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Home My Public Portal About10620 LYNROSE ST_Building__ DIVISION OF BUILDING AND SAFETY I L muftI Department of County EBglneer N Cm Bu / County of Los Angeles • WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO/FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.OR REO.NO. PERMIT NO. BUILDING / D �h ,--T ADDRESS [� [� RECEIVED BY DATE OFAPPDATE ISSUED LOCALITY �-. r" Wei / L L NEAREST U t L�q CROSS ST. � n, 39-te j�-r. JP+�f� �+". e•d��-Q -iBDDREHH �0 OWNER ./ `P MAILLOCALITY ADDRESS 1r1�► i"� f.G's+ ' •`/jt • NEAREST �0 ; e, r A.o;?►9 .^�,-• CROSS ST. _ CITY Y.J:;..,."F•�•F.w L T� NO.rur+ +I� r:. 1 FIRE NO.OF TYPE GROUP ZONE f PLANS I ! l ARCHITECT OR f' TEL ENGINEER NO. �lg.,�1 SETBACK LINE d 7 7 'a ADDRESS USE APPROVED TEL ZON J BY DATE CONTRACTOR NO. HOUSE NUMBERING ADDRESS MAP NUMBER �^•d b NO. ASSIGNED BY LEGAL CORRECTIONS &-9—DESCRIPTION l LOT NO. BLOCK - TRACT 9 1, /`- b / .6-"ll 4. ( / y c wv NO.SIZE OF LOT / � I NOW ON LD61FRT S. 26 �" USE OF NO.OF � EXISTING BLDG. I FAMILIES DESCRIPTION OF WORK ° / 3/lAc NEW ALTERATIONli�/ &IMr V d7- AlN ADDITION -� = REPAIR FT. /; DEMOLITION �°DIt ill6k R/I?Ar,F= /PQN25./J NY _ NO or B Z9 E ROOMS STORIES I �L ) O EXT.WALL ROOF COVERING .Q/r/s.p(�-e I COVERING X/I /VH IE � AI---- A"l r USE OF BTRUCTU�� AIAZ a f v �� ,rig o l�nl ��,� Ods r ate'1/✓-ok INSPECTION FOR ) P�n�nl PPRO OS SIGNATURE DATE LS OCCUPANCY AB J� 'Y I] W FOUNDATION:LOCATION +� FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PLICATION AND STATE THAT THE INFORMATION GIVEN 19 FRAME: FIRE BTOPS, CORRECT. BRACING,BOLTS ��/ir/t,lllr,.�n/`. s �/• Sy�� I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACEC LOCATION, / ! f �/ r AND STATE LAWS REGULATING BUILDING CONSTRUCTION. pA8 VENT.DUCTS 1frFQ!at f lc,•+fJ //r' P SIGNATURE OF /•' LATH, INT. PERMITTEE �PYI /I 'j ADDRESS I LATH. EXT. /�r s _ v PLASTER, INT. IY,I, , i,.r.a.�"•� �.: ..� ` Y �� AUTHORIZED AST. _ D O P.C.5e7 e3 PLASTER, EXT. 4V— :�• 'i. ,• 06FEE �� HOUSE NUMBER CCR- ff 'mom RECT AND POSTED r!•' '. . ,.a-�:_=-."' L^ �.�� +� VALUATION �j V r FEE S/ o �- FINAL !°�� c•,.�•', �� o9s6IRs nRR a AI . 1 . 76AGSBA CE#808 ..... APPLICATION FOREL�IL®lNG PERMIT . l� COUNTY 'OF LOS' ANGELES BUILDING DEPARTMENT.OF COUNTY ENGINEER ; ADDREss- .BUILDING AND SAFETY DIVISION' LOCALITY JOHN A.•LAMBIE. COUNTY ENGINEER. NEAREST WILLIAM A:JENSEN,SUPT OF BUILDING CROSS-ST. r DISTRICT NO. I GROUP TYPE PRO SED BY FOR 'APPLICANT TO FILL.,IN ONSr. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 10620 L r0 s e' St. , T o {!a BKT PG CL'ASS..NO.�_DWELL.UNITS J S LOT NO. �� BLOCK WATER CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑ _ TRACTMAP HIGHWAY y f NO.OF BLDGS. NO.. ca (CIRCLE) STATE MAJOR SECOND.LOCAL SIZE OF•LOT J� NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. : • OWNER Li one l H rs e " TEL ' 28 6-391 5BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS 9047 E. ..Olive Sts • 'P.C. .FRONT _ ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. } ADDRESS d CONTRACTOR Virgin Roof C TO`287- U. 99 ADDRES!600 So, San Gabriel B p DESCRIPTION OF WORK ' .NEW ADD ALTER REPAIR DEMOLISH N SQ.,FT. NO.OF NO. OF SIZE. STORIES FAMILIES ' USEOF Rem& nouse & att. garo SYR T s o " SIGNATURE OF APPLICANT VALUATION $2 60.OO APPROVALS DATE' INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE FORMS. MATERIALS FRAME: FIRE-STOPS. I 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 - BUILDING'CONSTRU TION. I CERTIFY THAT IN DOING THE WORK -AUTHORIZED HEREB I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATHINT. TION OF THE LABOR DE OF THE-STATE O .F CALIFORNIA RELAT- ING _ INC TO WORKMEN'S C PENSATION-INSURA ICE. LATH.EXT." - SIGNATURE OF HOUSE NUMBER COR- PERMITTEE 1 e C RECT AND POSTED ADDRESS e S FINAL o. JOHN F:LEWIS. PRINCIPAL SbWETURAL ENGI EER PLAN CHECK VALIDATION .' CK. M.O. -CASH PERMIT VALIDATIO CK M.O. CASH' -6; 5 6 l b OC s v 6.0'0`^ • APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS A > I hereby affirm that I have a certificate of consent to self insure, B ILDII�G�DDRo v or a certificate of Workers'Compensation Insurance,or a certified �� ' copy thereof(Sec.3800,Lab.C.) 1 IP Policy NoLQs�� Company _ �� p' �' / �� LOCALITY B SIZE OF LO NO.OF BLDGS,NOW ON LOT P/ ❑ Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the cc ty building inspection TRACT BLOCK LOT NO. Datedepa a t. USE ZONE MAP NO. Applicant ASSESSOR MAP BOOK PAGE PARCEL L ' �— i/ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION WORKERS' ER I TEL NO. YES NO COMPENSATION IN RANCE ��-(-L �� 2 .-�S`S WITHIN 1000 FT OF SCHOOL? (This section need not be completed if the permit is for one hundred ADD13ESS (.�( DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars($100)or less.) I certify that in the performance of the work for which this permit I ZIP `�g� �° it �� is issuedI shall not employ any person in any manner so as to �J ° become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CL�AISSI/FICATION APT CONDO Date Applicant ADDRESS CLASS NO._L DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Compensation rov provisions ofould become the Labor bject to the Code, you must forthwith thwith rkers' NTRAGTOF; n ' t L O. �� SET BACK YARD HWY PROP LINE WIDTH comply with such provisions or this permit shall be deemed revoked. d(/v` �y y� L FRONT / f�1T� 9 6 2I SIDE LICENSED CONTRACTORS DECLARATION '^ c S P L I hereby affirm that I am licensed underprovisions of Chapter 9 I SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.O MIL S Professions Code, d Iicens 's in full force-and effect. I NEW BK PG d License Numb r Z� cc�Lic.Class C�3 DESCRIPTIONOF WORK a ppp ❑ VALUATION �( poll- 0 Contractor `�n rWa'Date_e-�� ®(' ' O�� ALTER ❑ $ 5V a U [31 am exempt under Sec. �7 REPAIR ❑ $ U BAP.C.for this reason �1 ��dJ j DEMOL El LDMA P/C# W Date: SE OF EXISTING BLDG. URM ❑ n Signature APPLICANT(PAINT) TEL NO. LDMA Perm# z ❑ I, as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRESS 0 ACCT.v not intended or offered for sale (Section 7044, Business and FINAL DATE a � �� Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONDONING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting 4AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ITEMS licensed contractors to construct the project (Section 70444,, Business and Professions Code.) YES❑ NO 11 TOTAL 107 o Z(3 WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING I�. 107.10�y OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK 107°10 CONSTRUCTION LENDING AGENCYCOAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR •GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ CHANGE .00 W the performance of the work for which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO PERMITTING 3097,CIV.C.) N CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, �! TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS 11r'!f D�i'tt'Yf'!1 5/24/95 ��r/p Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. OOLI 000 f /7 0 Lender's Address axnEfloRu1EM 0584 1 PM 5002 0 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 P.C.FEE PERMIT FEE y N with all county ordinances and State laws relating to building od Ia constructs n, and hereby authorize representatives of this County ISSUANCE FEE ato enter on the ab m 'oned property for inspection purpos A INVESTIGATION FEE TOTAL FEE jr d s « e U SEE REVERSE FOR EXPLANATORY LANGUAGE