UV FEE $ FORMS, MATERIALS - - - FRAME: FISTOPS, I-HEREBY_ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG 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 STRUCTIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED _ HEREBY I WILL NOT EMPLOY ANY PERSO N VIOLATION OF THE LABOR CODE OF THE ATE OF CALI NI IN ELATING TO � LATH, INT. WORKMEN'S COMPEN INSU NCE ( LATH, EXT. SIGNATURE OF - HOUSE NUMBER COR- - PERMITTEE - RECT AND-POSTED ADDRESS �1D FINAL PLAN CHECK VA TION (9 -C, MC, CASH _ PERMIT VALIDATION CK M a CASH E ��� 3 87,3-,A? ` 2 3 D 9.0 0 Q DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS Baldwin Avenue .� LOCALITY Los Angeles County RECEIVED BY DATE OFAPPL. DATE ISSUED COCOS WT. Live Oak Avenue - �— 3 OWNER Linde Finance & Development Corp a ADD BUILD D L. r0 �— AMAILDDRESS 232 South Beverly Drive, LOCALITY NEAREST CITY Beverly Hills, Calif. E . OR 5—�55• CROSS ST. FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER Sallie as above NO. BLDG. / ORD.NO. ADDRESS SETBACK LINE ,,,.. APPROVED /� CONTRACTOR Same as above No.TEL, , BY /J DATE USEAPPRO10.' AD EB ZONE _(/ BY DATE LEGAL CORRECTIONS DEBCRIPTION I LOT NO. 145 BLOCK TRACT 16957 NO.OF SIZE OF LOT55 X 107 NOW ON LOTTS'None UBE OF NO.OF NO.OF EXISTING BLDG. FAMILIES ROO B DEpSCRIPTION OF WORK NEW X ALTERATION ADDITION O REPAIR MOVING DEMOLISH p size ' 1239 R OMS 6 STORIES 1 r WALL ROF COVERING Stucco COVERING Dolomite or NEW BUILDING Duelling and attached para ,e Plan 109 A. oele,- re. Z 7(5 78 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT , FOUNDATION' LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, �i V SIGNATURE OF Linde Finance & Devel t BRACING,BOLTS �i�-�?<—Alter" PERMITTEE - LATH, INT. AUTHORI DAlO • L Q • ,y t • LATH, EXT. 76A63BA-3 2-50 $ P.C,• 7yr PLASTER,INT. FEE PLASTER,EXT. IN VALUATION �� FEE 3I � FINAL f L Y^` H � /�fV WORKERS' COMPENSATION DECLARATION . i 1 I hereby affirm that' have,a,certificate of consent to self insure, or a certificate of Workers'Compenstion Insurance, or a certified copy thereof (Sec Lab C ) COUNTY-OF LOS ANGELES BUILDING AND SAFETY Policy Na Companypang Certified copy is hereby furnished FOR APPLICANT T,O FILL IN BUILDING ADDRESS (i i ❑ - Certified copy is filed with the county building inspec- BUILDING tion department ADDRETSS (/ h �T/1G�J� LOCALITY Date' Applicant CITY / ?'/-L V `-1 ZIP /7XD NEAREST CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS ASSESSOR r COMPENSATION INSURANCE SIZE OF LOT NOW-ON LOT / MAP BOOK PAGE I PARCEL (This section need not be completed Lf the permit is for one l USE ZONE MAP hundred dollars ($100)or less ) TRACT n� BLOCK 1. 1 LOT NO / NO CC.•'� } SPECIAL CL I certify that in the performance of the work for which this OWNER IIII V NI rtu0 � — ,3J / / CONDITIONS - Q permit is issued, I shdl not employ any person in any manner ` l n1 DISTRICT GROUP TYPE FIRE P CE ED BY V so as to become subject to the Workers'Compensation Laws ADDRESS ' D`D� � IV/20 t, �y �/ fl O� CON / O • CITY�MPZ- C 17J ZIP (� Q V F� Date Applicant STATISTICAL CLASSIF ATION APT "CONDO NOTICE TO APPLICANT If, after making this Certificate of ARCHITECT OR TEL W ENGINEER NO CLASS NO DWELL UNITS CL Exemption, you -should become subject to the Workers' H Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP' Z with comply .with such provisions or this permit shall be deemed revoked TE CONTRACTOR B PG, VALIDATION LICENSED CONTRACTORS DECLARATION I I hereby affirm that I am licensed under provisions of•Chopter 9 ADDRESSO VALUATION (commencing with Section 7000)of Division'3 of the Business and- LIC Professions Code, and my licen'se'es m'full force and effect CITY CLASS $ SQ F �J NO OF NO OF CHECK License Number Lic Class SIZE STORIES ' FAMILIES ONE DESCRIPTION OF WORK NEW Contractor Date ❑ I am exempt from the licensing requirements as I am a hrU�l agid ADD licensed architect or a registered professional engineer ' ALTER ❑ FINAL acting in my professional capacity (Section 7051, DATE REPAIR' ❑ Business and Professions Code) USE OF- FINAL . EXISTING BLDG DEMOL ❑` sy Lic or Reg No _Date APPLICANT L'TI' V•l TEL / OWNER-BUILDER DECLARATION PRINT NO I hereby affirm that'l am exempt from the Contractor's License ADDRESS Low-for the following reason (Section 7031 5, Business and r� XSs,ons Code) BU LDI o 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 \/v/ 1, as owner of the property, am exclusively contracting CONTRACTOR ` NO , with licensed contractors to construct the project (Sec- ADDRESS 1 tion-7044, Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST 2 0 d',0 A CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT # o oto•o o the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE P L 2,.0 0 2 5-0 0 -Lender's Name mP C fee$ PermitFee o 0 0 2 5 0 0 cZt Lender's Address OR 015_8 0 w I certify that I have read this application and state that the Issuance Fee aabove information is correct I agree to comply with all County' Investigation Fee ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter Total Fee V a upon the a)ove-m ntioned pr erty for inspection pur os�s� o 1 ` SEE REVERSE FOR EXPLANATORY LANGUAGE a, Signature o App i7 nt or Agent ate / Os r- WIJRKERS'COMPENSATION DECLARATION ,- ''t^. , 5 , 9 r.,N, ,t I�hereby=afhign that1 6j ve-a certificate of consent�to self D {J "insu"ora certificate'of Workeis'�CompensattZ n Insurance, L ��C V LJ PON ^ D R LTJ U� D�W' IG" �P E R G E1�T o'r o'certtfied copy thereof (Sec 3800;'L'ati = '• +t' . COUNTY OF LOS ANGELES BUILDING ANDS FETY'� 4 Policy No Company ❑ Certrfied,copy +s<hereby furnished. ' FOR APPLICANT TO FILL IN ' ADNESG` ADDRESS Cert+fied`cop'y is filed'with;tFie county'b'dcling inspec- BUILDING A - - - t+omdepartnient ` ADDRESS 1� • < ro s', i Vit, 4t• it ,.,i"i - ��,_ _ _ _ _ .. _ Date -Applicant' �' CITY o •» •:. s � ZIP LOCALITY, t CERTIFICATE OF EXEMPTION'FROM WORKERS' n' jQ NO-OF BLDGS• ++ NEAREST. .. '`COMPENSATION)INSURANCE'-1. SIZE OF LOT S S h ( NOW ON LOT 1 -^', CROSS ST (This sectron,•neecl not be completed.if the permit is.for one - --- - ASSESSOR '- hundred dollars ($100)or less ) TRACT BLOCK T MAP BOOK. PAGE• PARCEL ~.,.,. -, _ ►`i\ IQ��}L USE NE MAP Iy,certify.that in the pe�formance'of the work for which this OwNER'' O permit is"issued,•I shall not employ any person in any manner - %� SPECIAL so as to come ublect to the Work 'C p s +o'`L'aws ADDRESS- O D�^ L -- I CONDITIONS V A,i 4 i+ ., CITY, ` __ ZIP _, - t QG Dale''�t Applicant f '` NOTICE/TO'A LICANT `If, after"makmg•.'t ts'Certific to of ARCHITECT OR TEL L t I DISTRICT _• GROUP TYPE-_, _ _ -FIRE, PROCE ED_BY Exemption; you should become sublecr-to',the Workers' ENGINEER NO 13 g CONST ZONE Com e}isation r'ovisions.of the Labor.Code,% ou must forth- '�j / Iw withPcorhply wth+,such provisions or, ihisgpermrt,shall be ADDRESS -- � ✓_ _ V. :_ �_ y deemed revoked'„ -,;',•, TEL "]I, _ STATISTICAL CLASSIFI TION APT IC DO CONTRACTOR NO �- LICENSED`CONTRACTORS DECLARATION c,. LIC. CLAS- NO �DWELII UNITS I hereby,affirm that I am licensed under provisions of Chapter 9 ADDRESS NO ��6p F' ^ (commenting with Section 7000)of Drvisibn 3 of'the Business and _ LIC Professions Code, dndimy license is+n full.force and effect CITY CLASS BK -VALIDATION - Y t„ , _ SQ FT NO OF NO OF CHECK ~' License Number' ' '�+ O Lic Class' ' ' SIZE STORIES FAMILIES ONE " , = •- , ' ' - _VALUATION Contractor ' DESCRIPTION OF WORK- NEW -$ 111111` ) Date .❑ ❑ - ADD I am exempt under ec ❑ _ r, - ALTER_ B 8P C for this reason ❑ S , _, _ _ REPAIR.__ �` 3819 5 A -Date-.. - USE OF �' EXISTING BLDG DEMOL ❑ -, �7f ° e e-e-,o •� -�Si nature ,� r -',. APPLICANTS�p,� +� _ - -TEL'- - - •Y r - � :I ° ° 4 9.8 8 g" OWNER-BUILDER DECLARATION PRINT t'r 1"L- NO �` FINAL —` - •�e'�- - 4 9.-8-8 , _I hereby affirm that.)am exempt fro m.tF e.Contractor's License 11q LCt� R S FIN Law for the following+reason (Section 7031 5, Business and ADDRESS,' :-'Professions Codd)"—`, _. PRESENT '' — - — By ..._ 04,2 2 -•8 6• BUILDING ❑ I, as owner of the property, or my'employees with ADDRESS v y wages as-their-sole compensation,-will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044Business and Professions-Code) MOVING TEL , -- CONTRACTOR NO 1, as owner'of the property, am exclusively contracting `r•. ' '� -7-with Iicensed-contractors to construct the'prolect (Sec- - - " tion 7044, Business and Professions Code) ADDRESS REQUIRED TOTAL SETBACK CONSTRUCTION'LENDING AGENCY' - -•' � SET BACK 'YARD• 'HWY , 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 PL- - - - •`� ' - - ';,. :- ° - (Sec 3097,-Gv C ) t SIDE - so PL Lender's Name S y LDMA Ref # v x - - - - P C•Fee$ - - Permit Fee - ' Lender's Address > certify,that-1'have read this.application and state that the - Issuance Fee l5LDMA P/C' - a above information is correct I agree to comply with all County ' Investigation Fee -' g ordinances and State laws relating to building construction, _ _ Total-Fee- - -LDMA-Perm-•# " - -- - ¢ - and hereby authorize representatives of this County to enter upon theKab perty for inspectio�A' rpo s- �CSEE REVERSE FOR EXPLANATORY LANGUAGE-Signature of A licant o gent - te