HomeMy Public PortalAbout4902 RYLAND AVE_Building__ DT�AST T OF �i3dimm AND SAFETY AI�DL=ATION FOR PIAT
COUEN OF LOS ANGEM
WM. .1. FOX. CHIEF ENGINEER BUILDING
ING FOS TO Fm mFOS CW= DSS MY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDRESS ove ,1 .3,v8r3-31 So-TAT -Ss
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST
CROSS ST. BUILMO �J
OF ADDRESS ��
OWNER4466A6 t
MAIL , / LOCALITY
ADDRESS �/ NEARKET
TEL CROSS ST.
CITYAWA NO. FIRENO.OF GR
eP
ARCHITECT O TEL, ZONE PLANS L V
ENGINEER ter• NO. SBLDG.ETBACK LIKE
ORD. NO.
ADDRESS APPROVED
L BY DATE
CON �_ �4rNwJ NO
USE APPROVED
DATE
ZONE
ADDRESSHOUSE NUMBERING
DECRIFTION I LOT NO. 3 BLOCK �_ ' MAP NUMBER Zo 110--YIELD CHECK BY
TRACT /7,107 NO. ASSIGNKD BY DATIL
SIZE OF LOT 6 NOW ON LOT P94& C
OHRECTMM
USE OF NO.OF ogia
EXISTING BLDG. FANIUM '/A wslo
DSSCEMPTON or won
NEW I ALTERATION I ADDITION I
' REPAIB O DEMOLITION B
B
emu I D3 O "ROOMS Fronsom • :
EXT.WALL �J I ROOF
ego COVERI
USE OF MTN or
APPR"m
I PlCT0JVM SIGNATURE DATE
1 HEEEBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION:LOCATION
PLICATION AND STATi THAT THE INFORMATION GIVEN IS FORMS. MATERIALS
CORREST.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME:FIRE STOPS.
•NEEBON AND WI ALL COUM f ORDINANC AND STATE BRACING, BOLTS
LAWS REGULATI G 1 ING ` CTIO f,� :r
(-Ih`�� Q FURNACE:LOCATION.
SIGNATURE OF GAS VKHT. DUCTS
PEEMI
LATH. INT. rI
ADD
LATH. EXT.
AUTHORIZED ACT.
7WElA•OEY Ili W $ P.C. /Ir HEXER. INT.
®
7"co REE Yr PLASTER. EXT.
VALUATION FEE S2.6I b.1 FINAL �• y/�Ii :'1.►
'r WORKERS' COMPENSATION DECLARATION
APPLICATION FOR BUILDING PERMIT
I hereby affirm that I have a certificate of consent to self
insure, or a certificate of Workers' Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company BUILDING �
ElCertifiedcopy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ��ti z
❑ Certified copy is filed with the county building inspec- BUILDINGAIA
'.n
tion department. ADDRESS mm //�� Tim
CITY ZIP IAV LOCALITY
Date Applicant O.OF BLD NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT OW ON LOT CROSS ST.
COMPENSATION INSURANCE /ItASSESSOR
(This section need not be completed if the permit is for one TRACT Q� BLOCK LOT NO. J 7 MAP BOOK 0;L r PAGE PARCEL ?Jhundred dollars ($100)or less.) TEL,
OWNER 1"W NO. USE ZONE MAP
1 certify that in the performance of the work for which this NO.
SPECpermit is issued, I shall not employ any person in any manner ADDRESS `l ICONDITIQNS a_
so as to become subject to the Workers'Compensation Laws. O
��L] ��1//�� CITY ZIP
Date-Tr r 1-t/ !Applicant Chu r I a ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PRO ESSED BY O
NOTICE TO APPLICANT: If, after making.this Certificate of ENGINEER NO. CONS ZONE
Exemption, you should become subject to the Workers' 03
Compensation provisions of the Labor Code, you must forth- ADDRESS !� w
N
with comply with such provisions or this permit shall be �L• STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. CONTRACTOR NO. —
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE NO.
(commencing with Section 7000)of Division 3 of the Business
LIC. SEWER MAP
and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION
SQ. FT. 10 NO. OF NO.OF CHECK
License Number Lic. Class SIZE �V:J u/ STORIESFAMILIES ONE
' VALUATION
Contractor Date DESCRIPTION OF WORK NEW ❑ ; /—/}n
❑ J(/(J pop.I am exempt under Sec. ` ADD 1:1
ALTER tZ
B.&P.C. for this reason In VIM MahREPAIR $
Date: USE OF
EXISTING BLDG. DEMO. ❑
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) (� NO.
I hereby affirm that I am exempt from the Contractor's License n /� DATE C/
Law for the following reason (Section 7031.5, Business and ADDRESS 0a �i �lJ IF3307 )119- 25
Professions Code): PRESENT sy'
I, as owner of the property, or my employees with ADDRESS 1 "
wages as their sole compensation,will do the work and `�'- E +�
the structure is not intended or offered for sale(Section LOCALITY , I�•'t 011- -�'-9 '_ _e
7044, Business and Professions Code.) MOVING TEL. -,jtz '�`. k q
CONTRACTOR NO. G�ii _ _
I, as owner of the property,am exclusively contracting ADDRESS a
with licensed contractors to construct the project (Sec- i I EM`'
tion 7044, Business and Professions Code.) TOTAL 59 a 25
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT CHECK 5i}°•+'-5
the performance of the work for which this permit is issued P.L. f U; .t.r
(Sec. 3097, Civ. C.).
SIDE ANG-1 .00
P.L.
Lender's Name -_r
P.C. Fee$ Permit Fee LDMA Ref. # tj{)tE-�I�1()� :/17/35'
Lender's Address
i I certify that I have read this application and state that the Issuance Fee C/ LDMA P/C# 1(349' 1 AN 8°u8
' above information is correct.I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee . LDMA Perm. #
and hereby authorize representatives of this County to enter
upon above-mentioned property for iQspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applica or err Date
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 1305310023
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS: I
TR: 17107 IT: 33 SQ. FT STORIES TYPE
4902 RYLAND AV
STRUCTURE: 1600 V-B TEMP CA 917804035 I
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
18585-011-013 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY CAI
II
ITENANT: 1EXIST BLDG USE: REBID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 105/31/13 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI rTE_� ZXNBY: CODE:
ILAW WAYLON WAI-HUNG - 1 7,000
14902 RYLAND AV rrr
TEMP 917804035 FEES PAID DESCRIPTION OF WORK
I I (REMOVE EXISTING ROOF, INSTALL 1/2 OSB PLYWOOD. INSTALL 30LBI
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT N AND 30 YEAR COMPOSITION SHINGLE FOR HOUSE.
APPLICANT: TEL. NO: I I I
IKANG, DANIEL (714) 670-9223- IAA BLDG PERMIT ISSUANCE 27.80 I_
17908 HOLDER ST IAB STATE GREEN BLDG FEE 7000.00 VAL 1.00 [SPECIAL CONDITIONS:
BUENA PARK CA 90620 AC STRONG MOTION RESID 7000.00 VAL 0.70 I
ID2 PERMIT W/O EN-HC 7000.00 VAL 166.20
TOTAL FEES 195.70
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
DANIEL'S ROOFING (714) 670-9223- I I
17908 HOLDER ST LIC. NO ILOCATION AND SETBACKS 1 I
BUENA PARK CA 90620 709957 C39 I I
IISOIL•S ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: 1 FOUNDATION/TRENCH FORMS I I I
LIC. NO: I (SLAB/UNDER FLOOR
(RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( JUNDERFLOOR INSULATION
1-1
I 3 OOI FLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I -
NO 21 I (ROOF SHEATHING I I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS I_ I I I
NO NO NO I IFRAME INSPECTION 1 I I
I (FIRE SPRINKLER HANGERS I I 1
I IINSULATION/WEATHER STRIPI I I
INTERIOR LATH/DRYWALL I I I
IEXTE$IOR LATH I I I
IRATEO FLOOR/CELL ASSEM. I
1 I IRATED WALL ASSEMBLIES I I I
(RATED SHAFTS/OPENINGS I I I
I 1T-BAP. CEILINGS I I I
LOT DRAINAGE I I
(REPORT ID: DPR261 ROUTE TO: BS0508 I I I I
I
DEPARi'l+�T OF DUEDIIR AND SAFETY yg�� APPLICATION FOR PEDUr
COMMof LOS ANGELES '�� �o �� � �®�
%W. J. rm. CHIEF ENGINEER
ING FOS FUNG
FOOa OIC*= m My
ADINO
DR Orr DIIN BTRIQ�NO. PLANCK. NO. PERdMi O.
NP
LOCALITY 12.4 C 04 R EIV®BY DATE OF APPL DATE ISSUED
NEAREST /
CHOSE ST. BUILDING
ADORIIN
C a►
OWNER .
MAIL ffLOCALITY
ADDRESSNEAREST
S CROSS ST. V fI
CITY NO. FIRE NO.OR TY onar
ARCHITECT OR TEL. ZONE PLANE
KNGINKER NO. BLDG.
SETBACK LINK
ADDRESS APPROVED
my
TEL ;'O 3/
CONTRACTO �• UBK APPROVED ATE
R Y
_ ZONE BY DATE
ADDRESS Q .� HOUBK NUMBERING
LEGALFIELD CHECK BY
DESCRIPTION LOT NO BLOCK MAP NUMBER_
TRACT NO. ASSIGNED A
NO.OFLDG
BS. C �
SIZE OF LOT NOW ON LOT
USK OF NO. OF
LISTING BLDG. �— FANIUM
cr Wcm
NEW ALTZRATION I ADDITION O
REPAIR DEMOLITION
:Q.FT. NO. OF f
SIZE ROME STORIES 7 Pso 0 a'! F 14 Tie. Y s
oo�iiLwINo b G C o RCOOVERING -Fl i-?lF$TAS° 0914 a wMO
USE OF BTRUCTUR
Akw"Am
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIN AR FOUNDATION.LOCATION
1.
PLICATION AND STATS THAT THE INFORMATION GIVEN IN FORMS. MATERIALS �yyN �''a J -A
CORRECT.
1 AGRN TO COMPLY WITH THE CORRECTIONS I.INTED FRANKS FIRE STOPS.
HKRSON AND WITH ALL CO UMY ORDINANCM AND STATE BRACING. BOLTS - +✓
WE REGULATING BUILDI RUCTION. FURNACKi LOCATION.
SIGNATURE OF • • �F GAB VENT. DUCTS
PERMITT
• LATH. INT. ry
ADDR
I;�� LATH. Orr. too
AUTHORIZED AMT.
PLJ1B'I6R, INT.
78AMEA•DBEs fasD ; P.C.B
® AA p� FEE PLASTER, SET.
VALUATION �oY •�-- E r .
FEE FINAL A.r-W-y JZ -"J'�+
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 1305310025
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 17107 LT: 33 I SQ. FT STORIES TYPE I 4902 RYLAND AV I
I (STRUCTURE: 600 V-B I TEMP CA 917804035 I
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
18585-011-013 1 ] THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY CAI
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
1EXIST OCC GRP: 105/31/13 SR 1
(OWNER: TEL. NO: 18LDGS. NOW ON LOT: VALUATION: IFIDATE F Y: CODE: 1
ILAW WAYLON WAI-HUNG - I 1 2,000 VRL
14902 RYLAND AV I I �--f I
ITEMP 917804035 1 FEES PAID IDESCRIPTION OF WORK 1
I IREMOVE EXISTING ROOF INSTALL 1/2" OSB PLYWOOD. INSTALL
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:130LB AND 30 YEAR COMPOSITION SHINGLES FOR GARAGE. I
(APPLICANT: TEL. NO: I I I
IKANG, DANIEL (714) 670-9223- IAA BLDG PERMIT ISSUANCE 27.80 1 I
17908 HOLDER ST IAB STATE GREEN BLDG FEE 2000.00 VAL 1.00 ISPECIAL CONDITIONS: I
IBUENA PARK CA 90620 IAC STRONG MOTION RESID 2000.00 VAL 0.50 1 1
I !D2 PERMIT W/O EN-HC 2000.00 VAL 82.20 1
I 1 TOTAL FEES 111.50 1 I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
(DANIEL'S ROOFING (714) 670-9223- I 1 I
17908 HOLDER ST LIC. NO 1 ILOCATION AND SETBACKS I I
[BUENA PARK CA 90620 709957 C39 I I I I I
I I ISOILS ENGINEER APPROVAL I I I
]ARCHITECT OR ENGINEER: TEL. NO: - 1 ]FOUNDATION/TRENCH FORMS I I
LIC. NO: I ISLAB/UNDER FLOOR I I I
1 I ]RAISED FLOOR FRAMING
E: CMP:] (UNDERFLOOR INSULATION
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE:
I I
1 3 001 IFLOOR SHEATHING I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
1 NO 21 1 ]ROOF SHEATHING I I
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS I I I I I
1 NO NO NO 1 ]FRAME INSPECTION I I I
IFIRE SPRINKLER HANGERS I I I
I 1 11NSULATION/WEATHER STRIP( I ]
(INTERIOR LATH/DRYWALL 1 I
1 1 ]EXTERIOR LATH I I I
IRATED FLOOR/CEIL ASSEM. 1 I I
I IRATED WALL ASSEMBLIES 1 1 I
I IRATED SHAFTS/OPENINGS I I I
1 I IT-BAR CEILINGS 1 1 1
ILOT DRAINAGE I I
I ],REPORT ID: DPR261 ROUTE TO: BS0508
s •
APPLICATION FOR BUILDING PERMIT �
_ COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS
I hereby affirm that I have a certificate of consent to self insure, BUILDI Agp � +� U
or a certificate of Workers'Compensation Insurance,or a certified aQREssG•
copy thergof(Sec.9800,Lab.C.) CITY ` ZIP LOCALITY
I
Policy No(A �d eM Company /��`'� SIZE OF L ` NO.of BLDGS.NOW ON LOST
❑ Certified copy is hereby furnishedCxP6•te Z '7 NEAREST CROSS ST.
C%Qvrtifled copy is filed with the county building inspection TRACT BLOCK LOT NO.
epartm
USE ZONE MAP NO.
d
Date pplicant , dYd ASSESSOR MAP BOOK PAGE PARCEL _ SPECIAL CONDITIONSa.
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER4eA TEL.NO413
0G WITHIN 1000 FT OF SCHOOL? YES NO
COMPENSATION INSURANCE AD
(This section need not be completed if the permit is for one huhdred � G DISTRICT GROUP TYPE CONST' FIRE ZONE PROCESSED BY
dollars($100)or less.) CITY ZI
I certify that in the performance of the work for which this permit (�840
is issued, I shall not employ any person In any manner so as to ARCHITECT OR ENGINEER TEL.No. V L��
become subject to the Workers'Compensation Laws. STATISTICAL CLASWICATION APT CONDO
Date Applicant ADDRESS CLASS NO. ZL I DWELL UNITS
NOTICE TO.APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' C OR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code,you must forthwith O —3cf ZS— FRONT
comply with such provisions or this permit shall be deemed revoked.
NO. PIL
• q2-91f SIDE
LICENSED CONTRACTORS DECLARATION CITY. LI cLaSg PL �
I hereby affirm that I am licensed under provisions of Chapter 9 �` 45^5 SEWER MAP U
(Commencing with Section 7000)of Division S of the Business and SQ. SIZE NO.OF STORES NO.OF AMILIES Cl:
NEW ❑ BK PG �.
Professions Codej/and my license Is in full force and"Ct. RIP iTqZ OF WORK
+�/Z f Lic.Class VAL TION 3 G
License Num e Q� ADD ❑ � a
Cont raM Asrl�aiuy 3a p ALTER ❑ 37307 ?}a
v C REPAI
❑ I am exempt under Sec. _ $ 1 ITEMS
B.BP.C.for this reason (( DEMOL ❑
Date: USE OF EXISTING BLDG. 'URM ❑ LDMA P/C# TOTAL 93.63
Signature APPLICANT(PRINT) TEL NOLDMA Perm q
. L�TICCK 93.63
❑
I. as owner of the property, or my employees with wages as p CHAINGE .00
their sole compensation,will do the work and the structure is ADDRESS H
not Intended or offered for sale (Section 7044, Business and FINAL DATE a
Professions Code.) Vkqf] _ �1 r �4/$Q
OR A MIXTURECANTO NTNG AEBUILDING OCCUPANTL EQUAL
TOHAZARDOUSOREATERTHAN
MATERIAL.,. -2
❑ 1,.as•owner of the property,,am exclusively contracting with THEAAMOUNTRS SPECIFIED ON THE HAZARDOUS DOOUUS S AMATERIA SS INNFFORRMMAnoNGUID�T"A". FINAL BY V WWI > 0913 1 AM 8:37
licensed contractors to construct the project.(Section 7044,
YES❑ NO❑ i •
Business and Professions Code.) 7
WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING ( I
OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH .
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST
FOR GUIDELINES.
I hereby affirm that there is a construction lending agency for YES❑ NO❑
the performance Of the Work for which this permit IS Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD
9097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES
• COUNTY CODE.TITLE 2.CHAPTER 220 SECTIONS 220AWTHR000H 220.740 CONCERNING
Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD.
Lender's Address OMERORAG r
0 1 certify that I have read this application and state that the above P C. PERMIT FEE
comFEE G
tion is c ply with all county Ob �O3
ordlnanc tate laws relating to b Iding construction,and
hereby8u rlZe re ISSUANCE FEE ,y�
plgsentetives of County to ante upon V
the ab ed r io rposes
INVESTIGATION FEE TOTAL FEE
A
m
SEE REVERSE FOR EXPLANATORY LANGUAGE