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Home My Public Portal About5536 RYLAND AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) FENGINEER G COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER Temple City ZIP BUILDING' - TY DIVISION NO.OF BLDGS. BUILDING �-!� O� LOT NOW ON LOT ADDRESS BLOCK LOT NO. LOCALITY (, TE NEAREST NO. CROSS ST. ASSESSOR 5536 land MAP BOOK PAG EL DISTRICT GROUP TYPE FIR PR SSED BY T le tilt ZIP % rr" CONST ZONE CT OR TEL.R NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO.WDWELL.UNITS BK PG CONTRACTOR Rigid Mfg. Co. NOL263-5181 ONE MAPS ADDRESS 337 S. Woods NO 159 9 ..,j SPECIAL LIC / CONDITIONS CITY LOS Angeles 90022 CLASS C-39 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) C ADDRESS CITY HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH Q SIZE STORIES FAMILIES ONE F DESCRIPTION OF WORKRe-roof house NEW ❑ C BLDG.SETBACK FRO v and arae with CO osition ADD SIDEPROP.LINEOF (STREET) a ALTER S❑fj HIGHWAY + YARD TOTAL S CK FROM TYPE OF EXISTING REPAIRXJ SIDE PROP. HIGHWAY WIDTH USE EXISOT NG BLDG. Residence DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO (PRINT) N0. IN OPEN SPACE YES ❑ NO BY (SIGNATURE) IN COASTAL ZONE YES ❑ NO VALUATION$1080.00 CATEGORICAL EXEMPTION YES❑ NO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATIONrIN rbCfi.r.In• C/\1RpA111V SIGNATURE OF Z�SSJ1VV11JJJJ 11��1111''�� VVLL 1i�r�t�all��/LL PERMITTEE ADDRESS S. d e. CITY Los Angeles NAL NOL• 263 181 DIATE ®rflhBY MAKE CHECKS PAYABLE TO: FEE � FEE'$ 21.75 HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 2 9 0 Auc2 3 1 D 2 1r75� 78p638p CE4809 12/72 qjXTmENT OF BUILDING AND SAFETY AYYLIG:A KLwm ruts r&ZML L COUNTY OF LOS ANGELES 1 ® ' wm. d. FOX. CHIEF ENGINEER FOR APPLICANT TO FILT. IN FOR OFFICE USE ONLY BUILDING DISTRICT-HP. PLAN CK. NO. PERMIT NO. mme ADDRESS .A74 / �Ll� / LOCALITY Los Angeles CoudyRECEIV. D DAT OF APL. DATE ISSUED NEAREST ^_'_ �'S J C 101e./070CRO Oak Avenue BUILDING �j'yam yy OWNER Linde Finance & Develotsment Cornu ADDRESS d� MAIL of ADDRESS 232 So. Beverly'Drive LOCALITY�r NEAREST 49VCITY Beverly Hillsy Calif e No CR 5 1455 CROSS 9T. FIRENO.OF TYPE f GROI!r ARCHITECT OR TEL. ZONE PLAN ENGINEER Same as above NO. BLDG. le 131R ,NO. ADDRESS SETBACK LINE (_ /fj +' APPROVED �DIATE CONTRACTOR Same as above TE BY USE A APPROVEp Of ADDRESS ZONE BY DATE/,„O- LEGAL ERECTIONS DESCRIPTION I LOT NO. 111 BLOCK TRACT 16757 �+ y NO.OF SLOGS. SIZE OF LOT 55X-05 NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG. FAMILIES I ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION O REPAIR MOVING DEMOLISH D NO Or Z 3 ZE T. 1236 ROOMS 6 STORIES 1 r COV RING IStUCCC I .0WALL ERINGFOCd Shingle USE or BUILDING W Dwell yi /n g and attached Lparage 10 Plan 107—D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALYK APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION:LOCATION TOR ATE \ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS 1 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. �/ FRAME: FIRE STOPS, SIGNATUREorTdf � BRACING.BOLTS PERMITTE nde viands. evel ent AUTHORIZED JT- A f a ' �4R.� F LATH, EXT. PPr A 76A63BA-3 7-49 $ a�/+/, �� p,C,B/ �, PLASTER,INT. FEE �' b/�') PLASTER.EXT. !/ VALUATION FINAL FEE I •� I WORKERS' COMPENSATION DECLARATION j I hereby affirm that I have certificate of consent to self i APPLICATION FOR B V I L D I N G PERMIT insure, or ater}ificate of Workers' Compensation Insurance, or o0certified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES . BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS d5.3 Al. ❑ Certified copy is filed with the county building inspec- BUILDING a L/�'�b'� tion department. ADDRESS � �,�� /` 16. Date Applicant CITY Tip? [ 0,rY [''9•zip 9/'.V c7 LOCALITY O. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT Q fii7 W ON LOT CROSS ST. 1>4WS COMPENSATION INSURANCEASSESSOR p (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK O PAGE l� PARCEL OD Hundred dollars ($100)or less.) . TE / fir` OWNER dD��iS &//�rlfC N 6 �R. USE ZONE MAP ` NO. �J I certify that in the performance of the work for which this I � SPECIAL � permit is issued, I shall not employ any person in any manner (ADDRESSp2� Jh%VtC �t�� CONDITIONS O so as to become subject to the Workers'Compensation Laws. L ;CITY Acl /` zip U Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROC BY O Exempt TO you shoal If, after making this Certificate of ENGINEER NO. N ^(/ CPN z E N Exemption, you should become subject to the Workers' ✓/� UtJf( :51L Compensation provisions of the Labor Code, you must forth- ADDRESS i o_ 1A with comply with such provisions or this permit shall be TEL. STATISTICAL CLAS IFICATION APT CO Z deemed revoked. CONTRACTOR NO. — LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. a DWELL.'UNITS I hereby affirm that I am licensed under provisions of Chapter 9 (ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code,and my license is in full force and effect. ,CITY CLASS ,BK' PG. G VALIDATION !SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class .SIZE STORIES IFAMIIIES ONE I '• VALUATION Contractor Date 4"SCRIPTION OF WOR5dq4g4o,9CTW6 4B/� NEW $ 001 +� a Q I�D /(/�kl 2D0 i%✓ L - ADD ❑ , ❑I am exempt under Sec. • ALTER ❑ BAP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL O/,Pd FINA OWNER-BUILDER DECLARATION (PRINT) j�'is fAli�r�S/ NO. DAT / I hereby affirm that I am exempt from the Contractor's License I DDRESS a`�..Grr WiN !'� !z/� A.c C� a/ Law for the following reason (Section 7031.5, Business and FINAL 7 Professions Code): PRESENT BY s ® I, as owner of theproperty, or m employee" with BUILDING N�.(-1 e r YADDRESS 82.00 � IrI wages as their sole compensation,will do the work and I 3 17 s.r_ . L LOCALITY L�� the structure is not intended or offered for sale(Section _r 7044, Business and Professions Code.) MOVING OR NO. 1 ITEMS ❑ I, as owner of the property,am exclusively contracting -�>��A�. e _ with licensed contractors to construct the project (Sec- 6DRESS 13 tion 7044, Business and Professions Code.) 1 r-. i REQUIRED TOTAL SETBACK FROM EXIST. I CHECK 32°00 CONSTRUCTION LENDING AGENCY I SET BACK YARD HWY PROP. LINE WIDTH i I hereby affirm that there is a construction lending agency for FRONT CHANGE aOCI the performance of the work for which this permit is issued I P.L. (Sec. 3097, Civ. C.). I SIDE P.L. 010103101-1031,301 '12/20/01 E Lender's Name LD"Ref. tf , �. :C. Fee$ Permit Fee o ¢ � ��= Lender's Address j�{ e 1 certify that I have read this application and state that the I Issuance Fee �^ �/ LDMA P/C q above information is correct. I agree to comply with all County nvestigation Fee (� ordinances and State laws relating to building construction, Total Fee Oe? `' O LD"Perm. N and hereby authorize representatives of this County to enter upon thea e-mentioned property for inspection purposes. o-p SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Date