HomeMy Public PortalAbout4945 RYLAND AVE_Building__ I
DEPARTMENT OF,,BUILDING AND SAFETY APPLICATION FOR PERMIT
COUN,TY OF LOS ANGELES In U I L®I G 1
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLANCK. NO. PERMIT NO.
" BUILDING r r r '/r /�' ^��
ADDRESS '�`r' ` .�'l_.Gf sC •.! ' ������ J/ 'S�7`7 �S���
-4 RECEIVED BY DATE OF APPP/L. DrA�TE ISSUED
£ LOCALITY t�J�••;2't'�7 �F /�1'f,�l �rl�/� �✓ �� ! � /
NEAREST r• /� �'r
CROSS ST. t - �Fj.P , �,, �r�::-�!'_-_
r i BUILDING
ADDRESS c
OWNER , 6ke..7' 1/1.,
•sw -`
MAIL v f,Y LOCALITY
ADDRESS .{ (y ;+ y!IIli - ` ''} - NEAREST ,•
+ 4 TEL r. CROSSST /�hb�J !rG-.�
r
CITY � ��' r'' 't •,! f�7 NO-*)7//;//' ./��/ /` FIREI NO. OF I PE6� I GItO (✓
ARCHITECT OR h M G TEL. ZONE PLANS
t ENGINEER NO. BLDG. /J� ORD. NO.
SETBACK LINE "ZJ
ADDRESS - APPROVED
TEL. BY DATE
CONTRACTOR �-I w G-, t u r--,ti NO. USE APPROVED
ZONE BY DATE
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO. BLOCK MAP NUMBER ® FIELD CHECK BY
r ,
TRACT / 1
7 NO. ASSIGNED BY HATE
NO. OF BLDGS. �_ CORRECTIONS
SIZE OF LOT r, ( I NOW ON LOT a.f- •1 �,� °,'dd
USE OF r-� I NO. OF s . , ` ._ IJ
EXISTING BLDG. FAMILIES r
DESCRIPTION OF WORK '
NEW I J'o I ALTERATION I I ADDITION
REPAIR I I DEMOLITION I I I
SQ. FT. / `) NO. OF / Q
SIZE ROOMS STORIES! D
EXT. WALLr ROOF /' f
COVERING I COVERING
USE OF SJTRUCTUtRE
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, `
r HERRON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
1 LAWS REGULATING BUILD NG CONSTRUCTION
� //J FURNACE: LOCATION, �, �.
!, SIGNATURE OF /�• �rGG+/r!• GAS VENT, DUCTS }
/
PERMIIryEe !!''r/•a -
/^� �• 3 ! (_ . �� /_/-fes/' LATH, INT.
ADDRESS Y: f� .G�7 � �j � -
''c - LATH, EXT. rr
AUTHORIZED AGT.
PLASTER, INT.
• 76ABSBA• DOSS I0-60 .� P. C. $
® e�vim,�r ® FEE PLASTER, EXT.
,r VALUATION ?� $
FEE FINAL
MAGMA CQ#8=10-88 AJ{ PU CAT N •F®R.B U LD I N G PERM-IT 5
COUNTY OF LOS ANGELES BUILDINGL Ar'
DEPARTMM, OF COUNTY ENGINEER ADDRESS;:
BUILDING.-AND SAFETY-DIVISION. LO' L I
JOHN A. LAMBIE, COUNTY ENGINEER. NEAREST
CASSATT•.D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. OUPpE PR ESSEDBY _
E
FORAPPLICANT TO FILL-IN u ;I CONST..' ..
'
BUILDING ST TASSS.ICNOL CLASSIFICATION SEWER MAP
HK PG
,ADDRESS YL- WELL.
t"-
UNITS sQ. I
• .LOT NO. J. BLOCK MAP STATE YES NO
r -7 �/ NUMBER af:d I'a HWY.
s
TRACT / / :/ USE 7,ONE SPECIAL _
J I NO.OF.BLDGS {"� CONDITIONS
SIZE OF LONOW ON LOT
USE OF
EXISTING BLDG. BUILDING: EXIST.
YARD HV" STREET NAME
}� TINY..
SETBACK... WIDTH
OWNER R Y R•. . 5 O m 3E I: •FFlitONT /
MAIL AVEFE1. Ip
ADDRESS _ V. F.
t - TEL.
CITY No.Ci 1 q,)YslI,` '" m1TSPECTION. RECORD
ARCHITECT OR..� TEL.
ENGINEER NO.
ADDRESS.
TEL.
CONTRACTOR W NO. _ ' +
ADDRESS
DESCBIPTION OF WORK f _
EW 'ADDT ALTER REPAIR DEMOLISH
SNO.OF, NO.OF '
J STORIES FAMILIES ?
USE OF /+
.S RUCT.URE 26 6L
SIGNATURE OF
APPLICANT _ APF ROVALS' DATE-a..;.1NSPECTOR'$:S NATURE'
1� /y .�
ADDRESS 7 Y ,' C.v�?� . I �. .• ' •FOUNDATION:LOCATIOtoo-,
FORMS,MATERIALS
VALUATION 5, FRAME:.FIRE STOP$; '
e :,BRACING,.'BOLTS.
P.C. ,D :PMT. J�"+• :.,, FURNACE:LOCATION.
FEE . I FEE {�)'. I GAS VENT:DUCTS
-
I HEREBY ACKNOWLEDGE THAT 1 HAVE.READ THIS AP-
P
P- LATH.INT.,
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND _
AGREE TO COMPL.Y•WITH ALL.COUNTY ORDINANCES AND
STATE LAWS REGULATING HU 'DING CONSTRUCTION.' LATH,EXT. '
SIGNATURE OF � HOUSE NUMBER COR
PERMITTE :-RECT AND POSTED"
ADDRES 9. iS
FINAL
'YDE N. DIRLAM.d:7PRW�I�liCt:A�S '
RAL ENGINEER
,CLP
PLAN CHECK VALIDATION M.O. CASH PiRTYN _
'CK �`M.O. CASH -
N0 4 2 74- Ju 29- '3 D 7,50;
_Co 4 2 7 5u J174.:, :. - 1' D
WORKERS'COMPENSATION DECLARATION 4
herebo affirm that I have certificate of-consent self APPLICATION FOR BUILDING P E RM I T
insure, or a certificate of Workers' Compensation Insurance, '
or4�a certified copy thereof(Sec. 3800, Lab. C.) COUNTY'OF LOS ANGELES BUILDING AND SAFETY
Policy No. CompanyBUILDING
'
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy is filed with the county building inspec- BUILDING P � t�A
tion department. ADDRESS <1'7J Psi �!p
CITY °� 6 I T'V ZIP 9 8 !� LOCALITY
Date Applicant NO. OF BLDGS' NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT S Cl NOW ON LOT a CROSS ST d d C
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.) TEL•
OWNER (� u /� NO. I Ef�-9, SE.ZONE MAP
I certify that in the performance of the work for Which thisPE
SPE
s� SCIAL
permit is issued, I shall not employ any person in any manner ADDRESS��rQ ( O 0/!! � � CONDITIONS �
so as to become subject to the Workers'Compensation Laws. „ U
CITY-& P - Id ZIP 6/® X
Date Applicant ARCHITECT OR p ae
TEL. DISTRICT GROUP TYPE FIRE PR CESSED BY O
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER �� lif NO. Sob �� CONS ZONE
Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth- ADDRESS J
with comply with such provisions or this permit shall be I ,1 TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. CONTRACTOR j (� —
LICENSED CONTRACTORS DECLARATIONp „ LIC. CLASS NO. DWELL. UNITS
I hereby affirm that I am licensed under'provisions of Chapter 9 ADDRESS e1 14 NO. mmiiiiiiiIIIII
SEWER MAP
(commencing with Section 7000)of Division 3 of the Business LIC.
and Professions Code,and my license is in full force and effect. CITY CLASS BK. PG. VALIDATION
SQ.
ZEFT� STORIES NO.OF HECK
License Number.' Lic. Class'. VALUATION
Confractor Date DESCRIPTION OF WORK ,0� 411'iq NEW ❑ $ �dv 09,
El am exempt under Sec. fir ��� (� ' / < a �' ADD' ❑ ,
�r../�/ �/y ALTER ❑
B.BP.C. for this reason t'� ci iiY 6:e �` �'��� REPAIR ❑ $
USE OF
Date: EXISTING BLDG. DEMO' ❑
Signature APPLICANT TEL FINAL-
OWNER-BUILDER DECLARATION (PRINT) NO.
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
Professions Code): PRESENT By
❑ ,I, as owner of the property, or m em to ees'with BUILDING
P P Y� Y P .Y ADDRESS
wages as their sole compensation,will do the work and LOCALITY
,the structure is not intended or offered for sale(Section
7044, Business and Professions Code.) MOVING TEL. -
ll,as owner of the property,am exclusively contracting CONTRACTOR NO.
IVY71
r f
with licensed contractors to construct the project (Sec- ADDRESS
Ition 7044, Business and Professions Code.)
I CONSTRUCTION LENDING AGENCY SEAT BACK YARD HWY TOTAL PROP LINE ROM WIDTH
I hereby affirm that there is a construction lending agency for FRONT _
the performance of the workfor which this permit is issued :P.L.
(Sec. 3097, Civ. C.). SIDE .
P.L.
Lenders Name `
$ LDMA Ref. # -
P.!,C. Fee$ Permit Fee /&
Lender's Address
i
o I certify that I have read this application and state that the Issuance Fee � LDMA P/C# -
abovoinformation 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 he above-mentioned property for inspection purposes.
n �� Z®,n &&u , SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent y Date
TyS� p`-fir 4
• O r •V T ' 0
18A689A CE#80870_38 APPL LCA MN FOR BUILDING PERMIT �.
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITX
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. !l/
�- Q, DISTRICT NO. OUP pE PR ESSED BY
FOR APPLICANT TO FILL IN 6- LT Y CONST.
BUILDING �/) -i STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS / i L CLASS.N��O�•1� nWELL.UNITS Q IMAP BK PG
LOT NO. r / BLOCK NUMBER 0-V /a STATE
yy YES NO
TRACT / 7 USE ZONE SPECIAL
NO.OF.BLDGS CONDITIONS
SIZE OF LOT-5 'I d I NOW ON LOT
USE OF
EXISTING BLDG. BUILDING EXIST.
_ YARD HWY STREET NAME
(� ]� SETBACK WIDTH
OWNER R I R . 5 O Olt tl AVE EE I FRONTMAIL � 1
ADDRESS M V� SIDE �J
NO.6 I �� P.L.
CITY
ATE RCHITECT OR TEL INSPECTION. RECORD
ENGINEER _ ^
F el,e�6 a NO. A, 04-:.','.
ADDRESS
TEL. I EP•' I 6 opt-
CONTRACTOR 6 U)Al NO.
ADDRESS
DESCRIPTION OF WORK
EW
ADD
pp�� ALTER REPAIR DEMOLISH
-'vT S4SIZE V STORIES FAMILIES
USE OF r -
S RUCTURE LS
T6 o
SIGNATURE OF
APPLICANT u APPROVALS DATE INSPECTOR'S SI(aNATURE
J`
ADDRESS FOUNDATION:
L MATERIALS
VALUATION T �� FRAME:FIRE STOPS. �/ C
A p: BRACING.BOLTS
P.C. PMT. J��� FURNACE:LOCATION.
FEE J�I FEE $ /`) GAS VENT.DUCTS
1 HEREB ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BU DING CONSTRUCTION. LATH.EXT.
SIGNATURE OFfHOUSE NUMBER COR-
PERMITTE • RECT AND POSTED
ADDRESS9 s C• FINAL
CLYDE N. DIRL•AM.PRINCIPAL SCT RAL ENGINEER
PLAN CHECK VALIDATIONOM.O. CASH PERMIT VALIDATION CK. M.C. CASH
I, 74 � JUL ' 3 0 '7.5U . . ;
LT',)4 2 1 5 JUL ? 1 0 1 5.n � ,®.
,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 1410010001
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
TR: 17107 IT: 18 I SQ. FT STORIES TYPE ] 4945 RYLAND AV
(STRUCTURE: 2000 V-B I TEMP CA 917804036 I
ASSESSOR INFORMATION NUMBER: ] I NEAREST CROSS STREET:
18585-010-014 ] THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 ]ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 110/01/14 SR
I � I
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FI AL BY: CODE: I
CHEN, LISA - i 5,600 i �/ 1
4945 RYLAND AV `
TEMP 917804036 I FEES PAID 159SCRIPTION OF WORK NJ1
ITEAR OFF REROOF WITH 30 YR COMPOSITION SHINGLES I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I
(APPLICANT: TEL. NO: I I 1
IHERTEL, ROBERT D (909) 989-4742- IAA BLDG PERMIT ISSUANCE 27.80 1 ]
10079 COPPER MTN CT IAB STATE GREEN BLDG FEE 5600.00 VAL 1.00 ISPECIAL CONDITIONS: ]
ALTA LOMA CA 91737 IAC STRONG MOTION RESID 5600.00 VAL 0.60 ]
ID2 PERMIT W/O EN-HC 5600.00 VAL 149.40 ]
TOTAL FEES 178.80 ]
ICONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
IHERTEL BROS ROOFING INC. (909) 989-4742- 1 1 ]
110079 COPPER MOUNTAIN COURT LIC. NO I ]LOCATION AND SETBACKS ] ]
(ALTA LOMA CA 91737 925044 * I 1 ' -1-1 ]
ISOILS ENGINEER APPROVAL ] I 1
ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I I I
LIC. NO: I (SLAB/UNDER FLOOR I I ]
IRAISPD FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I
I I I
3 OOI IFLOOR SHEATHING I I 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I LI
NO 21 1 IROOF SHEATHING I
I
SCHOOL WITHIN HAZARDOUS ] ISHEAR PANELS I I ]
AIR QUALITY: 1000 FEET MATERIALS ] I I 1
NO NO NO I IFRAME INSPECTION I ]
1FIRE SPRINKLER HANGERS
I (INSULATION/WEATHER STRIP( I ]
1 1 I NTERIOR LATH/DRYWALL 1 1 I
I I 1EXTERIOR LATH
] I I
] I iRATED FLOOR/CEIL ASSEM. I ]
] i IRATED WALL ASSEMBLIES ]
I (RATED SHAFTS/OPENINGS
IT-BAR CEILINGS I 1 1
1* ADDITIONAL DATA ON FILE I ] ] I
1 I ILOT DRAINAGE I 1 ]
(REPORT ID: DPR261 ROUTE TO: BS0508 1 1 ]