HomeMy Public PortalAbout5509 RYLAND AVE_Building__ 11 -
78A83=A CE.#SDS 4/70
APPLICATION FOR BUILDING XRMIT
COUNTY OF LOS ANGELES _ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP eooK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING c (�
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS v Sn %�,� LAIJ
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY —Im
FOR APPLICANT TO FILL IN NEAREST
Print ort a onI CROSS ST. ���O�11.5
BUILDING DISTRICT NO. I GROUP TYPE CESSED BY
ADDRESS Ss(=':l 0 .5'OCONS
LOT NO. Q BLOCK
STATISTICAL.CLASSIFICATION SEWER MAP
� �
CLASS NO._9 I DWELL.UNITS BKJ PG
TRACT 57 USE ZONE MAP
SIZE OF LOT SS 1 X IOS� NOW ON LOTSOt`t�' NO AL
S PECIA L
USE OF CONDITIONS
EXISTING BLDG. p-�'S10, 6[ q'17dk
�7
-T TEL.
OWNER QOwot.O 1A, LO NO. Z$ S BLDG.SETBACK FROM /�
ADDRESS 515 � L4aN A Cp , FRONT PROP.LINE OF KVIL (STREET)
TYPE OF 1EXISTINal SETBACK HIG WAY + YARD = TOTAL
CITY t-_MqL.e G' \T HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. + Z
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CONTRACTOR NO. HIGHWAY WIDTH FROM G.L.
LIC. n
ADDRESS NO, + _
CITY CLASS CORNER CUTOFF YES ❑ NO C
CONSTRUCTION LENDER kk // c
NAME AND BRANCH AA � SEE REVERSE SIDE FOR SPRCIAAPPROVALS a
Col.
ADDRESS 9
S ZE T L o�' STORIES FAMILIES
NEW ❑ G
USE OF ADD +
STRUCTURE ALTER
SIGNATURE REPAIR❑
APPLICAN DEMOL ❑
All
VALUATIONS Z 10 `(>���
APPROVALS DATE IN CTOR'9 SIGNATURE
SIGN
P.C.' PMT. r� C FOUNDATION: LOCATION
FEES FEES �G m2 FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS �p
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. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE S---/o y �j
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO LATH, INT. IN/Q• l... '/ ��� �� .!=t 5 Aj
WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE Off' HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK: � M.O. CASH
urp- o 6 1 D 2 2.50~
X01 MENT OF BUILDING AND SAFETY "PLA UKIlum run
COUNTY OF LOS ANGELES ED E 0
WM. J. FOX. Omer ENGINEER IS U L
m-wip-mm-ml FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
DISTRICT 0. PLAN CK.NO. PERMIT NO.
BUILDING %a 3 3
ADDRESS e14
LOCALITY_ Los Angeles County RECEIVED BY OAT OF AP L. DATEISSUED
aLg
,,c2. Live Oak Avenue
vNrR Linde Finance & Development Corp,, ADDRriBUILDINGsm e
MAIL 212 So. Bevek3zv Drive LOCALITY
ADDRESSCITY - lif. TEL.CR 5d
-4455 KFAREss STT
Beverly Hills., ca RoST. —ROUP
FIRE -Na.or TYPE:
ARC OT an ZONE PLANS V
HIM sAmp. ;.kg abaiis
ENGINEER BLD"13C
SETBACK LINE
ADDRESS
APPROVED E
CONTRACTOR NO.as above TEL. On
NO. USE APPROVED U, w
ZON/4 'aj I OA VDAT J
BY
Ap.&RES
j
LEGAL . CORRECTIONS
DEBURIPT113M LOT NQ. 103 BLOCK
TRACT 16957
NO.OF BLDO
SIZE OF LOT
505 NOW ONLOTS none
NO.OF No.or
=FING BL G. _F
AMILIIES I__ROOMfi
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR
MOVING DEMOLISH O
Z
sQ.rT. mor 1
-SIZE - -3*V-/,3:X7fNROOMS 6 STORIES
WAL:L Rear
COVERING Stucco COVERING Dolomite
USE 01 N
-BUILDINGEW
Dwelling and Attached garage
Plan 10"
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
DATE
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION.LO ION IN P OR
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERI LS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE or -ndje a7ent c BRAC V,
PERM OOF OF orl mQ LAYFff INT.
AUTHORIZEDr LATH, EXT.d
T- M t7r
76^638^-3 7-49 C.S #-7 PLASTER,INT.
FEE PLASTER.EXT.----------------
VALUATION FEE e J, FINAL ZEE-:
- - - APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES GELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING AD Rr gs
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS ' dam' �t''
or a certificate of Workers'Compensation Insurance,or a certified SO l�'�
copy thereof(Sec.3800,Lab.C.) CITY Le
61: ZIP / 7-9 D
LOCALITY
Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT %,--, �n� &K
❑ Certified copy is hereby furnished. 16 66 * / NEAREST CROSS ST.
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO.
department. USE ZONE MAP NO.
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL
�t� /��/� SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER AA M I Ylawt �11't i h TEL
gj0 — �3 WITHIN 1000 FT OF SCHOOL? YES f NO
COMPENSATION INSURANCE 1_'
(This section need not be completed if the permit is for one hundred ADDRESS 5S-ONU
DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
dollars($100)or less.)
1 certify that in the performance of the work for which this permit CITY �UI'I19�, ZIP
NO.
is issued, I shall not employ any person in any manner so as to ARCHITECT OR NGINEER TEL NO.
become s jec to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date mp
Applicant �1 i%A 9 ( 14M ADDRESS CLASS NO. DWELL UNITS
N071C TO APPLICANT.• If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR JJ T L �2 SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith '—`���� � � 7/�$rb FRONT
comply with such provisions or this permit shall be deemed revoked. ADD 3S$ t-thuC.� P L
LICENSED CONTRACTORS DECLARATION b b 14 SIDE
CITY � ,r/� LIC.CLASS � PL
I hereby affirm that I am licensed underprovisions of Chapter 9 V7 SEWER MAP
(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. ��'rJ NEW ❑},, B PG
a
License Number b Lic.Class
DESCRIPTION OF WORK A ADD I!Q VALUATION ® 0
U
Contra r Date I`9 ALTER ❑ $ / DGC• �'
I am exempt under Sec. REPAIR ❑ $
68P.C.for this reason 4D Y: DEMOL ❑ LDMA P/C# W
Date: USE OF EXISTING BLDG. 51,1��C ILA, URM ❑ 7� CL
Signature APPLICANT(PRINT) d �Ml S ' �; F 7 i LDMA Perm# ^a z
❑ I, as owner f the property, or my employees with wages as d Irl �Q� 717 ^�� O gj�s,a4 �D°�a
their sole compensation, will do the work and the structure is ADDRESS r G �Q,/�,� /� i�1J,]
not intended or offered for sale (Section 7044, Business and 13� 7 v'I" All— �nuy� FINAL DA Q
Professions Coder d 1
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MAT RV1L J
❑ 1, as owner of the property, am exclusive) contracting Wlth OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE
Y Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > ACCT-0
licensed contractors to construct the project (Section 7044, YES❑ NO❑
Business and Professions Code.)
WILL 3303 259.65
LL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING T
OCCUPANT REQUIRE A PERMI7 MMS FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH a_ TT�pAL+
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR
GUIDELINES _
I hereby affirm that there is a construction lending agency for YES❑ No❑ TOTAL ,3�ILD_i((�yy 5
W the performance Of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING h11C�. 31rJa
3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, CHECK
15
C4 TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20.140 CONCERNING HAZARDOUS °UV
C�AilVt nn
i Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD.
o Lender's Address
OWNER OR AGENT
O
o I certify that I have read this application and state under penalty n��{}}I•I n�}��yy I / R
a P.C.FEE PERMIT FEE ��• 0000-0001 921/9-r
of perjury that the above information is correct.I agree to comply —G
N with all county ordinances and State laws relating to building t Ak1 9-
CO
° [
m construction, and hereby authorize representatives of this County ISSUANCE FEE �0 24 DO 1 ry,t 7°�4
to ent o he above-mentioned property for insp t n pur oses. '
INVESTIGATION FEE TOTAL FEEfj
m • OSS
SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF LOS ANGELES TEMPLE CITY 9 4568 BuILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0410070022
PHOi.Z. ♦-26) 285-0488 EXT:
LEGAL ID: NN6. OF CONST BUILDING ADDRESS:
TR: 16957 LT: 103 SQ. FT STORIES TYPE 5509 RYLAND AV
STRUCTURE: 2600 VN TEMP CA 917802724
ASSESSOR INFORMATIONNUMBER: NEAREST. CROSS STREET:
8586-018-025 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, C
TENANT: E X ST TL—DG USE: RESID USE ZONE: R=3- lSSU5D PROCESSED BY: EXPIRCS N:
EXIST OCC GRP: 10/07/04 JK 10/02/05
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUAfluN-. FINAL AT *rV
FINAL BY: COTDE:
SHIN THOMAS;LYNDA (626) 443-7431- 5,500 O
5509 RYLAND AV
TEMP 917802724 FEES PAID CRI I RKREMOV 3 EROOFS, INSTALL 30LB AND 30 YR. ELK OVER
FEE DESCRIPTION: QUANTITY: UOM• AMOUNT: EXISTING SHEETING
APPLICANT: TEL. NO:
SIERRA PACIFIC ROOFING (909) 949-7663- AA BLDG PERMIT ISSUANCE 27.75
1042 N. MOUNTAIN AVE AC STRONG MOTION RESID 5500.00 VAL 0.55 SPECIAL CON!iIi1TNS:
UPLAND, CA 91786 D2 PERMIT W/0 EH-HC 5500.00 VAL 149.40
TOTAL FEES 1,7"7.70
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SIERRA PACIFIC ROOFING (909) 949-7663-
1042 N. MOUNTAIN AV., B 383 LIC. NO LOCATION AND 9ETBACKS
UPLAND, CA. 91786 627233 C39 '
SOI LS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TRE`dCifFORMS
LIC. NO: SLAB UNDER FLOUR
I
ItA SED FRAMING
RAW N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01 T
FLOOR SHEATHING
OF FAMILIES: DWEL ING ITS: APT/CONDI STAT CLASS: i
NO 21 ROOF SHEATHING +'
SC OOL WITHIN HAZARDOUS SHBAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
T NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SP INK!ER HANG€RS '—
SET BACK YARD: HWY: PROP LINE: WT DTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
I ERIORAT ,UR ALL
EXTIERIOR LATH
RATED FLOOR/CE L ASSN-
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
L