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Home My Public Portal About10533 LYNROSE ST_Building__ /�7-.--ice. C . ,�- _ 76At638A CE#803 5-65 APPL1CA TIO FOR B ILDI NG' PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSSUP•T.OF BUILDING CROSS ST: DISTRICT'NO. GRO T E. CE BY FOR APPLICANT TO FILL IN �� e BUILDING y STATISTICAL CLASSIFICATION SEWER MAP ADDRESS to533 OSQ St. CLASS NO.�DWELL UNITS BFC CPG LOT NO. BLOCK USE ZONE MAP V NO. TRACT ? SPECIAL No. OF BLDes. CONDITIONS SIZE OF LOT NOW oN LOT USE OF EXISTING B BLDG. SETBACK FROM _ _ TEL. FRONT PROP. LINE OF (STREET) OWNER NO. �a TYPE OF EXISTING SET -K HIGHWAY + YARD = TOTAL [ADDRESS - TOSL St." HIGHWAY WIDTH- F OM C.L. T Cit Calif. + CT O TEL. BLDG. SETBACK FROM R NO. O SIDE PROP. LINE OF — (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL ",E Firestone Blvd - HIGHWAY WIDTH FROM C.L. TOR"AnthO POY11S NOLSP 3-2210 _ + O 1 E•--FirestOn&o 190179 CORNER CUTOFF YES NO U cuss -SEE REVS VALSa� rE'P$� pW8Ra4, LU DESCRIPTION OF WORK , LE CL ADD ALTER REPAIR DEMOLISH `n NO. OF ' NO. OF, Note. Permits for curb, gu#er,.sidewalk, and drivel-:- -nnl�oach IN 1- STORIES FAMILIES ..stallallons should be taken out at t,a O. Or.:• • . . N a Ona aOld URE - B - ., a lengthy delay. Survey & Design work takes ticno ar.d is not ata ed ' S arm as aen EM y i rURE 1A �)TI $ $2600.00 S V APPROVAL'S DATE INSPECT '§SIGNATURE . . }} PMT. FOUNDATION, LOCATION �J FEE.$ .3— !E-3 FEE$- 15—. }• FORMS, MATERIALS FRAME, FIRE STOPS, V_ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS - 'BUILD,NG CONSTRUCTION. I CERTIFY THAT. IN DOING T E WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERS VIOLA- LATH. INT. TION OF THE LABOR CO OF THE STATE OF AL R IA RELAT. ING TO WORKME ENSATI N INSU A LATH. EXT. _ t SIGNATOR F OUSE NUMBER COR- PERM IT T AND POSTED /�— ADDRESS F1 NAL F� / /� JOHN F. LEWIS. P NCIPAL S TURAL ENGINEER PLAN CHECK VALIDATION CK�/ M.O. CASH PERMIT VALIDATION CK. M.O CASH LACo 9 1 M JUN 15" 2 1 %D -563- 0 9 l 0 1 JUN 15 1 D l 2 2.5 0 N c - - . - gyp' �• •- . "630A CE 009.9-60 APPLICATION . - OR SWL MG PERMIT. . •.� � • . COUNTY OF LOS ANGELES ADDREIS3 10 Stireet DEPARTMENT OF COUNTY ENGINEER'.- Temple e f i t .-BUILDING AND SAFETY'DIW. SION ' . LOCALITY P Y - JOHN A: LAMBIE, COUNTY ENGINEER NEAREST, WILLIAM A.JENSEN.SUP'T OF BUILDING CROSS ST. DISTRICT' GPIQ 1P'. TYPEC SED BY, FOR--APPLICANT`TO FILL IN I -CoNST. BUILDING' ti `-STATISTICAL CLASSIFICATION S KR MA. . ADDRESS 10533 L . rose. St:• Temple CLASS:NO. DWELL.UNITS `"tJ MAP STATE LOT NO. BLOCK ? NUMBER HWY: YES NO TRACT .26554: ' USEZONE SPECIAL NO.OF BLDGS: CONDITIONS SIZE.OF LOT 2' X! 100 I NOW ON LOT None " USE OF rr EXISTING BLDG. BUILDING' YARD HWY. :STFtEET•NAME: 'EXIST. Meeker • 8velo7lmen•�'E SLzTBACK WIDTH -OWNER P "Nc�7-2151 .: FRONT ADDRESS 132 E.Live0akAve. Aredia`. SIDE ARCHITECT ORq,�,,,, TEL. P.L. ENGINEER ��+}111.yytt11�. .Wilke ' 'NO. 52 577 ; INSPEC,•,�TION RECORD " ADDRESS 105 N,.Vermont,;: •lendora �, ,�' l�xee �r ADDRESS eve iopmeu� - :�'r--�i-% o.. CONTRACTOR •. O NO. 1P .' p . 'Same 'as above am ? f !i .• � [ '. i ,•. ! DESCRIPTION• OF WORK' NEW •ADDS} ALTER -REPAIR DEMOLISH h . . 120 SO.FT. OF NO OF Z S STORIES 1 FAMILIES 1 USEOF' Plan ,437Cr. , STRUCTURE esiaence attacne.C6%gyage SIGNATURE F APPLICAN VALUATION$ APPROVALS 'DATE] INSPECTOR-S SIGNA3'UkE FOUNDATION:LOCATION. Al(p 0.7 FEE $ ; 'y d I PMTEE.$ FORMS;MATERIALS F FRAME:FIRE STOPS, 1 AV HEREBY ACKNOWLEDGE THAT 1.HE READ THIS APPLICATION BRACING, BOLTS 17 AND STATE THAT THE ABOVE IS CORRECT AND:'AGREE TO.COMPLY FURNACE:LOCATION, _ r V WITH ALL COUNTY ORDINANCES AND STATE .LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION: I CERTIFY THAT IN THE PERFORMANCE _OF THE WORK FOR WHICH THIS PERMIT.IS ISSUED.I SHALL„NOT LATH,INT. - eAfT/lJ•x % EMPLOY ANY•PERkN'.IN MANNER SO AS T,O•BECO SUBUECT •TO THE WORI�,,I+I eE eve�oS Is IA :LATH,EXT..j1'•rj1 SIGNATURE OFH USE NUMBER'COR- PERMITTE RECT AND POSTED �' v arv�- ... . ADORES �- 2 �'1•:LlVA-Oak xrcadl . FINAL CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION.. M.P. CASH PERMIT:VALIDATION CK- M.O. CASH Lc8, ..8:3: FEB1�5 1 D' .: •48.00- � . a APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING AZ � S f.� or a certificate of Workers'Compensation Insuranccid or a certified CIT ZIP copy thereof(Sec.3 0, b. ) S f LOCALITY Policy NO. COmpany LLLLGGGG CC�LCCC CrL RIZ OF LC NO OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. /p USE ZONE MAP NO. Date +7 — 67 Applicant �ONCA U 166-0 /1��— ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. / G COMPENSATION INSURANCE •�/e 0 —Z7 WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS v u! _ DISTRICT GROUP TY CONST FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit CI l 1 ZIP �d d.75 is issued, I shall not employ any person in any manner so as to �� become subject to he Workers'Compensation L/BOWS. ARCHITECT OR ENGINEER TEL NO. Date,�lApplicant �4Gf F/L1 Com^ STATISTICAL CLASSIFICATION APT CONDO ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT.• If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR TE SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwithZee 0-polo Q FRONT comply with such provisions or this permit shall be deemed revoked. ADDRE LIC NO. PL } LICENSED CONTRACTORS DECLARATION CITY UG LIC.CLASS ^_� PIDE o I hereby affirm that I am licensed underprovisions of Chapter 9 C� V SO FT.SIZE NO OF STORIES NO.OF FAMILIES (commencing with Section 7000)of Division 3 of the Business and SEWER MAP W Professions Code,and license is in full force and effect. NEW ❑ BK PG O License Number Lic.Class DESCRIPT N F WORK ADD ❑ VALUATION Cr � W Contractor Date — f $ �— ALTER ❑ $ t VOF C 0 `� REPAIR ❑ Z ❑ I am exempt under Sec. $BAP.C.for this reason eqr5- f �.e_ DEMOL ❑ LDMA P/C# Date: -EXISTING BLDG. URM ❑ i Signature APPLICANT(PRINT) TEL NO. LDMA Perm# i ❑ I, as owner of the property, or my employees with wages as z ACCT°a their sole compensation, will do the work and the structure is ADDRESS O 4``} 2jJ not intended or offered for sale (Section 7044, Business and FINAL DATE Q 37503�$ j °` Professions Code.) / 1110. WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL './Z"d); � 1 ITEMS OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE T aTAL �. i- o ;;gy1� ❑ I, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > ) �'.�.-0 Business and Professions Code.) licensed contractors to construct the project !Section 7044, ves❑ NO❑ E-� I WILL THE INTENDED USE OF THE BUNDLING BY THE APPLICANT OR FUTURE BUILDING ASH 142.20 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH t, CONSTRUCTION LENDING AGENCY COAST AIR OUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR CHANGE .00 GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance Of the work for which this permit is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING (� ('tf'I�t'!f'trli �')�� 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REOUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 0J 00 DOC 1 p96 Y1TITLE 2.CHAPTER 2 20 SECTIONS 2 20�+ Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERM T FROM THE SCAOMD CONCERNINGUGH 2 20.140 HAZARDOUS 5470 1 AM 9:05 Lender's Address / OWNER OR AGENT 3 I certify that I have read this application and state under penalty r 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE ) �Q U) with all county ordinances and State laws relating to building m construction, and hereby authorize representatives of this County ISSUANCE FEE to enter ypo the above-mentioned operty for inspection purposes. or ✓Q -- �–� 7 3 INVESTIGATION FEE TOTAL FEE/, iJ nq�°i A°o� I Apenl � om. Of� SEE REVERSE FOR EXPLANATORY LANGUAGE