The URL can be used to link to this page

Home My Public Portal About10147 LYNROSE ST_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT OOUNTY OF LOS ANGELES .,WM. J. FOX. CHIEF ENGINEER a FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ,3..�,,, DISTRICT NO. PLAN CK.NO.- PERMIT NO. BUILDING Baldwin Avenue DDRESS 3ggo)-- I ,f//Z3 - 73 A LOCALITY Los Angeles County RECEIVED BY DATE OF APPL. DATE ISSUED c'A"' Live Oak Avenue OWNER Linde Finance & Devel ment Cor ADORE BUILD )I MAIL L6 232 South Beverly Drive, LOCALITYADDREB NEAREST TECp!�v CITY Beverl Hills Calif'.Np.L. CR — ROSS ST. FIRE NO.OF TYPE GROUP ARCHITECTOR Same as above TEL. ZONE PLANS ENGINEER NO. BLDG. G / ORD.NO. ADDRESS SETBACK LINE /y 7 APPROVED - CONTRACTOR Same as above No. BY DATE USE APPR E ADDREB ZONE BY DATE LEGAL CORRECTIONS , DESCRIPTION I LOT NO. 46 BLOCK TRACT 16957 55 107 )ND.OF SLOGS. x SIZE OF LOT NOW ON LOT None USE OF NO.OFNO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW I YJALTERATION ADDITION p A_ REPAIR MOVING DEMOLISH O NO OF Z S ZE 1236 ROOMB 6 STORIES 1 r WALLROOF COVERING Stucco I COVERING Wood Shing s t BUILDING W Dwelling and attached garage Plan 107 B I 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 a Fi an Q & erit BRACING,BOLTS PERMITTE TH, INT. A AUTHORIZED,?A T ^I LATH, EXT. � TI 76A63SA-3 7-49 $ P.p I PLASTER, INT. 5 T S'D FEE PLASTER,EXT. VALUATION $ 3 I 6 FINAL FEE COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS I hereby,affirm that I have a certificate of consent to self Insure, / or a certificate of Workers' Compensation n U or a certified C thereof(Sec 3800,Lab C) /7�// CITY ZIP ohcy Compan LOCALITY SIZE•OF LOT NO OF BLDGS NTDW ON LOT ❑ICertified copy Is hereby furnished NEAREST CROSS ST Ido Certified copy Is filed with e Co ty bull g I pection TRACT BLOCK LOT NO - depart nt USE ZONE MAP N �„ Q Date / Appllcan ASSESSO APB O PAGE PARCEL . 0 7 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION F MI WORKERS' OW R TEL NO COMPENSATION INSU ANCE /YJ p WITHIN 1000 FT OF SCHOOLS YES NO. (This section need not be completed If the permit Is for one hundred ADDRESS dollars($100) or less) d G DISTRICT GROUP T CONST, FIRE ZONE PROCESSED BY I certify that In the performance of the work for which this permit CITY �r ZIP Is Issued, I shall not employ any-person In any manner,so as to ��v /�3 ✓ � �J become subject to the Workers'Compensation Laws ARCHITECT OR ENGINEER TEL NO STATISTICAL CLASSIFATION - APT CONDO Date Applicant ADDRESS CLASS NO CATION UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions*of the Labor Code, you must forthwith rFRONT comply with such'provisions or this permit shall be deemed revoked ADD ESS UC NO PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC CLASS P L _ I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO FT SIZE NO OF STORIES NO OF'FAMILJES Professions Code,and,my license is In full force an ect / NEW ❑ BK PG CL License Number' Late ALTER ❑ �ic Class DESCRIPTION OF WORK ADD {� VALUATION O - - , 6a� Contractor. Date ❑ I am exempt under Sec REPAIR ❑ $ 0 B&PC for this reason DEMOL ❑ LDMA P/C# . VjJ Date USE OF EXISTING BLDG URM ❑ z Q, y ' Cl)Signature - APP• NT TEL NO r LDMA Perm# _� - _ Z El _ -t' Hlv:'I v I, as owner of the property, or my employees with wages as` � - Z ', o� their sole compensation, will do the work and the structure Is ADDRESS 0 i "r•J J !f t not Intended Or offered for sale (Section 7044, Business and ? FINAL DATE Professions Code) ' / �,� WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ✓ —` M J ❑ 1, as owner Of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE _ _ AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY AAtI -( t'I licensed contractors to construct the project (Section 7044, o's' Business and Professions Code) YES❑ NO ` WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING -+..t-)•- j y ,-' OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR ITE-13 GUIDELINES I hereby affirm that there Is a construction lending agency for �+( } YES❑ NO 1�1 _ _ f t_t 1 I'IL 2-6 ® 92 w the performance of the work for which this permit Is Issued(Sec �� ` - - ° 3097,CIV C (HAVE REA AZARDOUSMATERI NFORMATIONGUIDEAND THE SCAOMD PERMITTING f - w - ) CHEC I UND STAND MY EQUI MENTS UNDER THE LOS ANGELES COUNTY CODE, t.{SEK TITL 2 CHAPTER 20 CT S 2 100 THROUGH 2 20 140 CONCERNING HAZARDOUS IL Lenders Name MAT RIALS R PO D R NING A PERMIT FROM THE SCAOMD {•HAN6L •• `c e�'I o Lender's Address 1 L C, OMER GR AGEIN7 , o I certify that I have read this application and state under penalty of perjury that the above Information IS correct I agree to comply PC FEE �' f' / PERMIT FEE with co ty ordinances d State laws relating to building vv / co e- onnd here aut raze representatives of this 2DIJJy ISSUANCE FEE /' f °{ !•; i to nter up n h o men ned property for inspection o - /p co // INVESTIGATION FEE TOTAL FEE - sc.,_d psi o, m Dale SEE REVERSE FOR EXPLANATORY LANGUAGE