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HomeMy Public PortalAbout4948 RYLAND AVE_Building__ I • i DZ.ASTMCjf-6F BUMDING AND SAMY ,APPLICATION FOS PST COft t W Los ANGZZS -."BUILDING 7 VM.-J. 'FOX. CHIEF ENGINEER •';FOX•APPI.ICA11't TO FU IN FCX OFFICE = MY DISTRICT'No. PLAN CK.NO. PERMIT NO. BUILDING• ;:•ti �/ ADDRESS � 3y�13--a4 Sc ss�'-ay LOCALITY RECEIVED r.. DATE OFAPP DATMISSUED NEAREST' 4; CRDSe ST, eu NG IVVAIA 1• ADDREq Alm Pgg OWNERpa MAIL LOCALITY • C. ADORM :5 I,/ � NEAREST �� CROSB•WT. go— N mNE No.o %a. U • G UP CITY ARCHITECT OR • "'+ TEL ENGINEER NO. BLDG, ORD. NO. SETBACK LINK 1—%A ADDRESS APPROVED CO �� 'RL BY `. DATE NO. use APPROVED ZONB AP BY DATE ADDR t HOUSE NUMBERING LEGAL' •• ! / O RIKLD CHKCK eY DESCRIPTION COT NO.' ,� RECCE /�' MAP NUMBER .RAS 7 '® NO. ASSIGNED NO.OF BLDGft GO SIZE OF L W n 3 NOW ON LOT USK OF NO.OF MISTING BLDG. FAMIUM Q�A OF wm _ NEW I ALTERATION I I ADDITION I RQAIR I DEMOLITION - O ai FT. 0 ROOMf RIES 0 GIZE EXT.WALL ROOF r COVERING COv= USE OF BT AOO Aft APPRwime INSPECTOR'S SIGNATURE ' DATE 1 HERESY•ACKNOWIJDGE THAT I HAVE READ THIS AP- FOUNDATION,LOCATION PLICATION AND WTATE•THAT THE INFORMATION GIVEN 1/ FORMS. MATERIALS CORRECT. - 1 AGREM TO COMPLY WITH TI[K CORRECIACINS LISTED FRAMEI FIRE STOPS. HEleDN AND W ALL COUNTY OR NCP NO $1'ATK BRACING. BOLTS LAWS RKGULATI INS CTI�FI /� FURNACKI LOCATION. SIGNATURE OF -11.Afff'ollr���`�i` GAB VENT. DUCTS PMRMITT • 1 LATH. INT. f1 A17D �/ Y� • LATH. EXT. AUTNORiZED'AST.WJ—40 LAM • PL ASTER. INT. soAttasA•oSw fo•SO P. C. `� O FEE d••�� PLASTER. IIT. VALUATION RE �z y � FINAL •--div'd g"�r 0 ' APPLICATI®N FOR BUILDING PERMIT FOR APPLICANT TO.FILL IN (Print or type only) BUILELES ADDRESS r DEPARTMECOUNNT OFCOUNTY Y OF LOS GENGINEER CITY '' ZIP BUILDING AND SA DIVISION NO.OF BLOGS. BUILDING SIZE OF LOT Q J(„_ NOW ON LOT ADDRESS TRACT �� Q BLOCK LOT NO �� LOCALIT NEAREST OWNER _ /c /Q+�� NESV�/(p CROSS STXX . �J ASSESSOR ADDRESS rJ �UQ MAP BOOK PAGE EL DISTRICT GROUP YPE FIRE ROC SED BY CITY• �' j r ZIP r C,-NS�Ty�/ ZONE ARCHITEC OR TEL. •C/� L�t/� ENGINEER NO. STATISTICAL LASSIFICATION SEWER MAP ADDRESS CLASS N DWELL,UNITS BK P CONTRACTOR TEL. USE ZONE MAP NO NO. LIC. D SPECIAL LIC ADDRESS N CONDITIONS CITY LIC. _ CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY C HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING C SQ, FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH C SIZE STORIES FAMILIES ONE F f� + K L.� = C DESCRIPTION OF WORNEW C BLDG.SETBACK FROM ADD SIDE PROP.LINE OF (STREET) C^" ' rf//�� /�Z/ G.. ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF EXISTING BLDG. DEMOL ❑ + APPLICAN r TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) 1 �(�f, t�-✓7 N0. �33 � 1, ,+t IN OPEN SPACE YES ❑ NO ❑ BY (SIGNATURE) l,r1i //y,2i�`�� IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ a�0- CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE ;TATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENJJLATT N INSURANCE.TURE / PIERMITTEE OF � . 4/ w• ''/zlC r ADDRESS C� -� r l� �J '- g q CITY i7. .L• NO�/X7 DIA TE NAL BY %lA KE C:HYC KS PAYABLE "1'U: FEP. E � FEE rHA7RVr=Y T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH © PERMIT VA ATION CK. M.O. CASH a 0 2 Su 12.00 ®98 76A838A CE0803 12/72 APPLICATION FOR BUIL ®INC� PER IT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self Insure, BUILDIN•ff ESS L N or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) ICITY W Policy No. tQ d I �d 7 7 —flompany SIZE OF LOT w NO.OF BLDGS.NOW ON LOT LOCALI ❑//C-'ertified copy is hereby furnished. NEAREST CRO ST. &Certified copy is filed with the county building Inspeq1on TRACT BLOCK LOT NO. de rtment. USE ZONE MAP NO. Date 7' � Applicant / ���Lr ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER 4„v D V • TEL.NO. ADDRESS COMPENSATION INSURANCE bw if�~ 0 WITHIN 1000 Fr.OF SCHOOL? YES NO I (This section need not be completed if the permit is for one hundredL j DISTRICT GROUP I.TYPECONST:' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit .� d jj 2 is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. 0 '`C J Y me subject to!be Workers'Compensation Laws. G STATISTICAL CLASSIFICATION APT CONDO D8 9 ADDRESS CLASS NO.2/DWELL UNITS NOTI E TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, CONTRACTOR T NO. p you should become subject to the Workers' /f� Z SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith I OCL-5 v l' � > ���� FFRCNT comply with such provisions or this permit shall be deemed -revoked. ORS L �� S �- LIC. 3y'j LICENSED CONTRACTORS DECLARATION I CI LIC.CLASS U I hereby affirm that I am licensed under provisions of Chapter 9 'S A01".111 G_ SEWER MAP I SO.FT SIZE NO.OF STORES NO.OF FAMILIES � (commencing with Section 7000)of Division 3 of the.Business and I Professions Code,and my license Is in full force and �y c.Class t� I / NEW 11 BK / d PG DESC VALYATION ® 10 C^ � lADD E]License Number Contractor ^ I� s RD ate ^�yALTER El co u l ❑ I am exempt under Sec. v REPAIR' El B.BP.C.for this reason 11 DEMOL ❑ Date: USE OF EXISTING BLDG. URM ❑ LDMA P/C p Signature APPLICANT(PRINT) TEL.NO. h,-•:-.-• ❑ I, as owner of the property, or my employees with wages as LDMA Penn q Z '•:',: their sole compensation,will do the work and the structure is ADDRESS b _k ; not intended or offered for sale (Section 7044, Business and FINAL DATE ® _ ProfessjonsCode.) WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL ' ❑ OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN I, as owner of theproperty, _ ;.: am exclusively contracting With I THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY y :"i`__i^ licensed contractors to construct the project.(Section 7044, YES j] NO❑ Business and Professions Code.) ' j WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING •• '" OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH - CONSTRUCTION LENDING AGENCYCOAST IOIEUNE�4uT1 MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLISTFOR I hereby affirm that there is a construction lending agency for I YES❑ NO❑ the performance of the work for which this permit Is Issued(Sec. 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD - - - •••r, 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,TITLE CHAPTER 2.Z0 SECTIONS 120.100THROUGH 220.140 CONCERNING Lenders Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. I =- I''0 Lenders Address 0 OMER Gw AGENT o I Certify that I have read this application and state that the above P.C.FEE PERMIT FEE information is correct. I agree to comply with all county ordinances and State laws relating to building construction,and tP d hereby authorize representatives of this County to enter upon ISSUANCE FEE -f S the above-mentioned ropprty for Inspection pu Does,., of 7 '�. r INVESTIGATION FEE TOTAL FEE Cl aq++.mmofAMOOMMAyem Dm SEE REVERSE FOR EXPLANATORY LANGUAGE- WORKERS'COMPENSATION DECLARATION APPLICATION FOR BUILDING PERMIT I hereby affirm that I have a certificate of consent to self insure, or o certificate of Workers' Compensation Insurance, r or a certified copy thereof (Sec. 3800, Lab, C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Nol- �� ,.'y Company El Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING �f tion department ADDRESS � r Date Applicant - CITY ZIP LOCALITY "' CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST SIZE OF LOT NOW ON LOT CROSS ST. _ r COMPENSATION INSURANCE - " (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL R r TEL. �a! USE,ZONE MAP O I certify that in the performance of the work for which this OWNER i4 NO. OR 4 r SPECIAL W CONDITIONS NO !✓�l� /'w () _ permit is issued, I shall not employ any person in any manner ADDRESS �` _1 so as to become subject to the Workers'Compensation Laws. u. CITY ZIP Dote Applicant ARCHITECT OR TEL. n= NOTICE TO APPLICANT: If, after making this Certificate of DISTRICT GROUP TYPE FIRE PROCESSED By ENGINEER ENGINEER NO. CONST.-.. ZONE Exemption, you should become subject to the Workers' � -- ._. Of ,J•�•T O Com � TEL..' pensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be ^; j STATISTICAL CLASSIFICATION APT. ' CONDO. deemed revoked. ;tf- :ECONTRACTOR NO. ;� W LICENSED CONTRACTORS DECLARATIONLIC, CLASS NO. DWELL. UNITS E- 1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT.-. NO. OF NO. OF CHECK License Number t ) Lic.Class SIZE STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK NEW Contractor Date ❑ ! ❑ �,I ADD $ •❑ I am exempt under Sec. ALTER ❑ , QQ B.BP.C. for this reason REPAIR ❑ s � • • �+�. Date: J USE OF DEMOL ' EXISTING BLDG. ❑ Signature APPLICANT TEL. FINAL ' 'r' •' 2 OWNER-BUILDER DECLARATION PRINT NO. DATE l( _Z G ,0 ;4S ! I hereby affirm that I am exempt from the Contractor's License FQt I:�Mi Law for the following reason (Section 7031.5, Business and ) ADDRESS FINAL Professions Code): M: ByBUILDING 71f� I, as owner of the property, or my employees with [' ADDRESS ♦ ♦;,•++('(��"" 3Mt 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. 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). CONSTRUCTION LENDING AGENCY REQUSET BACK YARD Herr TOTAPROP.SETBLINE WIDTCK FROM H 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 LDMA Ref. M m Lender's Address P.C. Fee$ Permit fee 010,T'. I certify that I have read this application and state that the Issuance Fee f TDMA PTC N above information is correct. I agree to comply with all County Investigation Fee o ordinances and State laws relating to building construction, - - t,'.R and hereby authorize representatives of this County to enter Total Fee UDMA Perm. M upon thd,above-mentioned property for inspection purposes. o -•'' r ° SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Dote • ., ' '� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 gUTLD� iNG PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ~RESIDENTIAL ADQ/.ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 �' a !, BL 0508 9912140012 PHONE: (626) 285-0488 EXT: -i- - - -- -- LEGAL ID: NO. OF CONST NEWUI DI- G-ADDRESS: TR: 17107 LT: 25 SQ. FT STORIES TYPE OCCUP GROUP x`4948 RYLAND AV STRUCTURE: 830 1 VN R3 Lj TEMP CA 917804037 ASSESSOR INFORMATION UMBER: GARAGE: NEAREST CROSS STREET-: LOWER AZUSA 8585-013-027 OTHER: —THOMAS-PAGE:-597 GRID: B4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED 0 : PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/15/00 UT 08/13/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINA�Y: CODE: LEI,KUO CHUN; PEI KUI PEI - 1 61,420 I 4948 RYLAND AV '240-0 TEMP 917804037 FEES PAID D.ESCR-I-P--HOU-OF- ORK-- - - - - C ADDITION OF FAMILY ROOM, MASTER BEDROOM-AND ONE-BATHROOM APPLICANT: TEL. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: --— - 0: SAME AS OWNER - B1 PLANCHECK W/ENERGY 61420.00 VAL 859.87 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MO O9�!tESI-D`®61A20.00 VAL 6.14 B2 PERMIT W.ENFR�i ELES O A" 0 VAL 11 011.62 ,905.38 CONTRACTOR: TEL. N0: Gj �/� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TRENCH FORMS ov L C T DESIGN GROUP (626) 285-340 112 N. EARLE ST. LIC. N 1111111 SLAB/UNDER FLOOR SAN GABRIEL, CA -91775 NONE � AISED FLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZON3: MP U Dn �CWOr� n/JUSDELEVELRFLOORLSTEATH 0. OF FAMILIES: D E G ITS: AP COND: STAT CLAION ILIA IL1�L{IIL1K(v NO 21(1( 0 i ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDO S `\� i �yf�E* ROOF S EATHING AIR QUALITY: 1000 FEET MATERIALS Q � j rr.-_ NO NO NO ❑ ®{��y FIRE DEPT. FRAME INSPECT REQUIRED 0 AL SETBACK FROM EXIST [fib ��� BLDG DEPT. FRAME-1—NSP-07 SET BACK YARD: HWY: PROP LINE: WIDTH: Jr 11 FRONT PL- C setV- -Ting SHEAR PANELS SIDE PL- nL_-` INSULATION/WEATHER STRIP INTERIOR LATH/DRYWALL XTERIOR LATH LOT DRAINAGE SMOKE DETECT ON DEV--ICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508