HomeMy Public PortalAbout4836 RYLAND AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING� � �®�
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING Jf �1 DISTRICT J PLAN CK. NO. PERMIT NO.
ADDRESS ®
LOCALITY RECEIVED
CEI;E-DIBY DATE OF APPL. DATE ISSUED
NEAREST
CROSS ST, .•� !�'�+ 9Ui'CDING
ADDRESS
OWNER ✓IA ." 1 J ��/,*.e c
MAIL q / ``� LOCALITY
ADDRESS J& Y � +„L(!, A— NEAREST
�Qf
TEL
CITY ►(�/ /9� CROSS ST. /�p►1r�yLrlr� �_�
i ���/ NO. ��d pJ/ ZFIRE ONE I PLANSPE IG
P (I
ARCHITECT OR TEL. e
ENGINEER NO. BLDG. ,rte ORD. NO.
+
ADDRESS
SETBACK LINE
`�`
//JJ � �' APPROVED
CONTRACTO��/da J'-.a Q�j�Z ��
TEL ; USE
DATE
J PROVED
ZONE `•/ BYDATE
ADDRESS HOUSE NUMBERING
i
' LEGAL
DESCRIPTION I LOT NO. BLOCK `� MAP NUMBER FIELD CHECK BY
TRACT / / V NO. ASSIGNED BY_-------MAT”
NO. OF SLOGSQ r• CORRECTIONS �I
SIZE OF LOT 3 NOW ON LOT 17
USE OF I NO. OF of a
EXISTING BLDG. �i FAMILIES —
DESCRIPTION OF WORK '
NEW IALTERATION I I ADDITION
REPAIR I I DEMOLITION I J I U
y SQ. FT. /O ® NO. OF
SIZE ROOMS ST IES Y
EXT. WALL ROOF
COVERING /�f�(i�j! I COVERIN
UBE OF STRUCTURE /1 y✓®tea - •,/,
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION r'
' PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS ��r •c• ��
CORRECT. r
! AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, �-
HERKON AND WIT ALL COUNTY O NANC 6 AND S E BRACING, BOLTS
LAWS REGULATI G BUILDING CO7"X_
��'CTIOjj
U ��w r" ' / &,, FURNACE: LOCATION.SIGNATURE OF ,r► GAS VENT, DUCTSPERMITTE dr" • ✓✓
(/ J/! JL-r� LATH, INT.
. ADORE rr� �9�.�'' � C 2 w
LATH, EXT. i
AUTHORIZED AGT. !/
PLASTER, INT.
76ABBBA- Dasa to-so `P. C.
® �� FEE ��' PLASTER, EXT.
VALUATION FEE $� p FINAL .�,/.c�•� '� fell�`
WORKERS:COMPENSATION DECLARATION
' -�'I herebq a
iffirm ,}hat I have a certificate of consent to self APPLICATION FOR B U I L D I I '- PERMIT
nsure, .or a certificate of Workers' Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES 11166D'ING AND SAFETY
Policy No. Company BUILDING
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS ��I 10—YL—/4'N& Aj6
Date Applicant CITY ZIP 1*1713o LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT SI3S•y r NOW ON LOT f NEAREST
CROSS ST.
COMPENSATION INSURANCE ASSESSOR ,� p 2
(This section need not be completed if the permit is for one TRACT 7/O J BLOCK LOT NO. MAP BOOK d p� PAGE ��d._. PARCEL9dJ
hundred dollars ($100)or less.) TEL USE ZONE
OWNER /V9�rn� GLYf1�7�' NO. �/� 73 MAP NO. /
I certify that in the performance of the work for which this C2J�1�8S- D ---
so
__
permit is issued, I shall not employ any person in any manner ADDRESS ' / /p A-"b J'i'/E 7�3 /� �` CONDITIONS , -----,- n
so as to become subject to the Workers'Compensation Laws. L i _�:L: O
CITY 'E°a'P1PGZ CfZIP /7�.� __ _ _
Date Applicant ARCHITECT OR TEL. a'/ f.t F ���-0
pP DISTRICT GROUP TYPE FIRE''` : PROCESSED Y
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER D/I-V/d 6ff*NC7- NO. - #D CONST. Z
Exemption, you should become subject to the Workers' r y i fE
Compensation provisions of the Labor Code, you must forth- ADDRESS .1-'fq(� N. -)W�QstZ S-67M6 ti) ��o `� ✓ ,,,;r :�~: W
with comply with such provisions or this permit shall be TEL. a STATISTICAL CLASSIFICATION 1 F •AP. CONDO. °`-Z
deemed revoked. CONTRACTOR V/ N NO. . I !: „ . /�� / _
LICENSED CONTRACTORS DECLARATION . . . • LIC. CLASS NO.�DWELL. UNITS
ADDRESS .Z �/ :,,+
I hereby affirm that I am licensed under provisions of Chapter 9 ' �� g NO. SEWER MAP 't* I;- i ;f;' ;,::' 1
(commencing with Section 7000)of Division 3 of the Business -7r? #8 LIC. ' `�.J fJi�.-
and Professions Code,and my license is in full force and effect. CIN LASS BK. PG. 879'YALIDATION iy? 7;:,
SQ. FT. NO. OF NO.OF CHECK
License Number Lic. Class SIZE• ' STORIES FAMILIES f ONE
VALUATION _
Contractor Date DESCRIPTION OF WORK NEW i❑i�..I1 $
L�l ► •r•-t...i °7 y
❑I am exempt under Sec. X11~) /g"�/1 TlO� ADD ?i
ALTER ® ( �•" : - �•f
B.&P.C. for this reason ���� /3717/1, r('77�//�7C1.L�47¢AG�" REPAIR ❑ $ } _3 Y1-•
Date: USE OF I F=,
EXISTING BLDG. :-LC 1-1 11-11 DEMOL ❑ sI} ^sem- = '
Signature APPLICANT TEL. FINAL
(PRINT) ' �//l� ( I�°/U L1l' NO. DATE �' r.,F {F a
OWNER-BUILDER DECLARATION ��'�Z t•h�v,i . it1°
1 hereby affirm that I am exempt from the Contractor's License DRESS ���0 SffN ( tB21�Z./3GVD N+' F - :":C'
Law for the following reason (Section 7031.5, Business and FINAL /� _; ;F(�_+L ,
Prof ions Code): PRESENT By /G ,
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.) W MOVING TEL. (� ' s ! f;1� ?•��
❑ 1,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 EXIST.
CONSTRUCTION LENDING AGENCY O 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 �f, i
P.C. Fee$ 411-7111,0,3'
1 Q Permit Fee A:J AAA Ref.#
Lender's Address
I certify that I have read this application and state that the Issuance Fee / 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 U)—AAA Perm. #
r and hereby authorize representatives of this County to enter
on the above-mentioned property for inspection urpcses.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applic t or Agent Date
WORKERS' COMPENSATION DECLARATION
'v f hareby affirm'thai I have a certificate of consent to self
insure,'or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. - Company
BUILDING )/
Certified copy is hereby furnished.. FOR APPLICANT TO FILL IN ADDRESS -'(
❑ Certified copy is filed with the-county building inspec- BUILDING g I ' 41•n.
tion department. ADDRESS
Date Applicant CITY ? ZIP .1LOCALITY, - 1�-
NO. OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT J? NOW ON LOT CROSS ST.
COMPENSATION INSURANCE ASSESSOR [�
(This section need not be completed if the permit is for one TRACT' I1 [a BLOCK LOT NO. MAP BOOK $5 a 5 PAGE 0 0 PARCEL 003
hundred-dollars($100)or less.) TEL• 7 USE ZONE Ati►P
OWNER QQNt, NO. 5[ � NO.
I certify that in the performance of the work for which this �'/ p /►
permit is issued, I shall not employ any person in any manner ADDRESS 1 1 � -`l fdt7 C �_ SPECIAL a
'so as to become subject to the Workers'Compensation Laws. a CONDITIONS O
CITY a �� ZIP 1 U
Date Applicant ARCHITECT OR TEL, W
NOTICE,TO APPLICANT: If, offer makingthis.Certificate of ENGINEER 1�+�1p NO -{r71 DISTRICT WGROUP.JTYPE FIRE PROCESSED BY O
CONST. ZONEExemption, you• should become•subject to.the Workers' �/ 2 w
Compensation provisions of the Labor Code, you must forth- DDRESS '2'Zl� ' ��l J a
with comply•with such.provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. Z .
deemed revoked.. NTRACTOR NO.
CLASS NO. DWELL. UNITS=/
LICENSED CONTRACTORS DECLARATION. ADDRESS NO
I hereby affirm that I am licensed under provisions of•Chapter" .9 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business LIC.
and Professions Code,and my license is in full force and effect. CITY CLASS BK PG. VALIDATION
SQ:FT. NO. OF NO.OF CHECK
License Number Lic. Class SIZE STORIES FAMILIES ONE
VALUATION
Contractor pate DESCRIPTION OF WORK NEW ❑ $
ADD ❑
❑I am exempt under Sec.
• - ALTER ❑
B.&P.C. for this reason REPAIR ❑ $
Date: USE OF
IXISTING BLDG. to . DEMOL ❑
Signature APPLICANT 0 TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO DATE
I hereby affirm that I am exempt from the Contractor's License
Low for'the following reason.(Section 7.031.5, Business and ADDRESS FINAL
Pr sstons Code): PRESENT By s
BUILDING (tir•:•i a
� . I, as owner of the property, or my employees with ADDRESS
wa es as their sole com ensation,will do the work and
9 P ; Jii r f o r
the structure is not intended or offered for sale(Section LOCALITY - ra
/ 7044, Business and Professions Code.) CONTRACTOR NO. S Ir Ci f'-'
❑ I,as owner,of the property,am'exclusively contracting TOTAL
�I�• �� 7'
with licensed contractors to construct the project.(Sec-
ADDRESS
tion 704'4, Business and Professions Code.)-
REQUIRED CHECK
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP:LINE WIDTH r
I hereby affirm that there is a construction lending agency for FRONT �1H11C e Ips
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE j
Lender's Name -
ii P.C. Fee .�.0 LDMA Ref.# ► �.C1`L) 1 y u ?
Lender's Address $ Permit Fee ;� I -E
I certify that I have read'this'applicatiori and state that the Issuance Fee LDMA P/C# ,
'- above information is correct. I agree to comp�ly with all County Investigation'Fee /2
ordinances and State laws relating to building construction, Total Fee /O LDMA Perm. #
and hereby authorize representatives of this County to enter
7je�above-�menti edproperty for inspection purposes.
•_�! T - SEE REVERSE FOR EXPLANATORY LANGUAGE .
Signature of Applict or Agent Date
COUNTY OF LOS ANGELES . TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0106270057
PHONE: (626) 285-0488 EXT:
CONSTLEGAL ID: NO. Of ! BUILDING ADDRESS:
TR: 17107 LT: 7 SQ. FT STORIES TYPE OCCUP GROUP 4841 RYLAND AV
STRUCTURE: 209 1 VN R3 TEMP CA 917804034
ASSESSORNUMBER: GARAGE: NEAREST CROSS STREET: LOWER AZUSA
8585-010-003 OTHER: THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY
TEA E S 0 : TSSUED 0 : P OC R S
EXIST OCC GRP: 08/16/01 UT 02/12/02 .
OWNER: TE . NO: BLDGS. NOW ON LOT: VALUATION: F NAL DATE IN CODE:
UYEDA NAOMI - 1 17,765 �7�0/ J�
4841 RYLAND AV PPPP���
TEMP 917804034 FEESSGftTP�fO'ITO R
ADD ROOM OFF OF KITCHEN
FEE DESCRIPTION: QUANTITY: LION: AMOUNT:
APPLICANT: TEL. NO:
M T C CONSTRUCTION (323) 293-6284- AA BLDG PERMIT ISSUANCE 27.75
5318 S. CRENSHAW AC STRONG MOTION RES_I.D 17765.00 VAL 1.78 SPECIAL CONDITIONS:
LOS ANGELES, CA 4 AX BUILDING REV.IEW=FEE�_ 7 � 54.70
D2 PERMIT W/.O-EN=HC Ei ES-17-765-.00 VAL 351.00
J// AL��FEES�'e 435.23
CONTRACTOR: EL. 0: �// s 5 . APPROVALS ATE INSPE
® CTO SIGNATURE
MTC CONSTRUCTION (323) 293-6284- /j'.,�%":s,
5318 S. CRENSHAW LIC. NO /4, �• '"=> �'•°� LOCATION NDSETBACKS
LOS ANGELES CA 91143 7365168
;'� i' - `+++E. SOILS ENGINEER APPROVAL
Z To-aOXTrU97TRENCH FORS
t
LIC. N0: ' - - i -- SLAB/UNDER FLOOR
ai
RAISED FLOOR FRAMING
--- --------------- - --------
MAP N0: SEWER MAP 8O0K: PAGE: FIRE ZONE: CMP: i _i; I Ii `, F,' �,1 i, ° UNDERFLOOR INS LATIO
3 X01° :i' `�L I'�' ��. '` >_ '� r
ST LEVEL FLOORSHEATH
OF FAMILIES: DWELLING S: CO D: STAT CL S ------- -- - — -- ---NO 21 '+;' - ;' ,j j=, 1 -- -- - D LEVEL FLOOR SHEATH
I-A-
SCHOOL WITHIN HAZARDOUSROOFSHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO �NO FIRE DEPT. FRAME INSPEC
REQUIRED TOTAL SETBACK R EXIST it '
BLDG DEPT. S C
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- \rte."bjeE;aFf�'%`�' SHEAR PANE S
SIDE PL-
FRONT
t
INSULATION7 M THER STRIP
INTERIOR LATH/DRYWALL
�O 5
EXTERIOR LATH
2
OT
DRAINAGE—
T C D V C S
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BSO5O8
I _
MEDT rf Oft OF BDaMG AND SAFETY APBUILDING
PLMATION FOR PPI�T
COUNTY OF LOS ANGELES ®� I L®I 1`i�
WM. J. FOX. CHIEF ENGINEER
FODa ZO Fm IN FOR GEEK= = ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
BUILDING
ADDRESS 1r 34$r3-�` $OT3T�3L
LOCALITYR ED DATE OF APL DATE ISSUED
NZAREW
CROSS sr. mUTLoING
ADDRESS
OWNER let
MAIL LOCALITY T- C
ADDRESS l MARKET
'1 E CROSS ST. 1
CITY NO FIRE NO.ORUP
Wt
ARCHITECT TKL ZONE PLANS 'L --jO wd J
ER
ENGINENO. BLDG.ADDRESSCK LINE J O D. NO.
ADDRESS APPROVED
TEL BY DATE
NO. USE APPROVED
ZONE BY DATE
ADDR HOUSE NUMBERING
LEGAL
OKSCRIPTION LOT NO. BLOCK MAP NUMBER e1KLD CHECK BY
TRACT 17 I d NO. ASSIGNED NoBY DA
BI"mGB.
SIZE OF LAT d I NOW.of ON LOT
O. or 00A
EXISTING BLDG.UNKOF RJOu IUM i y0 rgo
DEMO wing I IOF W=
NEWA T:MRATION I I ADDITION I dI
REPAIR I DEMOLITION
•Q. FT. NO. off
slZi a 0 ROOMS RIES S
•
WIT.WALL �1 I ROOP r
COVERING �i COVKRIN aA+
Uss OP STR •
r /
J
+ INS P66O CRre NIGNATO ff. DATE
1 HONEST ACKNOWLEDGE THAT 1 HAVE READ THIS AR FOUNDATION.LOCATION /
PLICATION AND STATE THAT THE INFORMATION GIVEN 10 FORMS. MATERIALS
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAMEi FIRE STOPS. r� _
IRKR�N AND WI ALL COUNTY ORDINANC AND STATE BRACING. BOLTS
LAWS RKGULATI rjj 21g&-7 G UQ1 FURNACE.LOCATION. &
rA
SIGNATURE OF GAS VENT. DUCTS
LATH. INT.
ADD +
LATH. MT.
AUTHORIZED AST.
PLASTER. INT.
7�1►OM•oew W-W s R... s / r
® 7 Zoo m PLASTER. Orr.
VALUATION FQ a Z Q bb FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1004280023
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 17107 IT: 37 SQ. FT STORIES TYPE 4836 RYLAND AV 1
I ISTRUCTURE: 1020 V-B TEMP CA 917804032
ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: LOWER AZUSA
18585-011-017 1 1 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl
TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1
EXIST OCC GRP: 105/03/10 SR
OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DAT FI Y: CODE:
[SEAN, DUONG (626) 374-8488- 16,000 I /�� ,i� AV
4836 RYLAND AV � I
TEMP 917804032 FEES PAID IDESCRIPTION OF WORK
REMODEL KITCHEN, BATHROOM AND EXCHANGE WINDOW ONLY AT
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IBATHROOM
APPLICANT: TEL. NO: I I 1
KYLE LUQ (626) 374-8488- ID7 ADDNL PLANCHECK FEE 1.00 HOD 109.35 1
18802 GUESS STREET 1AA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS:
1ROSEMEAD, CA 91770 JAB STATE GREEN BLDG FEE 16000.00 VAL 1.00
1AC STRONG MOTION RESID 16000.00 VAL 1.60
1B2 PERMIT W/ENERGY 16000.00 VAL 349.14
CONTRACTOR: TEL. NO: TOTAL FEES 488.84 JAPPROVALS DATE INSPECTOR SIGNATURE
ILUU, KYLE (626) 374-8488- 1
18802 GUESS STREET LIC. NO ILOCATION AND SETBACKS
IROSEMEAD, CA 91770 942174 B I
I (SOILS ENGINEER APPROVAL I I I
1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS I I I
LIC. NO: I ISLAB/UNDER FLOOR I I I
1 I [RAISED FLOOR FRAMING I I I
I I I I I I
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I
144H273 300
[ IFLOOR SHEATHING [ I [
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I [
NO 21 I IROOF SHEATHING I I [
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS [ I I I I
1 NO NO NO [ 1FRAME INSPECTION 1 1 1
1 IFIRE SPRINKLER HANGERS [
I I [ I I I
[ [INSULATION/WEATHER STRIP I������(�-
I I NTERIOR LATH/DRYWALLf.
[ 1EXTERIOR LATH I I I
[ I IRATED FLOOR/CEIL ASSEM. [ I [
[ [ IRATED WALL ASSEMBLIES I I I
I I [
I
IRATED SHAFTS/OPENINGS I I I
IT-BAR CEILINGS I 1
ILOT DRAINAGE I I [
I IREPORT ID: DPR261 ROUTE TO: BS0508 [ I I I
I I [ I I I