The URL can be used to link to this page

Home My Public Portal About10626 LYNROSE ST_Building__ G 75A63SA CE#503 5-53 APPLICA°T'ION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PRO SSED BY FOR APPLICANT TO FIT IN S .I T coNsr. BUILDING T. + STATISTICAL CLASSIFICATION SEWER MAP ADDRESS1062 nrose 1r BK PG CLASS. NO. DWELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑ �J CERTIFICATE: TRACT K — Q MAP HIGHWAY NO.OF BLDGS. NO. D (CIRCLE) STATE MAJOR SECOND. OCAL SIZE OF LOT Q NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. OWNER Lionel Horsey No"286-391 BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT ARCHITECT OR WL. P. L. ENGINEER NO. SIpE P. L. ADDRESS O. TEL. O CONTRACTO f ^ No. U ADDRES600 SO. San Gabriel lvdo 0 DESCRIPTION OF WORK ri V1 NEW ADD ALTER REPAIR DEMOLISH z SQ.FT. NO.OF No.OF SIZE STORIES FAMILIES USE OF STRUCTURE Reroof house w at,Lo �;ar, vrith 235-,,t compo, shingles, SIGNATURE OF APPLICANT VALUATION $2 60 a 00 APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ FEE $6 0 OO FORMS. MATERIALS FRAME: FIRE STOPS. I 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTR CTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HERE Y I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LAB R ODE OF THE STAT OF CALIFORNIA RELAT- INC TO WORKMEN' PENS.- ION IJJSUR N LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS a. Cla � 1 a en, ec Y. sp FINAL JOHN F. LEWIS. PRINCIPAL ST RAL ENGI EER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CAIH LACO 6 5 6 3 OCT 18 1 0 6.0 Of- a x/1'a. I r DMSION.OF BUILDING AND SAFETY 1y LJI 1DING Dement of county Engineer Edi' ' County of Los Angeles WM. J. FOX. COUNTY ENGINEER ✓1A APPLICATION BU DING ,c, ,n Lr^ FOR APPLICANT TO FILL IN ADDRESS BUILDING / ADDRESS 4➢ LOCALITY �Q •4Lx ` NEAREST ) LOCALITY �_ i CROSS ST. _ NEAREST CROSS DISTRICT NO. PLAN CK.oR RSC.No. PERMIT NO. cROSBBT. �/ ,rrav�' `� y `/1�— `i��/ ,7z' Ad OWNER {��B ` RECEIVED BY BATE OF APPL. DATE ISS D MAIL ADDRESS `p .'�+�C.i ,ALI. USE ZONE NO. OF TYPE GROUP J FIRE ZONE TELPLANS I I I CITY _/i i4/� �/�C NO . ..6,S S 7 - ARCHITECT OR TEL. /� -- 11 ZONING -` OATHD ENGINEER NO. I APPROVED BY- BUILDING i ORD.No. ADDRESS B SETACK LINE: y� � TEL. APPROVED DATE CONTRACTOR NO. BY: ;may _ HOUSE NUMBERING ADDRESS f"�"`• � - �. � �. �i LEGAL °� f MAP NUMBER='e- ! NO. ASSIGNED BY DESCRIPTION LOT NO.j - �T,-BLOCK / DATEI CORRECTIONS I INSPECTOR TRACT � NO. OF SLOGS. SIZE OF LOT A/ a' I NOW ON LOT USE OF NO. OF I - IEXISTINGBLDG. FAMILIES I J O DESCEITIrlTON OF WORK Q x NEW ALTERATION ADDITION I I r REPAIR DEMOLITION I I NO. OF SIZE t7 ROOMS STORIES I EXT. WALL ( r I ROOF I COVERING COVERING USE OF STRUCTURE- J) TRUCTURE) .mss• /1 , /�� t1 I / � I INSPECTO 3 SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, ' r CORRECT.ATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS _ _ ,• ^'� I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, :K/ AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT. DUCTS SIGNATURE OF j�/"'�' r, / -tl LATH, INT. ��,�/-fi, ,f�/8 PERMITTEE � J YY�r 8'y �.��t i_i� �n - LATH, EXT. �� 1r. 0 C��+e... f t--/lp ADDRESS AUTHORy PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. $ P. C.$ ��` HOUSE NUMBER COR- RECT AND POSTED VALUATION FEE �' f s-- FINAL - //r 898A oBX. 9 S ?r88 � COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0904140038 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1NO. OF CONST I BUILDING ADDRESS: SQ. FT I ON FILE STORIES TYPE [ 10626 LYNROSE ST I ISTRUCTURE: V-B I TEMP CA 917802841 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18586-009-025 [ THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl [TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 TISSUED ON: PROCESSED BY: 1EXIST OCC GRP: 104/14/09 SR 1 OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE: 1 IBRANDUOLD, AL (626) 446-5162- 1 4,970 [ [ 110626 LYNDROSE AVE. I [ [ TEMP 917802503 ] FEES PAID IDESCRIPTION OF WORK [ I I IREPLACE 10 WINDOWS SAME SIZE SAME LOCATION 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ [APPLICANT: TEL. NO: I [ [ IBATIOFF - IAA BLDG PERMIT ISSUANCE 27.75 [ [ [ IAB STATE GREEN BLDG FEE 4970.00 VAL 1.00 ISPECIAL CONDITIONS: [ I IAC STRONG MOTION RESID 4970.00 VAL 0.50 [ [ ID2 PERMIT W/O EN-HC 4970.00 VAL 132.60 1 1 [ 1 TOTAL FEES 161.85 1 [ ICONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE ] ITHD AT HOME SERVICES, INC. (562) 981-1600- 1 1 [ 112774 E FLORENCE AVE LIC. NO [ ILOCATION AND SETBACKS [ [ I ISANTA FE SPRINGS CA 90670 836021 B [ I I 1 [ [ [ ISOILS ENGINEER APPROVAL I ] [ ]ARCHITECT OR ENGINEER: TEL. NO: - 1 ]FOUNDATION/TRENCH FORMS I I I [ LIC. NO. [ (SLAB/UNDER FLOOR [ IRAISED FLOOR FRAMING 1 I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( [UNDERFLOOR INSULATION I I [ 1150H273 3 001 1 [ 1 [ I I IFLOOR SHEATHING [ [ ] INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I [ [ I NO 21 [ IROOF SHEATHING [ 1 ] [ SCHOOL WITHIN HAZARDOUS [ ISHEAR PANELS I I I ]AIR QUALITY: 1000 FEET MATERIALS I I 1 I 1 [ NO NO NO ] EXPIRED IFRAME INSPECTION I ] ] IREQUIRED TOTAL SETBACK FROM EXIST ] IFIRE SPRINKLER HANGERS 1 ] ISET BACK YARD: HWY: PROP LINE: WIDTH: ] I I ] [ IFRONT PL- I [INSULATION/WEATHER STRIPI I 1 I SIDE PL- V [ [ 1 ] IINTERIOR LATH/DRYWALL I I I I 1 [ [EXTERIOR LATH I 1 I 1 I I I IRATED FLOOR/CEI AASSEM. [ [ I [ 1 ]RATED WALL ASSEMBLIES I [ [ 1 I• IRATED SHAFTS/OPENINGS I 1 1 [ [ IT-BAR CEILINGS I I I � I I I 1 ILOT DRAINAGE 1 1 1 I IREPORT ID: DPR261 ROUTE TO: BS0508 [ [ 1 [ I I I I I I P APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION BUIFOR APPLICANT TO FILL IN BUILDING ADDRESS 6.r� I,DI G DDRE I hereby affirm that I have a certificate of consent to self insure, 4 se copy or a certificate of Workers'Compensation Insurance,or a certified SS r. e copy theryreo�f(Sec.3800.Lab.C.) �1 n e I v9;E!T LOCALITY Policy N�—K S- 26 Company�- :�T � U�~W11 ZE OF LOT NO.OF��NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CRO S ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. depart ant //'1 USE ZONE MAP NO. Date Applicant ` ASSESSOR MAP BOOK PAGE PARCEL )Ae -, t SPECIAL CONDITIONS e CERTIFICATE OF EXEMPTION FROM WORKERS' E rEL o. COMPENSATION INSURANCE . G S > WITHIN 1000 FT.OF SCHOOL? vas No (This section need not be completed if the permit is for one hundred ADD 7-32— $ ^ ! T FIRE ZONE PROCESSED BY dollars($100)or less.) �! /� DISTRICT GROUP TYPE CONS I certify that in the performance of the work for which this permit Ct �ZA I �� zIP / � ire ✓ is issued, I shall not employ any person in any manner so as to ARCHITECT O ENGINEER TEL NO. I P- R 3 31 become subject to the Workers'Compensation Laws. STATISTICAL CLASSIF ATION I APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate Of r REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' NTRA TEL NOF- SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith 6t I f FRONT comply with such provisions or this permit shall be deemed revoked. A r la< Q' 2.l P L LI LICENSED CONTRACTORS DECLARATION SIDE CIT /� C. S 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 SQ.FT.SIZE NO.OF STORIES NO,OF FAMILIES Professions Code, my icen��s in full force a effect. NEW BK PG ® a License Number Lic.Class ,�� DES OF WORK^^� ADD 11 VALUATION O Contract or�/t Date �fr O'er 1 ALTER 11 xx� � �d e cc ❑ I am exempt under Sec. I, REPAIR REPAIR 110 BAP.C.for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ co Signature APPLICANT(PRINT) TEL NO. LDMA Perm# Z ❑ I, as owner of the property, or my employees with wages as Z ACCT o L their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE 0 .5303-5 Professions Code.) HALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ITEMS 1 i OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ITEMS Gi la ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, vas❑ No 11 TOTAL. -07 = -101 Business and Professions Code.) J �ry •�(� WILL THE USE OF THE BUIDUNG BY THE APPLICANT OR OCCUPANTINTENDED REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION ROMRTHEUILDING SOUTH �•t E :l: 1O?a lO CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES CHANGE .00 I hereby affirm that there is a construction lending agency for YES❑ NO❑ a the performance of the work for which this permit is issued(Sec. W I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKUST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE• CM TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS 0000-01��j j 5/24/95 �.}{ c Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. r r Lender's Address0580' 1 P-11 5:03 O OYMER OR AGENT o I certify that I have read this application and state under penalty c of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE �` + N with all county ordinances and State laws relating to building U con Ute2upon, and hereby authorize representatives of this County ISSUANCE FEE p- ato athe above-m toned property for inspection purppoy�ea pZ�• O CD �p s r (� INVESTIGATION FEE TOTAL FEE ll •�c—'`—�— F SEE REVERSE FOR EXPLANATORY LANGUAGE