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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