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Home My Public Portal About4924 RYLAND AVE_Building__ DEPARTMENT-OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY,OF LOS ANGELES D E G WM. J. 'FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING `/Ll{. DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS V i LOCALITY �Z RECD V�EJD/sY DATE OF APP DATE ISSUED NEAREST CROSS ST,• �� C�� BUILDING 16 ADDRESS Z OWNERMAILf� LOCALITY ADDRESS� ':3 7! �/ 4 . de-) CROSS ST. TEL. CITY NO. FIRE NO. OF I T-f(PE GROIN ARCHITECT OR �o TEL ZONE PLANS 'L I✓ �j ENGINEER NO. BLDG. ORD. NO. SETBACK LINE Z__e7 y��1 ADDRESS APPROVED - A� TEL BY DATE CONTRAINO. USE APPROVED ZONE+ BY DATE ADORES HOUSE NUMBERING LEGAL DESCRIPTION I•LOT N0. BLOCK MAP NUMBE FIELD CHECK BY NO. ASSIGNED BY DAT TRACT J I d NO. OF BLDGS. ! CORRECTIONS SIZE OF LOT 6Y r I NOW ON LOT ems. USE OF NO. OF n EXISTING BLDG. I FAMILIES tI Ytl DESCRIPTION OF WORK NEW I ALTERATION I I ADDITION O REPAIR I I DEMOLITION I I I SQ. FT. NO. OF G SIZE (7 CJ G/ ROOMS STj01}IES / D EXT. WALL• / /� ROOF M r COVERING COVERT YZf.Y� I USE OF ST 'GTU E� �� • �� •. �.._ APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS r✓6 CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND Wl H ALL COUNTY ORDINANC AND TATE BRACING, BOLTS LAWS REGULATI][yG t LDIN�G C01L8T IOJ�gN'�J !t\ FURNACE: LOCATION, / v�✓ v A„ .. __�f�tAl U GAS VENT, DUCTS SIGNATURE OF {{{"' �j'- PERMITT Al H, LATH, INT. ADDRESS p� �1 LATH, EXT. AUTHORIZED AG-f.- (J� 9' ' PLASTER, INT. 76A680A• DBSH. so-so .� P. Q. $ / %_ .® 7Z FEE �r^- PLASTER, EXT. VALUATION• If fo FEE '2p41 FINALe -/.-JA/ �' �' ®s T.SA63gA LII GE/603(REO:6/78) 7YLIIs i' APPLICATION FOR' BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY G BUILDIN FOR APPLICANT TO FILL IN BUILDING RWA A P ve. �Mp _ BUILDING ADDRESS ,b AVE. LOCALITY NEAREST ^ CITY ZIP /�� CROSS ST. ILYD0f-2 S+" NO'OF BLDGS.• ASSESSOR ��^^�� 2 SIZE OF LOT X 'I D./ NOW ON LOT .• MAP BOOK L/V1 PAGEoW PARCEL_ -7 �7G� DISTRICT GROUP TYPE FIRE ESSED BY TRACT 1 10 J BLOCK LOT NO.o2 / CONST. ZONE OWNER Ian .� NO, $. STATISTICAL CLASSIIF+FFI�ICC/ATION SEWER P ADDRESS L T CLASS NO. DWELL.UNITS BK PG CITY lei, ZIP VALUATION ARCHITECT OR TEL Od ! Q ENGINEER D ' .NO. / ADDRESS BLDG.SETBACK FROM _ TEL.' FRONT PROP.LINE OF (STREET) CONTRACTOR W NO. HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING - LIC. FRONT PROP:LINE HIGHWAYI WIDTH ADDRESS NO. _ LIC. + CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH - .. SIDE PROP.LINE OF (STREET( HIGHWAY + YARD __ TOTAL SETBACK FROM TYPE-OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH 0 SQ.FT. NO.OF NO.OF CHECK + _ SIZE STORIESI FAMILIES ONE as DESCRIPTION OF WORK aa NEW ❑ P.C.Fee$ Pe.rmit Feeer ADD 51❑ Issuance Fee ALTER / REPAIR El Total Fee EXISTING_BLDG.. l USE DEMOL El C APPLICANT n TEL (PRINT( s 7 NOi p BY(SIGNATURE) Q L . > , IHEREBY ACKNOWLEDGE THAT I HAVE READ T APPLICATION AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY WITH ALL ORDINANCES Ys 'AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE- f=7 ;P-2 1 PRO A WORK AUTHORIZEDHEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE.OF CALIFORNIA IN RELATING TO WORKMEN'S COM. z #,0 0 0 0 0-1 PO4SATION INSURANCE .7 SIGNATURE OF � - � • ¢ 2 1--4200 PERMITTEE 'o'o 1 4 2 0 G ADDRESS L Z CITY Gln A- Q7-/ TEL -b °-�� 0 1, 1 1 -7 9 E ZONE OP =� UQ SPECIAL r CONDITIONS . f % ! m FINAL, � ! BY DATE WYUULOi .DL7 1 WORKERS' COMPENSATION DECLARATION , hereby affirm that I have certificate of consent to self i APPLICATION F O R BUILDING P E RM I T insure, or a certificate of Workers' Compensation ompensation Insurance, or a certified copy thereof(Sec. 3800, lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. PC997500 Company&RubI i Tndemnity ElCertified copy is hereby furnished. j FOR APPLICANT TO FILL IN ADDRIESS ® Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 4924 N. Ryland eVol Date 7-1-91 Applicant Virgin Roof Co. CITY . Temple City ZIP 91780 LOCALITY NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) i TEL. OWNER Charles DelPino NO. USE ZONE NO. �/� 3 I certify that in the performance of the work for which this Y permit is issued, I shall not employ any person in any manner ADDRESS 4924 N. Ryland. SPECIAL a CONDITIONS so as to become subject to the Worker:Compensation Laws. O CITY Temple City ZIP 91780 Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPEFIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONS E Exemption, you should become subject to the Workers' Z Z Compensation provisions of the Labor Code, you must forth- ADDRESS „` IL with comply with such provisions or this permit shall beTEL• STATISTICAL CLASSIFICATION APT. C0NDO. u) deemed revoked. CONTRACTOR Vir in Roof Co. NO. 287-0507 �ry�J '' ? LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. 02P UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.0. .BOX J NO. 160650 LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business CITY San Gabriel CLASS and Professions Code,and my license is in full force and effect. C39 BK �PG �,� VALIDATION 160650 C39 . s?e�29 s s sroRlOEFs 1 FaMIOFFs CHECK License Number Lic. Class ' VALUATION Contractor Virgin Roof Co. pate 6-30-9'1 DESCRIPTION OF WORK Over existing NEIN ❑ $ 3531.00 ❑1 am exempt under Sec. Apply Class A Fiberglass ADD 1-1POP.B.BP.C. for this reason Shingles. 29 S S. ALTER 1-1 REPAIR E] $ Date: USE OF EXISTING BLDG. Dwelling DEMOL ❑ Signature APPLICANT TEL. FINAL (PRINT) Virgin Roof Co. No. 28 -0507 OWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License P.O. BOX J SGabriel. 917 78 Law for the following reason (Section 7031.5, Business and ADDRESS an are FINAL Professions Code): PRESENT BY El1, or•m P P Y employees ees 1, as owner of the ro ert• em to with BUILDING wages as their sole compensation,will do the work and ADDRESS J� l- the structure isnot intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL.❑ :- z I,as owner of the property,am exclusively contracting CONTRACTOR NO. AC%C 1 0� a with tion 7044, Business and Professions Code.)licensed contractors to construct the project (Sec- ADDRESS 'D-+i}� 93.K , REQUIRED YARD FIVIIY TOTAL SETBACK FROM • EXIST. 1 ITEMS CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT TOTAL 93-62 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE CHECK 93.62 P.L Lender's Name LDMA Ref, p CHANGE .131 3 P.C. Fee$ Permit Fee 80.62 Lender's Address 1 certify that I have read this application and state that the Issuance Fee 13.00 LDMA P/C# , ( 000-0001 9/ 51911 above information is correct. I agree to comply with all County Investigation Fee. . ordinances and State laws relating to building construction, Total Fee 93.62 LDMA Perm. # 2712 1 AM100-24 and hereby authorize.representatives of this County to enter upon the above- ontoned property for inspection purposes. MIJA A A un <full9-4-90 SEE REVERSE FOR EXPLANATORY LANGUAGE ig ture of Applicant or Agent Date 1