HomeMy Public PortalAbout10761 LYNROSE ST_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING 1076 1 OPOZ091ZlAc
BUILDING
ADDRESS COI �(1'" ADDRESS
CITY �� G1 1 ZIP �r
LOCALITY ,' /i
NO.OF BLDGS. NEAREST
SIZE OF LOT NOW ON LOT
CROSS ST. Ci G
TRACT ! BLOCK LOT NO ASSESSORMAP BOOK PAGE PARCEL
TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY
OWNER cIOE LEpw:S;f A NO. � n ,� CONST.. ZONg
ADDRE-SSS-�107(,I L fN�sC A&•
CITY 1�I"IPL� GI�T�' STATISTICAL CLASSIFICATION SEWER MAP
ZIP CLASS NO.��_DWELL.UNITS BK PG
ARCHITECT OR Al TEL.
ENGINEER 1 NO. USE ZONE MAP �'
NO. D.
ADDRESS SPECIAL
TEL. CONDITIONS
CONTRACTOR kdSTONJ IFY• NO X67-43ti
-,`' LIC. ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
ADDRESS I0�wt1`i` \"� �v�'NO. 1 71_W' 6 BLDG.SETBACK FROM
CITY
CO�1/ II W CLASS Qat FRONT PROP.LINE OF (STREET)
CONSTRUCTION LENDER ��,A, y�.1�n'[� HIGHWAY + YARD = TOTAL SETBACK FROM TYPE'OF EXISTING
NAME AND BRANCH C� k- of A me • FRONT PROP. LINE HIGHWAY WIDTH
ADDRESS �WK'� CITY +
Sl S ZE Tji(p STORIES 1 FAMILIES. CONEK SIDE PROP.LINE OF BLDG.SETBACK M (STREET)
U
d, C
DESCRIPTION OF WORK A�U(TION NEW ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE A EXISTING U
f .�A� SIDE PROP. LINE HIGHWAY WIDTH
at- /� 136 t0 b ADD + = N
ALTER ❑ CORNER CUTOFF YES ❑ NO ❑ Z
USE `�/
REPAIR[:]EXISOT NG BLDG. DLUELL14(o DEMOL ❑ IN OPEN SPACE YES ❑ NO
}�...�.p�/� r� r}� I- 7 ❑
APPLICANT
biDU,lh ` "`TW�'� N01.�o���311 IN COASTAL ZONE YES ❑ NO ❑
BY (SIGNATURE) i�iJ�d li ENVIRONMENTAL CATEGORICAL EXEMPTION YES NO ❑
IMPACT EXEMPTION DECLARATION SIGNED (DATE)
VALUATION IMPACT REPORT PROCESSED (DATE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED '
HEREBY 1 WILL NOT EM LOY AN ERS IN VIOLA ION OF THE
1 0 � OF THE TE LI— N I! E I TO
SIGNATURE OF FINAL J 151
PERMITTEE DATE AI— 4/ _
ADDRESS looms4mgdq9j&,
FEE $ FEE $
r�
CITY N0.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
5 9 21-'JAN .27 1 3 5:2 5 Ay8
76A538B CE#803A 5/73 e I •• -^ r
9A638A CIE#00a 10-88 APPLICA"TION FOR BUILDING 'PERMIT '.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER. ADDRESS
'BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST .
CASSATT D.GRIFFIN Sup. OF BUILDING CROSS ST.
eV
DISTRICT. O.• GROUP- TYPE PR SED"BY •_
FOR APPLICANT TO FILL IN I CONST.
BUILDING 10'/y /I yA1ofOSC STATISTICAL CLASSIFICATION SEW R MAP
ADDRESS LLYY I�7 }}�� BK PG
CLASS.NO.-LLDWELL.UNITS
LOT NO. �Y C BLOCK YES
MAP STATE
NUMBER HWY.
TRACT ev- USE ZONE SPECIAL _
1 NO.OF BLDGS. CONDITIONS
SIZE OF LO / I NOW ON LOT
USE OF
EXISTI G BLDG. BUILDING �jrARD HWY REET NAME EXIST.
SETBACK WIDTH
OWNERJ�V /SCS FRONT " '-- -
MAIL
ADDRESS SIDETEL -,
CITY L O/►� NO. I . / P.L.
ARCHITECT'OR TEL INSPECTION RECORD
ENGINEER NO., - �,� ��EA .' ��� � ••
ADDRESS / i• n
TEL. /`�I /� ✓'C® L�E ICS//
CONTRACTOR NO. 1
ADDRESS -`�I�.�= mss• _
DESCRIPTION'OF WORK
EW ADD ALTER REPAIR DEMOLISH Jf J/
FT. NO.OF NO.OF /�
SIZE 1JJ `-' STORIES FAMILIES.
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT
'RATE INSPECTORS-Sid NATURE
ADDRESS FOUNDATION: LOCATION
FORMS.MATERIALS
$ P.C. $ FRAME: FIRE STOPS.
FEE �� BRACING.BOLTS' ly` f
VALUATION /( C)O V' $ FURNACE`S VENT.DCTS LOCATION, �0 '�• `! L ' -!T -• /
FEE S �.
I HEREBY ACKNOWLEDGE-THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE ABOVE IS CO AN
LATH INT. /
AGREE TO COMftvp;;L�eoiel
ALL CO NTY ORD ANC AND LATH,EXT:
STATE LAWS CTION.SIGNATURE OFHOUSE NUMBER COR-PERMITTE = RECT AND POSTED
ADD REs FINAL4� ~
,CLYDE N.DIRLAM,VRINCIPAL ST RAL ENGINEER
PLAN CBECB V TION C M.O. CASH P.EDW.VALIDATION CK. i M.O. CASH
AC04 9 4 464 of R 13 2 3 A 22.5-Q
PC04945. AYR 13, 1;A : ' .:45.00 M`
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BIIILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1008170004
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BIIILDING ADDRESS: I
ITR: 24579 LT: 8 BL: .001 I SQ. FT STORIES TYPE 1 10761 LYNROSE ST I
I [STRUCTURE: 25 V-B I TEMP CA 917802925 I
(ASSESSOR INFORMATION NUMBER: J I NEAREST CROSS STREET: LIVE OAK
8873-011-027 i i THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 [ISSUED ON: PROCESSED BY:
1 JEXIST OCC GRP: 108/17/10 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFMqAL DATE FIPL BY: CODE: J
ILEDESMA, JOE (626) 442-6441- 1 6,000 I I
110761 LYNROSE ST I I
(TEMP 917802925 1 FEES PAID I SCRI TION OF WORK
TEAR OFF, RESHEAT 30 YEAR COMP.
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 I
JAPPLICANT: TEL. NO: I I I
(APEX ROOFING CO. (951) 637-5534- IAA BLDG PERMIT ISSUANCE 27.80 1 I
5782 BENECIA DRIVE. JAB STATE GREEN BLDG FEE 6000.00 VAL 1.00 ISPECIAL CONDITIONS: I
(RIVERSIDE, CA 92509 JAC STRONG MOTION RESID 6000.00 VAL 0.60
ID2 PERMIT W/O EN-HC 6000.00 VAL 149.70 I
I I TOTAL FEES 179.10 1 I
ICONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE 1
JAPEX ROOFING CO. (951) 637-5534- I I I
15782 BENECIA DRIVE LIC. NO I ILOCATION AND SETBACKS I I I
IRIVERSIDE CA 92504 825641 I 1
I I ISOILS ENGINEER APPROVAL I I I
JARCHITECT OR ENGINEER: TEL. NO: 1 IFOU_VDATION/TRENCH FORMS I I - I
LIC. NO: i ISLAB/UNDER FLOOR I 1 1
IRAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION I I I
115OH277 3 001 1 1 I I
I IFLOOR SHEATHING I I
[NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
NO 21 1 IROOF SHEATHING DoI I
SCHOOL WITHIN HAZARDOUS 1 [SHEAR PANELS I I
JAIR QUALITY: 1000 FEET MATERIALS 1 I I I I
1 NO NO NO 1 IFRAME INSPECTION I I I
FIRE SPRINKLER HANGERS
I IINSULATION/WEATHER STRIP[ I I
JINTERIOR LATH/DRYWALL I I I
(EXTERIOR LATH I 1
I I IRATED FLOOR/CEIL ASSEM. I I I
I IRATED WALL ASSEMBLIES i I
(RATED SHAFTS/OPENINGS I I 1
IT-BAR CEILINGS
ILOT DRAINAGE I I
I �
I IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I
I I I I I I