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Home My Public Portal About10777 LYNROSE ST_Building__ �C -APPLICATION O R cou OF LOS ANGELES F COUNTY BUILDING PERMIT D BUILDING AND SAFETY DIVISION ENGINEER mommmmam BUILDING FOR APPLING BUILDCANT TO FILL IN ADDRESS W-77-7 [ ADESS/Q 77 O G ✓''cl LOCALITY G i NEAREST CITY � ZIP CROSS ST. tv` •C.i _ ,NO.OF BLDGS. ASSESSOR SIZE OF LOT10 3 X ,4 J NOW ON LOT MAP BOOK PAGE J.ZARCEL �f DISTRICT GROUP I TYPE FIRE P SED BY TRA BLOCK LOT NO. T CONST' TEL.OW �• �� 6V!/r�'�! OWNER QG;f(,rCJ NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS�j- 7 2 9 CLASS NO. _DWELL.UNITS BK PG CITY USE ZONE MAP ARCHITECT OR ' TEL. NO. Gi ENGINEER NO. - ' SPECIAL L�� rrr CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. CONTRACTOR If-41 NEO BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF (STREET) ADDRESS /�/✓j✓ NO. Z HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP.LINE IHIGHWAY WIDTH CITY vI/LJiJ CLASS CONSTRUCTION LENDER + d O NAME AND BRANCH BLDG.SETBACK FROM V ADDRESS CITY SIDE PROP.LINE OF (STREET) m SQ.FT. ,/ NO.OF NO.OF ) CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE A EXISTING U SIZE ��1 STORIES FAMILIES ( ONE SIDE PROP.LINE HIGHWAY WIDTH a w + = Z DESCRIPTION OF WORK NEW ❑ Aao IS Lfe ADD CORNERCUTOFF YES ❑ NO ❑ 4=040CO f-7- U J ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR ❑ USEOF BLDG. .. DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO [_1 .EXISTINAPPLICANT TEL (PRINT, V ! BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ kIS APPLICATION 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. ''7 SIGNATURE OF , FINAL S- 3/-/ 9 BY PERMITTEE DATE ADDRESS Jj TEL.qCITY ( U�I NO. P.C.Fee$ Permit Fee p_ Issuance Fee VALUATION �/Ga rJ Total Fee PLAWdgEd-01' PERMIT VALIDATION CK. M.O. CASH r-[L'3 b I�; a r<•'Y ��., POLICY - - ®5 76 W696A.CCP,rX'=''4n, -A 3ER,: (*C✓ 8A088A CE#80810-08 APPLICATION FOR BUIL®r4G XERMJT: , - • 1 COUNTY OF LOS ANGELES BUILDING D DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST ' CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. 49 DISTRICT O. GROUP TYPE P SS ED BY FOR APPLICANT TO FILL IN I CONST. I a BUILDING �7 / Q SE ER MAP ADDRESS. O/ /� �.�y)OS STATISTICAL CLASSIFICATION SK PG LOT NO. /Si p_ BLOCK CLASS.NO. DWELL.UNIT . MAP STATE yES 9 +7 NUMBER HWY. TRACT O1 / USEZONE SPECIAL' NO.OF BLDGS. CONDITIONS SIZE OF LOT T jC /00 1W* ON LOT USE OF EXISTING BLDG. BUILDING YARD HWY STREET NA DIST• SETBACK WIDTH OWNER L1f��Lt� 0/1CST C.FJ�Q /- FRONT MAIL P.L. ADDRESS M bvtc d2d SIDE TELNO.• /3 .1 / P"L. • ARCHITECTOR TEL. INSPECTION RECORD ENGINEER NO. ADDRESS �=_ TEL '�QG.leg I.�-� M-rs-e.•`-.:-:j, s'� .✓-r ,Ys. CONTRACTOR NO. ) ADDRESS v Vv� DESCRIPTION-OF WORK %��T_7� NEW ADD ALTER REPAIR DEMOLISH-Vcr FT. % NO.OF NO.OF SIZE D STORIES FAMILIES USE OF STRUCTURE&u SIGNATURE OF APPROVALS APPLICANT DATE 1NSP 4NATURE ADDRESS FOUNDATION: LOCATION FORMS,MATERIALS $ P.C. S O FRAME: FIRE STOPS. / FEE ® 'BRACING.BOLTS d.•I !� VALUATION/ ® S FURNACE: LOCATION, /��d�• /� - �•�" FEE ®• GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT 1 HWSTRUCTION. IS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVT AND AGREE TO COMPLY ITH ALL COUNTYS AND LATH,EXT. STATE LAWS R N I SIGNATURE OP HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDES FINAL 42� CL DE N.DIRLP.M.PRINCIPALST RAL ENGINEER PLAN CMCIVVALIDATION ctc m.o. •CAISH -PEBMT VALIDATION cx m.o. .CAex ' LJIU0493 6 APR13 03 A 21.00 M 4-9 3 7 APR 1 1 A 2,0 0 M :a WORKERS'COMPENSATION DECLARATION { herebor,p c m that'I have ,certificate of consent to self APPLICATION FOR U_I_LDa_I LG_.P_E.RM1-T 1ngure;'or Q,certificate of Workers'Compensation Insurance, —-- or•a cert�'ff_d copy thereof(Sec.3800, Lab. C.) �. COUNTY OF LOS ANGELES BUILDING AND SAFETY Poly NoCompany p Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy Is filed with a county Ing inspec- ' BUILDING ��aa tion department: ADDRESS L..• f f� ' Date ApplI an CI ZIP LOCALITY CERTIFICATE OF EXEMPT FR WORKERS' NO.OF BLDGS. NEAREST y, COMPENSATI INSU ANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be c .pleted if the permit is for oheSOR TRACT BLOCK' LOT NO. AS SMAPBOOK PAGE PARCEL 'hundred dollars($100)or less:) . OWNER NOUSE ZONE MA . P I certify that'in the performance of the work for which this NO. permit is issued, I shall not employ any person in any mannerSPECIAL ADDRESS ��"� CONDITIONS so as to become subject to the Workers'Compensation Laws. CITY ZIP U Date AppllcdntARCHITECT OR' TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' /� CONST. ZOj U Compensation provisions of the Labor Code, you must forth- ADDRESS �ct �� J W with comply with such provisions or-this ,permit shall be p-' L• STATISTICAL CLASSIFICATION APT. 7NDO.' N deemed revoked. CONTRACTO NO. LICENSED CONTRACTORS DECLARATION / LIC, CLASS NO.�DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9. i ADDRESS NO. SEWER MAP (commencing with,Section 7000)of Division.3 of the Business and LIC. Professions Code,and my license is in full force and effect. CITY CLASS <:� BK VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number �3 f 7 Lic.Class e'3 SIZE STORIES FAMILIES ONE ;VALUATION DESCRIPTION OF WORK NEW ❑ Contract o Date 3 y❑ M�QADD ❑ ,s I am exempt under Sec: ❑ Pilo ALTER B.BP.C. for is reason REPAIR ❑ �: " USE OF ate: EXISTING BLDG. DEMOL ❑ Signatur APPLICANT NO. •j FINAL WNER- LDER LARATION DAT�� 9 9'.A I hereby a r that I am exempt from the Contractor's License �#'o:o o,o.0 1 Law for th following reason (Section 7031.5, Business and 'ADDRESS FINA Professiohs Code): PRE By r4 01'0 41'3 ❑ BUILDING I, as owner of the property, or my employees with' ADDRESS wages as their sole compensation,will do the work and o 0.1 0 6.1 .3 c=i the structure is not intended or offered for sale_(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. •0 a3 1 -87 ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- I ADDRESS tion 7044, Business and Professions Code). FROM CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPREOTP RINE. WIDTH I hereby affirm'that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L., .(Sec. 3097, Civ. C.). SIDE it P.L. 15 Lender's Name i LDMA Ref. # $ P:C.Fee$ Permit Fee Lender's Address 1 certify that I have read this application and state that the Issuance Fee V� S� LDMA P/C q above information is correct. I agree'to comply with all'County Investigation Fee a� �j °o ordinances and laws relating to building construction, Total Fee 0 -�v LDMA Perm. H R and reby cut oriz representatives of this County to enter up he above ment ned property for inspectio purposes. r SEE REVERSE FOR EXPLANATORY LANGUAGE sigour!of Applicant or Agent Date r i, COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVETOPMENT TEMPLE CITY CA 91780 BL 0508 0911020055 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 24579 LT: 4 SQ. FT STORIES TYPE 10777 LYNROSE ST I ;STRUCTURE: 26 V-B TEMP CA 917802925 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 18573-011-012 1 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl (TENANT. ( BLDG USE: RESID USE ZONE: R-1 11ISSUED 1/02/09N: PROCESSED BY: EXIST GRP: 1 OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: IBOLANDER, DEAN (626) 447-7186- 1 7,000 1 110777 LYNROSE ST I I ITEMP 917802925 1 FEES PAID ID8 CRIPTIO OF WORK 1 I ITEAR OFF EXISTING ONE, PLYWOOD SHEATING 30 YEAR COMPOSITION 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT-.1 1 (APPLICANT: TEL. NO: I I 1 (APEX ROOFING CO. (951) 637-5534- IAA BLDG PERMIT ISSUANCE 27.75 1 15782 BENECIA DR. IAB STATE GREEN BLDG FEE 7000.00 VAL 1.00 ]SPECIAL CONDITIONS: I IRIVERSIDE, CA 92504 IAC STRONG MOTION RESID 7000.00 VAL 0.70 1 1 1 ID2 PERMIT W/O EN-HC 7000.00 VAL 166.20 1 1 1 1 TOTAL FEES 195.65 1 ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE (APEX ROOFING CO. (951) 637-5534- 1 1 ] 15782 BENECIA DRIVE LIC. NO I ILOCATION AND SETBACKS 1 1 1 IRIVERSIDE,CA 92504 825641 1 1 1 ] 1 1 1 ISOILS ENGINEER APPROVAL 1 1 1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNI5ATION/TRENCH FORMS 1 1 1 1 LIC. NO: 1 SLAB)UNDER FLOOR I 1 I 1RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I 115OH277 3 001 1 1-1 1 I I IFLOOR SHEATHING 1 ] 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 1 NO 21 .1 IROOF SHEATHING SCHOOL WITHIN HAZARDOUS (SHEAR PANELS 1 1 ] ]AIR QUALITY: 1000 FEET MATERIALS I 1 1 ] NO NO NO I IFRAME INSPECTION 1 1 1 IREQUIRED TOTAL SETBACK FROM EXIST 1 1FIRE SPRINKLER HANGERS ] ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I ] I IFRONT PL- I 11NSULATION/WEATHER STRIP( I 1 1 SIDE PL- 1 1 1 11NTERIOR LATH/DRYWALL 1 1 1 I I (EXTERIOR LATH II I I I I 1RATED FLOOR/CEIL ASSEM. 1 ] 1 1 1 IRATED WALL ASSEMBLIES 1 1 1 1 I 1RATED SHAFTS/OPENINGS 1 1 1 1 IT-BAR CEILINGS I I ILOT DRAINAGE 1 REPORT ID: DPR261 ROUTE TO: BS0508 1 1 ] I