HomeMy Public PortalAbout5434 RYLAND AVE_Building__ DI! 'LSIQR OF BUILDING AND SAFETY BUILDING D6j?i &ent of County.Engineer A
�-• `U� � S���C.
County of Los Angeles 1 -
WM. J. FCX�,--CGFINTY ENGINEER APPLICATION
-_FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
ABUILDING
DDRESS )T t f l / zl /_/ DIBTR NO. P ,�c. RMI NO.
-m R EIVED BY .E�ATE OrAPP1L' DATE ISSUED
LOCALITY r J a s d
NEAREST.. ' ""` !�/+ f f p
CROSS ST. nP.e++� -'-"
ADDREBS �tf f7�lk` t1
OWNER. CJ ^ I ,d
MAIL p� LOCALITY .n',/,
ADDRE9SZ J O - NEAREST IS
/ CROBB ST.
CINO. L Z L6 FIRE NC.OF UP
TY
ARCHITECT OR TEL ZONE PLANS` ,s'' '";?? / u
ENGINEER NO. SLOB.
ACK LINE . / (_-_ �L SDC!
ADDRESS F�
TEL: �J�.�7 ` ZONE!" �/ PPR13VEID DATE
CON'[p 'C��TjjOR NO. % fir ( HOUSE NUMBERING �//
ADDREBSr:�--3 X d�Ie A./f 6—vt)A j , r, MAP NUMBEROgg NO. ASSIGNED BY ��z l
DESCRIPPT )TION �o' y� f i1.QQK ) v •-fir. ."'f CORRECTIONS v�
TRACT j..=, • `.�'f Com'._ c'c JI`�'° /
812E OF LOT /G/ I NOW ON LOTLD ®/[,(J/CJUSE OF
EXISTING
BLDG. NO.QF
DESCRIPTION OF WORK •f� A
NEW ALTERATION ADDITIOy Z
D
REPAIR DEMOLITION r
B ZE ROOMS STORIES
EXT.WALL / ROor
I COVERING
COVERING V � -
USE OF STRUCTURE
INSPECTION FOR APPR®VALS
OCCUPANOYAB INSPIECTORPS.SIGNATURE DATE
FOUNDATION:LOCATION
FORMS, MATERIAL13 .[/1Gai_ �' ~
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS ' FRAME: FIREBTDPB, /}
CORRECT. BRAOING�BOLTS .1st41.�!ea,.._ r
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, �1
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS V1LkiGA 0"? 7-J4P 11
SIGNATURE OF /V!C"j LATH, INT.
PE RM ITTE
ADDRE L A-D LATH, EXT.
PLASTER, INT.
AUTHORIZED AQT.
PLASTER, CCT.
C8"`
r m �/� HOUSE NUMBER COR-
D FEE RECTAND POSTED !
VALUATIC l0 FEE FINAL
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f -
76A636A D893 I-52 - {,
L I
V`ORKERS'COMPENSC,`IQN DECLARATION
r l sre'�y affirm that I hclve certificate of consent to self APPLICATION FOR BUILDING PERMIT
insdure; or a certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company 1L
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDR Ss L
❑ Certified copy is filed with the county building inspec- BUILDING ,b �
tion department. ADDRESS ti 7 TN I(/ /"7�`
Date Applicant CITY ��� a ZIP ! [ C1 LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. s. NEAREST
COMPENSATION INSURANCE SIZE OF LOT 1/df0 NOW ON LOT L CROSS ST.
(This section need not be completed if the permit is for one �y ASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT NO. J O MAP BOOK PAGE PARCEL
/Ge. TEL. C1 USE ZONE MAP
I certify that in the performance of the work for which this OWNER NO. J NO. — O�
permit is issued,I shall not employ any person in any manner /n{ 1 SPECIAL d
so as to become subject to the Workers'Compens ion Laws. ADDRESS �vC / `^! CONDITIONS O
+� CITY �L�CI ZIP
_
Date u Applica ARCHITECT OR TEL.
NOTICE TO APPLICANT: If, er aking this Certificate of ENGINEER NO. . DISTRICT GR UP TYPE FIRE PRO ESSED BY VV
Exemption, you should bec subject to the Workers' CONST/ ZONE
Compensation provisions of the Labor Code, you must forth- ADDRESS ��� • V . IL
with comply with such provisions or this permit shall be
TEL. STATISTICAL CLAFI TION APT. ItebNDO.
deemed revoked. CONTRACTOR� •� O?i.NOLIC . ,
I hereby affirm that I amED
licensed nder provisions DECLARATION
f Chapter 9 ADDRESS27009 4 NO q57L/1 CLASS NO. DWELL. UNITS
(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 LAileArria, C4 CLASS BK A ` 3 VALIDATION
SINO.OF
STORIES ��� FAMILLIIES Q�� ONE
License Number CHECK PG.
SIZE Class SIZIZ E
VALUATION
Contractor Date DESCRIPTION OF WORK 6JCPA1%v NEW ❑ $
❑ I am exempt under Sec. ,r�W� ADD ® Pilo.ALTER ❑
B.BP.C. for this reason REPAIR .❑ $
Date: USE OF DEMOL ❑
EXISTING BLDG.
Signature APPLICANT OE- NOO r (�G/ FIN
OWNER-BUILDER DECLARATION PRINT) V TQ/ DAT
I hereby affirm that I am exempt from the Contractor's License ADDRESS J /t t! 3 OV 4.N� '�
Law for the following reason (Section 7031.5, Business and FIN
Professions Code): PRESENT ' n p� ^
,` BY
❑ BUILDING !73 LAWV "V4 -
I, as owner of the property, or my employees with ADDRESS y
wages as their sole compensation,will do the work and LOCALITY LL CI7'L
the structure is not intended or offered for sale(Section
m dh-
7044, Business and Professions Code). MOVING TEL.
I yl I,as owner of the property, am exclusively contracting CONTRACTOR NO.
`H with licensed contractors to construct the project (Sec- ADDRESS6 9 9 6 A
tion 7044, Business and Professions Code).
REQUIRED TOTAL SETBACK FROM
CONSTRUCTION'LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH # 0 0 0 0.0
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. .4,
(Sec. 3097, Civ. C.). SIDE 7'
P P x
. P.L. 05.0 ,
d Lender's Name
$ P.C. Fee$• Permit Fee 3 LDMA Ref. #
- Lender's Address //}
r I certify that I have read this application and state that the Issuance Fee L v • 5 LDMA P/C#
= above information is correct. I agree to comply with all County Investigation Fee a
ordinances and State laws relating to building construction, Total Fee4 LDMA Perm. # '
and hereby authorize representatives of this County to enter
I upon the above-mentioned property for inspection purposes.
i
D SEE REVERSE FOR EXPLANATORY LANGUAGE
"��Signature of Applicant or Agent Date 0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT 0? PUBLIC WORKS 9701 LAS TUNAS
RESIDENTIAL ADD/ALT/REP
BUILDING AXI) SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
BL 0508 0507110039
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE OCCUP GROUP 5434 RYLAND AV jplo-' d'
STRUCTURE: 988 1 VN R3 TEMP CA 917802721
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET:
8586-025-021 OTHER: 1129 1 VN R3 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/12/05 JK 10/07/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL TEFINAL BY: CODE:
YAN FEN C/WONG WAI MING (626) 442-9316- 115,680
5434 RYLAND AVE
TEMPLE CITY CA 91780 FEES PAID DES IPT OF WORK
ADD 1 BEDROOM, 1 BATH, NEW KITCHEN, REMOVE (E) KITCHEN AND
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: REMODEL 1129 SQFT.
APPLICANT: TEL. NO:
SAME AS OWNER - B1 PLANCHECK W/ENERGY 115680.00 VAL 1,303.76
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION REBID 115680.00 VAL 11.57
B2 PERMIT W/ENERGY 115680.00 VAL 1,533.84
TOTAL FEES 2,876.92
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS 1,6 �jj
PATRICK CHID AND ASSOCIATES (626) 308-9983- - 0,-
821 S. GARFIELD AVE., #202 LIC. NO: SLAB/UNDER FLOOR r/
ALHAMBRA, CA 91801 NONE O
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
IST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT-
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT ��
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATION WEATHER STRIP
INTERIOR LATH/DRYWALL 2
EXTERIOR LATH
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BSO508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AWD SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
BL 0508 0603140023
PRONE: (626) 285-0488 EXT:
LEGAL ID: 90. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 5434 RYLAND AV
STRUCTURE: VN TEMP CA 917802721
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5586-025-021 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 03/14/06 JK 03/09/07
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F N DAT FINAL BY: CODE:
YAN FEN C/WONG WAI MING (626) 442-9316- 500
5434 RYLAND AVE
TEMPLE CITY CA 91780 FEES PAID lZSCRivrION OF WORK
ADD BATHROOM TO EXISTING LIVING ROOM
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION REBID 500.00 VAL 0.50 SPECIAL CONDITIONS:
B2 PERMIT W/ENERGY 500.00 VAL 48.02
TOTAL FEES 76.27
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS
PATRICK CHIU AND ASSOCIATES (626) 308-9983-
821 S. GARFIELD AVE., #202 LIC. NO: SLAB UNDER FLOOR
ALHAMBRA, CA 91801 NONE
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET 14ATBRIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION WEATHER STRIP
SIDB PL-
INTERIOR LATH DRYWALL
EXTERIOR LATE
RATED FLOOR CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SBAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508