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HomeMy Public PortalAbout4819 RYLAND AVE_Building__ N-7 C� i6A638A CE A8033-69 APPLICATION FOR BUILDI G PERMI i COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS .83_c) North By-jand BUILDING AND SAFETY DIVISION LOCALITY Temple Cit JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST . J FOR APPLICANT TO FILL IN DISTRICT N0/.(p/ GROU TYP �/`� . PRZC � BY (PRINT OR TYPE ONLY) �J • 0 V .V/ On BUILDING STATISTICAL C4qSYICATION SE ER MAP ADDRESS 89 North ],a CLASS NO. EX I DWELL. UNITS BK PG LOT NO. BLOCK USE ZONE NMA O. TRACT / 2/D SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) OWNER Frsnk Dpmma NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL HIG WIDTH FROM C.L. ADDRESS Sl North l CITY Temple Cit BLDG.SETBACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEER N0. TYPE OF EXISTING SETBACK HIGHWAY + - TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTOR NOL + ADDRESSNO . CORNER CUTOFF YES ❑ NOn S. San Goghrip.71 ❑ LIC. � CITY San Gabriel 91776 ' CLASS C- SEE REVERSE SIDE FOR SPECIAL APPROVALS F CONSTRUCTION LENDER t NAME AND BRANCH L t ADDRESS SQ. FT. N0. OF NO. OF ❑ - SIZE STORIES 1 FAMILIES NEW USE OF ADD ❑ STRUCTURE i� ALTER ❑ Composition Shingles REPAIR ] SIGNATURE OF DEMOL ❑ APPLICANT VALUATION$ 527.00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECTAND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CALIF RNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRESS FINALor- A -76 JOHN F. LEWIS, PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. CASH f � ,,5 2'4 99 JM 4 1 0 9.0 Or DEPARTiWT OF BUILDING AND SAFETY APPLICATION FOR PERBUT COUNTY OF LOS ANGELES 1 WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING �/�j �j y i DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS "! Q ! ff/` f gy 3 18 7-3`a 16 S 3 -� LOCALITY Q/jry��l�Ii�(i a( RqGE / DATE OF AI/DPL/ ,D ISSUED Iv NEAREST U / CROSS ST. �(jrt/CJ �/L � �� ;�_ . BU11DING ADDRESS 16-12"ej OWNER /�(/.I ('.•�GE l/3 f/! f�. ► MAIL LOCALITY ADDRESS �j /���, � j �� � y,� NEARESTTELC CITY _e/ylti NO. v,' 3/ �. FIRST. RE S NLt�✓ �Z.1 GYP ARCHITECT OR U Eer TEL. ZONE I PLANS �. I -' ENGINEER �� NO. BLDG. D. NO. SETBACK LINE / ADDRESS APPROVED BY DATE CONTRALTO e`a 'w-,v--NO. USEJ/ AAPPROVED DATE ZONE�j/ BY ADDRESS HOUSE NUMBERING LEGAL I LOT NO. BLOCK MAP NUMBER 7-n L h FIELD CHECK BY DESCRIPTION c TRACT / �7j d / NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT -,Y?V/) I NOW ON LOT USB OF I NO. OF EXISTING BLDG. 4"]s- FAMILIES 1 DESCRIPTION OF WORK i NEW I �/I ALTERATION I I ADDITION 0 REPAIR I I DEMOLITION I I I SQ. FT. NO. OF / B SIZE /D ✓/ ROOMS STORIES Z EXT. WALLROOF r COVERINGI COVERINGr USE-O•F �� -STRUC URE �'I.f•.9 �1•�'s2'a'l.e J".ti.- /J 4Js("-"'�./,rf.-Y_tee'_� i n APPROVAL'S INSPECTO,It'3 SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION �J//�� r�w / PLICATION AND STATE THAT THE INFORMATION GIVEN IS 1)' FORMS, MATERIALS / �/1f/� r���'-Lr CORRECT. 11 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HER AND WITH ALL COUNTY ORDINANCES AND STATE t BRACING, BOLTS '�/✓� �7,, LAWS REGULATING BUILDING CONSTRUCTION. i - ; FURNACE: LOCATION, SIGNATURE OF �� PI/�;.�.' _� .�.;kh•C'�-- �-c�. GAS VENT, DUCTS PERMIT�T^E� _ 1 J �' LATH, INT. ADDRESS LATH, EXT. G AUTHORIZED AGT. PLASTER, INT. 76Ae76A-DBfi 10-50 .� P. C. $ © ..y,� FEE PLASTER, EXT. r VALUATION FEE $0.ddo FINAL ; /-As-- I L-01 WORKERS' COMPENSATION DECLARATION' hereby affirm that I .Have..a gUrtCom a of consent to self APPLICATION FOR- B O I L D I N G PERMIT.insure, or a certificate of Workers'Compensation Insurance, i QQor��f)�e,�rtifled copy thereof(Sec. 3800 Lab. C. '0 I F�. icy"Flo.(J�7S �-Company /1l ..�.� COUNTY OF LOS ANGELES I BUILDING AND SAFETY ❑ BUILDNG Certified copy is hereby furnished. FOR APPLICANT TO FILL IN' ADDRIESS 491H 6bg ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS G �- i I ' ClTrl / P 44--'r ZIP LOCALITY-121f L e C! l Date-,2- 76 Applicantk4kLa"t II NO.OF BLDGS. CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE IOF LOT Now ON'LOT NEAREST CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) I TEL OWNER /�G/ ,09NO. Y�Q3',� US ON MAP I certify that in the performance of the work for which this I I NO. permit is I TIONS issued, I shall not employ any.person in any manner ADDRESS SPECIAL CONDID- so as to become subject to the,Workers'Compensation Laws. t O CITYISAME .� zipl' i U Date � Applicant ARCgITECI'OR TEL' - 3 ce ,.� DISTRICT GROUP TYPE FIRE PRO D BY Q NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CpN E 0 Exemption, you .should become subject to the Workers' i �� T w Compensation-provisions of the Labor Code, you must forth- in a with comply with such provisions or this permit.shall be l " ' -TEL STATISTICAL CLASSIFICATION. A CO O. Z deemed revoked. COTITRACTOR NO.F. �a _ LICENSED CONTRACTORS DECLARATION i LIC. . CLASS INO. DWELL. UNITS I hereby affirm that I am licensed under provisionas of Chapter 9 ADDRESS O , .� dif=/� NO.k 30 F/ 2 (commencing with Section 70006)of Division 3 of.the Business I LIC, SEWER MAP- and Professions Coordde,and my license is in full force and effect. CITY © /� CLASS Bk. PG. VALIDATION License Number_7 7.3OV;t Lic. Class SQ' T. NO.OF NO.OF CHECK SIZE . STORIES FAMILIES ONE �•�-/�l y VALUATION I DESCRIPTION OF WORK /lG,` $ �� ������jj NEW ❑ Contractor //j.� - Date `� ADD ❑ ❑I am.exempt under Sec: L szdmle 7y Zxr, , • ALTER - •• BAP.C. for this reason I REPAIR ❑ ; Date- USE OF EXISTING BLDG. DEMO[ ❑ S1gnoture F APPLICANT L• �� FINAL F OWNER-BUILDER DECLARATION (PRINT) LS O 7�/�� DATE I hereby affirm that I am exempt from the Contractor's License .I Law for the following reason (Section 7031.5, Business and ADDRESS /mss /� FINAL Professions Code): PRESENT By , ,� BUILDING ACCT.a ❑ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY I 3307 ' 12u o50 the structure is not intended or offered foe sale(Section r 7044, Business and Professions Code.) MOVING TEL. , 1 ITEMS ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. i with licensed contractors to construct the project (Sec- ADDRESS 4 TOTAL �. ®'�-�s tion 7044,,Business and Professions Code.) CONSTRUCTION LENDING AGENCY SET BACK YARD HWY TOTAL PROP LINEFROM WIDTH I CHECK 128.50 I hereby affirm that there.is a construction lending agency for FRONT CHANGE 06 the performance of the work for which this permit is issued P.L.I (Sec. 3097, Civ. C.). SIDEI P.L. Lender's Name II 01300-13100101 q2t/� 91/90 B Lender's Address P:C. FAe$ Permit Fee �. LDMA Ref.# 118701 t7!111 1 [ I I certify that I have read this application and state that the I Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County Investip'ation.Fee r�1, ordinances and State laws,relating to building construction, I Total Fee trj45 LDMq perm.# - and hereby authorize representatives of this County to enter upon the ab veent' d ro erty for inspection purposes. 4 o / I SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date f :~ 'WORKERS'COMPENSATION DECLARATION that I have a certificate of coent to insu e, ora affirm certificate of Workers' Compensat on Insuran elf APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lob. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company a �j ❑ Certified copy is hereby furnished. FOR.APPLICANT TO FILL IN BUILDING / I'JI ADDRESS Certified copy is filed with the county building inspec- BUILDING Tion department. ADDRESS S • G Date Applicant CITY �� N ZIP / �5 O LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' Sa - 5'4* NO.OF BLDGS. NEAREST SIZE OF LOT COMPENSATION INSURANCE .4=T'NOW ON LOT Z CROSS ST. (This section need not be completed if the permit is for oneASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PA PARCEL �—� TEL. rZS' USE ZO E MAP I certify that in the performance of the work for which this OWNER L�i�L. �rJQra NO. NO. permit is issued, I shall not employ any person in any manner `/p G ( SPECIAL ADDRESS so as to become subject to the Workers'Compensation Laws. 70�7 �Y�.4440 �vC CONDITIONS , — CITY �/���er 6L7 zip / 7,/-V Date 7 Applicant . —` ARCHITECT OR TEL. NOTICE TO APPLICANT: If., after making this Certificate of ENGINEER O�r��✓Ea, NO. DISTRICT GROUP TYPE FIRE PROCESSED BY Exemption, you should become subject to the Workers' CONZONE'ZONE' Compensation provisions of the Labor Code, you must forth- ADDRESS ! V with comply with such provisions or this permit shall be TEL deemed revoked. CONTRACTOR NO. STATISTICAL CLASSIFICATION APT. CONDO. LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION y: SQ. FT. NO.OF NO OF CHECK (1. License Number Lic.Class SIZE 5fd STORIES f FAMILIES ONE Q /� ❑ VALUATION U Contractor Date DESCRIPTION OF WORK P T•0 C.C)p eA NEW O 71 0 r _ ADD $ �f ❑I ani exempt under Sec. /��' �� ALTER ❑ LLI B.BP.C. for this reason REPAIR ❑ $ 1 Q 3 A In Date: USE OF ! EXISTING BLDG. DEMOL ❑ # 0 0 0 0 0 , Signature APPLICANT r+ TEL. �! FINAL r o o ,py = g PRINT /.,.4W 1.CJ NO. $4��—/�� U OWNER-BUILDER DECLARATION DATE •� 1,0 7-;�8 8 I hereby affirnt that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 4,4101!11 G FIN Professions Code): PRE EN T BY rd, BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name ¢ LDMA Ref. q o P.C. Fee$ Permit Fee r J U Lender's Address I certify that I have read this application and state that the Issuance Fee ' VLDMA P/C p above information is correct. I agree to comply with all County Investigation Fee G ordinances and State laws relating to building construction, Total Fee Q LDMA Perm.#ti and hereby authorize representatives of this County to enter € up e.above-/rnned property for inspection purposes. entio SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 917A^. BL 0508 9809170039 PHONE: (818)V85-b40 EXT: I LEGAL ID: NO. OF CONST BUILDINGADDRESS: TR: 17107 LT: 4 SQ. FT STORIES TYPE 4819 RYLAND AV STRUCTURE: 0 VN TEMP CA 917804033 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-009-004 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSU9D ON: PROCESSED BY: EXPLRES . EXIST OCC GRP: 09/17/98 UT 0 7/99 OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: F1NA. DATE FINAL BT• CODE: LUK 4819SUSANA RYLANDSAV (626) 443-6342- 1 3,600 --z r �+ TEMP 917804033 FEES PAID DESCRIPTION OF WORK T/0 EXISTING, INSTALL 1/2" COX, INSTALL GS 25 YR. COMP FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLE APPLICANT: TE 0• CHRIS KIM (213) 422-5481- AA BLDG PERMIT ISSUANCE 27.75 7777 VALLEY VIEW BL. AC STRONG MOTION RESI:D---,3600.00 VAL 0.50 SPECIAL CONDITIONS: LA PALMA, CA D2 PERMIT W/0_ENC---�---3d00.0,0 VAL 115.80 ��c144.05 CHRIS ONTRACTOR• TEL. 422-5481- ��y ��A� APPROVALS DATE INSPECTOR SIGNATURE KIM7777 VALLEY VIEW BL. #C-209 LIC. NO r LOCATION AND SETBACKS LA PALMA, CA 90623 736159 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: - I �� 0 NOA 0 T CFORMS LIC. N0: -- - - ��� ,i;; �' SLAB/UNDER FLOOR _ II AISED FLOOR FRAMING 114A4H273 RE ZON SEWER MAP BOOK: PAGE: FI3: CMOF7 i] L O UNDERFLOOR INSULATION �J 1]�J SNI OCR SHEATHING NO. OF FAMILIES: DWELLING— TS: APT/COND: STAT CLASS: I _ -- NO 21 Q- Q 'i ROOF SHEATHING O ❑ , !y„s� 11� SCHOOL I N HAZARDOUS r: *; t SHEAR PANE S AIR QUALITY: 1000 FEET MATERIALS NO NO NO :,,, � FRAME INSPECTION REQUIRED TOTALS BACK FROM EXIST4('j�. El O<�'i FIRE SPRINKLER HANGERS SET BACKYARD: HWY: PROP LINE: WIDTH: FRONT PL- �L'rvic a��� INSULATION/WEATHER STRIP SIDE PL- IN7:RIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS-- T-BAR A TS/OPENINGT-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508