HomeMy Public PortalAbout10125 LYNROSE ST_Building__ * DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES U ' L ® '
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PLAN'CK.NO. PERMIT-NO.
ADDRESS Baldwin Avenue
LOCALITY Los Angeles G®LLInty RECEIVED BY DATEOFAPPL. DATEISSUED
NEAREST L1 V e Cak Avenue
CROSS ST.
BUILDING / / L /„ �,�
OWNER Linde Finance & Development co . _ ADDRESS / G►
MAIL LOCALITY �4+
ADDRESS 232 So. Beverly Drive
NEAREST d -....
CITY Beverl2- Hillsg calm ND CR .5- 5.55 CR059 9T.
FIRENO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER �. ,p .S` F) NO.
BLDG. ORD.NO.
ADDRESS SETBACK LINE
r
APPROVED
CONTRACTOR same as above No. BY DATE
USE �J APPN�F�
ADDRESS ZONE BY DATE
LEGAL _ CORRECTIONS
DESCRIPTION I LOT NO. �* BLOCK
TRACT 1695pNO.OFY
SIZE OF LOT 55x7.05 (App 7 NOW ON LOTS none
USE OF NO.OF NO.OF
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A
_REPAIR MOVING DEMOLISH G7
SIZE T. 1G V2 NO.OF 6 D
WALLyy..���� 'ROOMS STTORIES r.
ROOF
COVERING Stucco I COVERING Dolcmite
UBE OF
BUILDING W Dwelling and attached garage
Plan 110--D
7 C 7 '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALZS
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, —',,b-7-Z7
SIGNATURE OF 1 BRACING,BOLTS f.•(
PERMITTE L� nde F' anck& D e m .E�. _ p/
L TH, INT.
AUTHORIZED
7va t1 LATH, EXT. / c
76A6 9 tl$ 4 r/'UorC>-� P.C.$ 73 _ - LASTER, INT.
fP/[/
FEE PLASTER,EXT.
0, % $ 7G
VALU TION
FEE _19 FINAL
w
WORKERS' COMPENSATION DECLARATION
I hereinsure,boraffirm a certif catte of Workers'-rt
o ke srf Compensation InsurancI have a ceificate of consent to e, A P P L I CATION FOR BUILDING PERMIT
or a certified
��copy
��thereof'(Sec. 3800, Lab. C.) COUNTY OIrLOS'AGELES BUILDING AND SAFETY
Policy N01521-1-3—Comp-any
L/.Z_Compariy
BUILDING
ElCertified copy is hereby furnished.. _:`V -�. FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec-; BUILDING S LU�• ���
tion department. ADDRESS e.V
/0 � f�� - CITY f TJ ZIP LOCALITY C�i4.r
Date Applicant NO. OF BLDGS.
NEAREST
CERTIFICATE OF EXEM N FROM WORKERS' SIZE OF LOT NOW ON LOT
CROSS ST.
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
hundred dollars ($100) or less.) TEL. USE ZONE MAP f
OWNERUM Cr- LV/r CMWCl-NO. NO. .I�0 ' / oc ��
I certify that in the performance of the work for which this / ..� AA c SPECIAL a
permit is issued, I shall not employ any person in any manner ADDRESS �` mac/ U� / CONDITIONS O
so as to become subject to the Workers' Compensation Laws. CITY 7_& *fCC—' Q T� ZIP t!_7 8® U
Date Applicant. ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O
NOTICE TO APPLICANT: If;. after making this Certificate of ENGINEER NO: CONST. ZO E U
Exemption, you should .become subject. to the Workers' ADDRESS ��� w
Compensation provisions of the Labor Code, you.must forth- a
with comply with such provisions or this permit shall be EL. STATISTICAL CLASSIFICATION APT, CONDO. z
deemed revoked. CO TRACTO �/tC&1jG NO.�3 Y.2 Y- 13 Z_
LICENSED CONTRACTORS DECLARATION H LIC. CLASS NO.�DWELL..UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 16-30 a'/�'��� NO. 3
(commencing with Section 7000)of Division 3 of the Business LIC. C► SEWER MAP
CITY USS 91?O�CLASS ��� I
and Professions Code,and my license is in full force and effect. BK1'7 PG. Y' VALIDATION
- Q SQ. FT. NO. OF NO. OF CHECK
License Number �j Lic. Class' SIZE STORIES FAMILIES ONE
)) C VALUATION
�� -- 7L DESCRIPTION OF WORK O Fr
K ContractVxempt
c a NEW c (STIN - 9dri ADD 5� 400'
1am under Sec. QQ yy ``rrT���j ec ,,//'' �,r �j /
®LJ NEW �f� C-4 V`T C ALTER a
B.BP.C. for this reason REPAIR
Date:
USE OF DEMOL ❑
EXISTING BLDG.
Signature APPLICANT t TEL.
g (PRINT) ','NO. FINAL '_7;
OWNER-BUILDER DECLARATION DATE `_'
I hereby P affirm that I.am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
r.i ";••i is^;i
Professions Code): PRESENT BY '_-"' ,,,,•,•;,:}_
BUILDING _
❑ I, as owner of the_property, or my employees with ADDRESS
n
wages as their sole compensation;will do the work andY_l:_i
er (y/tom
the structure is not intended or offered for sale(Section LOCALITY ,
7044, Business and Professions Code.) MOVING TEL.
ElI, as owner of The ro erT CONTRACTOR �-NO.
p p y, am exclusively contracting mss-
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code.)
REQUIRED TOTAL SETBACK FROM EXIST.
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 P.L.
(Sec. 3097, Civ. C.). SIDE.
P.L.-
Lender's Name.
LDMA Ref. #-
P.C. Fee.$ Permit Fee
Lender's Address ,.}
a 1 certify that I have read this application and state that the Issuance Fee C7r �S LDMA P/C#
8 above information is correct. I agree to comply with all County Investigation Fee
R ordinances and State laws relating To building construction, I Total Fee (O LDMA Perm. #
a and hereby authorize rep r sentatives of this County to enter
upon the above-mentio d proper spe/ction purposes.
/C� � SEE REVERSE FOR EXPLANATORY LANGUAGE e
Signal re of Applicant or Agent Date
/. J