HomeMy Public PortalAbout4913 RYLAND AVE_Building__ DEPARTMNT'OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNtY OF LOS ANGELES
WM. J, FOX, CHIEF ENGINEER ouILDING
FORATO FILL IN FOR OFFICE USE ONLY
FCITY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
ADDRESS / �j. , - �'"" y�>3-/-/ �'L7 r3 r'-!/
,r I RECEI• ED Y DATE OF APPL. ATE ISSUED
r
CROSSST,
yJ ` r:• ADDRESS
/�+ -
LOCALITY
7 f ��,} ��� NEARESTTELCROSSSTj C.�CiGt�
NO. .J / ZFIRE NO. OFONE PLANS �+ I PE R_17
ARCHITECT OR U : TEL
ENGINEER NO. BLDG. / ORD. NO.
SETBACK LINE
ADDRESS APPROVED
TEL BY DATE .
CCNTRACTONO. USE APPROVED
ZONF�' "� BY DATE
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION LOT NO. BLOCK MAP NUMBER- FIELD.CHECK BY
TRAC' • '7/ 6 NO. ASSIGNED BY DATE
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT I NOW ON LOT --� Q �y wry
USEOF r I NO. OF �Y /�� rf• V P
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK
NEW I vl ALTERATION I I ADDITION -
O
REPAIR I I DEMOLITION
SQ. FT. NO. OF
SIZE /D 3 .b ROOMS STORIES Z
EXT. WALL ROOF ,
COVERING U�fJ" I COVERING (�T^p-1L�• ,
USE OF IR{]CTURE
rz ��r�1�QQ •L1
APPROVALS
✓l.ler'1 INSPECTOR'S SIGNATURE DATE
I HEREQY 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 STOPS,
HERRON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRU TION. • G[
n FURNACE: LOCATION,
SIGNATURE OF '/•J � `' t� GAS VENT, DUCTS /
PERMI,TTE6' f u�/)II/� /yF_ i f��"a .
ADDRESS , v'3� � ll'__t1 rJ��a�° _ LATH, INT.
�� _ �!r- ^.0't•t'� �� LATH, EXT.
AUTHORIZED AGT;rG 'r
PLASTER, INT.
t
76A-SSA• DH88 10-HO .� P. C. !g 1__ t_
® �� FEE �c l PLASTER, EXT.
VALUATION FEE $ FINAL
„."WORKERS' COMPENSATION DECLARATION
If hereby'a cer that I have r certificate of consent r self APPLICATION FOR BUILDING P E RM I T
.insure, or a certificate of Workers'Compensation Insurance,
or a cer�ielcopy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. ' Company
+, BUILDING
E] Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS qv LAwD
❑ Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS 4q15 J .
CITY ZIP LOCALITY
Date Applicant NO.OF BLDGS.
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT Q NOW ON LOT CROSS ST. -�IN�N3 L �Z
COMPENSATION INSURANCE ASSESSOR g�11
(This section need not be completed if the permit is for one TRACT BLOCK LOT,NO. MAP BOOK PAGE V'7 PARCEL Do
hundred dollars ($100)or less.)
NO. USE ZONE O. 714:1/ H a
I certify that in the performance of the work for which this OWNER 4- i �J4S rte SPECIAL }
permit is issued, I shall not employ any person in any manner ADDRESS *I�1/e. CONDITIONS a
so as to become subject to the Workers'Compensation Laws. V/ O
CITY ZIP O
Date Applicant ARCHITECr OR JELW3 DISTRICT GROUP TYPE FIRE PROCESSED BY ix
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER ij ¢_A aO / 7 . CONST. ZONE O
Exemption, you should become subject to the Workers' / DD U
Compensation provisions of the Labor Code, you must forth- ADDRESS fOD /�� ���/C` 3 3 CGt ui
with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT, CONDO. SO
Z
deemed revoked.' CONTRACTOR !�yerit.PRJ NO.
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS
—
I hereby affirm that I am licensed underprovisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business LIC.
Ir
/�
and Professions Code,and my license is in full force and effect. CITY CLASS BK f PG VALIDATION
SQ. FT NO.OF NO,OF CHECK
License Number Lic. Class SIZE STORIES FAMILIES ONE
�^ �� ON VALUATION
Contractor Date DESCRIPTION OF WORK IVN N ❑ ; `g
❑1 am exempt under-Sec. UNCOIL6 16&A/ ADD i ►
ALTER ❑
BAP.C. for this reason REPAIR ❑ $
Date: USE OF
EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO. V
DATE
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
Pro ions Code): PRESENT By
J� I, as owner of the property, or m employees with BUILDING (it• •'s =t -�
` P P tY• YADDRESS
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. , _ T E 1113
❑ I,as owner of the property,am exclusively contracting CONTRACTOR — NO. -
with licensed contractors to construct the project (Sec- + s _07
tion 7044, Business and Professions Code.) REQADDRESS _
CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP�LINE ROM JW'1D'S%
I hereby affirm that there is a construction lending agency for FRONT HA t_`
the performance of the work for which this permit is issued F.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
a A Ref. #
P.C. Fee$ Permit Fee 'Ali =' �-
Lender's Address
1 certify that I have read this application and state that the Issuance Fee A P/C#
above information is correct. I agree to comply with all County Investigation Fee
or*.nances and tate laws relating to building construction, Total Fee A Perm. #
hey by a t ori representatives of this Co my to enter
n e bov tioned property for ins on
yonyprposes.
(V 111114A A '' SEE REVERSE FOR EXPLANATORY LANGUAGE
Si5rlotdre of Applicant(Tr—Agent Date 1 ' L
1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9701160053
PHONE: (818) 285-0488 EXT:
EGA ID: NO. OF CONST NEW BUILDING R S:
TR: 17107 LT: 12 SQ. FT STORIES TYPE OCCUP GROUP 4913 RYLAND AV
+ STRUCTURE: 0 1 V R3 TEMP CA 917804036
ASSESSOR INFORMATION NU BER: GARAGE: NEAREST CROSS STREET:
8585-010-008 OTHER: 171 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
TENANT: IS BLDG USE: USE Z NE: ISS ED ON: PROCESSED EXPIRES ON:
EXIST OCC GRP: 01/16'/97 TC 01/16/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL B CODE:
VILLASENOR DANIEL;DEBBIE (818) 442-9149- 1 1,800 1
4913 RYLAND AV
TEMP 917804036 FEES PAID ESCRIP ION F WURK
FEE DESCRIPTION: �QbATayo— 1 p /a AMOUNT: NEW REDWOOD PATIO DECK 171 SQ. T.
APPLICANT: TE 0: 11"0
SAME AS OWNER - AA BLDG PERMIT ISSUAAC 27.75
AC STRONG MOTION I(�S10� �18b0-00-VICE\ n0y50 SPECIAL CONDITIONS:
AX BUILDING REVI:E4g FEE/ ��\ 5'4.70
D2 PERMIT W/O�EN-,�1�/ 1,800.00 VAL 82�20�
® ° ` TOTAL FEES �765.75�
CONTRACTOR: TEL. NO: 3 / j� � J 'f :APPROVALS DATE INSPECTOR iGNAT RE
SAME AS OWNER a
LIC. NO co _ ``!-.1 0 G / L'0 AT 0 D SETBACKS
(� ��� N.
SOILS ENGINEER APPROVAL
ARCHITECT OR- ENGINEER: L. 0: - SNe l�O, dAA1 0' II l J C li r'l FOUNDATION/TRENCH FORS )y
LIC. N0: ��� � I --r^r SLAB/UNDER FLOOR I
v,� l USED OOR RMUWG
MAP NO: SEWER MAP BOOK: PAGE: FIREONE: C P01 \ � fNDERFLOOR INSULATION
LEVEL FLOORSH
0. OF FAMILIES: WELLI G NTS: A T GOND: STAT CLASS: a
NO 21 � NDLEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ° ® ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO � FIRE DEPT. AME INSPECT
FR
REQUIRED —TOTAL SETBACK-FROMEXIS BLDG DEPT. FRAME SPEC
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATION/WEATHER
L-
I 5 L TIO /W TH R STRIP
INTERIOR LATH/DRYWALL
EXTERIOR TH
LOT DRAINAGE
SMOKE DE CTIO DEV C S
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS05O8
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 0708100029
PHONE: (626) 285-0488 EXT:
[LEGAL ID: I N0. OF CONST I BUILDING ADDRESS: [
ITR: 17107 IT: 12I SQ. FT STORIES TYPE 4913 RYLAND AV
STRUCTURE: VN TEMP CA 917804036 [
1ASSESSOR INFORMATION NUMBER: [ NEAREST CROSS STREET:
8585-010-008 [ [ THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
[TENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 [ISSUED ON: PROCESSED BY: EXPIRES ON:
[ [EXIST OCC GRP: 108/30/07 SR 02/06/08
[OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: (FINAL DA FINAL Y CODE: 1
IVILLASENOR DANIEL;DEBBIE (626) 442-9149- 1 2,500 1 � I
14913 RYLAND AV I 1 I
ITEMP 917804036 1 FEES PAID ID SCRIPTION OF WORK 1
I I IREPLACE 6 WINDOWS (SAME SIZE) 1
I [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ I
1APPLICANT: TEL. NO: I I I
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 2500.00 VAL 0.50 (SPECIAL CONDITIONS: 1
ID2 PERMIT W/O EN-HC 2500.00 VAL 99.00
TOTAL FEES 127.25
[CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I I
I LIC. NO 1 LOCATION AND SETBACKS [ I I
[ [ SOILS ENGINEER APPROVAL I 1
I
[ARCHITECT OR ENGINEER: TEL. NO: [ IFOUNDATION/TRENCH FORMS I I I
[ LIC. NO: 1 (SLAB/UNDER FLOOR I I I
I I
RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I I [
1144H273 3 Oil I I I I
I I IFLOOR SHEATHING 1
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I
NO 21 1 (ROOF SHEATHING I I I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
[AIR QUALITY: 1000 FEET MATERIALS I I I I I
NO NO NO 1 1FRAME INSPECTION I I I
!REQUIRED TOTAL SETBACK FROM EXIST 1 (FIRE SPRINKLER HANGERS I I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I
IFRONT PL- I (INSULATION/WEATHER STRIPI I [
I SIDE PL- 1 I I
I [INTERIOR LATH/DRYWALL
I I I I I
1 !EXTERIOR LATH I I
1 [ IRATED FLOOR/CEIL ASSEM. I I I
I I I I I I
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
I
IT-BAR CEILINGS I I
ILOT DRAINAGE I [ 1
I I[REPORT ID: DPR261 ROUTE TO: BS0508
I I I I