HomeMy Public PortalAbout5553 RYLAND AVE_Building__ 78A698A CE#BO&.8-84 APPLICATION. FOR BUILDING_ ERMIT u
COUNTY OF LOS ANGELES• B UI LD,IN G
DEPARTMENT OF COUNTY ENGINEER ADDRESS r\
BUILDING AND SAFETY DIVISION I,&C A L i Tit '
JOHN A. LAMBIE-.COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSAUP'T.OF BUILDING CROSS ST.
DISTRI N G OU TYP SSED BY
FOR APPLICANT TO.FILL IN " , 0. � co r:'''
BUILDING _ _ � ) STATISTICAL C.LASSIFICATI'ON SE ER''MAP
ADDRESS�� �, ��/1/ CLASS NO. DWELL UNITS �� B �„ PG
L.OT NO. ��. BLOCK USE ONE MAP ,
NO. --
TRACT , SPECIAL
N0. OF BLOGS. CONDITIONS
SIZE OF LOT� /O NOW ON LOT
USE OF .
(e,GAI!E�'' �/� . L' BLDG. SETBACK FROM
" TEL, /_ �/ FRONT PROP. LINE OF (STREET)
OWNER NO.' (O �O TYPEVF EXISTING 8E7BA¢K HIOHWYIY YARD = TOTAL.
ADDRESS lG G Y M C
CITY BLDG.. 8 T CR RpOM
ARCHITECT-OR TEL.
ENGINEERNZz NO. SIDE PROP. LINE OF "-(STREET
TYP.6 OR 6X18TING 'SETBACK HIGHWAY + YARD = TOTAL
ADDR.E$9t` HIGHWAY WIDTH FROM C.L. C
TEL. + = .0
CONTRACTOR NO
ADDRESS NO CORNER CUTOFF YES a NO � 0
U
CI Y C LASS LIC 'SEE REVERSE SIDE FOR SPECIAL APPROVALS W
DESCRIPTION OF WORK
6,-2,7- mss_ _. � .�. � � ! z
NEW ADD ALTER -REPAIR DEMOLISH
SQ,FT. O. OF NO. OF 1'�^� ti
SIZE STOR'IE'S FAMILIES ✓ / p_
USE OR
STRUCTUR � 11&j'//U`�o
T�! ;,...•. 1,
SIGNATURE F / 9 AjS :/VU E ffOA46, 1 000?OM67• /�tdSP�rPG
APPLICANT A
IA17, L
VALUATIO .$Nd
®� APPROVALS DATE INSPECTOR'S SIGNATURE
.P.C. PMT. FOUNDATION, LOCATION „
FEE_ "�Y FEE$ 1 FORMS.,,.MAT,ERJA'(S.__. _
FRAME, FIRE STOPS, ["' Il
I'HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 't BRACING BOLT x ' d - "`E"P
AND STATE THAT THE ABOVE IS CORRECT AND AGREETO COMPLY FURNACE: LOCATION .
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDINo CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK a
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. A A r � �•�'`! �,!
TION OF THE LABOR•CODE OF S TE OF A NIA RELAT-
ING TO WORKMEN'S CMPEN 10 RA LATH. EXT.
S.IGNATURE HOUSE NUMBER COR-- �,... �,V•,���'
PERMITTEE RE AND POSTED 1 s�
ADDRESS F I NAL6
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
L.ii110 4'F 9 1 P uG 1'7 1 D. 8,C�Q N B .
RLP_"TMENT OF BUILDING AND SAFETY AppLICATION I-( A YMNIX
COUNTY OF LOS ANGELES BUILDING
J. FOX. CHIEF HIEF ENGINEER
I I I - - FOR OFFICE USE ONLY
FOR APPLICANT TO FILL E::�
DISTRICT NO PLAN CK.NO. PERMIT NO.
UILDIND 'PoIA-43 A=i) -rq02T-J
8 e_0 ?t - -
ADDRESS
LOCALITY Los Angeles County RECEIVED BY DATZCIFAPP�.. DATE ISSUED
NEA I
Live Oak Avenue wow
BUILDING
OWNERLinde Finance & Development C ADDRESS
MAIL LOCALITY
ODREBS 232 So- Bever3,v Drive NEAREST
DiTY Beverly Hills Calif. TEL.DR 5-4455 GROSS ST.
t1g. -1 NO.13F Ty GRQLM-
FIRE
ARCHITECT Owiame as above __ T8L- ZONE PLANS
ENGINEER BLDG. ORO. O.
SETBACK LINE
ADDRESS APPROVED DATE
CONTRACTOR Sole as above TEL.- By
No
USEAPPROVED
ZON Y f� DATE
ADDRESS CdBUECTIONS
LEGAL5 BLOCK
DESCRIPTION I LOTNO. 9
TRACT 16957
SIZE OF LOT 50r
NEI.OF BLDG105 NOW ON LOTS. none
USE Or ND.DF NO.OF
-EXISTING BLDG. I FAMILMS I ROD
DESCRWTION OF WORK
NEW ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH
SQ.FT. m.or >
-SIZE 4� ROOMS__ .— STORIES r
WALL cOOF
CCOVERINGStUCCO I COVERING Dolmite
USE OF
BUILDINGNEW Dwelling and attached garage
Plan 3,09-1)
5-
r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS "PROVALS/INSFiECTOR DATE
APPLICATION AND STATE THAT THE ABOVE 15 CORRECT FOUNDATION:LOCATION /- z. - :
AND AGREE T13 COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS 7' It ..
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. Z-" /I
FRAME: FIRE STOPS,
SIGNATURE 0 BRACING,BOLTS
Linde iqa _slopment
g
PERMITTEIM LATH, INT.
AUTHORIZED %kLATH, FXT-
sone
uOnswo wgro
76A63BA-3 7-49 7 P.0 PLASTER,INT.3
FEE PLASTER,EXT.
VALUATIONE E
_11"'111w r
TBA63BA DB5.312-84 APPLICATION FOR' BUILDING PERMITAR. 141yo .
DIVISION OF BUILDING AND SAFETY BUILDING
SS
Deportment of County Engineer ADDRE `��
County Of Los Angeles LOCALITY rem
F{'�jL-a � � ii �
WM.J. FOX, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP SEWER MAP
FOR APPLICANT TO FILL IN •• TYPE A, BK�. rPG(
BUILDING J�:6 / ® CONS . {�
ADDRESS�J✓ j �R7 6' t MAP �} (Jj STATE YES NO
�^ NUMBER V -/ HWY
LOT NO. %, 5 BLOCK USE ZONE SPECIAL P
CONDITIONS m
r. ,r•
TRACT
NO. OF SLOGS.
SIZE OF LOT •��� K ^ I NOW ON LOT / BUILDING YARD HWY STREET NAME EXIST.
USE OF r SETBACK WIDTH
EXISTING BLDG. FRONT � O
- P. L. +�v -+
OWNER RL /` f--l�t,Q iff SIDE
P. L.
MAIL �d �•s<<.ff Q--I
ADDRESS t J lT� T
p TEL. I DWELL. i UNIT 5 INDUSTRIAL-
CITY NO.
_ /�++ 2 DUPLEX—UNIT 6 PUBLIC BLDG..
ENGINEER y TE �•-�/s 9 APT. UNITS 7 ADDN.,ALT., ETC
ADDRESS �/ ' ��</• r 4 COMMERCIAL ® MISCEL.
CONTRACTO QF o!?•E�G'� NO.
c 71-t
/ INSPECTION RECORD
ADDRESS
DESCRIPTION OF WORK
I -
NEW . ADD ALTER REPAIR DEMOLISH ! �,
T. -NO.OF NO.OF f?A !s 1
SIZE STORIES FAMILIES
U E F STRUCTURE
SIGNATURE OF
APPLICA ! y�e i APPROVALS -
NT
ADDRESS `si Y DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
P.C. S FORMS. MATERIALS /4
FEE 4;;Op FRAME: FIRE STOPS,
VALUATION Ste. BRACING,BOLTS
FEE S FGAS VENT,OCATIDUCTSN.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH, EXT.
SIGNATURE OF . to HOUSE NUMBER COR-
PERM111TEE RECT AND POSTED �} / �f
ADORES `c rr aAcs-1,V f 70 9 � FINAL I%—.0
WM. J. FOX. COUNTY ENGINEER r G,. VALIDATION
BY 5 .3 2r. APR 1.2 _1 6. 5.0_ DW6 1 41S JUN 1-3 1 1 ().0 Utn
DEPUTY _ DEPUTY
BY BY �!
® DEPUTY DEPUTY
APPLICATION FOR COUNTY OF LOS ANGELES
OF COUNTY
BUILDING PERMIT DEPARTMENT BUILDING AND SAFETY DIVISIONER
BUILDING
FOR APPLICANT TO ILL IN ADDRESS ,��
BUILDING �" k573 ,
ADDRESS J �J�7 yy��,,//''�� LOCALITY
'02,17CITY 111 �0_j l ZIP / CROSS ST.
SIZE OF LOT�' NEARES
�J/1 l V NOW ON LOTI NO.OF BLDGS / MAP BOOK PAGE 'ASSESSOR2- PARCEL
TRAC /��v / BLOCK LOT NO (� DISTRICT GROUP TYPE FIRE P ESSED BY
`^� r, CONST. -
ZqbIE
OWNER �7�UP � � NOL STATISTICAL CLASSIFICATION/�' •1��1'
�.�+ RAP SEWER AP
ADDRESS SJ - � CLASS Nco� DWELL•UNITS BK PG
CITY (� �1 ZIp �' V USE ZONE MAP
NO.
ARCHITECT OR TEL. SPECIAL
ENGINEER NO. a CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTO �f�✓ NOL' u" / BLDG.SETBACK FROM
LICr J� /��^� FRO T-PROP.LINE OF (STREET)
ADDRE ,• NO. �T �i✓ Y HIGH AY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
�c LIC. FRONT PROP. LINE
HIGHWAY WIDTH 1
.CITY CLASS � _
CONSTRUCTION LENDER + -
NAME AND BRANCH BLDG, BACKFROM
ADDRESS CITY SIDEPRO . EOF (STREET) CD
SQ. FT. NO. OF /J NO. OF CHECK HIGHWAY + YARD = TOTAL SE ROM TYPE OF EXISTING CL'
SIZE STORIES
'"�� FAMILIES ONE SIDE PROP. LINE HIGHWAY WIDTH CD
DESCRIPTION OF WORK:/4'0� • NEW ❑ + �yj
ADD CORNER CUTOFF YES ❑ NO Z
2/04,
'0 ALTER ❑
a-*� + � af REPAIR[] IN OPEN SPACE YES ❑ NO ❑
USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG 1� DEMMMOLLPLICA /q❑ �1 1 /
AP
(PRINT) NONT ' V �fV �L, �Gf� V�ISTS �v� I"-�'1/-"6` /
BY IS �
Jo�STS Dfr Na 'lot YE7-
if
HEREBY AC WLEDGE THAT 1 HAVE READ IS APPLICATIONU•���'i2S rr /if/
AND STATE T THE ABOVE IS CORRECT AND AG E TO COMPLY fff / q ////// rJr
ON-
STRUCTION. .1 DCERTIIFY THAT NANCES AND LII DOIAWS NG UTOW.RAUTHONG 'R ICZD0K 7D 7,116-HEREBYI WILL NOT EMPLOY ANY PERSONTION OF THE
LABOR CODE OF TME STATE OFCALIFORRELATING TO ,
WORKMEN'S COMPEN TION SUR CE. '
SIGNAT �a -� FINAL /J� 1�bBYADES 2,3 f//k DATE !/XL
T =�'�(� P.C. Fee$ �. Permit Fee . 7, s
CITY NO.
Issuance Fee �-
VALUATION$ r
7,300 Total Fee 17 r 6
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH
8 7.1 ti11EC 22 2 3 U 45.45 5 ,a
.1. -- - - 10 5 E�Jl1A. 11 2 0 7 5.7 5
76AG39A CE*803B 194"
APPLICATION FORKB.Q— DING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
• WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BU I G ADDRESS VArAJ I � ,
I hereby affirm that I have a certificate of consent to self insure, B ILDING ADDRF `I � • -
or a certificate of Workers'Compensation Insurance,or a certified
copy thereof �(Sec. Z QUI iv/ CITY ne m- C(1 ZIP _ u7
t/ (�1/` 1. LOCALIT /� Y
Policy No. n Company SIZE O LOT NO.OF BL GS.NOW ON LOT � r
❑ Certified copy is hereby furnished. �� �� NEAREST CROSS ST. /
Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. /viq�� �) -T �V!
depar en USE ZONE MAP N .
Date Applicant -(�.M• w AJ5T SES�SOft MAP BOOK PAG E PARCEL �7 / a
b9 1 (gig & 1 � / SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' NER T O.
COMPENSATION INSURANCE R —W CAU WITHIN 1000 FT.OF SCHOOL? ves No
This section need not be completed if the permit is for one hundred ADDRESS
(
dollars($100)or less.) L4&&G� J , DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY
I
CITY ZIP
certify that in the performance of the work for which this permit G •/�
is issued, I shall not employ any person in any manner so as toQO • ✓ ���
become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO.
STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO.;2 DWELL UNITS
NOTICE TO APPLICANT.- If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR `` S TE NO .� SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith 1� !7 FRONT
comply with such provisions or this permit shall be deemed revoked. A DRESS �+ A• LI O. PL
LICENSED CONTRACTORS DECLARATION "' �l`• 5Z SIDE
C TYCLASS P L
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP >
(commencing with Section 7000)of Division 3 of the Business and SO.El.SIZE NO.OF STORIES NO.OF FAMILIES
a
Professions Code,a Vr1 e' in full force ar ffact. NEW ❑ BK`f PG �p Pilo.
License Number h[[ Lic.Class DESCRIPTION OF WORK ���� AA„� ADD VALUATION V
Contractor-•�•�� �i(7�7 Date— I�� �/ L /fir'.-� ALTER ❑ $3S -000 cc
❑ I am exempt under Sec. N Z oakLREPAIR ❑ $ n
��rT� fJ
BAP.C.for this reason j l A 1W�M OL ❑ LDMA P/C# ACIC ■ LU
Date: U�qF EXI TING BLD ❑ _,— .' �; -- W/ lLe� ,`1603 50■:1 Z
Signature APPLICANT(PRINTT ` T NO. LDMA Perm#
❑ I, as owner of the property, or my employees with wages as
their sole compensation, will do the work and the structure is ADDRE Z O r. .T g
FINAL TE ANT,
not intended or offered for sale (Section 7044, Business and c3 Q
Professions Code.) WALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �� / 0 3303 j'i ■�j 1
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE _
❑ 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFI ON THE HAZARDOUS MATER ORMATION GUIDE? FINA
YES❑ NO L BY r
licensed contractors to construct the project (Section 7044, - t ITEMS?
EMS?
Business and Professions Code.) •y-A r
6
WILL THE INTENDED USE OF THE BUI G BY T APPLICANT OR FUTURE BUILDING �'O IAL 694 m 0
OCCUPANT REQUIRE A PERMIT FOR C STRUCTIO OR MODIFICATION FROM THE SOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT RICT(SC MD)SEE PERMITTING CHECKLIST FORC f L )
GUIDELINES +,. E :1� O ■L'.
I3097,
affirm that there is a construction lending agency for YES 13 NO CIO
C11 the performance of the work for which this permit is issued(Sec. ., •SII NNE ■ IO
O� IHAVE READ THE ZARDOU TERI ON GUIDE AN HE SCAQMD PERMITTING ti- -
a 3097,CIV.C. CHECKLIST I UNDERUM ER THE LO wNGELES COUNTY CODE.
TITLE 2.CHAPTER 2.2 2. GH 2.20 1 CONCERNING HAZARDOUS
Lender's Name• MATERIALS REPORT] R AP MIT FR THE SCAOMD.
o
Lender's Address 03LI-I]�Ifji
Ld
ONMER OR ADEN '
o I certify that I h read is applicatro state under penalty 1732 j e j3I IjL
Of perjur e a rm s w ct.I agree to comply P.C.FEE D•5Q PERMIT FEE j� 7Q
N with a I y o nd State ws relating to building
9 const Io an orize re ntatives of this County ISSUANCE FEEco �G �O
a to r a ntioned p rty for inspection p po s.
m �■ INVESTIGATION FEE TOTAL FEE/
n elie�um plw,n ApBM (�7 7
SEE REVERSE FOR EXPLANATORY LANGUAGE