HomeMy Public PortalAbout10112 LYNROSE ST_Building__ DEPARTMENT OF BUILDING AND SAFETY `APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 1 1
WM. J. FOX. CHIEF ENGINEER ts
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING A DIBTRIlrC7 ND. PLAN CK.NO. PERMIT NO.
ADDREBB Baldwin Avenue ! 9 2- 2
LOCALITY LOS Angeles County 1' RECEIVED BY DATE OF APPL. DATE ISSUED
b
CRCBB BT. Leve yak Avenue
BUILDING / / �=
OWNER idnde Finwice & Development Corp. ,! ADDRESS f Gs
ADDRESS 232 So• Beverly Drives MAIL
LOCALITY
NEAREST
TEL. ` CROSS ST. ,
CITY Beverly Hi1J..s9 Calif.,,. CFt 5-1 55e FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER Same as above NO.
BLDG. �}� ORD.NO.
ADDRESS SETBACK LINE
APPROVED
CONTRACTOR Sallie as above ND.. U DATE
UBE APPR
ADPRE611
ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION �I LOT NO. BLOCK
TRACT .6951
�+ y �I !7 NO.OF BLDGB.
SIZE OF LOT 55 X 10�: A NOW ON LOT None
USE OF NO.OF NO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK t
NEW X ALTERATION j ADDITION O
- ^ A
REPAIR F"
60.FTrf e� MOVING DEMOLISH p
SIZE * 1202 ROOMS 6 STORIES 1 D
Stucco
ROOF
WALL
COVERING Stucco COVVERING Dolcmi-tie
BUILDING welling agaraged attached garage
Plan 110 Be
74 7q
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS I APPROVALS/
APPLICATION AND STATE THAT THE ABOVE IS CORRECT; FOUNDATION: LOCATION INSPECTOR DAT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND BTATE LAWS REGULATING BUILDING CONSTRUCTION. w G---�
z.
FRAME: FIRE STOPS, /
SIGNATURE OF BRACING,BOLTS
PERMITTEw TdndA F'inanl+.tl kr DPVP_]..c)nmOlp V
{/fo, LATH, INT.
53
AUTHORIZED /�� f� ��iJ2�W e i y
ner Awn V —in --:Vic -t'resi ian LATH, EXT. 7p
7GA63BA-3 2-60 p.C.® PLASTER,INT.
FEE O PLASTER,EXT.
VALUATIONFEE D '� FINAL
76A838A CE9803 8-83 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS //.� E-7 G V K ros
BUILDING AND SAFETY DIVISION LOCALITY -amu? zp
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUP T OF BUILDING CROSS STm 6 h
DISTRICT NO GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN -� p coNsr y �r
BUILDING STATISTICALCLASSIFICATION SEWER MAP
ADDRESS L �Al� 9�
/ PG
CLASS NO DWELL UNIT$ 1,/
LOT NO BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT MAP HIGHWAY STATE MAJOR SECOND LOCAL'
NO OF BLDGS NO 00 (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE �yQ�.� l —� CONDITIONS -
EXISTING BLDG
j� (j r (�
OWNER 9YkC �-L DLs NO -7-01 BUILDING EXIST
1011� L A/lkvss , SETBACK YARD HWY STREET NAME WIDTH
ADDRESS
FRONT
ARCHITECT OR M f I JXAp ` TEL P L -20 I N r
ENGINEER V(/ 1`GIV\ G� NO, SIDE -
P L
ADDRESS TEL
CONTRACTOR No
�1\ d
I F. �a/Y L� � y \ u `.
� O
ADDRESSM80 TUNA-5
DESCRIPTION OF WORK
G
NEW ADD ALTER REPAIR DEMOLISH d M \ H
FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF �•e� ��F /�u I '
STRUCTURE 9 1 SW�•K ��{r /�_2r'� A r _
SIGNATURE OF
APPLICANT
VALUATION $
APPROVALS DATE INSPE OR 5 IGNATU RE
PMT
PC �s FOUNDATION LOCATION ) _
FEE $ 3 FEE $ FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION _
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY P SON IN VIOLA- LATH INT
TION OF THE LABOR CODE OF THE STATE OF LI RNIA RELAT
ING TO WORKMEN Si;C PEN AT] N S R NC
LATH EXT
SIGNATURE OF HOUSE NUMBER COR_
-
PERMITTEE RECT AND POSTED a
ADDRESS FINAL
F LEWIS PRINCIPAL
PLAN CHECK VALIDATION' cK M O CASH JOHNPERMIT VALIDATION TR85URA O EN CASHER
LjjLo 3 2 3 0% AUG 2 8 2 3 D 3,17 5 ►•�
LSC 3 2 3 1 AUG 2 g 1 D 1 5.00- ,
- y
APPUCAMON -FORBULDNG PEANT
COUNTY OF LOS-ANGELES BUILDING AND SAFETY _
WORKER'S COMPENSATION DECLARATION BUILDING ADDRESS FOR APPLICANT TO FILL IN BUILDING ADDRESI V X 12 , �
I hereby,affirm that I have a certificate of consent to self Insure, '^_\
or a certificate of Workers' Compensation Insurance, `,or a certified
co/py� reof-(Sec 3800,Lab C) CITY �„ - ZIP
Po Il cy�o������ o a `�L 1 � C_ LOCALITY '
SIZE OF LOT NO OF BLDGJNOW ON LOT
El Certified copy IS hereby furnished ' 0 - - ,NEAREST CROSS ST ����\ a y
VCertlfled copy is filed with the county building Inspection TRAC(7 BLOCK - > LOT NO -
f1�� t(09 S'j , �''• USE ZONE MAP NO
Date
tli 1, Applicant • L� Lam' ASSESSOR MAW,8PAG6 PARS SPECIAL CONDITION
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER W\I � (, TEL-NO
COMPENSATION INSURANCE WITHIN 1000'FT OF SCHOOLS' YES NO 4
e ,L p _
(This section need not be completed if the permit is for one ADDRESS hundred O _ECIC �
dollars ($100)or less) DISTRICT GROUP TYPE CONST FIRE ZONE PROCE BY i
� � •
I certify that in the performance'of the work for which this permit CITY -r,GZIP Q 1�i o r�
Is Issued, I shall not employ any person m any on so as to
become subject to the Workers'Compensation Laws ARCHITECT OR EN
4�LQ �4 STATISTICAL CLASSSIFFCATION APT CO DO
Date Applicant ��77 �� \- Y• L•. CLASS NO DWELL UNITS
ADDRES$��,1,�
NOTICE- TO APPLICANT If, after making this Certificate Of `,s- P-A V%A y
Q�+ REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you, should become subject to the Workers' CONTRACTED � TEL NO
Compensation provisions of,the Labor Code, 1J SET BACK YARD HWY., PROP LINE WIDTH
p you must forthwith FRONT
comply with such provisions or this permit shall be deemed revoked ADDRESS"t�,/���1 ��� y� o1 O.1 PL u
LICENSED CONTRACTORS DECLARATION Y `'1 �i 4 SIDE
CITY LIC CLA - P L _
I hereby affirm that I am licensed underprovisions.1 of Chapter 9 1 , SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMILIES
Professions Cade,a my license Is-in full force and f c NEW El BK PG a
License Num r �1 Oq(A Lic Class i DESC TION OF WORK
ALUA10N D O
Contractor Date _Vt
LTER El V�C)� U
' k
' cc
❑ I am exempt under Sec � REPAIR $
B&PC for this reason ` 5 `'�� `� A DEMOL ❑ CDMA P/C#. W
Date USE OF EXISTING BLDG , � - .URM ❑ y_ - D-
Slgnature T LDMA Perm# A a Z
❑ I, as owner of the property, or my employees with wages as APPLIC�NT EPRIN � L - F'4t.�q.t ,2�I_ Z �_S.� oa ,
,their sole compensation, will do the work and the structure is ADDRESS- u _�\{`� to /'O `;I1-2
not Intended or offered for sale (Section 7044, Business and ` -e-w-S) DN FINAL DATE Q '
Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT
El I, as owner of the property, am exclusively contracting with OR HANDLE A HAZARDOUS MATERIAL 'Ci-• t ~ ,
A-MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE L J
AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Q S '
FINAL BY g
licensed contractors to construct the project (Section 7044,
Business and Professions Code) YES❑ No❑ _ r° �,
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING - ,
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR ; !TENS,
GUIDELINES i
I hereby affirm that there is a construction lending agency for YES❑ NO❑ - '25 2 1�
N the performance of the work for which this permit is issued(Sec �- j I_if ._e
rn -
]HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING {
3097,CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
N TITLE 2 CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS
EL Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD kh7fsF
a Lender's Address " ,
G OJ R OR AGENT -
o I certify that I have read this application and state under penalty
o PC FEE - PERMIT FEE
0 of perjury that the above Information is correct I agree to comply I-• 110-1-10C, ? s/94
N with all county ordinances and State laws relating to building .Z -"
m construction, and hereby authorize representatives of this County ISSUANCE FEE
0to enter u on the above-mentioned property for inspection purposes
C-1 ,
m INVESTIGATION FEE TOTAL FEE
^ �ol� ae
Ant Dace Z01-6
SEE REVERSE FOR EXPLANATORY LANGUAGE
r_ "WCii;ERS'COMPENSATION DECLARATION t
I, hei b offir:i that I have a'•cerhficate of-'consent'-fo self p O tO
nsure? o a certificate of Workers' Compensation Insurance, �-P �.��;{J,'�® ti;`R,,'�" LJ ®.�NG
or.o cerh d copy thereof (Sec 3800,'Lab'•C') 3 '' r
COUi11TY OP'_L'OS ANGELES
BUILDING AND SAFETY
Policy No, Company.. . : -
Ce'tifi 'copy is-hereby furnished FOR APPLICANT"TO-FILL IN� BUILDING -
k ADDRESS 2. 30Cr
Ceriffie opy is filed with the county,building inspec- BUILDING 1
"hon de`pa ment �c^'• ADDRESS 11 a E. L Sir e
Date + ti ``' k Applicant CITY ZIP I LOCALITY C a
CERTIFICATE EXEMPTION'FROM WORKERS' , NO OF BLDGS NEAREST
COM SATION INSURANCE't '< ,, . SIZE OF LOT NOW ON LOT CROSS ST
(This section need•not a completed-if the permit'is"for,one ASSESSOR =
hundred dollars ($100)o less.) TRACT' fBLOCK LOT NO MAP BOOK:,; PAGE t PARCEL
• e TEL .USE NE P -
I cert that in the peFfor ance�of a ork for hich this OWNER" 1r,t /� — NO S NO t
permit is issued, I shall,not a ploy y rs any manner /., SPECIAL
ADDRESS j rO s a .�T CONDITIONS
do`as to become,subject.to th Wo ers Co' ati Laws. , .+t O
CITY .ev, i`I zIP
Dote vim`'"! A' Ilcori ARCHITECT OR TEL
NOTICE,TO APPL'ICANT:' If,'.'aft a1 t s' rhficate of ENGINE ` N0. DISTRICT GROUP TYPE t,q FIRE PROCESSED BY O '
Exemption, you should' become'subject the`Workers' r CONST// Z E U
Compensotion,provisions of the Lo or Code, you must forth- ADDRESS• ✓l�/ r � W
with.comply with such' provisions r this permit'sholl be TEL STATISTICAL CLASSIFI TION APT j!ND0 U)deemed revoked..••• CONTRACTOR NO. Z
LICENSED CONTRACTORS DE L'ARATION + LIC CLASS NO` DWELL UNITS' ' _
I hereby affirm that I am licensed under ovisions'of Chapter 9, ADDRESS
(commencing with Section 7000)of Division of the business and _ , LIC. SEWER MAP
Professions Code, and my license is in-full orce and effect CITY CLA55BK VALIDATION
��PGY
SQ FT O•OF NO OF CHECK
License Number Lic Cl s '"' SIZE STORIES FAMILIES ONE
!� VALUATLOPf l
Contractor Date r' DESCRIPTION OF WORK "L7t: PQ M n NEW ❑ ! •rte �1/,7.
ADD
1 am exempt under Sec' `,L,llly, If',OP .6
ALTER
B 8P C for this reason ❑° $
- REPAIR
USE OF [' `
Date' EXISTING BLDG' Fa►�J' /�l n DEMOL t
Signature APPLICANT FINAL
OWNER-BUILDER DECLARATION PRINT NO DATE
I hereby affirm that I am exempt from-the•Con tractor's License -
Low for-the following'reason (Section 7031 5, Business and ADDRESS Awl FINAL .
Professions Code) ; ' -By 0'5 4,6 A
BUILDING
I, as owner-of the property, or my employees with ADDRESS _ t
r' o o e'o •i
wages as'tiieir sole compensation,will,do the work and #
the structure is not intended or offered for sale(Section, LOCALITY 0 2 b 550
7044, Business and Professions Code) MOVING TEL >✓•
I, as owner of the property, am exclusively,contracting CONTRACTOR NO tiJ ,t
with licensed-contractors to construct the'prolect (Sec-.
tion 7044,-Business and Professions Code) ADDRESS
EInvestigation
TOTAL SETBACK '
ONSTRUCTION LENDING AGENCY YARD HWY PROP LINE WIDTH. ° ~ '' ° e 2 6 5,5 ORO'
hereby affirm t there is a construction lending agency for
the performance'of (work for which this permit is issued 2 9�'88(Set 3097, C v C )Lender's Name LDMA Ref #Lender's Address Perm r FeeI certify,that I have read thi a plicatwn and state that the Issuance Fee a LDMA P/Ca above informati s,correct a ee to comply with all County ee
0 ordinances a S te'law rel ting to building construction,
R and hereby uth raze re res tatives of this County•to enter Total Fee q LDMA Perm N
upon the ov men t ed operty for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE ,
i ature p icantor ent Date - - -« -
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0601050003
PHONE (626) 285-0488 ERT
LEGAL ID NO OF CONST BUILDING ADDRESS
TR. 16957 LT: 144 SQ FT STORIES TYPE 10112 LYNROSE ST
STRUCTURE- 30 VN TEMP CA 917802716
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET BALDWIN
8586-019-027 THOMAS PAGE 597 GRID: B3 LOCALITY: TEMPLE CITY, C
TENANT: - EXIST BLDG USE RESID USE ZONE* R-1 ISSUED ON PROCESSED BY. EXPIRES ON.
EXIST OCC GRP: 01/05/06 JK 12/31/06
OWNER: TEL. NO: BLDGS. NOW ON LOT VALUATION. FINAL DATE FINAL BY. CODE
LAYNE, GLENN (626) 445-4076- 20,000
10112 LYNROSE ST
TEMP 917802716 FEES PAID DESCRIPTION OF WORK
TEAR OFF AND REROOF ELK RAISED PROFILE SHINGLES HOUSE AND
FEE DESCRIPTION QUANTITY: UOM AMOUNT: GARAGE
APPLICANT: TEL. NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 20000 00 VAL 2 00 SPECIAL CONDITIONS-
D2 PERMIT W/O EN-HC 20000 00 VAL 384 60
TOTAL FEES 414 35
CONTRACTOR. TEL NO -• APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - _
i
LIC NO - � •' �, _ LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER• TEL. NO: FOUNDATION TRENCH FORMS
LIC NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO- SEWER MAP BOOK: PAGE FIRE ZONE CMP: UND?RFLOOR INSULATION
150H273 3 01
FLOOR SHEATHING
NO OF FAMILIES: DWELLING UNITS- APT COND STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD HWY. PROP LINE WIDTH: _
FRONT PL- INSULATION WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL
EXTERIOR LATH
RATED FLOOR CEIL ASSEM
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT'DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
I