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Home My Public Portal About4831 RYLAND AVE_Building__ I DEPARTMENT QF,BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ®� WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING 6 ,, DISTRICTJNO. PAN CK. NO. PERMIT NO. 1 ADDRESS IG.`GR�G�. � a :? I ,C' `� 505-31'' q RECEIVED BY DATE OF APP / DATE ISSUED LOCALITY �� `! •.: �'�f, /sem+,�/ //+L NEAREST Ja /� �y1 J , �V �/ �� CROSS ST. 1/ '°'r//(/dr �� BU DING /� OWNER �V//Wr�i'Lii e �� :l�L._-' C.b ADDRESS MAIL LOCALITY : ADDRESS x /v ° 3"6l, LCA d/-,� NEAREST ` ��/P�j �G'� ( TE. 1 ��! 0 CROSS ST. CITY ARCHITECT OR U TEL. ZONE P ANS y I G=°e aJ ENGINEER NO. BLDG. ORD. NO. SETBACK LINE Lv 121 ADDRESS APPROVED TEL BY DATE } CONTRACTO A,,4 NO. USEE/ , APPROVED ZONF��' BY DATE ` ADDRESS HOUSE NUMBERING F ' LEGAL DESCRIPTION I LOT NO. I BLOCK MAP NUMBER D FIELD CHECK BY TRACT 1 /✓/` Q NO. ASSIGNED BY DATE �` I NO. OF BLDGS. ';., ORRECTIONS SIZE OF LOT p El NOW ON LOT . 1 _ / ei 0 I o I USE OF I NO. OF`� 6 EXISTING BLDG. FAMILIES DES RIPTION OF WORK NEW I ALTERATION I I ADDITION REPAIR I I DEMOLITION I I I A SQ. FT. NO. OF / 'n SIZE /Q ROOMS STOlES ( Z EXT. WALL �7 � �y� I ROOF /1 �� ID' COVERING vL%�7 COVERING Fe/iY USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPSr HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDIt4G CONSTRUCT ON. FURNACE: LOCATION, SIGNATURE OF !�Alsb GAS VENT, DUCTS / t PERMITTEJ -/ /! � V -;F-414.0 ./4 ��1• a� LATH. INT. ry ADDRESS I I LATH, EXT. AUTHORIZED AGT. "�. PLASTER, INT. 7SA695A• DBSS 10-50 $ P. C. $/' / ® : FEE n.. PLASTER, EXT. VALUATION $ CSO FEE FINAL 76A638A CE#803 5-65 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS x/l � Q BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSAUP'T OF BUILDING CROSS ST. DISTRICT NO. GR TYPE PROCESSED BY FOR APPLICANT TO FILL IN �6 CONST - .� BUILDING Q' f ` STATISTICAL CLASSIFICATION SEWER MAP J ADDRESS U 3 / /��/_� C CLASS NO.�DWEL•L UNITS BK_j PG LOT NO. Ste' BLOCK USE ZONE MAPS lllf/v v NO. �V TRACT / de-I SPECIAL gOX S NO. OF BLDOS. ®� CONDITIONS SIZE OF LOT T NOW ON LOT USE OF EXISTING//BLDG. 14 BLDG. SETBACK FROMFRONT NE OWNER �I C� IPC.V-ROL G �� TYPE OF PROP. EXISTINGSETBACKSET`BiACK HIGHWAY [i-//•'YYAAR13 _ ( TOTAL) ADDRESS U 9-'3 h l•f IJ HIGHWAY WIDTH FROM C.L. r + CITY /= I`N AL � ARCHITECT OR C BLDG. SETBACK FROM TEL. I ENGINEER n IJ ' NO. /Q SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 'so'L( �QSFJ•., "dCI HIGHWAY WIDTH FROM C.L. TEL. �/y�s�4 .+�s'� + CONTRACTOR NO ADDRESS LNO IC CORNER CUTOFF YES• NO U CITY c�Ass 'SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK41.6 h ® tea NEW ADD ALTER REPAIR DEMOLISH I �ss N SQ.FT. NO. OF NO. OF SIZE Od STORIES FAMILIES •"I �f ... USE OF S �— I �f`!/ a�r f�r!7sd STRUCTURE SIGNATURE OF APPLICANT VALUATION$ STi G� APPROVALS DATE INSP ECjTOR'S SIGNATURE �J UNDATION, LOCATION FEE$ FEE$ �+�vu FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT n. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACEI 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- LATH. INT. TION OF THE LABOR CODE OF THE B T F ALIFORNIA RELAT- ING TO WORKMEN'S C PENSATIOf. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR PERMITTEE ,( RECT AND POSTED A ADDRESS C- FINAL' —) JOHN F. LEWIS. PRINCIPAL STI RAL ENGINEER PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALIDATION• CK. . M.O CASH Nl,a�: 6 6 0 'JUN 2 1 D 22.00- WO KERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FORBUILDING P E RM I T insure, or a certificate of Workers' Compensation Insurance, 2o a certified copy thereof Sec. 3800, Lab. C.) �b �oRs pony ge9l P PN COUNTY OF LOS ANGELES BUILDING AND SAFETY o is No In ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING - ADDRESS 0--,Certified copy is filed with the county building inspec- BUILDING /� S,-5 tion department. ADDRESS CIlP O! ZIP Date PPlicant l-/ !yrL U LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT 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 ($100)or less.) TEL. OWNER Q�e�� / /jQ/V�PJ�°NOLf/f .J.47 USE ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner ADDRESS SPECIAL nom. so as to become subject to the Workers'Compensation Laws. / . CONDITIONS O CITY -P/`! l•P Z�/7L zip Date Applicant ARCHITECT OR TEL. 0= NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' ,/ U CONST. ZONE 0 Compensation provisions of the Labor Code, you must forth- ADDRESS / p0 - a with comply with such provisions or this permit shall be f r JEL• 6 STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. N / /%/1 O. O/ 79 �_' Z_ LICENSED CONTRACTORS DECLARATION n / LIC. - �cy CLASS NO.�DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 7 h� M {�� ' NO. 77�s (commencing with Section 7000)of Division 3 of the Business SEWER MAP and Professions Code,and my license is in full force and effect. CITY u��1,541 V-0 CLASS VALIDATION G BK. PG. License Number�`5^� 9�Lic. Class C'J ` SIZE F�C$(�[� STORIES / FAMILLIIES ` ONE VALUATION /5 l �� %`%� �00�� G fD-� I DESCRIPTION OF WORK N ❑ VA7LUATLION O� Contrbcior Date 7 Y $,J,0,7-a), ❑I am exempt under Sec. � ADD ❑ ► BAP.C. for this reason IL/�T r /��N�40 v 4-116/J— REPAIR ❑ALTER $ Dare: USE OF EXISTING BLDG& I-r!%1,116; �} �/(. DEMOL ❑ Signature APPLICANT TEL. pr FINA(PRINT) NO./c5 I�e L.si n` y� OWNER-BUILDER DECLARATION Pi +' DATE Gi ZJ I hereby affirm that I am exempt from the Contractor's License A p ESS ; Law for the following reason (Section 7031.5, Business and �}�Y-?7 FINAL Professions Code): PRESENT • ..By P.�•4�.A BUILDINGI, as owner of the property, or my employees with s ADDRESS ,,77 -, wages as their sole compensation,will do the work and ' •� O�C� _`�(�7 11'�., the structure is not intended or offered for sale(Section LOCALITY ' C 7044, Business and Professions Code.) " MOVING TEL. 1 ITEMS ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. _ with licensed contractors to construct the project (Sec- ADDRESS TOTAL -113. 63�� T tion 7044, Business and Professions Code.) � l�� 1131.tom' CONSTRUCTION LENDING AGENCY REQUIRED TOTAL SETBACK FROM EXIST. SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT CHANGE .00 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. 00 JC-0001 9/10/9^ Lender's Name LDMA Ref. # P.C. Fee$ Permit Fee q 05435 1 + ll-a I3'_ Lender's Address I certify that I have read this application and state that the I . Issuance Fee 7� LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee / ordinances and State laws relating to building construction, Total Fee "11-:f s /a LDMA Perm. # = and hereby authorize representatives of this County to enter u o the o a ovwd property for Ins tion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date