HomeMy Public PortalAbout5024 RYLAND AVE_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING Y COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY h6 ' ZIP BUILDING ANDS TY DIVISION
NO,OF BLDGS. BUILDING
SIZE OF LOT BOO NOW ON LOT ADDRESS 520.2 el Z2_,_f.
p i
TRACT Ill(gZ�r BLOCK/, G LOT 6D. of LOCALIT
OWNER AR,l�E ERJUA��C�, NOL �ZZd b NEAREST.
ST.
ASSESSOR
ADDRESS 42 3 IL kx0a AJC�._ MAP BOOK PAGE PARCEL
DISTRICT I GROUP TYPE FIRE R ESSED BY
CITY L•/6 . ZIP (3D)q, D CONST ZON
ARCHITECT OR TEL, o
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO�DWELL.UNITS B PG
CONTRACTOR W NAL' USE ZONE MAP
LIC. NO. C� D
ADDRESS NO, I SPECIAL
CITY LIC. CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY HIGH AY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT, NO. OF NO. OF ' CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
= d
DESCRIPTION OF WORK NEW 10 'I' U
♦ BLDG. TBACK FROM
lo/ b I4 ADD SIDE PR NE OF _ (STREET) a
LTER ❑ HIGHWAY { YARD TAL ETBACK FRO E OF EXISTING 6~.7
REPAIR❑ SIDE PROP. LINE HIG AY WIDTH OW.
USE OF + - On
EXISTING BLDG. \ ++�� DEMOL E] Z
AP PRICANT �0 LLAfJV NOLL �0�3Q CORNER CUTOFF YES ❑ NO ❑
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
Q / IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION /Q Q Q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- ��' "' ? r ��' G7• �-• �' r
STRUCTION, I CERTIFY HAT IN DOING THE WORK AUTHORIZED LABOR
I WILL NOT E LOY ANY P RSOl1 IN IOLATIO OF THE
LABOR CODE OF THE PTE OF LIFO I IN RE ATI NG TO
WORKMEN'S COMPENS N IN RA "
SIGNATURE OF /
PERMITTEE 1:7/
ADDR1ShS&5^L5%*
b jVAw 2^CITY NOL• _I D DATE
P.
NAL BY
MAKE CHECKS PAYABLE TO. FEE FEE
HARVEY T. BRANDT. COUNTY ENGINEER
PLAN'CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. CASH
1 8 5;12 AUG .25 1 0 8 2.5 0 A:z
7GA698A CE#809 5/74
76036A CE 4803 4/70 1 -2-7 �'(...'� L{.�"
APPLICATION FOR BUILDING PERMIT
" COUNTY OF LOS ANGELES _ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING a)
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS /_.'F/( J/ 1: r •!! 6�7•�
COLEMAN W. JENKINS, SUPT OF BUILDING
LOCALITY ���,�!•i(�_� �j _�
FOR APPLICANT TO FILL IN NEAREST
Print or tvoe onl CROSS ST.
q DISTRICT NO. GROUP TYPE l PF,OCESSED�BY
BUILDING
ADDRESS �O pry CONST. _;>G'
'/�- /� / ±
LOT NO.
,' /�?/ BLOCK C�.i STATISTICAL CLASSIFICATION r SEWER MAP f
CLASS NO.--? IDWELL,UNITS BK PGL!
TRACT �' �. V USE ZONEMAP 1
NO.OF BLDGS. !! NO. (>�J (.•'
SIZE OF LOT �j D f? NOW ON LOT 1 SPECIAL
USE OF [CONDITIONS
EXISTING BLDG. I
OWNER 60,0 .2 NOLO{.
BLDG.SETBACK FROM
ADDRESS J FRONT PROP.LINE OF (STREET)
` TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY . HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. }
ENGINEER NO, BLDG.SETBACK FRO
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWA YARD = TOTAL
CONTRACTOR f k
NO. HIGHWAY WIDTH FROM G.L. y
C.
ADDRESS LIC.NO, ( hA = cm
u
Lid. ❑
CITY CLASS CORNER CUTOFF YES ❑ NOCONSTRUCTp
ON
NAME AND B)RA CHNDER SEE REVERSE SIDE FOR SPECIAL APPROVALS w
a
ADDRESS Z
SQ, FT. NO. OF NO. OF NEW ❑ wx;zQ
SIZE STORIES FAMILIES y/jT
USE OF ADD ) `&17 �(
STRUCTUR - -
ALTER
REPAIR[]
SIGNAYURE O-
APPLICANT DEMOL Cl
VALUATION S OP APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. 7 FOUNDATION: LOCATION
FEE S FEES / FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF TW STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMP ATION INSUR CE.
LATH, EXT.
SIGNATURE OF Q HOUSE NUMBER COR-
PERMITTEE E RECT AND POSTED
ADDRESS G1671 FINAL d
JOHN F. LEWIS. PRINCIP L STR AL ENGINEER
PLAN CHECK VALIDATION C . M.O. CASH _ PERMIT VALIDATION CK. .0. CASH
� p('r,72869 OCT 22 1 D 17.25 V
3
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 3UiLDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0409230019
PHONE: (626) 285-0488 EXT:
LEGAL ID: r0. OF CONST B ILDING ADDRESS:
TR: 10821 LT: 1 BL: C UN: .002 SQ. FT STORIES TYPE 5024 RYLAND AV
STRUCTURE: 1600 VN TEMP CA 917804038
ASSESSOR I RTOMAUT r5ff N OBEn: NEAREST CROSS STREET: LA ROSA
8585-013-004 THOMAS PACE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: R•S.D USE ZO E: R- ISSUED ON: ^ SSED B EXPIRES OP::
EXIST OCC GRP: 09/23/04 P 09/18/05
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT Y: CODE:
PEREZ„ JESUS (626) 452-1287- 7,000
5024 RYLAND AV
TEMP 917804038 FEES PAID DES R PT ONf WORK
REPLACE 5 WINDOWS (SAME SIZE) TEAR/OFF AND REROOF
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT; COMPOSITION SHINGLES 30 YEARS.
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 7000.00 VAL 0.70 SPECIAL CONDITIDNS:
D2 PERMIT W/O EN-HC 7000.00 VAL 165.20
TOTAL FEES 194.65
CCN'TRACTOR: TEL. NO!� APPROVALS DATE INSPECTOR 5 NA URE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGI ER APPROVAL
ARCHITECT 0 ENGINE R: TEL. .O: FOU DATIO T. CH FO S
LIC. NO: SLAB/UNDER FLOOR
RANED FLOOR FRAMIIeG
MAK NO: SEWER M'AP B 6 617,-- FA5K FIRE ZONE: CMP: UNDERFLOOR INSUL IIA— OM
XX 3 01
FLOOR SHEATHING
F FAMILIES: DWELIT U iTS: APT/COND: STAT CLASS:
NO 21 ROOF 5 EAFT THIR
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTIUN
REQUIRED TOTAL SETBACK-FROM EXSI FIRE'SPRINKLER ff1 GER
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR
L-
i TE IOR LAT /bR WALL
EXTERIOR LATH
RATED FLOOR/CE L ASS-E 7.
RATED WALL ASSEMBLIES
TED S AFTS/ Pcr I1 CS—
T-BAR CEILINGS
LOT D A AGE
REPORT ID: DPR261 ROUTE TO: BS0508 `
s
` 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 1110040020
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 10821 IT: 1 BL: C UN: .002 SQ. FT STORIES TYPE 5024 RYLAND AV
(STRUCTURE: V-B TEMP CA 917804038 i
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
18585-013-004 1 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
(EXIST OCC GRP, 110/04/11 SR 1
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
IXU, JIKUN (626) 277-6667- I 2,200
15024 RYLAND AV
TEMP 917804038 I FEES PAID IDESCRIPTION OF WORK
IREMODEL TWO BATHROOMS
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:i
APPLICANT: TEL. NO: I I
SAME AS OWNER - iAA BLDG PERMIT ISSUANCE 27.80
IAB STATE GREEN BLDG FEE 2200.00 VAL 1.00 (SPECIAL CONDITIONS:
1 IAC STRONG MOTION RESID 2200.00 VAL 0.50
JB2 PERMIT W/ENERGY 2200.00 VAL 109.00
TOTAL FEES 138.30
[CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - I I
1 LIC. NO 1 1LOCATION AND SETBACKS 1 1
SOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS
LIC. NO: ISLAB/UNDER FLOOR i
(RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( UNDERFLOOR INSULATION I 1
I144H273 3 001 I I
OTC,
IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 110 NO 21 II 111,L� ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS 1 /.� y'' 1SHEAR PANELS
(AIR QUALITY: 1000 FEET MATERIALS V
1 NO NO NO 1FRAME INSPECTION I 1
1FIRE SPRINKLER HANGERS 1 I 1
INSULATION/WEATHER STRIP
iINTERIOR LATH/DRYWALL
EXTERIOR LATH
1 IRATED FLOOR/CEIL ASSEM. I I I
IRATED WALL ASSEMBLIES
I I I
i IRATED SHAFTS/OPENINGS I I I
I I I
IT-BAR CEILINGS
I I I
I I LOT DRAINAGE
I I I
IREPORT ID: DPR261 ROUTE TO: BS0508
f i I I I I