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HomeMy Public PortalAbout4903 RYLAND AVE_Building__ 76A638K10E it80�i, 1/71 / e'-xy��� (rfi�/ ` APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING 9� g y� ADDRESS 11.J /` COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST /J Print or tvoe onl CROSS ST. 1—G DISTRICT NO. GROUP TYPE PRQ(PESSED BY BUILDING r� f CONST. ADDRESS STATISTICAL CLASSIFICATION SEWER MAP LOT NO. BLOCK `` CLASS NO.--ZDWELL.UNITS BK PG TRACT USE ZONE MAP sJ NO.OF BLDGS. NO. /C SIZE OF LOT NOW ON LOT R � SPEC AL USE OF 41 CONDITIONS EXISTING BLDG. l TEL. OWNER 04 NO. BLDG.SETBACK FROM ADDRESS FRONT PROP.LI NE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY ZEAl AF 2� HIGHWAY WIDTH FROM C.L. ARCHITECT OFf ArTEL. -I. ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL O CONTRACTOR s HIGHWAY WIDTH FROM C.L. CD ADDRESS ' p t = 9x CITY CLASS ;L19CORNER CUTOFF YES ❑ NO ❑ C.) CONSTRUCTION LENDER ti NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z ADDRESS SQ. FT. NO. OF NO. OF NEW SIZE STORIES FAMILIES USE OF ADD STRUCTURE ^ ALTER �, ❑ REPAIR❑ SIGNATURE OF p APPLICANT l/ DEMOL ❑ VALUATION$ APPROVALS DATEIN3P TOR'S SIGNATURE Ell P.C. -7PMT, V U FOUNDATION: LOCATION FEE 5 m IFEE S SSG�AJ FORMS, MATERIALS 2ZI 717 z FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT, SIGNATURE OFr HOUSE NUMBER COR- ! PERMITTEE �r RECT AND POSTED ADDRESS FINAL -Z- JOHN F. LEWIS. PRI14CIPAL STRUCTURALI R PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH LAtl. 446S FEB17 1 D 6.0 . 00N I , ~ DEPARTMENT OF BJJILDIItG AND SAFETY ^ APPLICATION FOR PERMIT COUNTY OFLOS ANGELES Loi �j�,,��JJ� WM. J. FOX, CHIEF ENGINEER til ^ FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ( DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS / �l'/:.I.a•'`�'�•^'_'� `"•I �i 3 L-/T 3�•�f'' j(J�•�1 RECFjy_ED BY DATE OF APPL DATE ISSUED LOCALITY /J NEAREST (i //J 1 �.�^C r roc CI' F r / c ' CROSSST, --I BUILDING ° e��--�� ADDRESS .flr//,ti OWNER „ MAIL - �(� LOCALITY ADDRESSNEAREST b TEL. f CROSS ST. CITY r �I-•;L�-•\;" ��. iY.. NO. J! ` FIRE NO.'OF TYPE` I GROUP ARCHITECT OR TEL ZONE I PLANS �+� Iyb.� :L-,1Q 4f ENGINEER NO. BLDG. r-- J ORD. NO. SETBACK LINE GLI 1p y . ADDRESS APPROVED TEL. BY DATE CONTRACTORpL�jIL+!!_.;• NO. USE /J APPROVED ZONE r�`-/°r� BY DATE r ADDRESS HOUSE NUMBERING e LEGAL Z16 /d FIELD CHECK BY DESCRIPTION I LOT NO. /b I BLOCK MAP NUMBER_ r TRACT l r/ t NO. ASSIGNED BY DATE r ^ NO. OF BLDGS. CORRECTIONS �- SIZE OF LOT rs lJ `/ NOW ON LOT USE OF I NO. OF EXISTING BLDG. ��� FAMILIES t a DESCRIPTION OF WORK NEW I L--IrALTERATION I I ADDITION REPAIR I I DEMOLITION-I X SQ. FT. r NO. OF i D t SIZE / �') n ROOMS STORIES I Z EXT. WALL ,.. ROOFr• n /+' COVERING eaG-LCr-' I COVERING USE OF STR CTURE•-i/ i f Y 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. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME:FIRE STOPS, Com• HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF f/ /�/{// /��J(- r GAS VENT, DUCTS Jl� PERMITTED CGF �r9 C�r,t-C a , LATH, INT. 1r ADDRESS v - LATH, EXT. Te 1-, .; AUTHORIZED AGT. 'i PLASTER, INT. rj 78A888A• DBSS 10.80 .� P. C-16 r `- ® FEE PLASTER, EXT. i VALUATION FEE �, `� E FINAL .-e ct� ��//•.�% ORKERS'COMPENSATION DECLARATION m.. yfirm that I have a certificate of consent to self APPLICATION FOR BUILDING P E RM I T insure,or a certificate of Workers'Compenstion Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Nof'�ell . G1CompanyUAel(aA'�1 BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Q 3 Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS G LOCALITY Lj9— C 4 Date Applicant CITY (. ZIP ?® CROSS ST. i ew G- CORTIFICATE OF EXEMPTION FROM WORKERS' .OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. d TEL SPECIAL CL I certify that in the performance of the work for which this OWNER NO. CONDITIONS 10 permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY ADDRESS S / CONST. ZONE so as to become subject to the Workers'Compensation Laws. 2 � rg Date Applicant CITY ' ZIP STATISTICAL CLASSIFICATION APT. CONDO. ~ ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of UJ Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL UNITS y Compensation provisions of the Labor Code, you must forth- ADDRESS TELQ SEWER MAP with comply with such provisions or this permit shall be deemed revoked. CONTRACTOR .NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS © CT NO `r VALUATION , (commencing with Section 7000)of Division 3 of the Business and - LIC. / V0 Professions Code, and my license is in full force and effect. CITYNOW C �ifLLASS + SQ. .FT. NO.,6F NO.OF CHECK License Num er1 ` Lic.Class/ _�Y SIZE ST IES FAMILIES ONE DESCRIPTION OF WORK G" 6 NEW ❑ $ Contract Date ❑ I am exempt from the licensing recluirem nts as I am a ��f.- �✓ 1 ADD ❑ I architect or a registered professional engineer ALTER ❑ FINAL acting in my professional capacity (Section 7051, REPAIR ❑ DATE Business and Professions Code). USE OF EXISTING BLDG. DEMOL ❑ FINAL Lic.or Reg.No. Date APPLICANT TEL. �, y OWNER-BUILDER DECLARATION (PRINT.) NO. I hereby affirm that I am exempt from the Contractor's License - Law for the following reason (Section 7031:5, Business and ADDRESS Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and . t the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ 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 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 the performance of the work for which this permit is issued P..L. f (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name � i P.C. Ft Permit Fee Lender's-Address I 4610 fI have read this application and state that the Issuance Fee ation is correct. I agree to comply with all County Investigation Fee nd State laws rela' to building construction, iuthorize r ese ati es of his Count to enter Total Fee cve-me ;/roper y fo i pecfio purposes. ( ` SEE REVERSE FOR EXPLANATORY LANGUAGE of Applicant or Ageit Dote ®s IIIIII A�VOR7.Ek8'G PENSATION DECLARATION *ereby affirm that I have 16 certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compenstion Insurance,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. E] FOR APPLICANT TO FILL IN ADDRESS 3 t E] Certified copy is filed with the county building inspec- BUILDING Tion department. ADDRESS 9 h na LOCALITY (' NEAREST Date Applicant CITY. ZIP i? % r- CROSS ST. G ' CERTIFICATE OF EXEMPTION FROM WORKERS' ; SIZE OF LOT ��`i �(� No.OF NOW ON BLDOGS MAP BOOK PAGE PARCEL ASSESSOR COMPENSATION INSURANCE (This section need not be completed if the'permit is for one USE ZONE MAP hundred dollars ($100)or fess.) TRACT BLOCK LOT NO. ! NO. >. TEL. SPECIAL CL 1 certify that in the performance of the work for which this OWNER ' NO. CONDITIONS O permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE P OCE D BY V ADDRESS _ so as to b come subject to the Workerp'Compensation Laws. - s,0 CONST— ZO CITY ZIP Date y Applicant ='. "�' ^ STATISTICAL CLASSIFICATION APT. 1CONDO. LU NOTICE TO APPLICANT: If, after kin thisCertificate of ARCHITECT OR TEL. IL ENGINEER NO. CLASS NO.�DWELL.UNITS Exemption, you should become subject to the Workers' N Compensation provisions of the Labor Code, you must forth- ADDRESS J SEWER MAP z with comply with such provisions or this permit shall be TEL. \ deemed revoked. CONTRACTOR NO. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY - z CLASS, $ (� QO o SQ.FT./ INC.OF NO.OF CHECK License Number. Lic.Class SIZE 30STORIES FAMILIES ONE t $ DESCRIPTION OF WORK - / or��y' NEW ❑ Contractor Date t• ADD ❑ I am exempt from the licensing requirements as I am a - C} FINAlicensed architect or a registered.professional engineer ALTER DATE M i�f:-�` 7 � acting in my professional capacity (Section 7051, REPAIR ❑ �.`w FINAL Business and Professions Code). USE OF L DEMOL EXISTING BLDG. ❑ By qty �4,•k ' Lic.or Reg.No. Date APPLICANT NT) NO. V OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRESENT / ` :_` 03-6 f; BUILDING LTA 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). MOVING TEL. 2 0 1 711 '0 r: ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- - ` tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL SETBACK FROM EXIST. n 7 1 CONSTRUCTION LENDING AGENCY 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 oP.C. Fee$ Permit Fee- . Lender's Address I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee \ ordinances and State laws relating to building construction, \ Total Fee and hereby authorize representatives of this County to enter = upon the above-mentioned property for inspection purposes. Imo., t`� ' -� is 9 SEE REVERSEFOR EXPLANATORY LANGUAGE �� '•>, ®> Si ature of Applicant or Agent Date U •' 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 21030043 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1 ITR: 17107 LT: 10 I SQ. FT STORIES TYPE 1 4903 RYLAND AV I ISTRUCTURE: V-B I TEMP CA 917804036 1 (ASSESSOR INFORMATION NUMBER: I I 8585-010-006 NEAREST CROSS STREET: LOWER AZUSA I I THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl I I ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: (EXIST OCC GRP: 110/23/12 SR I TOWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: IFI AL TE FI BY: CODE: TANG CHIEV H (626) 455-0457- 1,200 4903 RYLAND AVE I I ITEMP 917804036 I FEES PAID ID S RIPTION OF WORK I I I IBATHROOM REMODEL I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I (APPLICANT: TEL. NO: I ISAME AS OWNER - TAA BLDG PERMIT ISSUANCE 27.80 T I I IAB STATE GREEN BLDG FEE 1200.00 VAL 1.00 ISPECIAL CONDITIONS: T I IAC STRONG MOTION RESID 1200.00 VAL 0.50 I I B2 PERMIT W/ENERGY 1200.00 VAL 90.40 T I I IFR INV WORK W/O PERMIT 342.20 DOL 342.20 ICONTRACTOR: TEL. NO: 1 TOTAL FEES 461.90 (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER _ 1 I LIC. NO I ILOCATION AND SETBACKS I I I (SOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I LIC. NO: 1 (SLAB/UNDER FLOOR I I I T I IRAISED FLOOR FRAMING I I I I � I IHMA4PNO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J (UNDERFLOOR INSULATION I I I 273 3 001 I (FLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 0 NO 21 1 IROOF SHEATHING I I I T SCHOOL WITHIN HAZARDOUS T ISHEAR PANELS I 1 AIR QUALITY: 1000 FEET MATERIALS T I I I NO NO NO (FRAME INSPECTION I I IFIRE SPRINKLER.HANGERS I I I I T I (INSULATION/WEATHER STRIP( ( (INTERIOR LATH/DRYWALL {��'' TEXTERIOR LATH IRATED FLOOR/CEIL ASSEM. I I I I I IRATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS IT-BAR CEILINGS I I I I (LOT DRAINAGE 1 I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I