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Home My Public Portal About5008 RYLAND AVE_Building__ DEPARTMENT OF JB„L.�ILDING AND SAFETY APPLICATION FOR.PERMIT ` COUNT"OF LOS ANGELES °' BUILDING®� WM. J. FOX, CHIEF ENGINEER B `fid FOR APPLICANT O FILL IN 'FOR OFFICE' USE ONLY BUILDING ,gyp` DISTRICT NO. PLAN CK. NO. PERMIT NO. ' ADDRESS 0 fyrc vP�' � �`i8 73-22 5-1, 3>•�aR� LOCALITY ` RE VED DATE OF APPL. DATE ISSUED NEAREST CROSS ST, B LDING ADDRESS OWNER MAILLOCALITY ADDRESS %/ ti� a NEAREST ` CROSS ST. EL CITY r�j(r T _IW NO FIRE NO. OF OFG OUP ARCHITECT O• TEL. ZONE PLANS "� I' 6� ENGINEER NO. BLDG. �7 ORD. NO. SETBACK LINE [__,r1 ADDRESSAfTEL 4 APPROVED BY DATE TEL. CONTRA Wo' 4 �4VI ^ NO. USE APPROVED ZONE��✓� BY DATE ADDRES ' - HOUSE NUMBERING LEGAL j �lJ /7 FIELD CHECK BY DESCRIPTION I LOT NO. .C�J I BLOCK MAP NUMBER TRACT J J D NO. ASSIGNED BY oAT NO. OF SLDGS. L` CORRECTIONS SIZE OF LOT NOW ON LOT USE OF I NO. OF Al _ EXISTING BLDG. FAMILIES DESCRIPTION OF WORK NEW I ALTERATION I I ADDITION Ga e ,(e�o< lleo7—Ta p REPAIR I I DEMOLITION I I -_X Q. ! �ii,a^G�iQnl� /moi► --- G ZE 0 ROOMS ORIES / -� � (-IPL S Q ^10 > EXT. WALL �f�/1/�/� ROOF d /� 1' COVERING Iry (%I✓o I COVER t ,2 p fL��r Qy4r"e- USE OF ST UC U E 3. v e 44- / a /r! fivV PV r.+ i APPROVALS INSPECTOR'S SIGNATURE DATE I HERE7Y ACKN LEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN 16 FORMS, MATERIALS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, 6 V HEREON AND WITH ALL COUNTY ORDINANC AND STATE BRACING, BOLTS 7 �l LAWS REGULATI G 13 DING CONSTRUCTIOjV./ FURNACE: LOCATION, SIGNATURE OF ^� ® t/J�,lJr. GAS VENT, DUCTS PERM ITT "� 1 6Ya� LATH, INT. ADDRESSL✓ wJs�/1` nO' f Y L �„-�r vi i" ✓ ��` nLATH, EXT. �� I AUTHORIZED AGT. PLASTER, INT. , 76ASSSA• DOSS So-so $ P. C �� ® �r FEE lQ PLASTER, EXT. 4 VALUAT70N FEE $� % �-� FINAL WORKERS' COMPENSATION DECLARATION hereby affirm that I hive a,certificate of consent to self � APPLICATION F O'R•. BUILDING P E RM I T insure, or.a certific5te ofRan kers' Compe so ion Insurance, *F o certified copy thereo800, La • ,) y �� AV//_ COUNTY COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy BUILDING 1:1 Certified copy is hereby furnished. 17 FOR APPLICANT TO FILL IN ADDRESS M/Certified copy is filed with th county buil Ing inspec- BUILDING -1 C� M+ !-��e tion department. - �- � - Date LO Applicant CITY ZIP LOCALITY " NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM ORKERS' 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.) TEL OWNER A NO.1414$40USE ZONE MAP I certify that in the performance of the work for which this `` NO. permit is issued, I shall not employ any person in any manner ADDRESS t $ SPECIAL 16 a CONDITIONS CL so as to become subject to the.Workers'Compensation Laws. �/ O CITY Date Applicant ARCHITECT OR ` C�' ZIP TEL Z°Od — �� Q� U NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROU COP ST FIRNE C OCESSED BY O�- Exemption, you should become subject to the Workers' �� Compensation provisions of the Labor Code, you must forth- ADDRESS - a with comply with such provisions or this permit shall be LL "� TEL q STATISTICAL CLASSIFICATION APT. CONDO. to deemed revoked. � CONTRACTOR 7. •�iV NOS O�J`L� Z LICENSED CONTRACTORS DECLARATION / LIC. n CLASS NO.�DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 6 ® Lll V NO. (commencing with Section 7000)of'Division 3 of the Business `,, LIC. SEWER MAP and Professions Code,and my license is in full force d effect. CITY 1W� F`t' CLASS BK PG. VALIDATION a SQ. FT. NO. OF NO. OF CHECK License Number J Lic. Class SIZE STORIES FAMILIES ONE LL COAL ` VALUATION � J Contractor CO[^'9Date —10— r6 DESCRIPTION OF WORK � 05 /� �B/� NEW ❑ �j�0� of Elam exempt under Sec. ADD El $ ALTER 101 , AT A B.&P.C, for this reason 0 12 REPAIR ❑ $ Date; E OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) NO. 1 hereby affirm that I am exempt from the Contractor's License DATE 1 Law for the following reason (Section 7031.5, Business and ADDRESS FINAL g Professions Code): PRESENT' BY ACCT.0 ❑ I, as owner of the property, or my employees with AD RIESS 3.303 144.60 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY oop 1 ITEMS 7044, Business and Professions Code.) MOVING TEL. TIAL ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. f with licensed contractors to construct the project (Sec- ADDRESS CHECK 144.6[1 tion 7044, Business and Professions Code.) CONSTRUCTION LENDING AGENCY SETBACK YARD HWY TOTAL ROP TINE ROM WIIDSTH CHANGE .130 1 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.). PID. 0000-0001 7/10/96 Lender's Name �, 7336 1 Af110�? r P.C. Fee$ Permit Fee 1 LDMA Ref.# Lender's Address ��// 7 I certify that I have read this application and state that the Issuance Fee 7 / LDMA P/C# , above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee �o LDMA Perm. # and. reby authorize re sentatives of this County to enter u he a-menti pro for inspection urp ego SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ure o Applicant or Agent Date