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HomeMy Public PortalAbout10755 LYNROSE ST_Building__ ,'F P L I CAT I O N FOR COUNTY OF LOS ANGELES RTMENT OF TY P­"8UILDIN.G PERMIT °BuLDND GANDSAFET EVSIONR FOR APPLICANT TO FILL IN Baol�a)eNssG BUILDING ADDRESS legne­ ��/ LOCALITY j NEAREST CITY L ZIP / 7�' CROSS ST. 00.OF BLDGS. ASSESSOR SIZE OF LOT �f OW ON LOT MAP BOOK - PAGE I PARCEL !] C�fJ rUYPE ZONE PRO SED BY TRACT a"/J"7 BLOCK LOT NO. / !!// TEL. a OWNER /h, I ' 7�',7 STATISTICAL CLASSIFICATION OEWER ADDRESS - CLASS NO. DWELL.UNITS BK P CITY G _/7-G ZIP! QJ ZOf1E MAP ARCHITECT OR TEL. ,j 1 NO. ENGINEER •ej Q VA NO. SPECIAL CONDITIONS ADDRESS RO D DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL." CONTRACTOR NO. BLDG.SETBACY FROM LIC. FRONT PROP.EINE OF [STREET) ADDRESS NO. TOTAL SETBACK FROM. TYPE OF EXISTING LIC. HIGHWAY YARD' = FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + a NAME AND BRANCH O BLDG.SETBACK FRO U SIDE PROP.LINE OF (STREET) ADDRESS CITY O SQ.FT: NO OF NO.OF CHECK HIGHWAY + YARD = TYPE OF EXISTING V oZ Cl9OoS' O SIDE PROP.LINE HWAY WIDTH W SIZE STORIES FAMILIES ONE h z + = Z DESCRIPTION OF WORK NEW P I ADD ❑ CORN"ER CUTOFF YES ❑ NCIen) ❑ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ USE OEXISTING BLDG. S; CJ'F bt(.'I d I- DEMOL [:] -IN COASTAL PERMIT ZONE YES ❑ NO ❑ APP(PRINT) �A GO A/�A<Aa NO..679.TIL # BY(SIGNATURE) IHEREBY,ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIOIS AND-STATE - THAT THE ABOVE.-Is CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF. THE LABOR CODE OF THE STATE OF CALIFORNIA'IN RELATING-TO WORKMEN'S COM'•; / PENSATION INSURANCE. •n SIGNATURE OFypnFINAL BY LDDRE DATE �/ � `TEL. P.C.Fee$ Permit Fee J NO. Issuance Fee S. -3©,� ��� Total Fee .PLAN CHECK VALIDATION Clc' M.O. CASH PERMIT VALIDATIONIK. M.O. CASH ` 5 3 1 tiAUG .31 1 0 :1..`7 o✓8. ®S 76A638A CE N803A 6/76 - 8A888A CIE#80810-SB APPLICATION FOR BUILDING .,PERM4T . . ~ •�.•. COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS . BUILDING AND .SAFETY DIVISION LOCALITY JOHN A.LAMBIE.COUNTY ENGINEER NEAREST J' CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. v DISTRICT NO. GROUP NpE SSED BY, FOR APPLICAB DINGNT TO /TO FILL IN cYPE � ADDU'LRESS d 7-4 /I 1✓y/POS� STATISTICAL CLASSIFICATION SE ER MAP BK PG _ CLASS.NO. DWELL.'UNIT LOT.NO. 9!5 BLOCK a MAP STATE YES 0~' 7 NUMBER', �• HWY. TRACT USE ZONE SPECIAL NO.OF BLDGS. (IONDITIONS ,SIZE OF LOT �C�/a NOW ON LOT _. USE OF EXIS ING BLDG. BUILDING G . YARD HWYEET NAME EXIST. / SETBACK .; WIDTH OWNER �.�GMAIL 'F' l 1Yr C - FRONT ADDRESS r /- /V LCI�I ZAl S -SIDE CI � Rl NO C P.L. . ARCHITECT OR TEL. INSPECTION RECORD ENGINEER NO. e ADDRESS I TEL CONTRACTOR NO. "ADDRESS \r -� -- r.�I _..° ►_ 6 a` / DESCRIPTION.OF WORK 4kE;VWW) ADD D. ALTER REPAIR DEMOLISH {�` m- . ,J �i FT. NO.OF NO.OF I. SIZE /(� O STORIES FAMILIES USE-OF STRUCTURE I� GES{ /__ d' 'l '`��• E. O c C�• Y . SIGNATURE OF APPROVALS "_ 'A APPLICANTGN�.� DATE INSPEC.T0R--s-s-? ATURE' ADDRESS FOUNDATION: LOCATION - FORMS,MATERIALS d P.C. $ FRAME:.FIRE STOPS. n FEE .v' BRACING.BOLTS ®/�•7 J.P y' = VALUATION �v $ �/ FURNACE: LOCATION, �[_1 FEE �Y mom GAS VENT,DUCTS f/`- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP: LATH.INT. PLICATION AND STATE THAT THE ABOVE IS C AND AGREE TO COMPLY TH ALL COUNTY OR ANC AND LATH,EXT, STATE LAWS REG TING BU ING CTION. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED Ito "�'�' / t+7 ADDREs_0 FINAL J I% A" "-t`-•�. CLYDE N.D!% M,PRINCIPAL'ST RAL ENGINEER PLAN C==V - ATION UK.. M.o. CASH PERMIT VALIDATION CK. M.o.' CASH= AC0494=6 . AM 13 2 3 A 22.5.0 M _. . � 4.:9 4. 7,m; e .13 -1 A' - 4 5:.0 •78A898A CE0808 9-67APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELESBUILDING _ V e r �V � DEPARTMENT OF COUNTY ENGINEER ADDRESS � ! BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST r COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PROCESSED BY (Print ort pe only) - CONST. s BUILDING STATISTICALCL SIFICATION SEWER MAP ADDRESS CLASS NO. DWELL.UNITS BKeT PGC LOT NO. BLOCK USE ZONEMAP , NO. 19.4 TRACT Lr SPECIAL !� 8O NO.OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM TEL FRONT PROP.LINE OF (STREET) OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CITY DG + Ae = 242 s ARCHITECT OR TEL. BLDG.SE BACK FROM ENGINEER NO. SIDE PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY •I• YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + = } CONTRACTOR NO. a ' LIC. C ADDRESS NO. CORNER CUTOFF YES ❑ NO C. LIC. CITY CLASS .SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a &vo 14 C4 NEW ADD LTED REPAIR DEMOLISH SQ. FT.. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE ,,[[ SIGNATURE OF APPLICANT VALUATIONS � �� �i APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. �� FOUNDATION: LOCATION p— 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 CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT• LATH, INT. ING TO WORKMEN'S COMPENSATION SURANCE. LATH, EXT.' SIGNATURE OF HOUSE NUMBER COR- PERMITTEE� RECT AND POSTED A ADDRESS 4-Ir AV 100, FINALW9 09&0 !-( �,� / z ba/JAW J-� JOHN F. LEWIS. PRINCIPALS URAL ENGINEER PLAN C Cg VALIDATION CK. M.O. CASH _ PERMIT VALIDATION -cK M.O. cnsH 2 .6 2 8,a JAN 1 ` a D 6-00- 9N WORKERS'COMPENSATION DF,CLARATION yl hereby affirm that I have a certificate of consent to self t+ insure,or a certificate'of Workers'Compenstion'lnsurarice,or A P P•L I CATION FOR, B l!'I L D I N G PERMIT , '" 7e ed CO-Y tl;ereo ( ec. 3800, Lab. C.) r COUNTY OF LOS ANGELES BUILDING AND SAFETY 0 e} NtS f"` nompany l ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING - Certified'copy is filed with the count buildingADDRESS t' department. y inspec- i ADDRESS LOCALITY t r . NEAREST' Date Applicant ] CITY ZIP CROSS ST. _ ERTIFI ATE OF EXEMPTION FR •WORKERS' I NO.OF BLDGS. ASSESSOR COMPENSATION INSUR NCE �)� NOW ON LOT r MAP BOOK PAGE. PARCEL (Thi3 section need not be completed if the pe.rMit is for one ; 4 USE ZONE MAP as—f, hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO, VV SPECIAL } 0. I certify that in the'per 'form'once of the work for which this OWNER I CONDITIONS O permiit is issued, I shall not employ any person in any manner DIS ICT GROUP TYPE FIRE PRO SSED-BY .V ADDRESS I , _ �/ CONST. ZONE so as to become subject fo the Workers'Compensation Laws. f `Ids e / 5 A CITY ZIP JC_ S 1� `3 Date ApplicantI ARCHITECT OR L. STATISTICAL CLASSIFICATION- API'. CONDO. �+ NOTICE TO APPLICANT:.If, after making this Certificate of W Exemption, -you should become subject to,the Workers' ) ENGIQIF ' CLASS NO. DWELL. UNITS H Compensation provisions of the Labor'Code, you must forth- A, ADDRESS SEWER MAP with. comply with,;,such provisions,or this permit shall be { deem I ed revoked. CONTRACTOR I EL' BK. '' PG; 7 VALIDATION - , LICENSED CONTRACTORS DECLARATION ' I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. r ALUATION Eommencing with Section"7000)of Division 3 of the Business and 1 LIC.. �\ (contract rofessions Code, and my license is to full force and effect. rl CITY CLASS $ SQ. NO. F ,_ NO.OF CHECK icense Number.' ic.Class. • I' SIZE STORIES, FAMILIES ONE �/ + / — ! DESCRIPTION OF.WORK NEW ❑376 $ , t �')l� �1�CI1�YJ - / 1 am exempt from the license"rig requir enfs as am a j t ADD Y -licensed architect or a registered professional a gineer ' ALTER FINAL acting in my professional capacity (Section 7051, f �T�.�N REPAIR ❑ DATE r r✓ C!� Business and Professions Code . t USE OF / EXISTING BLDG. DEMOL '❑ FINAL Lic.or Reg.No. Date I APPLICANTT L. (1 _ OWNER-BUILDER DE LARATIO 1 PR NEINT) 1 I hereby affirm that I am exempt from the Contractor's License l P „Z Law for the following reason_(Section 7031.x5, Business and I ADDRESS Professions Code): t PRESENT BUILDING •r ' I, as owner'af the property, or my employees with r• ADDRESS 9 0 5Y.1 wages as their sale compensation,will do the work and sem' the structure is r6f intended of'offered for sale(Suction LOCALITY ' ` # o o_0 0 0 1 7044,'Business and Professions Code).-, MOVING TEL. - ❑ I, as owner of the property, am exclusively,coritracting CONTRACTOR NO. _ 2 0 1 6'0.O O,. With licensed contractors to construct the project (Sec- " ' tion 7044, Business and Professions Code), AD ESS o o (� 0.Q C i R QUIRED =TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. UNE WIDTH :, . I hereby offirm'that there is a construction lending agency for FRONT . 0 S,'2 7—8 the performance of the work for which this permit is issued' P.L. 40 d 2CO o2 (Sec. 3097,.Ciy. C.)... SIDE ' P.L. Lenrler's.01ame P.C.Fee-$ Permit Fee - �3 Lender's�Address ) t ' I certify-that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee r ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter ;, r /64 upon the Wreof n'oned roperfy or inspection purposes. ; r y+ I / SEE REVERSE FOR EXPLANATORY LANGUAGE ®s ignplicant or Agent to 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 0507260005 PHONE: (626) 285-0488 ERT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 24579 LT: 9 SQ. FT STORIES TYPE 10755 LYNROSE ST STRUCTURE: 16 VN TEMP CA 917802925 /{ ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: MC:L V`CA( 8573-011-017 THOMAS PAGE: 597 GRID: C3 LOCALft Y: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/26/05 JK 07/21/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI ATE FINAL BY: E:' TRANS SOLOMON B;LILY S (626) 688-0666- 6,000 10755 LYNROSE ST O llqTEMP 917802925 FEES PAID DES P N OF WORK TEAR OFF OLD ROOF INSTALL PLYWOOD 1/2° INSTALL 30 YEAR HOUSE FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: MICHAEL CHOI ROOFING (323) 722-1646- AA BLDG PERMIT ISSUANCE 27.75 1108 W. MICHELLE CT. AC STRONG MOTION REBID 6000.00 VAL 0.60 SPECIAL CONDITIONS: MONTEBELLO CA 90640 D2 PERMIT W/O EN-HC 6000.00 VAL 149.40 TOTAL FEES 177.75 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE MICHAEL CHOI ROOFING (323) 722-1646- 1108 W. MICHELLE CT LIC. NO LOCATION AND SETBACKS MONTEBELLO, CA 90640 C39 C33HIC SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDER rLOOR INSULATION 150H277 3 011 FLOOR"SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I SHEARIPANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO ; FRAME INSPECTION i REQUIRED TOTAL SETBACK FROM EXIST I FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- I INSULATION/WEATHER STRIP SIDE PL- INTER}OR LATH DRYWALL EXTERI OR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED ISHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508