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Home My Public Portal About5003 RYLAND AVE_Building__ i DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES O ,]`�I WM. J. FOX, CHIEF ENGINEER ►] FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �(/� O DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRESS (/V ��! �!-��t ti/✓_'� ^�� 3�� rly S ,� ` - �C RECELY.E BY DATE OF APP ,DDA�TE ISSUED LOCALITY per'}� [ e aI o NEAREST �u'p U CROSS ST, y�!�i,,.- � �-�•[.Ti+�s� J BUILDING n ADDRESS (,' (a f'l�r� LLA_ryD i OWNER d MAIL �' �` C,/1. LOCALITY —7— C— ADDRESS nr JJ is•t, i r LS-- "i.-s...+R'"'-sr'• --: NEAREST TEL. �J CROSS ST. Y/�' CITY t .�liiYif�f `? r�1fi:. NO. FIRE ` '/' 7! ff '[ ZONE I NO. OF PLANS I TY Pd I GROUS ARCHITECT OR, -- TEL. f� " Ar ENGINEER NO. BLDG. ORD. NO. SETBACK LINE r ADDRESS - APPROVED TEL BY DATE CONTRACTOR. .0 OLk y%-/`-NO. USEAPPROVED ZONE '�� BY DATE ADDRESS HOUSE NUMBERING DESCRIPTION I LOT NO. -Z I BLOCK MAP NUMBER Zd FIELD CHECK BY TRACT I /D 17 I NO. ASSIGNED BY DATE � NO. OF BLDG3. CORRECTIONS. SIZE OF LOT I/ �i l ""YI I NOW ON LOT 1'` �,f`�� f i') ,•� USE OF �___ I NO. OF - ✓.e :.- 1= ` t» EXISTING BLDG. FAMILIES DESCRIPTION OF WORK NEW I Y[ALTERATION I I ADDITION REPAIR I I DEMOLITION SZ FT. /.o NO. OF SIZE 7j U ROOMS (p STORIES / Y EXT.'WALL` I ROOF r COVERING �i(T COVERING USE OF,STRIrCTU(I�RR9� : �.s{./1/ti'4U`••C_ `GL/-'rin,•-�G.f,;�r,,; /.r.db:�'�[.T".�L.7-s`; ell .1 APPROVALS„ '.CJr'✓t""' I INSPECTOR'S SIGNATURE DATE 1 HEREIRY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION{AN17 STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS •,?.�„ CORRECT. y - 1 AGREE TO. COMPLY WITH•THE CORRECTIONS LISTED FRAME: FIRE STOPS, ��• [� -j t HE AND WITH ALL COUNTY ORDINANCES AND STATE ` BRACING, BOLTS LAWS REGULATING BUILDING.CONSTRUCTION. 4 / FURNACE: LOCATION, OF GAS VENT;DUCTS 4-yURITEPERM � •� t : 6316NATr� ;f � -'•,s fiJ.ii'•'-P � LATH, INT. ADDRESS ? F� vt�Y' / // - V c 1 LATH, EXT. AUTHORIZED AGT. �r CJ � ��-1-�"i•. "~' ` PLASTER, INT. 73Ai93A-DBS' 10-60 $ P. C. $ / ?^ ` ® 9 p p FEE (p PLASTER, EXT. VALUATION G' FEE ,� � �'e. FINAL APPLICATION FOR B.LJIL®ING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY ' RKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUI :! I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS �0 -7Q. I or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Seo.3800,Lab.C.) I CITY f ZIP Policy No�?as-eys— Company Sa rL / 0,41, ., 4V 1 LOCALITY SIZE OF OT 101 NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST Jr ("Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date=/y-93 Applicant rV A10t-eL70 �0l��I,I�fF ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE r �' WITHIN 1000 FT.OF SCHOOL? YES NO This section need not be completed if the permit is for one hundred ADDRESSp. ( p p �5��/ �i W. O [:;"CTf— I GROUP TYPE CON FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP p I certify that in the performance of the work for which this permit � ahi <<�� 3�p� is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT ORE WEER TEL NO. P STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.p / DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. a SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith �Z-0.0&07-CM �QF� B .c FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION �'f OW GS �.�s� SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 6Nl B vzod- �� SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES I NO.OF FAMILIES Professions Code,and my�liicense is in full force and effect. NEW 11 BK PG d License Number G-�-3 m 2� Li..Class C / DESCRIPTIO OF WORK ADD VALUATION Q ContractorMALK C. Xt-44 O Date f'/'r/��4 t« ALTER ❑ $ C9 U ❑ I am exempt under Sec. REPAIR ❑ H BAP.C.for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. Ir.IF URM ❑ � 10 Signature APPLICANT(PRINT) ' TEL NO. LDMA Perm# 1 Z ❑ I, as owner of the property, or my employees with wages as Z a their sole compensation, will do the work and the structure is ADDRESS O ACCT.T not intended or offered for sale (Section 7044, Business and FINAL DAT , G11l*33017 i1Qe30 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 'J El 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIE N THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 1 ITEMS licensed contractors to construct the project (Section 7044, YES El NO E� —O Business and Professions Code.) TOTAL 102 o,3 0 WLL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING j j C �/ 102.30_+j ,-y OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH "• ��/�A�T CHEC 7 iI�L a r�V CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO CHANGE .00 cm W the performance Of the Work for which this permit IS ISSUed(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING a 3087,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2 20 SECTIONS2 100 THROUGH 2 20.140 CONCERNING HAZARDOUS !y Lender's Name MATERIAL R ORTIN D FOR WING A PE SRO E SCAQMD. IJI� I)—I]I]Q 14 f Cf,j o Lender's Address 971-9 1 AM10:55 R OR AGENT o I certify that I have read this application and state under penalty O Of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE �. a with all county ordinances and State laws relating to building m construction, and hereby authorize representatives of this County ISSUANCE FEE / w to enter upon thea ve-, entio d prop rty for inspection purposes. J m INVESTIGATION FEE TOTAL FEE ro r wo R Avd: i w SEE REVERSE FOR EXPLANATORY LANGUAGE �+ 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 0310210028 PHONE: (626) 285-0488 EXT: LEGAL ID: N0. OF CONST BUILDINGADDRESS: TR: 17107 LT: 20 SQ. FT STORIES TYPE 5003 RYLAND AV STRUCTURE: VN TEMP CA 917804039 ASSESSOR 0 ER: NEAREST CROSS STREET: LA ROSA 8585-010-016 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY STBLDG . R 5 Z - S EDPROCESSED . EXIST OCC GRP:. 10/21/03 JK 10/15/04 . OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATIL=46 ot ON: FINAL BY: CODE: MURO PETER;SHERI (626) 579-6628- 500 1 5003 RYLAND AV EXPME TEMP 917804039 FEES PAID DESCRIPTION OF WOR DEMO WALL IN KITCHEN;NEW DRYWALL IN KITCHEN (KITCHEN REMODEL FEE DESCRIPTION: QUANTITY: LION: AMOUNT: APPLICANT: TEL.-NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/.O�EN=HC— .-.,500.00 VAL 43.65 ELES ®_`FEES 71.90 igGCONTRACTOR: TEL. NO: ~�� (//d/ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO `�\ LOCATION-AND SETBAC S x X SOILS ENGINEER APPROVAL ARCHITECT OR ENG R: TEL. NO: FOUNDATION/TRENCH- — \ � FOR S LIC. N // - I �I j �,L— ��1 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: P OMP•.:.' 1 i,-, T �- �l ii UNDERFLOOR NSULATIO X 3 �f ;.01i 1 ;IIS -1 lr fes;+,� -�1i1 L� d Lf Ll FIM-R-99UM FG— NO. OF FAMILIES: DWELL- S: APT/CO : STAT CSS:- ----------------- ------------- 1 NO 21 = -- - ROOF SHEATHING SCHOOL HAZARDOUS �\`��- �� J� J , y _ rr, r SHElkR PANELS AIR QUALITY: 1000 FEET MATERIALS ,i .' �,I NO NO NO A*�� 1� F:�,;�. FR-ME-INSPECTION �vr / REQUIRED OTA SETBACK RO EXIST �� FRONT - G\ I� , /Q;°� 1� RE SPRINKLER-HANGERS SET L TAPYARD: HWY: PROP LINE: WIDTH: SerVICQ;��•��5°�� INSUL TION/WEA ER STRIP SIDE PL- �c INTERIORDR A L EXTERIOR LATH RATED FLOOR/C5IL ASSEN. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508