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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