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Home My Public Portal About4830 RYLAND AVE_Building__ I ,DEP1UTb ENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES O ®O WM. J. FOX, CHIEF ENGINEER NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. LDING ADDRESS j n N 1""- 34ra73� 37 �r3r-37 LOCALITY CJ Wil•,yJ,(n (J�! ff� RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST ^!� J U i CROSS ST. 7 t`! / ;i2 f•t 1��r-- r BUILDING ��i / /(/�� 10 - ADDRESS ryr � OWNER Cr/+L•l.iit.c`vlJt •� �C il.n o MAIL ) r � LOCALITY ADDRESS !� r / Cb FiI Ji s ,y �!,; NEAREST TEL ry'/ 3, �/ CROSS ST. (J-yr,G,.,,., CITY ��;Qt, NO. 4,! }� �I'!) f FIREI NO. OF I T1�PEj I GMU4 d ARCHITECT ORf U TEL. ZONE PLANS L ENGINEER NO. BLDG. ORD. NO. SETBACK LINE ADDRESS r APPROVED TEL. BY DATE 1 CONTRACTOR i-r ^,g Ci"vrY!•aNO. USE `�� APPROVED ZONE V �J BY DATE ' ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO. I BLOCK MAP NUMBER Z�'I / 0 FIELD CHECK BY TRACT ! r NO. ASSIGNED BY DATE i r ^ I NO. OF BLDGS.` CORRECTIONS /n SIZE OF LOT / r o NOW ON LOT j USE OF _ I NO. OF EXISTING BLDG. FAWIL169 DESCRIPTION OF WORK NEWI ✓'I ALTERATION I I ADDITION O REPAIR I I DEMOLITION I I I A SQ. FT. a s\ .�} NO. OF f Q SIZE t /-� ROOMS �j STORIES Z D EXT. WALLROOF / ? 1' + COVERING /';.;` I COVERING 5 ! USE OF STRUCTURE r (� APPROVALS "1 INSPECTOR'S SIGNATURE �DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS �• f'J i• - 4�LJ,'r' CORRECT. - 1 ACRE[ TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,( ' HEREON AND WITH ALL COUNTY ORDINANCES AND STATE t BRACING, BOLTS „�- r LAWS REGULATING BUILDING CONSTRUCTION( FURNACE: LOCATION, ��- All, SIGNATURE OF 6 /� jf� /C �/:�- 6-` GAS VENT, DUCTS PERMITTER INT. 3 7 ��1 '��_��-- ADDRESS- LATH, EXT. ' \ AUTHORIZED AGT. !rI o: s I /d �� / /•G v • PLASTER, INT. 7CAi96A• DB88 10-60 Is P. C. $ 1 J FEE G +'� PLASTER, EXT. VALUATION FEE $ ® FINAL _ I WORKERS'COMPENSATION DECLARATIM' •4, ' >, °" / ' '1hereb� affirm that I have a certificate of consent to Self APPLICATION F OR BUILDING P E RM I T isure,or a certificate of Workers'Compenstion Insurance,or certified copy thereof(Sec. 3800, lab. C.) I COUNTY OF LOS ANGELES • BUILDING AND SAFETY olicy No."-34�ompany &&&lIa j'J J i VeAA/L-.3 �r y� copy y FOR APPLICANT TO FILL IN ADDRESS I Ja Certified co is hereby furnished. Q• Certified copy is filed with the county building inspec- BUILDING 77 401 ZC tion department. ADDRESS LOCALITY �^ NEAREST late Z-`2.-�i 7 Applicant P CITU - L, ' ZIP G CROSS ST. �jt�- �' CERTIFICATE OF EXEMPTION FROM WORKERS' 7 O.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK, PAGE PARCEL chis section need not be completed if the permit is for one TRACT 1 -17107 USE ZONE MAP t 10/ /O undred dollars ($100)or less.) BLOCK LOT NO. NO. Oc / } TEL. i SPECIAL tb certify that in the performance of the work for which this OWNER _ r NO. CONDITIONS O 'ermit is issued, I shall not employ any person in any manner , DISTRICT GROUP TYPE FIRE PRO SSED BY ?J o as to become subject to the Workers'Compensation Laws. ADDRESS e - �� CONST. Z30NE , JIm CITY •� er ,i/� ZIP D I- T: Applicant h STATISTICAL CLASSIFICATION APT. CONDO. ARCHITECT OR TEL. IOTICE TO APPLICANT: If, after making this Certificate of ENGINEER �_ NO. CLASS NO. DWELL. UNITS Off. xemption, you should become subject to the Workers' -'21y� :ompensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP ✓ith comply with such provisions or this permit shall be leemed revoked. 'CONTRACTOR TEL • BK. fir' VALIDATION • O. LICENSED CONTRACTORS DECLARATION LIC. hereby affirm that I am licensed under provisions of Chapter'9 ADDRES . L E 1 NO. C VALUATION ;ommencing with Section 7000)of Division 3 of the Business and 1 LIC. //�� 'rofessions Code, and my license is in full force and effect. CITY �.L9 CLASS $ 1/� � V b SQ. FT. NO.OF Ji NO.OF CHECK icense Number. WZ Lic;Class 7 / SIZE - L STORIES FAMILIES ONE �J > DESCRIPTION OF WORK f NEW ❑, $ :ontractor !�l�dA� .Ai Ct&j�ate ADD i I am exempt from the licensing requirements as I am a Ai- licensed architect or a registered professional engineer ALTER ❑ FINAL �� /I7-j% REPAIR acting in my professional capacity (Section 7051, ❑' DATE / (J Business and Professions Code). USE OF DEMOL FINAL EXISTING BLDG. ❑ i 1c.or Reg.No. Date APPLICANT TEL. y OWNER-BUILDER DECLARATION (PRINT) �.' NO. hereby affirm that I am exempt from the Contractor's License // _ , � 17e-71 aw for the following reason (Section 7031.5, Business and ADDRESS /"G - ✓. a t' 4' 'rofessions Code): PRESENT 9�/ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and [AEDDRESS OCALITY �L the structure is.not intended or offered for.sale(Section 7044, Business and Professions Code). TEL. ] I, as owner of the property, am exclusively contracting R NO. 1 7800 with licensed contractors to construct the project (Sec- o tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH a'o 1 7 8 x hereby affirm that there is a construction lending agency for FRONT Q 2 Q - u he performance of the work for which this permit is issued P.L. Sec. 3097, Civ. C.). SIDE P.L. ender's Name 1 a. ender's Address P.C. Fee$ Permit Fee i (J certify that I have read this application and state that the Issuance Fee ibove information is correct. I agree to comply with all County. Investigation Fee / rdincinces and State laws relating to building construction, Total Fee ind herelav outhorl4erept ent ves of this County to enter Wtbonlion r erty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign tut of Ap icant or gent Datd I / ®s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 r BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS I 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0009180009 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDINGADDRESS: TR: 17107 LT: 38I SQ. FT STORIES TYPE 4830 RYLAND AV STRUCTURE: VN TEMP CA 917804032 ASSESSOR INFORMATION NEAREST CROSS STREET: LOWER AZUSA 8585-011-018 I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY TENANT: gXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/18/00 UT 03/18/01 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL,DATE F BY: CODE: RIGA, GARY (626) 443-8774- 1 4,800 4830 RYLAND TEMPLE CITY, CA FEES PAID DESCRIPTION OF WOR ' TEAROFF EXISTING ROOF AND SHEATHING; RESHEATH AND REROOF tEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ELK, 25YR APPLICANT: TEL. O: I SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 1 AC STRONG MOTION RES D 4800.00 VAL 0.50 SPECIgL CONDITIONS: ' l�2 PERMIT W/0N 800.00 VAL 132.60 ; OF E 160.85 CONTRACTOR: TEL. NO: O J �/�A APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETB CKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FOR S LIC. NO: L 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING 14AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: C `- n/`� UNDERFLOOR INSU LATION 144H273 3 WULDSUC WOu u v3FLOOR SHEATHING . OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS NO 21a 0 ; ;; ROOF SHEATHING SCHOOL WITHIN -RAA� �S�RDO --�� Y t►� SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS ❑ J NO NO NO El a�5 FRAME INSPECTION REQ R D TOTAL SETBACK FROM EXIST �/b� El IRSPRINKLER HANGERS FRONT PL- REQUIRED L-SIET BACK YARD: HWY: PROP LINE: WIDTH: �L+ S@PViCe'Th�t�V INSULATdON/WEATHER STRIP SIDE PL- INTER106 LATH/DRYWALL EXTERIOR LATH RATED,FOOR/C ASSRATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR,CEILINGS I ' 0 DRAI AGE REPORT ID: DPR261 ROUTE TO: BS0508 I