HomeMy Public PortalAbout5527 RYLAND AVE_Building__ pENT OF BUILDING AND SAFETY APPLICATION FOR PERMITIVA
COUNTY OF LOS ANGELES BUILDING
wm. J. FOX. CHIEF ENGINEER
FOR OFFICE USE ONLY
FOR APPLICANT TO FILLJN DISTRICT NO- PLAN CK.NO. PERMIT NO.
BUILDING 057� •
e -Z�1171 7 72 41 ,
ADDRESS
KV
Los Angeles CoWtY RECEIVED av DA7TF APP&ri DATE 189 ED
LOCALITY AA;Z 7)�
8212. Live Oak Avenue,
BUILDING f--,-Z-
13WNER Linde Finance & Development Co0 ADDRESS
MAIL 232 So. Beverly Drive LOCALITY
ADDRESS NEAREST
2=rl-z Hills.. (mlif.Itl3t (;R 5-4455 CROSS ST- GROUP. '
FIRM NO.CF
ARCHITECT ORSMe TEL' ZONE TYPO OR,
ENGINEER as above NO. BLDG.
SETBACK LINE
ADDRESS
APPROVED
TEL. By DATE
CONTRACTOR Same SS aboveNO- USE APPROV
DATE
ADDRESS ZON my
LEGALdORRECTIONS
DESCRIPTION I LOTNO-
'M T"ZLOOK
TRACT 16957
SIZE OF LOT 55x3. NO.OF SLOGS.
NOW......... ... N13W ON LOT none
USE OF
I I No.or No.or
EXISTING BLDG. .. — FAMILIES -J, ROOMS
DESCRIPTION OF WORK
NEW A ALTERATION ADDITION
B
REPAIR MOVING DEMOLISH La
IZ
N.FT. NO.
or 6 >
SIZE ROOMS STORIES r
L R13OF
-W013VALERING stucco I COVERINFocd S&hingl
uUILDIsEorNG NEW Dwelling and attached garage
-B
plan no_c
Q 7-
%.
I HEREBY A13KNOWLEDDE THAT I HAVE I:EAD THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE CORRECTFOUNDATION-I LO';-A—.rIC3N INSPECT R O#TS
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES, FORMS,MATERIA
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRM STOP
BRACING,BOLTS
SIGNATURE 0 1) veloMent
5,i;=�de inence V11.1-Ave
PERMITTE 0 LATH, INT.
AUTHORIZEDon LATH, EXT-
T%Ar aynqnn. u
76A638A-3 7'49 P.13.111
PLASTER,INT.
0 FEE PLASTER.EXT-
F
E
E
VALUATION FINAL
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DDRESS
BUILDI G ADDRESS od
I hereby affirm that I have a certificate of consent to self insure, j' Z
or a certificate of Workers'Compensation Insurance,or a certified CITY I zIP
copy thereof(Sec.3800,Lab.C.) w I 917S--o-
Company
n
CA LocAurY
Policy NO. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT
❑ Certified copy is hereby furnished. �s` /Q �" / NEAREST ST.
❑ Certified copy is filed with the county building inspection T BLOCK LOT old o
department.
USEZONE 1 MAP NO.
Date Applicant ASS ORAS BOOK PAGE PARCEL SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' "W"Wrtv(� l ( TEL a'I q o (r ))) YES NO
COMPENSATION INSURANCE !02/ WITHIN 1000 FT OF SCHOOL?
(Th P P ADDRESS. Z �/^ 4v
is section need not be completed if the permit is for one hundred � J 3 i DISTRICT "GROUP TYPE CO FIRE ZONE ED BY
dollars($100)or less.) CITY'7� .ZIP f� ( ^� <;
I certify that in the performance of the work for which this permit / EYVI
Is Issued, I shall not employ any person in any manner s0 as t0 ARCHITECT OR ENGINEER TEL.NO.
�[/ become subject to the Workers'Comp sat lOn Laws. STATISTICAL 1 ICATION A DO
/�Date Applicant ADDRESS CLASS NO. DWELL UNITS
111 ��\NOTICE TO APPLICANT: If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become Subject to the Workers' CONTRACTOR TEL NO. SETBACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code,you must forthwith IZI FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC No. PL
LICENSED CONTRACTORS DECLARATION CITY LIC.CLASSAR .
SIDE
I - PL O
I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and so ES NO.OF FAMILIES o:
Professions Code,and my license is in full force and effect. NEWK PG , 0
License Number Lic.Class DES I ION OF WOgK ADDVALUATION W
Contractor Date ALTE � / eCO)
❑ I am exempt under Sec. REPAIR El
BARC.for this reason DEMOL ❑ LDMA P/C M
Date: USE OF EXISTING BLDG. V I
URM ❑
Signature APPLICANT(PRINT) TEL NO. LDMA Perm N s
❑ I, as owner of the property, or my employees with wages as O ACC i o E
their sole compensation,will do the work and the structure is ADDRESS
not intended or offered for sale (Section 7044, Business and FINAL DATE f w,rL�r` 187.i4
Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL J ' TTr-.et
I, as owner of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN a i L L i 1•.
THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FlI
licensed contractors to construct the project.(Section 7044, YES[I NO❑ TOTAL 1�t`• em
Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING
CHECK o
.L L i
OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST ^ CHANGE
).r CHANGE
I hereby affirm that there is a construction lending agency for FOR GUIDELINES.YES❑ NO❑ ( i
the performance Of the work for which this permit IS Issued(Sec. I I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD
3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES '1
=u. I COUNTY CODE,TITLE2,CHAPTER 220 SECTIONS2.20.100THROUGH 220.140 CONCERNINGI�jl i'I��I�,I,jIJi j.i i �•j 1/11-713
r(3d Lender's Name HAZARDOUS MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD.
Lenders Addressow�oRADorr 3596 1 ACS 10:V._3
o 1 certify that I have read this application and state that the above
information IS Correct. I agree.to comply with all county RC.FEE PERMIT FEE
ordinances and State laws relating to building construction,and J T
ereby authorize representatives of this County to enter upon ISSUANCE FEE
above-mentioned propertyy for inspection purposes.
0 � — — e7INVESTIGATION FEE TOTAL FEE
a /
6Wn0 orAppkatamapso Daae
! SEE REVERSE FOR EXPLANATORY LANGUAGE
COUNTY OF IAS 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 1302140084
PHONE: (626) 285-0488 EXT:
ILEGAL ID: J NO. OF CONST BUILDING ADDRESS: 1
ITR: 16957 IT: 100 I SQ. FT STORIES TYPE 1 5527 RYLAND AV 1
ISTRUCTURE: V-B I TEMP CA 917802724 I
(ASSESSOR INFORMATION NUMBER: 1 J NEAREST CROSS STREET- DAINES 1
18586- 018-022 1 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY CAI
I I
TENANT: IIEXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: J
I 'JEXIST OCC GRP: 102/14/13 SR J
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: 1FINAL T FI Y: CODE: 1
IYUAN CHI HUANG (626) 872-8987- 1 1,500
15527 RYLAND AV 1
(TEMP 917802724 1 FEES PAID IDRSCRIWPTIN OF WORK 1
I I IKITCHEN REMODEL J
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( I
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 I
I JAB STATE GREEN BLDG FEE 1500.00 VAL 1.00 (SPECIAL CONDITIONS: 1
1AC STRONG MOTION RESID 1500.00 VAL 0.50 J
B2 PERMIT W/ENERGY 1500.00 VAL 90.40 1 I
J TOTAL FEES 119.70 I I
(CONTRACTOR: TEL. NO: J JAPPROVALS DATE INSPECTOR SIGNATURE I
SAME AS OWNER - 1
LIC. NO 1 LOCATION AND SETBACKS
I I
I 1 (SOILS ENGINEER APPROVAL I I
1ARCHITECT OR ENGINEER: TEL. NO: - I IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: JSLAB/UNDER FLOOR I I I
I
I I RAISED FLOOR FRAMING
I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION I I I
I I I
1147H269 3 001 I -1-1 I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 FLOOR SHEATHING
1 0 NO 21 1 IROOF SHEATHING I I
J SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
JAIR QUALITY: 1000 FEET MATERIALS 1 I I 1 I
1 NO NO NO IFRAME INSPECTION I I
I (FIRE SPRINKLER HANGERS I I I
I 1 JINSULATION/WEATHER STRIPI I I
1 1 11NTERIOR LATH/DRYWALL 1 I
I 1 JEXTERIOR LATH I I
1 J 1RATED FLOOR/CEIL ASSEM. 1 1 1
I IRATED WALL ASSEMBLIES J I
1 1RATEI) SHAFTS/OPENINGS 1
I �1 JT-BAR CEILINGS
I
I I �
1 1 ILOT DRAINAGE
I REPORT ID: DPR261 ROUTE TO: BS0508 1 I I I
I I I I I I
COUNTY QF,LOS`ANGELES` TEMPLE CITY # 0508 BUILDING PERMIT
DEPAkTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BLO 08 ALTERATION/REPAIR1301220038
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
[TR: 16957 IT: 100 + SQ. FT STORIES TYPE 5527 RYLAND AV
STRUCTURE: V-B TEMP CA 917802724 [
[ASSESSOR INFORMATION NUMBER: CROSS STREET:
18586-018-022 1 [ THOMAS PAGE: 5977 GRIDS
B3LOCALITY: TEMPLE CITY CAI
[TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 101/22/13ISSUEDON: PROCESSED BY:
(EXIST [
IOWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: [FINAL FIN BY: CODE: [
[YUAN CHI HIIANG (626) 872-8987- I 5,000 [ [
15527 RYLAND AV I I
[TEMP 917802724 [ FEES PAID [D SCR TION OF WORK I [
I [ [REPL.?+CING 17 EXISTING WINDOWS (SINGLE SLIDING VINYL WINDOWS) [
I [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[
APPLICANT: TEL. NO:
KUNG SHUN LAN (626) 566-5573- [AA BLDG PERMIT ISSUANCE 27.80 I [
12135 E LARKWOOD ST AB STATE GREEN BLDG FEE 5000.00 VAL 1.00 [SPECIAL CONDITIONS: [
[WEST COVINA CA 91391 [AC STRONG MOTION RESID 5000.00 VAL 0.50 [ [
I [D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 [
I [ TOTAL FEES 161.90
[CONTRACTOR: TEL. NO: [APPROVALS DATE INSPECTOR SIGNATURE
KUNG SHUN LAN (626) 566-5573- [ I I
12135 E LARKWOOD STREET LIC. NO [ [LOCATION AND SETBACKS [ [ [
WEST COVINA CA 91391 950393 * [ I
I [ [SOILS ENGINEER APPROVAL [ [
(ARCHITECT OR ENGINEER: TEL. NO: - [ IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: [ 1SL"/UNDER FLOOR
[ I RAISED FLOOR FRAMING [
[MAP NO: SEWER MAP.BOOK: PAGE: FIRE ZONE: CMP:[ [UNDERFLOOR INSULATION I I I
1147H269 3 00 I I I
I _1 I
FLChOR SHEATHING [
[N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
[ 0 NO 21 I [ROOF SHEATHING I [
SCHOOL WITHIN HAZARDOUS [ [SHEAR PANELS [ [ [
[AIR QUALITY: 1000 FEET MATERIALS [ I
NO NO NO IFRAME INSPECTION I 1
I [ [FIRE SPRINKLER HANGERS
[ I [INSULATION/WEATHER STRIPI I I
I [INTERIOR LATH/DRYWALL I I I
I I
[ [EXTERIOR LATH
I I I
I [RATED FLOOR/CEIL ASSEM. I I
I [ [RATED WALL ASSEMBLIES I I I
[RATED SHAFTS/OPENINGS
I [ IT-BAR CEILINGS
[ [* ADDITIONAL DATA ON FILE I
I I
ILOT DRAINAGE I I I
[ [REPORT ID: DPR261 ROUTE TO: BS0508