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Home My Public Portal About10141 LYNROSE ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTVi OF'LOS A�TGELES WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.NO. PERMIT N ADDREBB Baldwin Avenue � �j`{9 j .� LOCALITY Los Angeles County RECEIVED BY DATE OrAPPL. DATE IBBUED NEAREST /� ^ `� 3 4-- rl CROSS ST Live Oak Avenue BUILDING OWNER Linde Finance & Development Corp, ADORE DMAIL 7 ADDRESS 232 So. Beverly Drive LOCALITY ^,, DD FIRE CITYBeverly Hills Calif. NO VR 5-4455, CROSS BT. �i FIRE NO.OF TYPE GROUP_•e, ARCHITECT OR TEL. ZONE PLANS ENGINEER Same as above NO. BLDG. ORD.NO. ' ADDRESS SETBACK LINE iP c+,,..,am ' APPROVED same e as above NO. BY DATE USE APPROVE AD RE SZONE BY DATE LEGALI CORRECTIONS DESCRIPTION I LOT NO. h7 BLOCK TRACT 16957 NO OF SIZE OF LOT 55 X 107 (A-6D NOW ON LOTS' None UBE OF NO.OFNO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION O A REPAIR MOVING DEMOLISH p S ZE /�' 1239 ROOMS " STORIESWALL ROOF 1 D COVERING Stucco I COVERING DolcmiteUSE OF NEW - BUILDING Dwelling and attached garage Plan 109 D.- R ,tom r�C G 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE ISICORRECT INSP=TOR D E AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEH FOUNDAT AT LOCATION FORM8,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE BRACING,BOLTB� �^ SIGNATURE OF Linda Finance & Develo$snent PERMITTE .. LATH. INT. AUTHORI AG LATH. EXT. rC ti �p — res lent. G 921 7SA63BA-3 9-50 $ P.C.! [�' PLASTER,INT. l FEE PLASTER,EXT. Ill J _ VALUATION ® FEE 1 FINAL F 7-4 , 76A638A CE #803 1/71 APPLICATION FOR BUILDIZ, PERIdi11 � •'I.OUNT,Y OF, LEDS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN'W. JENKINS, SUPT OF BUILDINGLOCALITY FPLICANT T_0 FILL'IN - NEAREST ORAP Print ort a onl CROSS ST yr BUILDING S x DIICT NQ� GTr ITYPECONST, O B ADDRESS //VV1l Com/! c- STATISTICAL CLASSIFICATION s SEWER MAP LOT NO - - •BLOCK CLASS NO.,;�P_dDWELL•UNITS BK Pe,,. TRACT USE NE MAP NO OF BLDGS_ - NO SIZE OF LOT NOW ON LOT SPECIAL - USE OF CONDITIONS EXISTING BLDG. Yom. , /j TEL. J •- _ ___ ' OWNERrn _ ;C6- @S Q hef NO �IS�S BLDG SETBACK FROM + ' ADDRESS / e FRONT PROP L_INE _E OF '�(STRET) p - TYPE OF EXISTING SETBACK HIGHWAY +L' .YARD = TOTAL CITY G� _ � HIGHWAY WIDTH FROM C ARCHITECT OA TEL. + _ ENGINEER NO. BLOG.SETBAC •M. - ADDRESS _ SIDE PROP.'L'INE OF (STREET) r TEL TYPE.OF 1EXISTING SETBACK H Y .+ YARD = TOTAL O CONTRACTOR �/ 'NO HIGHWAY WIDTH FROM C L. • CD LIC. ADDRESS ' NO - + - O LIC CITY CLASS CORNER_CUTOFF _ YES E] NO _Q w CONSTRUCTION LENDER CL. -NAME AND BRANCH ' SEE REVERSE SIDE FOR SPECIAAPPROVALS z ADDRESS 2 SQ FT NO OF NO. OF NEW SIZE STORIES FAMILIES El USE OF - ADD,.•, STRUCTURE v ' - ALTER ❑ -� REPAIR❑ SIGNATURE - APPLICANT DEMOL ❑ VALUATION S �� - S _ APPROVALS` DATE INSPE oR•s SIGNATURE P CPMT FOUNDATION; LOCATION FEE $ - FEE $ L_5 FORMS;MATERIALS ---,FIRE STOPS, A HEREBY ACKNOWLEDGE THAT,I HAVE READ THIS APPLICATION BRACING 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 STR UC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I ,WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT ' LABOR CODE OF THE 'STATE OF CALIFORNI IN RELATING TO WORKMEN'S'CO MPE NSATION N R LATH, EXT _ SIGNATURE OF, HOUSE NUMBER COR- - PERMITTEE RECT AND POSTED ADDRESS t FWAL JOHN F LEWIS PRI C--IPA STRU=URAL ENGINEER PLAN CHECK VALIDATION CK MO Cn�rt PERMIT VALIDATION CK' M o CASH (;� x�� 25 1 D 2 ,1.75- N WORKERS' COMPENSATION DECLA,RA ION I hereby affirm thate haver cerfCome of ton,Ins to self insure, or d certificate of Workers' Compensation,Insurance, - LrULI fi Lr�•1, UU�l1l LI V HY3'Ll tJ ' pia certified copy thereof•(Sec.3800, Lab C ) COUNTY OF LOS ANGELES }, ' BUILDING-AND SAFETY " Policy No Company BUILDING �• J ;.`,j� n�� ❑ Certified copy,is hereby furnished FOR APPLICANT TO FILL IN ADDRESS I r�V f� ❑ Certified copy is filed with the county building mspec-` ADDRESS BUILDING/ ' Tion department - ., .. � CITY T� , ;� ZIP 9/7 0 Date Applicant LOCALITY L. NO OF BLDGS - NEAREST v CERTIFICATE'OF EXEMPTION FROM WORKERS'' SIZE OF LOT.1' ;elf 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 ) • EL ` - OWNEf� Y ej i NO �7 USE ZONE MAP _ tl certify that in the performance of the work for which this NO _ =; ' SPECIAL permit is issued, I shall,not•employ'any person in any manner ADDRESS' Q/y L Aur29 e CONDITIONS CL so as to become subject to 1hes,Workers'Compensation, * / / O CITY7e{Y1 /� C/r zip - 7��J ' U Date//Z9 Applicant ARCHITECT TEL' DISTRICT G OUP ITCYONS PE .r> FIRE ROCESSED BY NOTICE.TO APPLICANT If, .after making ;s Certificate of ENGINEER ; /UQ.cIf' • � p/0� � TEN LU NO- -Exemption, you should become subject to the Workers' , , ✓'7 ,1 J/ w Compensatior'provisions of the Labor Code, you must forth- ADDRESS-- with comply with such rovisions or this N p y p permit shall be // //' TEL STATISTICAL CLASSIFICATION. APT CONDO Z deemed revoked ",. a �, CONTRALTO 'r:/�Cv C(/y�i�, NO � � — LICENSED CONTRACTORS DECLARATION, y,��Q LIC = CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESa?? � �< t(L• NO 57 /E36' ,. •I • (commencing with Section 7000)of Division 3 of the Business / / LIC SEWER MAP and Professions Code,and my license is in full force and effect CITY al-ZA ( ae_:! Y Aj !{ /',74)/CLASS BK PG VALIDATION SQ FT U NO OF, NO OF CHECK' License Numbe';5_71518� Lic Class SIZE �7i� STORIES FAMILIES ONE r • //''__ -- ❑ _,VALUATION _ _ •�"' • - 'ContractorV�fihiE`{� ICIIW f. Date • DESCRIPTION OF WORK r 47, Ujrf NEW j� - < „ . r - ADD p $, ❑I am exempt under Sec ALTER. ❑ -B 8P C for this reason REPAIR ❑ $ Date USE OF _ EXISTING BLDG ��dll�E'NG . DEMOL EJ Si nature APPLPR TIC T /' r TEL FINAL• g OWNER-BUILD DECLARATION e l tf9 NO !7v ` I hereby affirm that I am exempt from the Contractor's License �-�p `�_` QQ ,DATE Law for the following ieason,(Section 7031'5, Business and ADDRESSv""� /�/Y /[fir LIL dAf FINAL Professions Code r rA PRESENT By. r ,a ❑ j, as:owner of theproperty, or m em to employees with BUILDING Y P Y ADDRESS 4 � _ ,yt`�[i( 237.,:!:� wages as their solecompensation,will do the work and the structure is not rntended'or offered for sale(Section LOCALITY 7044, Business and Professions Code ) MOVING TEL❑' �'I �4 ® 8 j, as owner of the property, am exclusively contracting CONTRACTOR NO y L '� :with licensed contractors to construct the project (Sec- 23•7,. tion 7044, Business and Professions Code ) - ADDRESS CHUCK 23 r- ' CONSTRUCTION.LENDING AGENCY. REQUIRED YARD HWY' TOTAL SETBACK FROM- -. '" EXIST GWEG' SET BACK• . PROP LINE WIDTH t s e I 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- _ _ _ 11010-00 1 11/29"S9 ._•a Lender's Name 4 71G9 1 `-"5! LDMA Ref # _ PC Fee$ Permit Fee / t' Lender's Address a 'I certify that I have read this application and state that the Issuance Fee LDMA P/C# ®. 8above information is correct I'agree to comply with all County In Fee 'ordinances and State laws relating to building construction, Total Fee LDMA Perm # < and hereby authorize representatives of this County to enter _ upon t v entioned property for inspection purposes - = � SEE REVERSE FOR EXPLANATORY LANGUAGE, ••.,- , - - Signature of Applicant or Agent Date ;1" 4 WORKERS' COMPENSATrON+DECLRR,Q•fION 4I,Fierehy af4irm that 1 have a certificate of Consent,to self d insuretor'd-certificate of Workers' Compensdtion Insurance, - � •, _ �orFOR �a certified copy thereof'(Sec'j800, Lab C )t _,: COUNTY"OF'LOS ANGELES BUILDING-AW'SAFETY' t ' Policy.No' Company = '. ❑ Certified copy is hereby,furnished J FOR-APPLICANT TO FILL IN ADDRESS r BUILDING ❑ Certified copy is filed with•the.county,building inspec- _ < tion department ADDRESS C/��/" dJ�( C r Date Applicant' CITY/ �rP ZIP LOCALITYNO OF BLDGS d NEAREST �•, +CERTIFICATE'OF EXEMPTION FROM WORKERS' r SIZE OF LOT�5 �' NOW ON LOT '/ CROSS ST' COMPENSATION INSURANCE'' 't ' " ASSESSOR (This section need not'be,completed rrf the pefmit is for one. TRACT r BLOCK LOT NO~ MAp BOOK- _ PAGE PARCEL -hundred dollars ($100) or less,)' TEL a' 1 OWNE j" Li Ct ` NOGX� 7/ USE ZONE, MAP a. ; NO o I certify,that in the perfrmance'of,tFie work for which this SPECIAL } f, permit is issued,-I shall riot employ any person in any manner ADDRES CONDITIONS " ( �' so as to become sublect'to:the Wor r ensation"Laws ._ / n p' Q�q CITY ! l f zip 7/760 U Date f�-'l�' Yf, Applica - ARCHITECT OR TEL _ DISTRICT" G OUP TYPE " ' "FIRE PROCESSED BY O' NOTICE.-TO"APPLICANT If,.after•making(this•Certificate of ENGINEER NO' �-' CONST ZQNE U <4 Exemption, you should ,become subtect to".Ther Workers' "a';'• �' a Compensation provisiorsrof the'Labor Code,;you must forth-'- ADDRESS-' .�IL� with comply with such provisions or;,this'permif?shall be'' TEL-H - STATISTICAL CLASSIFICATION ,_" _ AP CONDO N deemed revoked ;` "' ;- CONTRALTO NO I - Z LICENSED,CONTRACTORS DECLARATION•r UC CLASS NO DWELL-.UNITS NO I hereby affirm That I'am`.licensed under provisions of Chapter 9 - SEWER MAP (commencing with Section 7000)of Division 3 of the'Busmess // LIC and Professions Code,CT my license is infull force and effect CITY I( Ace,✓Yd CLASS ' „ BK PG .VALIDATION' SQ FT x NO OF, NO OFCHECK License umber7�� Lic'ClassI ' SIZE STORIES FAMLIES ONE N > ,i ` �+�,,��,6E - x -:_ /_�.._ / ��r_. �' a >-• VXLUUATION ContractolP�4�eCG4'� � '��r a Dte/Z'�/� � ' DESCRIPTION OF WORK NEW ❑. S /�ODO 0 0 w e ❑ , I am exempt under Sec X ALTER .❑ .B 8P C ,for this reason +" " REPAIR s_ Date USE OFi_- EXISTI NG.BLDG C. % iU( DEMOL❑ 'Signature - APPLICANT TEL �t Q L� " - OWNER-BUILDER°DECLARATION NO / CJ�/ FINAL ' • I hereby,affirm that_I cim exempt from,the Contractof s License r ADDRE F l �CLt FINAL, .. 1 Law for the followin reasori Se_ctron 7031 5,'�Busih' and 9+ ,.7 2C A Professions Code) PRESENT•' v. •-. s 4 By AI�.0 r BUILDING- - - rte ❑ I,.as owner of-the:property,,or my'employees-with ADDRESS u"' pp � � � 3307- 49.. ovages'as their sole comperisation,will do the work and 1/l' �J�l,( rr i ITEMS -• `•' the structure is not•intended or offered for sale(Sectioh LOCALITY ^s �:�^ 1 - '77-711 7044, Business and Professions Code ) MOVING'. a TEL" -�f,r , ` CONTRACTOR :NO I "% e ❑ I, as owner of the property, am exclusivelq contracting Y TiITFd -" _E =with licensed•contractors-to construct the prolect-(Sec- Y _ _ _ - ADDRESS - + r tion,7044, Business and Professions Code') ' !HECK 490 -° REQUIRED,- TOTAL•SETBACK'FROM- EXIST CHANE CONSTRUCTION LENDING AGENCY' SET BACK YARD HWY PROP LINE • WIDTH* v LFltlNE. ,Ocl I,hereby affirm that there is a construction lending agency for FRONT T _ ,the performance of-the work for which this permit,is' ` " '{ P L' (Sec 3097, Civ C ) SIDE P L 0000-0001 '12/11489 Lender's Name is „,y - _ r -LDMA Ref-# 7't 33 1,';V.AM 11:31.2 - P C,Fee$,- Permit Fee - Lender's Address ' o I certify-that I have read this'�application and state that the Issuance Fee 8 above information is correct I agree to comply with all'County Investigation Fee - R ordinances'and State laws relating to building construction, Total Fee LDMA Perm # a and hereby authorize representatives of'this County to enter upon the Ge= Tioned property for inspection purposes , a SEE REVERSE FOR,EXPLANATORY,LANGUAGE Signature of Applicant or Agent Date