HomeMy Public PortalAbout4848 RYLAND AVE_Building__ DEPARPONT of"9U=WG AND SAFETY APPLICATION FOR PERBUT
COUNTY OF LOS ANGffi.S8 BUILDING 1
WM. J. FOX. CHIEF eNalmust
FOS TO ru m FOS OW= = MY
BUILDING /� d DISTRICT N PLAN CK.NOS.,/ PERNIT NO.
ADDRESS T TAM .348»- 137 1 Sosir-"
LOCALITY AtirRECe1VKD BYf DATE OF APP DATE ISSUED
NEAREST
CROSS ST. h BUIL N
ADDRESS y
OWNER or
MAIL J LOCALITY G.
ADDRESS NEAREST
CROSS ST.
CITU NO
ARCHITECT OR TE
ZONE PLAN@ 3. ORO
L UP
ENGINEER NO. BLDG. ORD. NO.
SETBACK LING
ADDRESS APPROVED
T111L. BY DATE
CONTRAC NO. ZUSE ONE APPROVED DATE
i
ADDRMI HOUSE NUMBERING
DeSC GAL ON LOfr". j BLOCK `d • MAP NUMBZI+ � 10 FIELD CHECK sY
TRACT / 7 t O NO. ASSIGNED BY DAT
NO.OF BLD Ci OltB
SIZE OF LOT13 X 3 Now ON LOT
Use of NO.OP ,
EXISTING BLDG. FANIUo led /r
mcm OW WOS>< ffJ�
NEW 160orALT49RAT,O. I I ADDITION
REPAIR DEMOLITION I .D9
J 0
' B17i a
30 ROOMS RIESMT.WALL Roar
/ z
COVERING �4 I COVERS
USE OF ST ^ w
«+•r:
INS SPZCTOR' SIGNATURE DATE
1 NERNST ACKNOWLEDGE THAT 1 HAVE READ THIS AP- ' FOUNDATION:LOCATION
PLICATION AND STATS THAT THE INFORMATION GIVEN IS FORMS. MATERIALS ✓ d,i
CORRECT.
1 AGRB< TO COMPLY WITH TiLm CDRRECTIONS LISTED FRANKS FIRE STOPS.
HERBDN AND W ALL COUNTY WROfflANCINIOAND 81'ATE BRACING, BOLTS
LAWS REGULATING COP11111M CTIoj4 FURNACES LOCATION. L
! SIGNATURE OF &.., am VENT. DUCTS
PERY
LATH. INT. 1�
ADDRESS •� / i
LATH.
AUTHORIZED AM
76APLASTER. INT.
o8A•ow 10-MS 7Z�' Rte, i / .
PLASTER. sXT.
i
vALuwnoNFee 'd.e/ C3 FINAL
' WORKERS'COMPENSATION DECLARATION
sreby,affipm that I have a Certificate of consent to self APPLICATION F®9� BUILDING PERMIT
insure, or'tt certificate of Workers'Compensation Insurance,
or a certified copy thereof($04 om
3800, Lob. C _ r
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No.(�Zf ?' �f ((jj Company❑ —crt/i r/ �1 l �f Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS
G
❑ Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS
Date l I - Applica �� e� CITY 1 -�, t ZIP LOCALITY
CERTIFICAT OF EXEM ION FROM WORKERS' NO.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR
hundred dollars($100)or less.) MAP BOOK PAGE PARCEL
//'� EL. USE ZONE O _ Z
I certify that'in the performance of the work for which this OWNER ✓I NO.
permit is Issued, I shall not employ any person in any manner ^/ SPECIAL
so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS
Date Applicant CITY • ZIP
NOTICETO APPLICANT: If, offer making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP FIRE ESSED BY O
Exemption, you should become subject to the Workers' ENGINEER NO. NS ZONE y V
Compensation provisions of the Labor Code, you must forth- ADDRESS ,�� a,
with comply with such provisions or this permit shall be �r TEL. [t STATISTICAL CLASSIFICATION APT. CONDO. N
deemed revoked. CONTRACTOR �l1S�� �L Np.S�T`��47 Z
LICENSED CONTRACTORS DECLARATIONl< LIC• /I /� CIASS NWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS O. O• D
/�L� /-a -� NO. `7 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 6t/'+ (11 C/ CLASS BK PG VALIDATION
SQ.FT., NO OF NO.OF CHECK
License Number 's Lic.Class SIZE STORIES FAMILIES /, ONE
� �LL— DESCRIPTION OF WORK ry G� � AlJt 'T .G NEW ❑ VALUATION
Contractor ���h T Date
ADD ❑ $ �0 -L/v
I am exempt under Sec. ,7 sF �( S-#— ❑
8.8P.C. for this reason f✓ao �+� ALTER
REPAIR ❑ $ �047.2A
Date: USE OFEXISTING BLDG. 3 f y \ 17��'// 7 DEMOL ❑ # 0-o 0 0 21
Sig a APPLICANT TEL. FINAL Q J a o 26625
ER-BUILDER DECLARATIO PRINT M NO DAT �J o 0 0 2(�2 5
I hereby ffirm that I am exempt from the Contractor's License 0 R1 8-88u—88
Law for the following reason (Section 7031.5, Business and ADDRESS FIN
Professions Code): BUILDING
By 110[� _
❑ BUILDING LJy,�
I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and ® 0
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL. 0 8 1 $'`8
❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
REQUIRED YARD HWY TOTAL SETBACK FR
CONSTRUCTION LENDING AGENCY
SET BACK PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name // a67, p.
S P.C.Fee$ 1:Z& Permit Fee 9` 3 O LDMA Ref. #
Lender's Address
is5-9
I certify that I have read this application and state that the Issuance Fee 0' LDMA P/C R
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Tocol Fee s (J LDMA Perm. li
Z and hereby authorize representatives of this County to enter
$ upon th above-mentioned property for inspection purposes.
$ .i{X•. �/ SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Dat �/
y M '
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 0104180013
PHONE: (626) 285-0488 EXT: i
LEGAL ID: NO. OF __CONST I BUILDING ADDRESS:
TR: 17107 LT: 35 SQ. FT STORIES TYPE 4848 RYLAND AV
STRUCTURE: 2000 VN TEMP CA 917804032
ASSESSOR INFORMATION NUMBE : NEAREST CROSS STREET: LOWER AZUSA
8585-011-015 I THOMAS PAGE: 597 GRU: B5 LOCALITY: TEMPLE CITY
I
TENANT: S BDG : SFR USE ZONE: X ISSUED ON: PROCESSED EXPIRES ON:
EXIST OCC GRP: 04/18/01 UT 10/15/01
i
OWNER: TEL. NO: LDGS. NOW ON LOT: VALUATION: FINAL• DATE w, -A4
CODE:
HA TOMMIE W;ELEANOR Y (818) 442-3443- 2,000
4848 RYLAND AV � ��B
TEMP 917804032 FEES PAID DESCRIPTION OF WOR
RLARUOF ON SFR W/_ A G RAGE (&A EXISITNG. APPLY 30YR.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CLASS 'A' �(__(�\��\
IC
WEATHERITE ROOFING (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75
4251 BALDWIN AVENUE AC STRONG MOTION RESID 2000.00 VAL 0.50 SPECIAL CONDITIONS:
EL MONTE CA 91730 02 PERMIT W/p EN_HC=---' 2000.00 VAL 82.20
_
VN,°GELFS c EES �� 110.45
CONTRACTOR: TEL. NO: CJ Aa��\• APPROVALS DATE INSPECTOR SIGNATURE
WEATHERITE ROOFING (626) 287-0669- LOCATION-AND SETBACKS
/
4251 BALDWIN AVE LIC. NO
ELMONTE CA 91731 HIC
* 44,E (r (•� ��.!�\ ��� SOILS ENGINEER APPROVAL
C TEC OR E GI R: TEL. _.r,_
FO DAT OTR NC 0 S
LIC. NONj.� _ i �� I ,;`- 1 SLAB/UNDER FLOOR
RAISED FLOOR FR ING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I•
XX 3 0,1 r I ,1 rl I I!I ��r�1����� I' ,�I�'{ <<� UNDERFLOOR INSULATION
r'L FLOOR SHEATHING
0. OF FAMrEfffl.-DWELLINGS: P 0 D: S CLAS
S: - - ------- — - --- ---- ---- ROOF SHEATHING
21 r
SCHOOL WITHIN HAZARDOUSM`' L,/ "
�-
AIR QUALITY: 1000 FEET MATERIALSpv
NO NO NO "'�z5fl"r.71/I `fse� FRAME INSPECTION
REQUIRED TOTAL SETBACK RO IST L f any% IR SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: a�\!c _
FRONT PL- se ^>�a� INSULATIO FATHER TRIP
SIDE PL- `� '�_
I TERIOR
�1/ICG
EXTERIOR LATH
RATED LOOR/C SS M.
RATED ALL ASSEMBLIES
RATED-SHAFTS/OPENINGS
-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: SS0508
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