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HomeMy Public PortalAbout10638 LYNROSE ST_Building__ -7�24�dG 76A53BA cE#Boe B_89 APPLICATION FOR BUILDING PERM T COUNTY OF LOS. ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS. rOj BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUP'T OF BUILDING CROSS ST. DISTRICT NO. GROTYPE P CESSED Y FOR APPLICANT TO FILL IN 8 7UP coNsr..� BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS BK PG CLASS.NO. DWELL'.UNITS LOT NO. BLOCK WATER NOT REQUIRED1:1RECEIVED ❑ CERTIFICATE: TRACT O MAP HIGHWAY r NO.OF BLDGS. NO. e© (CIRCLE) STATE MAJOR SECON CAL SIZE OF LOT '.Q 7® NOW ON LOT USE ZONE SPECIAL USE-OF ICONDITIONS EXISTING BLDG. //,/ OWNER Lionel Horse NO`.286-391 BUILDING YARD yWY STREET NAME EXIST. SETBACK WIDTH ADDRESS 9047E Olive St FRONT ARCHITECT OR TEL. P. L• ENGINEER NO. SIRE ADDRESS 0 CONTRACTOR Vir iri Roof O Jvo'26 7-05C 7 v ADDRESS 600 So. San Gabriel Blvd, O DESCRIPTION OF WORK W o. N NEW ADD ALTER REPAIR DEMOLISH, a SQ.FT. NO.OF NO. OF SIZE STORIES FAMILIES USE OFReroof house & att. STRUCTURE gar' W.1-un compo. Mingles. SIGNATURE OF . APPLICANT VALUATION $2 60•00 APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ 77FEE $6.00 FOUNDAT FORMS, MATERIIALSON 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 ION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREB I WILL NOT 'EMPLOY ANY PERSON IN VIOLA, LATH. INT. ,TION OF THE LASO C DE OF THE STAT OF CALIFORNIA RELAT. ING TO WORKMEN'S C PENSATIONLNSU E. LATH.EXT. SIGNATURE OF HOUSE NUMBER COR. PERMITTEEe C�f RECT AND POSTED ADDRESS . FINAL mai l JOHN F.'LEWIS. PRINCIPAL ST RAL EN .INEER PLAN CHECK VALIDATION 6K. M.D. CASH PERMIT VALIDATIO CK. M.O. CASH b:-D 6 7t3; 'OCT 18 1 D 6.0 pf& a I � ANG� COUNTY OFDEPARTNM OF BUILDING WM. J. FOX. CHIEF ENGINEER FOB APKW.= To ML )z FOB OFFICE m 011LZOf, RJE BUILDING - + DISTRICT O. �PLANCK. NO. -PERNIT O. ADDRENB 2-/ LOCALITYL 4. J� �, � RECEIVED[VE my DATE OF APPL DATE ISSUED s� C'W r r NEAREST [. • CRONN NT. , 1% 7 >: �' BUILDING r ADDRESS OWNER MAIL LOCALRY ADDRESS ~ NEARMr ,/ CROSS ST. `, Y R rG. CITY I^. + i r,.k NO. FIRE NO.OF I GRbUP� i ARCHITECT OR TEL, ZONE PLANS� 2+. ENGINEER NO. 74-h BLDG, ORD NO. J SETBACK LINE L ADDRESS PROVEDTZL. my DATE CONTRACTOR . NO. use APPROVKD ZDNE BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION LOT DID- Po R32-1 BLDCK MAP NUMB IELD CHECK BY { TRAH _ .1 AA NO. ASSIGNED BY sAT , SIZE OF LOT NOW ON LOT oh %�Jjqro.F dr- LbB.�7.- O USE of NO. OF E MINTING BLDG. FANIuM All CUE milyrF- Dz5cRwr= cF wow NEW I I ALTIERATION I I ADDITION I ` REPAIR DEMOLITION NRE ROOM STORIES dxg / Me COVEN NNWA&JUO RCOVERING UNE OF STRUCTURE I r �L C o Po 1 4• JNA= it Zo o = y APPRWM INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE RFOUNDATION:LOCATIONPLICATION AND STATE THAT THE INFORMATFORMS■ MATERIALS CORRECT. I AGREE TO COMPLY WITH TFLN CORRECFRAMKI FIRE STOPS. HEREON AND WITH ALL COUNTY ORDINANCEBRACING, BOLTSLAWSREGULATING BUILDING CONSTRUCTIONFURNACE.LOCATION.y� q' _ GAN VENT, DUCTS SIGNATURE O N T/1✓ T�� .1 1 1PERMITT LATH. INT. ADDRESS�? � 1 I LATH. MLT. AUTHORI=D ACT. �j c PLANTER. INT. M•DNO . 1sFN0 $"/ /��.ya d FEE B (3rj•/ PL ASTER. MLT. VALUATION / Vx i FEE ;2 6. 10 1 FINAL r -l— 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 1 have a certificate of consent to self insure, a LD G DD S N� or a certificate of Workers'Compensation Insurance,or a certified � 95(u �' r copy thereof(Sec.380 Lab.C.) Policy No.��L �� Company�� j :�Ziln131 SIZE OF LOT NO.OF BLDG&NOW ON O < T LOCALITY e, ❑ Certified copy is hereby furnished. 7 NEAREST CR SS ST. ❑ Certified copy is filed with the c y building inspection TRACT BLOCK LOT NO. department USE ZONE MAP NO. Date �i pplicant ,_,� ASSESSOR MAP BOOK PAGE PARCEL ✓ SPECIAL CONDITIONS /��j0^,® / CERTIFICATE OF EXEMPTI OM WORKERS' o ER r/� TEL NO. (�,+, COMPENSATION SURANCE I`.ppAI��G L f op- 2 ��' WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundredAD J'Ss� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) l4V I certify that in the performance of the work for which this permit `} ZIP�1.2S� is issued, I shall not employ any person in any manner so as to ARCHITECT R ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLA IFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' 1 �� / SET BACK YARD HWY PROP LINE WIDTH PSI Compensation provisions of the Labor Code, you must forthwith ! 1 Z o FRONT comply with such provisions or this permit shall be deemed revoked. ADDRE LIC.N ' 1 PL LICENSED CONTRACTORS DECLARATION S r 2 SIDE CIT LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 EWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,a my license is in full force and ef� � NEW BK PG ® } License Nu er 2JeLic.Class DE�j ION OF WORK _� ADD ❑ VALUATION 0.. Contractor "'1 Date J � �NS � �Q V r � ALTER ❑ � ❑ I am exempt under Sec. "SS REPAIR ❑ $ 0 B.BP.C.for this reason DEMOL ❑ LDMA P/C# III Date: USE OF EXISTING BLDG. URM 11 co IL Signature APPLICANT(PRINT) TEL NO. DMA Perm# � � � ❑ I, as owner of the property, or my employees with wages as Z ACCTe.� their sole compensation, will do the work and the structure is ADDRESS O .,., 1� not intended or offered for sale (Section 7044, Business and FINAL DATER` Q 330-,9 107 o Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL EL/, 2(,`Q� 1 ITEMS OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ❑ 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, � T{3TAL 107 _ 11011ElBusiness and Professions Code.) YES No HALL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING CHECK 107.1� OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR FF`{{��i lr=G o00� r7rry 1rHA I hereby affirm that there is a construction lending agency for YES❑ No❑ wthe performance of the work for which this permit is issued(Sec. G) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING a 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 0000-0001; 5/24/95 TITLE 2,CHAPTER 2.20 SECTIONS 2 20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD Lender's Address 0590 L {D }(( 5:04 OWNER OR AGENT 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 C N with all county ordinances and State laws relating to building o / cona a', and he by authorize representatives of this County ISSUANCE FEE �� ato enn the o -me toned property for inspection purpose 1O e'-11 INVESTIGATION FEE TOTAL FEE ff ry� n SgnaW9A a OHS f/ SEE REVERSE FOR EXPLANATORY LANGUAGE i COUNTY OF LOS ANGELES i TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BLT0508 080707 039 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: [ ON FILE I SQ. FT STORIES TYPE ] STRUCTURE: V-B I 10638 MP CA 9178E ST ] 841 ]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: EL MONTE 18586-009-025 1 1 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl (TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ]ISSUED ON: PROCESSED BY: EXPIRES ON: 1 1EXIST OCC GRP: 107/07/08 SR 01/03/09 1 ]OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI CODE: ] ]BRANOVOLD, AL/BARBARA (626) 446-5762- 1 4,000 I I 12411 THIRD AVE. I 1 ] 1ARCADIA, CA 91006 I FEES PAID [D SCRIPTION OF WORK v ] I I IREPLACE (10) WINDOWS SAME SIZE SAME LOCATION [ I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] ]APPLICANT: TEL. NO: I I I BATIOFF (626) 614-7059- IAA BLDG PERMIT ISSUANCE 27.75 1 ] IAC STRONG MOTION RESID 4000.00 VAL 0.50 ISPECIAL CONDITIONS: ] D2 PERMIT W/O EN-HC 4000.00 VAL 115.80 [ ] TOTAL FEES 144.05 I ] CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE [ HOME DEPOT AT HOME SERVICES (562) 981-1600- I ] ] 112774 FLORENCE AVENUE LIC. NO I ILOCATION AND SETBACKS I ] ] ISANTA FE SPRINGS CA 90670 836021 * ] 1 I I I ISOILS ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER: TEL. NO: - 1 iFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: 1 (SLAB/UNDER FLOOR I ] 1RAISED FLOOR FRAMING 1 [ I I I I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I I 115OH273 3 Oil ] ] I I I I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLASS: I I ] ] I NO 21 1 [ROOF SHEATHING ] I ] SCHOOL WITHIN HAZARDOUS [ ]SHEAR PANELS [ I [ ]AIR QUALITY: 1000 FEET MATERIALS [ [ I I I [ NO NO NO [ [FRAM INSPECTION I [ IREQUIRED TOTAL SETBACK FROM EXIST ] 1FIRE SPRINKLER HANGERS [ I I ISET BACK YARD: HWY: PROP LINE: WIDTH: [ I I I I IFRDNT PL- I ]INSULATION/WEATHER STRIP] [ ] [ SIDE PL- [ I I I ] I I ]INTERIOR LATH/DRYWALL 1 I 1EXTERIOR LATH [ ] [ ] [ 1RATED FLOOR/CEIL ASSEM. I 1 1 I 1 [RATED WALL ASSEMBLIES I ] ] IRATED SHAFTS/OPENINGS I I 1 ] I I I 1 I IT-BCEILINGS [ ] ]I* ADDITIONAL DATA ON FILE ILOT DRAINAGE I I I I I [ ]REPORT ID: DPR261 ROUTE TO: BS0508 [ ] I I I I 1 I I 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 0804030055 PHONE: (626) 285-0488 EXT: ]LEGAL ID: I NO. OF CONST 1 BUILDING ADDRESS: I ON FILE 1 STRUCTURE: SQ. FT STORIES TYPE I 10638 LYNROSE ST V-B I TEMP CA 917802841 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: EL MONTE 18586-009-025 1 1 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, CI ITENANT: EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: 1EXIST OCC GRP: 104/03/08 SR 09/30/08 I 1 (OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: I AT FINAL CODE: I IBRANOVOLD, AL/BARBARA (626) 446-5762- 1 3,500 ] ] 12411 THIRD AVE. I I JARCADIA, CA 91006 1 FEES PAID ID CRIPTION OF WORK ] I I KITCHEN REMODEL CABINETS NEW DRYWALL WHERE NEEDED 1 I _IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] I (APPLICANT: TEL. NO: I I 1 ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 1 1 IAC STRONG MOTION RESID 3500.00 VAL 0.50 ISPECIAL CONDITIONS: 1 JB2 PERMIT W/ENERGY 3500.00 VAL 127.38 1 1 TOTAL FEES 155.63 1 I I I I ICONTRACTOR: TEL. NO: ] JAPPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - 1 I 1 I LIC. NO 1 ILOCATION AND SETBACKS I I I I 1SOILS ENGINEER APPROVAL I ] JARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I 1 LIC. NO: 1 [SLAB/UNDER FLOOR I I I IRAISED FLOOR FRAMING I ] I I I I I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION I I I 1150H273 3 Oil I 1 1 1 I I IFLOOR SHEATHING 1 1 1 INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: IV. I I I 1 NO 21 ] ]ROOF SHE 1 1 1 I I r4Tvt�e I SCHOOL WITHIN HAZARDOUS 1 � ISHEAR PANELS I I I AIR QUALITY: 1000 FEET MATERIALS NO NO NO 1 FRAME INSPECTION I 1 1 ]REQUIRED TOTAL SETBACK FROM EXIST 1 1FIRE SPRINKLER HANGERS 1 ISET BACK YARD: HWY: PROP LINE: WIDTH: J I I I I IFRONT PL- I JINSULATION/WEATHER STRIP] I I I SIDE PL- I I I I I I ] JINTERIOR LATH/DRYWALL I I I [EXTERIOR LATH 1 I I I I I I 1 IRATED FLOOR/CEIL ASSEM. 1 i ] I 1 (RATED WALL ASSEMBLIES 1 I ] I 1RATED SHAFTS/OPENINGS I I I ] I IT-BAR CEILINGS ] I I I I I I I 1 ] ]LOT DRAINAGE 1 1 1 _ 1REPORT ID: DPR261 ROUTE TO: BS0508 1 a ` wQd t C.�