HomeMy Public PortalAbout5505 RYLAND AVE_Building__ 76/j638:4"CE�B03 9-67 I I
r1; - APPLICATION FOR BUILDING. PERMIT 'uI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY'ENGINEERZ, . ADDRESS (�
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST. _
FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE P CESSED Y
�7- CONST.
(Print ort pe only) 2
BUILDING,— r �- STAT STI AL ASSIFICATION SEWS MAP
ADDRESS_a 5Q`J' /Q� Vap CLASS NO. DWELL,UNITS BK
LOT NO. L BLOCK US ZONE MAP R
OF-
TRACT 4,?-7 �i�� CONDITIONS V
NO.OF BLDGS. .y�uJ�
SIZE OF LOTJWX IJ2 NOW ON LOT
USE OF ��roro
EXISTING BLDG. I�'� ` ��� 6 d.� BLDG.SETBACK FROM
OWNE L NOL '.,Q-ZQFRONT PROP.LINE OF -(STREET).
TYPE OF EXIS7`ING SETBACK HIGHWAY + YARD - 'TOTAL
ADDRESS
5�5_0:5' .,l j�/ /( HIGHWAY WIDTH FROM C.L.
'wn Lee-, 6+
ARCHITECT OR TEL SIDE ACK
M a7N�r5 (STREET)
ENGINEER NO. SIDE PROP.LINE OF
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTO '+�Jt OLs�/„'S�+ �`�I �� + �O = I 0
CD
LIC.ADDRE W f NO. (7'� CORNER CUTOFF Y S Et NO ❑ =
CITY eJ 12-12— CI A'SS �� SEE REVERSE SIDE FOR CIAL APPROVALS t3
a
- DESCRIPTION OF WORK r„
--� 11 Az
NEW < DD REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF �!
STRUCTURE I omevv, ¢xt Avv
fZAjM, jZ,-f
SIGNATURE Or
APPLICANT ,
VALUATION.$
APPROVALS DATE INs ECTOR'S. TURE
P.C. PMT. 1J' 'FOUNDATION: LOCATION
FEE S FEE$ 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT• LATH, INT.
ING TO WORKM COMPENSATION INSURANCE.
' � LATH, EXT. ,
SIGNATURE O . HOUSE NUMBER COR-
PERMITTEE Its' �� RECT AND POSTED
ADDRES&- r t
FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION = CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
Lf".14 8 73.40 MAY 29 1 D 2 7:7-5N
'NAW TENT OF BUILDING AND SAFETY I "VilLuAlLum rvim rr4AV"A
I em 1
COUNTY OF LOS ANGELES I L Do I P
WM. J. FOX. CHIEF EN13INEER
FOR OFFICE USE ONLY
FOR APPLICANT To FILL IN DISTRICT NO. PLAN OK.NO. PERMIT No.
ADDRESS
SUILDI14933.�'J'F .. —
—5 —
RECE.7By DAZ
D T ISSUED
LOCALITY Los Angeles oufity OF 7
1XI I 1-fo /0DATEA
*7
NEARESTLive Cak -Avenue KV
a.
BUILDING 0a lcllet
OWNER Linde Finance & DeveloMent 'ADDRESS
MAIL 232 So® Beverly Drive LOCALITY77
ADDRESS NEAREST
Beverly RD- ST.'
.Z Hills, CalifWif Tr,,
_mT_Y CR
N&NS TYPE IPJ
ARCHITECT OR ZONE P
ENGINEER te• as above mrt-DDOLD* I 0c ORD O.
/jJI '10c
SEI G�CKJLIWE
®®DRESS rO
APPROVED
TEL. By
CONTRACTOR i3hae aS abaM APPROVED
PR,A my !�
ADDRES1
LEGAL CORRECTIONS
LOTmo.l()4 BLOrK'
TRACT 16957
NO.OF SLOGS
E31ZE Of LOT 68xl05 NOW ON LOT nme
USE OF No.OF
Nobo
F
EXISTING BLDG. FAMILIC9ROI
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR MOVING DEMOLISH to
Na.or
32 6 STORIES >
SIZE r
WALL Roar
COVERING St;dcc6 I CMVERiNGWocd Shingl',
USE OGE`"'
BUILDFIDwelling and detached garage
Plan 108-C
t5'
/
I HEREBY ACKNOWLEDGE 'THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECTUNDATION,LOCATION INS TOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS
AND STATE LAWS REGULATING-BUILDING CONSTRUCTION. I
FRAMES FIRE STOPS,
BRACING,BOLTS
SIGNATURE OF de ].nod]; 1 cm wt,
P ER H, INT.
//
AUTHOR LATH, EXT.
lzljffle�tR m m
PLASTER,INT-
7GA63BA-3 7'49 6y/
P.C.
FEE PLASTER.IEXT-
VALUATION
FINAL rs
'-w
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN [BUILD t�1 hereby affirm that I have a certificate of consent to self insure, Bk,c—a- 1014C
DFss ✓ /1��V 'or a certificate of Workers'Compensation Insurance,or a certified Qcopy thereof(Sec.3800�La .C.) �� ZIP CALITY 47
Policy No. /� Comp SIZE OF LOT NO.OF BLDGS.NOW ON MT
❑ Certified copy is hereby furnished. NEAREST CROSS ST.
ertified copy is filed with the county building inspection TRACT BLOCK LOT NO.
depart t. t�A�p USE ZONE MAP NO.
Date/ licant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION ROM WORKERS' OWNE TEL NO.
COMPENSATION INSURANCE V WITHIN 1000 FT.OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred A .R pA„ 1e /� DISTRICT GROUP TYP CONST. FIRE ZONE PROCESSED BY
dollars($100)or less.)
I certify that in the performance of the work for which this permit Y fi ZI
is issued, I shall not employ any person in any manner so as to gRCHITECT R ENGINEER TEL NO
become subject to the Workers'Compensation Laws. . STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDR S CLASS NO. DWELL UNITS
NOTICE TO APPLICANT If, after making this Certificate of v REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR , TE NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith FRONT
comply with such provisions or this permit shall be deemed revoked. ApD S LIC. P L
Ve " 2_� SIDE
LICENSED CONTRACTORS DECLARATION PL
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP p}.
(commencing with Section 7000)of Division 3 of the Business and S .FT SIZE NO.OF STORIES NO.OF FAMILIES o
Professions Code d license is in full force a eff NEW BK PG V
�• D RIPTION OF WORK VALUATION ,
License Number LID.Clan. �-• A D ❑ r0 �
Contractor+ C� f Date E t tet- ER ❑ 7� J p
1
❑ I am exempt under Sec. a REPAIR ❑ I V
BAP.C.for this reason Ga" DEMOL ❑ a
LDMA P/C# N
Date: USE OF EXIS114G BLDG. URM ❑ a
Z
Signature APPLICANT(PRINT) TEL NO. LDMA Perm# -r•s 9
❑ I, as owner of the property, or my employees with wages as Z
i-i!:!:1 e s
their sole compensation, will do the work and the structure is ADDRESS 0 33033
not intended or offered for sale (Section 7044, Business and FINAL DATE Q __
L• '.
Professions Code.) p_7o. ! =
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL L �
I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE TOTAL ,r--� E
,AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY I t 149 a ',�P5
licensed contractors to construct the project (Section 7044, yes 11 No❑
Business and Professions Code.) i: �r ��
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING LCK 1 /+]a 35
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH I ,. �I�I
CONSTRUCTION LENDING AGENCY I COAST NR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR �,h a�h A/ CHANGE I_.�
GUIDELINES. 'ft (` -�r']({/
I hereby affirm that there is a construction lending agency for YES❑ No❑
CM the performance of the work for which this permit is issued(Sec. _
W 3087,CIV.C. IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING MEI iri_III I f / 7/97,J��a
) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. •/ . 1 1 r _
i TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE a SCAOMD. (! Ar' 0:70 i u�•_.•
o Lender's Address
p OMER OR AGENT /�
c I certify that I have read this application and state under penalty '
c 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 >
construction, and hereby authorize representatives of this County ISSUANCE FEE
ato entern the above-mentioned property for inspection purposes.
a3 -s�� INVESTIGATION FEE TOTAL FEE /+ O
s�unmure ram«
SEE REVERSE FOR EXPLANATORY LANGUAGE
I •.
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS jj L
I Hereby affirm that I have a certificate of consent to self insure, BUILDI GBpD�S ® ��S /�L
or a certificate of Workers'Compensation Insurance,or a certified Rv If��
copy thereof(Sec.3800,Lab.C.) CITY �� �� ZIP
LOCALITY
Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT efr0ll�
❑ Certified copy is hereby furnished. 61NEAREST CROSS
[ICertified copy is filed with the county building inspection BLOC LOT NO.
department. - USE ZONE MAP NO.
Date Applicant R-SEMPOAMB PAGE i PARCn IN /
SPECIAL CONDITIONS
A�+ CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER �� T N . _
!� COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO
(This section need not be completed if the permit is for one hundred ADDRESS
DISTRICT GROUP TYPE CONST. I FIRE ZONE PROCES ED BY
dollars($100)or less.) Ad
CITY ZIP
I certify that in the performance of the work for which this permit
is issued, I shall not employ any person in any manner so as to
become s ject O the Workers'CompensaWn Laws. ARCHI ECT OR ENGINEER L NO.
4 ATISTICAL C SSIFICATION APT CONITO
Date �(pplicant
AD pp DWELL UNITS
NOTICE TO APPLICANT.• If, after making this Certificate of REQUIRED' TOTAL SETBACK FROM EXIST
Exemption, you should become subject t0 the Workers' CONTRACL NO. _ gVAT BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith $I`,w-ZZi-O FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS % � L( 3a P L
LICENSED CONTRACTORS DECLARATION ¢fig r� SIDE
/, AALC217f
/� C Y ., LIC. LASS P L
X-�-1 hereby affirm that I am licensed underprovisions of Chapter 9 6 eQ
SQ.FT SIZE NO.OF RIES NO.OF FAMILIES SEWER MAP }.
(commencing with Section 7000)of Division 3 of the Business and �... r
Professions Code, my license is in full force an effect. 2�S'(p. ,F NEW 11 5-F PG o
v v
License Number A 0 Lic.Class DESCRIPTION OF WORK � ADD VALUATION
Contractor � Date ALTER ❑ $
U
❑ 1 am exempt under Sec. `~ Y ` REPAIR ❑ $ z
BAP.C.for this reasonDEMOL ❑ LDMA P/C#
Date: USE OF EXI NG LDG. �' URM 11 _
Signature APPLI (PRIN ) NO. LDMA Perm# +
A r.^.•t
❑ I,as owner of the property, or my employees with wages as Moe Z FAA-.!o a
their sole compensation, will do the work and the structure is ADDRESS O _
not intended or offered for sale (Section 7044, Business and — - FINAL DATE
Professions Code.) WILL THE APP-ICA OR FUTURE BUILDING OCCUPANT HANDLE A HAZA&6US MATERIAL
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 1 U
❑ I, as owner of the property, am exclusively contracting Wlth AMOUNTS SPECT ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Q
FINAL BY PA.
licensed contractors to construct the project (Section 7044, f • ' ;, f o a
YES❑ NO
Business and Professions Code.) F7117 ,
WILL THE INT DED USE OF THE 9UIDLING BY THE APPLICANT OR FUTURE BUILDING ��•:i
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH /�
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR L j^._ :.
GUIDELINES 1'f/!1,(Lv!L•fiV�_ (/pI`f[`J f L 1-1:.:
I hereby affirm that there is a construction lending agency for YES❑ NO • I +" �• i "
a the performance of the work for which this permit is issued(Sec. a ^ �Hi -° a- = `T
fA IHAVEREAD HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
a 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, " i_`�'i±t�;�l `f q ,^`•„
TITLE 2.CHAPTER 2.20 SECTIONS 2 20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD.
=`HANGE
�l 1
o Lender's Address owrrew On Aaewr
0
R 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 +',
N P 1 Y 9 PY D S•4r:.:`t
with all county ordinances and State laws relating to building
m construction,and he eby authorize representatives of this County ISSUANCE FEE
to enter upon t ove mentioned property for inspec' urpo
So m,o of AvOimnl ar AWn1
77
a � INVESTIGATION FEE TOTAL FE
I
SEE REVERSE FOR EXPLANATORY LANGUAGE
} APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL INBUI ADD SL /Y V -
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS
or a certificate of Workers'Compensation Insurance,or a certified �
copy thereof(Sec.3800,Lab.C.) CITY ZIP p
d 0 LOC /
Policy No. Company SIZE OF LOT OF BLDG&NOW ON LOT G
❑ Certified copy is hereby furnished. NEAREST CROSS
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
department. I I USE ZONE MAP NO.
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' dZW&MA to V/�i I
i WITHIN 1000 FT.OF SCHOOL? YES NO
COMPENSATION INSURANCE /�,, p ,�,,�ry�
(This section need not be completed if the permit is for one hundred A L/7"!v 'J �'
DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY
dollars($100)or less.)
I certify that in the performance of the work for which this permit �PL ZIP
is Issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER I TEL NO.LJ ✓
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO. --*I-/ DWELL UNITS
N0710E T0' APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions_of the Labor Code, you must forthwith
FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO.� PL
LICENSED CONTRACTORS DECLARATION SIDE
CRY LIC.CLASS PL
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP d
(commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES ,
Professions Code,and my license is in full force and effect. NEW BK I PG , O
License Number Uc.Class D RIPTION OF WORK ADD ❑ VALUATION V
Contractor Date ALTER [I $
cc
❑ I am exempt under Sec. lXi `"' L REPAIR ❑ V
B.BP.C.for this reason DEMOL ❑ W
LDMA P/C s a
Date: USE OF EXISTING BLDG. URM ❑ z
/Signature APPLICANT(PRINT) TEL NO. LDMA Perm# t
lel, as owner of the property, or my employees with wages as Z Ar'I`T°4
� their sole compensation, will do the work I ADDRESS O y u 68.40
not inteRded OF offered4ep-sele (Section 7044, Business and FINAL DATE a
Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL2 1 1 TTE1
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY -1071
i �
1 68-40
licensed contractors to construct the project (Section 7044, YES❑ No❑
Business and Professions Code.) CHECK 68.41}
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTIOMOR MODIFICATION FROM THE SOUTH ((!
CONSTRUCTION LENDING AGENCY 1 COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR CHANGE eLl'11l
GUIDELINES
I hereby affirm that there is a construction lending agency for 1 YES❑ NO❑
N the performance of the work for which this permit is issued(Sec. I
3097,CIV.C. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING (� q it'd122b,
/+'!r1 tj i
N ) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, f l]I 'I QU 1 410 22b i
TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS
Lender's Name, I MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. �+} O i e+;
0' Lender's Address �i O
C I OWNER OR WENT `
Z; ,I certify. that I have read this application and state under penalty
C of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE
N with all county ordinances and State laws relating to building
r clion,and hereby authorize representatives of this County ISSUANCE FEE . �O
nt u on the abovg-mentioned property for inspection r Cass.
m
`/ 3 INVESTIGATION FEE TOTAL FEE
M App6cM a AAM DM•
SEE REVERSE FOR EXPLANATORY LANGUAGE