HomeMy Public PortalAbout10553 LYNROSE ST_Building__ • PPLICATION F R RELOCATI N UILDING PERMIT 1
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USE OR N0.O SURgETY BOND
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1 HEREBY STATE THAT THE INFO T VEN IS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
CORRECT. APPLICATIO D TE T THE BO E IS C R
SIGNATURE OF ' AND AGREE con Y W O CHOI! ES
APPLICANT • AND RATE' ML
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ADDRESS O aA L SIGNATURE
PENN!
VALUATION B RSt; C�/
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�TEPLECITY+
�allesellcs�eos.+—s+ APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING '
DEPARTMENT OF COUNTY ENGEMM ADDRESS
BUILDING AND SAFETY DMSION LOCALITY •.
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDINGTCERTIFICATE,
T. i
T 0. ROUP PE P ED BY
FOR APPLICANT TO FILL IN / CONST.
BUILDING ? ICAL CLASSIFICATION S ER MAP
ADDRESS IOC 7 " K
,NO: DWELL.UNIT
LOT NO. BLOCNOT REQUIRE RECEIVED
r
TRACT MAP HIGHWAY STATE MAJOR SECON OCAL
NO.OF BLDGS. NO (CIRCLE)
SIZE OF LOT. ID NOW ON LOT USE ZONESPECIAL
USE OF CONDITIONS
EXISTING BLDG. a �+
TELAPI
OWNER NO. BUILDINGEXIST.
ly �D�/� SETBACK YARD HWY REET NAME WIDTH'
ADDRESS LJ a f� •7 FRONT
.ARCHITECT OR TEL- P.L. i
ENGINEER S'e NO. SIDE
P.L. }
ADDRESS' INSPECTION RECORD O
CONTRACTOR �r NO. V
ADDRESS
DESCRIPTION OF WORK u
W
NEW ^LTER j REPAIR DEMOLISH t h
SQ.FT. NO.OF NO.OF ?
IZE ST ES. FAMILIES
USE OF
STRUCTURE
r •
SIGNATURE OF
APPLICANT
VALL'1AT101V$
APPROVALS DATE INSPECTOR'S SIGNATURE
PMT.
FEE $ � FEE �"r FOFORMS'MATERIALS LOCATION r i 4
FRAME:FIRE STOPS.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION. �-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS '`��' ^-r'"`-•' ^-----"•"'
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK - /I
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR= "
PERMITTEW RECT AND POSTED
ADDRESS r , FINAL
-CLYDE N. DIRLAM. P INCfPAL ST R RAL ENGINEER
PLAN CH= VALIDATION CK. M.O. CASH PERM VALIDATION CASH
LAC,,:L' 5 0 0 APR 2 3 . .1. D 4.0 0 M
I \
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETP / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0106050058
PHONE: (626) 285-0488 EXT:
LEGAL ID: 0. OF caNST BUNDT90-ADDRESS:
TR: 26554 LT: 1 SQ. FT STORIES TYPE 10553 LYNROSE ST
STRUCTURE: 1700 VN TEMP CA 917802839
ASSESSOR INFORMAT0 NEAREST CROSS STREET: LAS TUNAS
8586-012-001 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
EXIST L G : SFR_V --USE ZONE: XX T SO UE-D-01PROCESSED EXPIRES ON:
EXIST OCC GRP: 06/05/01 UT 12/02/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F AL DATE FINAL BY: CODE:
KENDIG SHERRY;SCOTT W - 3,400 li/%J
10553 LYNROSE ST
TEMP 917802839 FEES PAID DESCRIPTION OF WORK
TEAR-OFF, RE-ROOF 25 YR SHINGLES COMP. CLAS A
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL.
JD ROOFING (909) 392-3904- AA BLDG PERMIT ISSUANCE 27.75
2615 FULTON RD. AC STRONG NOTION RESID 3400.00 VAL 0.50 SPECIAL CONDITIONS:
LA VERNE CA 91750 D2 PERMIT W/O EN-HC®---_-3400.00 VAL 115.80
TOTAL=-FEES 144.05
JOHN
CONTRACTOR:
CTOR :ROOFING (909) 392-3904- o'/��J �� �w APPROVALS DATE INSPECTOR SIGNATURE
2615 FULTON RD. LIC. NO /7- LOCATION NDSETBACKS
LA VERNE CA 91750 738512 C39 ee
SOILS ENGI EER APPROVAL
ARCHITECT OR E EER: TEL. 0: FOUNDATION/TRENCH FOR S
LIC. NO:I/ i _ _ -1�_ I ! �' I - �� SLAB/ANDER FLOOR
��� , L_-!I-'I ISED FLOOR FRAMING
P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:= �r� fir,; n �.�, fir+ I �ti : hl UNDERFLOOR INSULATIO
XX 3 OilFLOOR SHEATHING
. i _`)I ;, rel �„!1 1'�I I I'+:•,L;) I`
0. OF FAMILIES: E I G ITS: AP /CO D: STAT CLASS---
NO 21 gr ROOF SHEATHING I�
SCHOOL WITHIN HAZARDOUS 9v,1 `�f`=� i ` y.` �/ �' S EA P LS
AIR QUALITY: 1000 FEET MATERIALS x
NO NO NOFRAME INSPECTION
REQUIRED 0 SETBACK FROMS f �,_ /� fL �%a FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/ EAT ER STRIP
SIDE PL- `FVIC2 I
INTERIORLATH/DRYWALL
EXTERIOR LATH
RATED O R IL S M.
RATED WALL ASSEMBLIES
RATEV S S O G
T-SARICEILINGS
LOT DRAINAGF
REPORT ID: DPR261 ROUTE TO: BS0508
APPLICATION FOR; RELOCATION -BUILDING PI=RMIIT"
u'' COUNTY OF. LOS ANGELES BUILD-114
q�+`�DEPARTMENT OF COUNTY ENGINEER ADDRES -'` .g, .VAI :os e.-
q, ef BUILDING AND. SAFETY DIVISION
. LOCALITY-
JOHN
OCALITY.JOHN A. LAMBIE, COUNTY ENGINEER
I WILLIAM A.JENSEN,SUF•T OF BUILDING 'NiAhECROSS ST.,
T: ,9'L -�
DIST. GROUP TYPE SEWER MAP PROCESS . •BY
FOR APPLICANT TO FILL IN -= CONST. .BK PG
PROPOSED. )_�! :A, �` . * e'a7 t7 J _ ��..
-BUILDING MAP STATE'
ADDRESS NUMBER X,.-5C HWY. YES O
LOCALITY' c4alr Ar E ZONE' SPECIAL. Q !�.(J
-PRESENT , ii / CONDITIONS' K� "f- (- .
BUILDIN..
ADDRESR _+.r"�'_"►.. ! s-�j c's C�' r.
LOCALITY F,R+1 D/ i67. Cj - ;. \ BUILDING' YARD HWY STREET NAME EXIST.
SETBACK W1DTF1
�j
FRONT �
MAIL � _ �'y P. L. Za N�036
ADDRESS `J G ,�.- J�fl-�: GC.I`�. AIDE'
//yy�� :P. L.
CITY F.l.- �* ' NO.• _ _TELJJ2 �� . SURETY. DATE /�JRREC'D
MOVING f N/ TEL. eoND. ILED_/�L��BY r
CONTRACTOEZ NO. � A �_��
CASH" / '1C•D ..
• $IT$-. �IL� pY'
ADDRESS -
BUILDING TEL. APPROVALS DATE INSPECTORS SIGNATURE+ a
CONTRACTOR NO. +% +.
FOUNDATION: LOCATION �� ^- ^'��•�`
FORMS, MATERIALS O
ADDRESS' r �•t ,-. U
FRAME: FARE STOPg
USE OF BRACING, BOPRESENLTS(
BUILDING J W' - I O;
�+�- FURNACE: LOCATION
PROPOSED GASwV.ENTS, DUCTS U
USE.OF _. ���' W .
-BUILDING—' LATH_ INT:
SQ. FT. NO. OF LATH, EXT..
SIZE ROOMS STORIES "
HOUSE NUMBER.COR-;l
WALL ,,.� ROOF �1! , RECT AND P08TED AJ
COVERING COVERIN� 1.!hJ
LEGAL
.DESCRIPTION LOT NO. BLOCK• FINAL. !t i `, ti• '�i. ��'✓
�ry ( DISTRICT ENGINEER
TRACT °3�:e� 1� i 1 t 3•, t WORK COMPLETED,
NO.OF BLDGS.. , SURETY BOND'
SIZE OF LOT ^ ��,I .NOW ON LOT YV RELEASED
USE OF' S.. No. of 1 HEREBY"ACKNOWLEDGE THAT 1 HAVE 'READ THIS
.
EXISTING BLDG. ai/L 9il5. APPLICATION AND STATE THAT THE.ABOVE iS CORRECT
1 HEREBY'STATE THAT THE INFORMATION GIVEN IS AND AGREE TO COMPLY WITH ALL.COUNTY ORDINANCES
CORRECT. AND. STATE LAWS REGULATING BUILDING 'CONSTRUC-
SIGNATURE'CF , r y TION..
APPLICANT - 1.CERTI HAT. DO[ _ THE O.. AUTHO I D 1
ADDRESS .r Y,� 2d ({� �.' WILL N PL ANY E O I T O THE
WORK A
VALUATION. FP.EEC. $ PERMIT E.O
cz. C/ FEE.$ — I AD
VALIDATIO Ce.J m-c-' CASH -CLYDE N.DIR'LAM, PRINCIPAL STRUCT, AL',E�N l NEER
PERMIT VALIDATION ' C!L M:O•r CAS"'I ®P
�o 69 9 7 JIM 1" 6 D .