HomeMy Public PortalAbout10137 LYNROSE ST_Building__ (2) DEPARTMENT_OF"BUILDING AND SAFETY APPLICATION'FOR PERMIT
COUNTY OF LOS ANGELES_
WM. alt' FOX. CHIEF ENGINEER
FOR APPLICANT'TO FILL,&r FOR OFFICE USE ONLY
' BUILDING DISTRICT NO. " PLAN CK.NO. PERMIT NO.
ADDRESS Baldwin Avenue �� � 3t f 9U�,, —.t� sw 23 —
LOCALITY Los Angeles County, RECEIVED BY DATE'OF Ak PL. DATE ISSUED
C EARg T Live s Oalt Avenue 3 rl
Imij
OWNER Linde Finance evelo m n
ADDNG SS
OrP• LOCALITY
ADDRESS 232 So. Beverly Drive
clry Baverly Hills, Calif-TE CR 5-4455 NEAREST � L� ��� NAA)
TEL. CR068 HT. '
FIRE NO.OF TYPE GROUP
ARCHITECT ORTEL.. ZONE PLANS
ENGINEER Same as above NO.
BLDG. U /� /, ORD.NO.
ADDRESS SETBACK LINE
APPROVED
CONTRACTOR Same as above NOL. BY DATE
USE APPROV D
ADDRESS ZONE BY DATE
LEGALCORRECTIONS
DESCRIPTION I LOT NO. BLOCK
'TRACT 16957-
SIZE OF LOT 55 x 107(App)I NO.OF NOW ON LOTS.None t
USE OF NO.OF NO.OF '
EXISTING BLDG. FAMILI68 ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A_
REPAIR MOVING DEMOLISH O
S4.FT. NO.OF Z
SIZE 1236+ ROOMS 6 ST
pORIES 1 0 r
ROOF
COVERING StuccoWALL -I COVERING IYFood'imaing S l USE OF NEW Dwelling and attached *garage
BUILDING
Plan 107 D—R
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS/'
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE 1
'AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES DATE
*AND
AND STATE LAWN TING BUILDING T UCTION. FORMS,MATERIALS c�r/1✓.�ii'GC "'"./7
FRAME: FIRE STOPS, �� � •" !_ �',�
SIGNATURE O Linde F 8c e Opmerit B ACING,BOLTS j Ce
PERMITTE _ TH, INT. �I
AUTHORIZED LATH, EXT. y1/' A
So
ns
76A639A-3 7-49 $ P C.,$ PLASTER, INT.
G �r O FEE -7 PLASTER, EXT.
VALUATION i •! 3� t� FINAL
FEE
kVer ' COMPENSATION DECLARATION #880353,BG
I'hereby affirm that I have a certificate of consent to self O O O [�� p O �n �(
. insure, or a certificate of Woikeis' Compensation'Insurance, Lr11 �L/HCl U' r Q R ®�11\J ��V L1 U
or a certified copy thereof`(Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
y 1
Policy No W0007146 Company BpavPr Tnc /��
BU MING
Certified copy is hereby,furnished ,_FOR APPLICANT TO FILL IN '3" ADDRESSId -�
Certified copy is filed with the county building inspec- BUILDING
tion department ADDRESS. 1013T. Lynrose 0,E,
Date 7-1-89 Applicant Virgin Roof Co. CITY' Tem 1'e City ZIP ,` 91780 LOCALITY L
CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS NEAREST
.F COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars ($100)or less ) TRACT 6�� BLOCK LOT NO MAP BOOK PAGE PARCEL
" • i TEL
OWNERMr.. & Mrs. McGowan'- NO USE NE MAP
I'certify that in the performance of the work for which this NO
permit is issued, I shall not employ any person in any manner % SPECIALt
so'as to become subject to the Workers'Compensation Laws ADDRESS 10137 L -nrose t CONDITIONS O
CITY Temple City ZIP U
Date' Applicant' fie,
ARCHITECT OR TEL
NOTICE TO'APPLICANT If, after making this Certificate of ENGINEER NO DISTRICT UP TYPE FIRE PROCESSED BY O
Exemption, you should become subject to the Workers' (^ CONST Z� U,
-Compensation provisions of'the Labor,Code, you must forth- ADDRESS `-tet W
with comply ,with such provisions or this permit shall be TEL W
deemed revoked STATISTICAL CLASSIFICATION APT ONDO N
CONTRACTOR NO Z
LICENSED CONTRACTORS DECLARATION LIC I CLASS NO —KZA DWELL UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. BOX J NO 160650 ff
(commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP
Professions Code, and my license is in full force and effect CITY San Gabriel CLASS C 3 9 VALIDATION
SQ FT NO OF NO OF CHECK BK PG
License Number 160650 -L'ic-Class - C39 SIZE STORIES FAMILIES 'ONE
VALUATION,
Contractor 'Virgin Roof 'CO-Date 6-30-89 DESCRIPTION OF WORK Over existing NEW ❑
ADD $ 2792:00
D
I om exempt under Sec apply ClaSS "A" Fiber la ❑ALTER ❑
B&P C for this reason Shin les REPAIR ❑ S
Date USE,OF •
EXISTING BLDG Dwel 1 ingDEMOL ❑
Signature-- 'APPLICANT '' TEL FINAL
OWNER-BUILDER DECLARATION PRINT Vlr iii Roof 'Co. NO 287-0507
DATE
I hereby-affirm that I am exempt from the Contractor's License
Law for the following reason,(Section 7031 5, Business and ADDRESS , P.O. BOX J, San Gabriel 91778 FIN
Professions Code) PMENTBy
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
I,as owner of the property, am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the project (Sec- ADDRESS ,o 0 5 9 2 5
tion 7044, Business and Professions Code)
EREQUIRED TOTAL SETBACK e o•o„5 9,2 5CONSTRUCTION LENDING•AGENCY BACK YARD HWY PROP LINE WIDTH
I hereby affirm that there is a construction lending agency for ONTthe performance of the work for which this permit is issued 0 7 2,0,++8 8
(Sec 3097, Cry C ) E
Lender's Name
' 48.]rj LDMA Ref k.
Lender's Address P C Fee S Permit Fee D
I ,certify that I have read,this application and state that the Issuance Fee 10.50 LDMA PiC f1- _
oabove information is correct I agree to comply with all County Investigation Fee
9 oidinances and State laws relating to building construction,
and hereby authorize representatives of this County to enter Total Fee LDMA Perm N
m upon the above-mentioned property for inspection purposes '
< 7-19-88 SEE REVERSE FOR EXPLANATORY LANGUAGE _
Ugfure of Applicant or Agent' 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 0511290043
PHONE (626) 285-0488 EXT
LEGAL ID: NO OF CONST BUILDING ADDRESS:
TR: 16957 LT: 48 SQ. FT STORIES TYPE 10137 LYNROSE ST
STRUCTURE 2200 VN TEMP CA 917802717
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET:
8586-020-019 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 11/29/05 JK 11/24/06
OWNER TEL NO BLDGS. NOW ON LOT: VALUATION FINAL DATE FINAL BY, CODE
MCGOWAN ROBERTA TR ROBERTA MCGOWAN - 4,950
10137 LYNROSE ST /-.;-2 --> _ - '^
TEMP 917802717 FEES PAID DESCRIPTION OF WORK
REMOVE EXISTING ROOF, INSTALL 1/2 OSB, INSTALL 30 YEAR
FEE DESCRIPTION QUANTITY: UOM: AMOUNT- CLASS A
APPLICANT TEL NO:
JOHN DAVIS (909) 392-3904- AA BLDG PERMIT ISSUANCE 27 75
2615 FULTON ROAD AC STRONG MOTION RESID 4950.00 VAL 0.50 SPECIAL CONDITIONS-
LA VERNE, CA 91750 D2 PERMIT W/O EN-HC 4950 00 VAL 132 60
TOTAL FEES 160.85
CONTRACTOR- TEL NO APPROVALS DATE INSPECTOR SIGNATURE
JOHN DAVIS (909) 392-3904-
2615 FULTON ROAD LIC NO LOCATION AND SETBACKS
LA VERNE, CA 91750 738512C39
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: UNDERFLOOR INSULATION
150H269 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
COUNTY OF LOS ANGELES TEMPLE CITY # 0.508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0910050002
PHONE (626) 285-0488 EXT DUPLICATE
ILEGAL IDI NO Or^ CONST I BUILDING ADDRESS
ITR 16957 LT 48 I SQ" FT STORIES TYPE 10137 LYNROSE ST 1
ISTRUCTURE 2600 V-B TEMP CA 917802717 - I
(ASSESSOR INFORMATION NUMBER. 1 I NEAREST CROSS STREET 1
18586-020-019 - THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl
I I I
ITENANT (EXIST BLDG USE. RESID USE ZONE R-1 IISSUED ON PROCESSED BY I
I IEXIST OCC GRP 110/05/09 SR 1
(OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FINAL IkY CODE 1
IMCGOWAN ROBERTA TR ROBERTA MCGOWAN (626) 862-6865- 1 - 5,100
110137 LYNROSE ST I
ITEMP 917802717 1 FEES PAID I-ESCRIPTION bF WORK
I I 1REMOVE COMPOSITION ROOF AND OSB PLYWOOD INSTALL 1X6 BETWEEN I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT ISPACF,D SHEATIHING ROOF WITH 30 YEAR GAF CLASS A COMPOSITION I
APPLICANT TEL I I I
GRATER - (626) 355-2755- IAA BLDG PERMIT ISSUANCE 27 75 I 1
11407 FOOTHILL 307 - IAB STATE GREEN BLDG FEE 5100 00 VAL 1 00 ISPECIAL CONDITIONS I
ILA VERNE, CA 91750 1AC STRONG MOTION RESID 5100 00 VAL 0 51 1 1
ID2 PERMIT W/O EN-HC 5100 00 VAL 149 40 -
TOTAL FEES 178 66 -
ICONTRACTOR - TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE I
ID AND G ROOFING (909) 593-4982- 1 _ 1 1
11407 FOOTHILL BLVD #307 LIC NO I ILOCATION AND SETBACKS I I I
ILA VERNE, CA 91750 534986/C39 I J! I I
I I - ISOILS ENGINEER APPROVAL 1 1 1
I �
(ARCHITECT OR ENGINEER TEL NO 1IFOUNJATION/TRENCH FORMS 1 1 - I
I-_1-1
1 LIC NO I ISLAB%UNDER FLOOR
_ I I - I
I 1 (RAISED FLOOR FRAMING I I 1
I
IMAP NO SEWER MAP BOOK. PAGE FIRE ZONE CMP-1 - 1UNDERFLOOR INSULATION I I I
I I I
1150H269 3 OOI - 1 1
I I (FLOOR SHEATHING I I
IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I I i
- NO 21 ,i i ROOF SHEATHING
I SCHOOL WITHIN HAZARDOUS 'I ISHEAR PANELS I o r/V nJ
1AIR QUALITY 1000 FEET MATERIALS I I I I
I NO NO NO I 1FRAME'INSPECTION I I
I I I I
IREQUIRED TOTAL SETBACK FROM EXIST I - IFIRE SPRINKLER HANGERS I _.
ISET BACK YARD HWY: PROP LINE WIDTH I I I I
IFRONT PL- I 11NSULATION/WEATHER STRIP( I
I SIDE PL- I I - I
I I (INTERIOR LATH/DRYWALL _
I I I
I I EXTERCOR LATH I I 1
I
(RATED FLOOR/CEIL ASSEM,
I I I
I I IRATED WALL ASSEMBLIES I 1 1
I I IRATED SHAFTS/OPENINGS I 1 1
I I I I I
I _ I IT-BAR CEILINGS I 1
I I. ILOT DRAINAGE I I I
I I I I I
IREPORT ID DPR261 ROUTE TO BS0508 I I I I
I I I I I