HomeMy Public PortalAbout10109 LYNROSE ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 1 1
c WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
' ADDREIBB Baldwin dwin Avenue r '?y 70 Z- -7S-// i3 r
TT
LOCALITY J� Angeles County RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST Live Oak Avenue ` 3
CRO
BUILDING G E' G �'„Os,�► L y�
OWNER Linde Finance & Devel(Yr
ment Dorn -ADDRESSMAIL
7.
ADDRESS 232 So. Beverly Drive= LOCALITY
NEAREST
CITY Beverly Fills.
Gall NO.CR 5-W5m CROSS ST. (� �i(„(/Y�/Y��•+�.
FIRE NO.OF TYPE GROUP
ARCHITECTOR �+ 1. TEL. ZONE PLANS
ENGINEER Same as above NO.
BLDG. / ORD.NO.
ADDRESS SETBACK LINE
APPROVED
Same as a130V6 TEL. 13Y DATE
CONTRACTOR NO.
USE APPROVED
AD REBS ZONE �/ BYLEGAL
DATE
DESCRIPTION LOT NO. 53 BLOCK C'O CYTONS
TRACT 16957
'DF BLDG
SIZE OF LOT 55 x 107 A NOW ON LOTS None
USE OF ND.OFNO.OF
EXISTING BLDG. FAMILI[9 ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISH �z
B ZE '1236 ROOMS 6 STORIESWALL ROOF 1 s
r
COVERING Stlu-CIA I COVERINGWood Shinele
BUILDING Duelling and attached garage
Plan 107 D.
1 HEREBY ACKNOWLEDGE THAT I 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,
SIGNATURE OF Linde Finance & De Vel '%ntBRACING,BOLTS
PERMITTE AI-�'n LATH, INT. / I,
AUTHORIZED AGT "'-"�� , (r ✓�
T1 A 1 1 P T. N nn_ LATH, EXT. Al \
76A633A-3 2-50 $ P.C•B PLASTER,INT.
`r�j1�'�� FEE 7 PLASTER,EXT.
VALUATION J //VV!!
FEE 3 to, FINAL d�vyry �'�-® .ri•
h4 .;WORKERS"•COMPENSATION DECLARATION
I-hereby d cfi r that I haver ce' C tate of'consent to self A P P�{ Ch%7 RON• F®N` �
-
insure, or o certificate of Workers' Compensation Insurance; L,aL �J'
or-a'certified -copy thereof (Sec 38W;Lab 'C ) +.
S• COUNTY OF LOS"AFNGELES' , BUILDING"AND SAFETY
Policy No Company r
BUILDING
Certified copy,,is hereby furnished: FOR APPLICANT TO FILL IN .ADDRESS
t Certified copy is filed with,the county building mspec- BUILDING 7 -
tion department a+ >, ADDRESS `d p
Date .Applicant CITY / ZIP J LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' - NO OF BLDGS NEAREST _
COMPENSATION-INSURANCE t SIZE OF LOT NOW ON LOT CROSS ST '• `
(This section need-not be completed if.the permit is for one _ . ' ASSESSOR
hundred dollars (5100)or less,) TRACT- BLOCK LOT NO MAP BOOK,, PAGE PARCEL
,.TEL USE'- NE' MAP
OWNER NO ���
I certify that in thep'erforrriance of'the work for ch 'this NO
permit is issued, I shall-not'employ'ony person in y m nner ' Y f SPECIAL
so*as to become sul�6ct to the Workers'' pens tion L`ws ADDRESS / D • �O-s CONDITIONS 0
CITY U
Date Ircant f T . ZIP,
NOTICE TO•APPLICANT Pf'after`'making this Certificate of ARCHITECT OR �Laa TE DISTRICT G UP TYPE- FIRE' PRO SED BY 0,
Exemption, ryou should become 'sublect to the, .Workers' ENGINEER /�S N C/C���DJO g�r �• COST ZO E
Compensation provisions of the,Labor•Code, you;must forth- ADDRESS O W a 0 3s" w 1 V' W
with comply' with such provision's, or this permit shall be 4� D-
ideemed revoked, •• L STATISTICAL•C IFI ATION APT 4 DO fq
CONTRACTOR' N/f/ N A g'iro�ai7jt Z
LICENSED CONTRACTORS DECLARATIONn NO
CLASS NO, DWELL'-UNITS
' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS N Pp £ �'Q NO 56698
(commenting with Section 7000)of Division 3 of the Business andLIC , SEWER MAP
Professions Code,-and`my license is in full force and effect CITY S e - CtA55 r ` _ VALIDATION
SQ FT / NO OF NO OF CHECK- BK PG
License Number m Lic Class SIZE /3 k' STORIES.' FAMILIES' ONE
VALUATION
Contractor .9r, Z,A"FS 1/��F/�B�te �`'_2 3*�� DESCRIPTION OF•WORK AJ 4& AI•U NEW
$
. �1
I am exempt under Sec y ADD
ALTER
B&P C for this rea on " REPAIR $
De. ,_ USE OF DEMOL' `
v
EXISTING BLDG
Signature APPLICANT ' _ TEL- FINAL , V
OWNER-BUILDER DECLARATION' PRINT f-Allf_5 )"'02 •4DNO '`tG6aI9
DATE, _�A as
I hereby affirm,that I am exempt from the Contractor's License f ] ;1-99 4 A
Law for the following reason (Section 7031 5, Business and ADDRESS �� /U O W t�r G�a 3 FINAL �U U _
Professions Code)-. PRESENT, By - �
BUILDING d
1, as owner of the,property, or my employees with -96.,75ADDRESS ��� ( -'a
wages as their sole compensation,will do the work and
the structure isnot intended or offered fo_r sale(Section r LOCALITY �1 ' _
7044, Business and Professions Code) ; MOVING - - TEL ° ° ° 9 0,7 5'5
CONTRACTOR NO
m
I, as owner of the property, aexclusively contracting 14 (F�.2,3 8 8
with.11censed contractors-to construct the project (Sec- ADDRESS
hon 7044, Business and Professions Code) a
CONSTRUCTION LENDING AGENCY REQUIRED .,YARD HWY' :TOTAL SETBA K _
'SET BACK . PROP LINE' WIDTH t
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
Lender's Name '
mLDMA Ref N
Lender's Address
» P C Fee$ Permit fee , % P>
I certify that I have read this application and state that the •_- Issuance Fee LDMA'P/C
above information is-correct I to comply with all County Investigation Fee•
0 ordinances a ate laws atin to build ng'c ruction, Total Fee LDMA-Perm-R
R and hereb ut nze rep sentat es of C nt ,to"enter
upon the -
omentio d pro rty fo sp ti purposes
17Y,`0 / SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of:Apphcant or-Agent l ' Date °
- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS �: ,_., * RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9905100017
PHONE: (626) 285-0488 EXT:
-LEGAL ID: NO. OF CONST NEW BUILDINGADDRESS: -
TR: 16957 LT: 53 SQ. FT STORIES TYPE OCCUP GROUP 10109 LYNROSE ST
STRUCTURE: 38 1 VN R3 TEMP CA 917802717
ASSESSOR INFORMATION ER: GARAGE: NEAREST CROSS STREET: GLICKMAN
8586-020-024 OTHER: THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY
E IS L USE: USE ZON ISSU ON: PROCESSEDEXPIRES ON:
EXIST OCC GRP: 05/10/99 UT 11/06/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: COD
TEILHET RICHARD L CO TR TEILHET TRU (818) 446-9366- 1 3,000
10109 LYNROSE ST
TEMP 917802717 FEES PATD DESCRIPTION WORK
ADD CLOSET TO EXISTING BEDROOM
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLIC L.
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 3000.00 VAL 0.50 SPECIAL CONDITIONS:
B2 PERMIT W/ENERGY! 3000.00 VAL 108.90
(yEEEsTOTAL-FEES 137.15
CONTRACTOR: TEL. NO: O� co APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOI LS .ENGINEER APPRO AL
ARCHITECT OR EER: TEL. FOUNDATION/TRENCHFOUNDATION/TRENCH FORMS
LIC. NO: 1111111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: C P U
C
/�f� UNDERFLOOR INSULATION
3 �0 :D p L \1�/ O FF)a�� EVEL0. F FAMILI ELLI TS /CON AT CL SLLL���IIIJJJv v Y' '
NO 21 h ND LEVEL FLOOR SHEATH
SCHOOL INZARD \�` q _ * 'F S E G
AIR QUALITY: 1000 FEET MATERIALS {c ElL�
NO NO NO 1-1 ®� FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST 48 Q ^10�� B DE AME J
FRONT P�_SET BACK YARD: HWY: PROP LINE: WIDTH: �ZC service'TTM' V" SHEAR PANELS / i /
INSULATIONNE-A-TRE-R-M-ff
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE.DET C ON E
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508