HomeMy Public PortalAbout5558 RYLAND AVE_Building__ APP,.;-171 CATION FORm3UILDING, PERMIT
FOR APPLICANT TO FILL IN (Print or type only) . `
BUILDING + COUNTY OF LOS ANGELES
ADDRESS 8 Byland DEPARTMENT OF COUNTY ENGINEER
CITY Temple City Califro adA BUILDING A AFETY DIVISION
NO.OF BLDGS. BUILDING
SIZE O'F LOT NOW ON LOT ADDRESS
TRACT 100% BLOCK I LOT NO LOCALITY Aj
TEL. NEAREST
OWNER AUrelia.Hogge NO. CROSS ST.
ASSESSOR
ADDRESS 5558 Fjdahtj MAP BOOK PAGE P CEL
TRICT I G P TYPE FIRE R SSED BY
CITY Temple City, Ca Zip
ARCHITECT OR TEL. caj
ENGINEER NO.
STATISTICAL' SSIFICATION SEWE MAP
ADDRESS CLASS NO. _DWELL.UNITS ^' B P
CONTRACTOR Rigid Mfg, Com TEL. 26 - 10 U NE MAP
ADDRESS 7 Soo woods Ave No 159496 UU NO.
SPECIAL
CITY - CONDITIONS
)los Angeles,. Californass C-39
ROAD DEPARTMENT APPROVAL R QUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM CI
FRONT PROP.LINE OF (STREET) C
ADDRESS CITY Be roof HIGHWAY + YARD TOTAL S TBA CK FROM TYPE OF EXISTING O
SQ. FT. NO. OF NO. OF CHECK FRONT ROP. LINE HIGHWAY WIDTH c
SIZE STORIES FAMILIES ONE
t - La
DESCRIPTION OF WORK Ttnnf Wit NEW ❑ v
BLDG.SETBACK FROM
Rigid prepared Class tt C tt ADD ❑ SIDE PROP.LINE OF (STREET)
ALTER ❑ HIGHWAY + YARDTOTAL SETBA K FROM TYPE OF EXISTING
material, REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH
USE OF EXISTING BLDG. Residence DEMOL ❑ + _
APPLICANT TEL CORNER CUTOFF YES NO ❑
(PRINT) NO. _
BY (SIGNATURE) IN OPEN SPACE Y ❑ NO ❑
- IN COASTAL ZONE YES ❑ NO ❑
VALUATION$ uOO.0O CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL,
AND STATE THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION: I 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 RELATIING TO
WORKMEN'S COMPENSATION INSURANC RIGID MFG. COMP
SIGNATUREO •
PERMITTEE
ADDRESS AveQ /3'1 7, T
FINAL 1BY
T,EL. PATE
CITY Lo® Angeles. Califorxaa�. 26 - 18 -
MAKE CHECKS PAYABLE TO: FEE P FEE P %IQ•�'-�
HARVEY T. BRANDT. COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK M.O. CASH
DEC 1 1 1.7 5 -!jo
76AB38A CE9803 7/73 ` - --
i
'SASSEA DBS-3 SAM
APPLICATION FOR BUILDING PERMIT
DIVISION OF BUILDING AND SAFETY ADUILDING
DRESS
Department of County Engineer
County of Los Angeles LOCALITY
WM.J.FOX.-COUNTY ENGINEER NEAREST B p
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST. ® VT
DISTRI T NO. GROU9 TYPE SEWBEi�R MAPPG
FOR APPLICANT TO FILL IN ,� I CONST-
BUILDING gyr-,fyo W
MAP ry ® HY YES lV0
ADDRESS J?? NUMBER C�a61
LOT NO. p�J BLOCK USE ZON SPECIAL
rr�� CONDITIONS
/
TRACT 6�f.� / ewa
SIZE OF LOT -f3")4-/ 0 S NOW ON LOTS. SETBACK B ING YARD HWY STREET NAME NO.OF EXIST.
H
J
USE OF Q C3�AfQyC/ FRONT e�
_EXISTING/BLDG. /`-/ /,� �l PO Le!
OWNER 4rlGL 117.Af h AIi'A�'/rV/r/l7{�G i
SIDE
MAIL
ADDRESS Jr"S 7• '411L �' �'✓�� O TRACT DWELL. 1 UNIT 5_ INDUSTRIAL
�5L X L TEL. D S - 1 'DWELL. 1 UNIT 6 PUBLIC BLDG.
CITY +.�P� r'� NC.
ARCHITECT OR t• . Z DUPLEX 7 UNIT ADON..ALT.. ETC+
ENGINEER J NO 3 APT. UNIT
8 MISCEL.
ADDRESS r 4 COMMERCIAL
CONTRACTOR �FL/ NO.' INSPECTION .RECORD
ADDRESS .,yet G• G'a'm S" Ct� ♦a
DESCRIPTION OF WORK .rj�(� W /
NEW AD� ALTER REPAIR DEMOLISH ,��
8 ZE ��L STORIES J AMILFIEB
USE OF STRUCTURE i/�►vdl� /`� nom• s zA
SIGNATURE OF/ �� `l L ll, w f APPROVALS
APPLICAN{T
ADDRESS ) Sr? `��Ptia✓� PAT 1 SP CTOR'SSIGNAT.URE
r $ O u FOUNDATION:LOCATION
P.C. $ FORMS.MATERIALS
FEE FRAME: FIRE STOPS. G�iG:t�d�E r
D BRACING.BOLTS
VALUATION solo ,
FEE FURNACE:LOCATION.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT,DUCTS
APPLICATION AND STATE THAT THE ABOVE 1S CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. i LATH.EXT. 1
i
SIGNATURE OF �/� � �/ / HOUSE NUMBER COR- `
PERMITTEE RECT AND POSTED
/ r /
ADDRESS FINAL
WM.J.FOX.COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG.INSPECTOR
. Lir`•7� f�wI� ' _
__Af0 6 5 1 8- AUG 11 1 2.0 0
,6A686A D95-3 12-54 APPLICATION FOR. BUILDING PERMIT - 1
J
DIVISION OF BUILDING AND SAFETY BUILDING
Department of County Engineer ADDRESS ✓ J // /t
County.of Los Angeles LOCALITY /LI LF C/TY
WM.J. FOX, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUP'T OF BUILDING CROSS ST. !/
DISTRICT NO. GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN �- —7,— II BK PG
BUILDING `'gyp CONST.
ADDRESS .3SSd J�YL�IYD t,).k MAP• STATE YES O
NUMBER PSV HWY
LOT NO. BLOCK USE ZONESPECIAL
'CONDITIONS! / ✓ , �+y-
TRACTNO OF BLDGS
SIZE OF LOT ,/� 'II9 I NOW ON LOT / BUILDING YARD HWY STREET NAME EXIST.
USE OF SETBACK WIDTH
Pl F
EXISTING BLDG. &j2e_ YC/C FRONT cy,, ,p// �-
/� � �j P. L. d%y /1/G
OWNER(r(J LL/ /"/ ccyA SIDE
MAIL ADDRESS Ss s /e Xf ivy 4 P. L.
rbc TEL.&� pS-291- t DWELL. I UNIT 5 INDUSTRIAL
CITY /r At�L� C%Y-Y NO. "l1
2 DUPLEX_UNIT 6 PUBLIC BLDG.
ARCHITECT OR TEL. '
ENGINEER 1 NO. 3 APT. UNIT 7 ADDN.,ALT.,ETC.
ADDRESS 4 COMMERCIAL 8 MISCEL.
/_J, F/, TEL.
CONTRACTOR inLI ��PS NO: q p � INSPECTION RECORD %_
ADDRESS' 0i 9e aC/ v s E VC A
DESCRIPTION OF WORK
/a. .e
NEW ADD ALTER REPAIR DEMOLISH
SO.FT. NO. OF NO. OF
SIZE STORIES FAMILIES +
USE OF TRUCTURE -
STA�l S'/fid tA'04
SIGNATURE O
APPLICANT��O D + APPROVALS
ADDRESS,sj_� A /�j� �`� DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
a�j7 dam" P.C. S FORMS, MATERIALS
v V FEE - FRAME: FIRE STOPS,
VALUATION S +^ BRACING, BOLTS .�di6tsCas'&
FEE FURNACE;
GAS VENT, DUCTS
LOCATION.
S
1 HEREBY ACKNOWLEDGE THAT 1 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. // r
SIGNATURE OF� � HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL y"jyk %�W/v
WM. J. FOX. COUNTY ENGINEER' VALIDATION ,
BY ...�Co4 �Y9 5 S JON 21 1 2.0 0 ' m
DEPUTY - DEPUTY
BY BY on
J DEPUTY �� DEPUTY
DFX.A=MENT OF BUILDING AND SAFETY "JeLLL;A�KJLVA ruil rxixu%u&
COUNTY OF LOS ANGELES 13mum I L D I N G
wm. j. Fox. CHIEF ENGINEER
FOR APPLICANT TO FILL
FOR OFFICE USE ONLY
DISTRICT J PLAN CK.NO. PERMIT No.
UILDINN
(- A
ADDRESS U76 3 � 724
Los Angeles CORECEIV a DAY OFAP L. DATE ISBUED
LOCALITY P 016/a>NEAREST live 0* Averme j zj-0
BUILDING&
OWNER Linde Finance & DevelopmentADDRESS
MAIL LOCALITY
ADDRESS 232 Soo Beverly Drive NEAREST
Beverly Hills.9 Calif T&CR5-L-455 CROSBST- ---
CITY FIRE NO.OF TYPE DR UP
ARCHITECT OR TEL- ZONE
PLANS
ENGINEER
No.
N-3 ;'ER Same as above BLDG.
LINE o
ADDRESS APPROVED
CONTRACTOR Sane as above TER- 13Y ./JDATE
u9z
,, YAPPROV
ZON my
ADDRESS C.&IticTIONS
LEGAL.
DESCRIPTION I LOT NO. 115 1 BLOCK
TRACT 16957
NO.OF SLOGS.
SIZE Or LOT 55x105 NOW ONLOT none
USE
OF NO.Or NO.OF
EXISTING BLDG I FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR MOVING DEMOLISH
>
IZI 1 NO3.RZ
.Or
SOOMS 6 STORIES r
325
WALL
COVERING Stucco COVERING
ERING -.Dolcmdte
uGE OF NEW Dwelling and detached
-BUILDING _garage
Plan 10
1 HREBY ACKNOWLEDGE THAT I HAVE READ THIS �-137]ROV It TOR DATE
APPLICATION AND STATE THAT THE ABOVE IS CORRECT LINDATIONALOC
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE or
PERM:TTE.-4ncie-ghw BRACIN el2MSnt LATH, INT-
or
lei
AUTHOR ZED - 2!� LATH, EXT.
FA &MATnAnn, '991,66 1&
76A63BA-3 7-49 P.0. p &-0 PLASTER,I NT-
FEE PLASTER,EXT.t!f/
FINAL
VALUATION FE, !2 4D
APPLICATION FOR BUILDING PERMIT �]
COUNTY OF LOS ANG'ELE'S BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS
I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS /ateCn
or ay certificate of Workers'Compensation Insurance,or a certified CITY IP ;7dd l ZIP �{/ (y�) LOCALITY
copthereof(Sec.3800,Lab.C.) C �j v
Policy No. Company SIZEAF LOT NO.OF BLDGS,NOW ON LOT
❑ Certified copy is hereby furnished. MOD I 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
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER �►n L� �.���� j TEL NO.
�f7 9 YES NO
COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL?
(This section need not be completed if the permit is for one hundred ADDRESS �,,�/�
Sap t+c Q O U DISTRICT GR TYPE N PROCESSED BY
dollars($100)or less.) /��
CITY ZIP
I certify that in the performance of the work for which this permit ��� 3
is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. y
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO. C=0/ DWELL UNITS
NOTICE 70 APPLICANT If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL
LICENSED CONTRACTORS DECLARATION SIDE
CRY UC.CLASS P L
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. NEW BK PG loo. a
DE$ IPTION OF WORK ADD ❑ VALUATION Q
License Number Lia Class �Q M OU (7 I n $ , U
Contractor Data FC ALTER 11cc
❑ 1 am exempt under Sec. OF
REPAIR ❑ $
B.BP.C.for this reason DEMOL ❑ LDMA P/C# W
Date: USE OF EXISTING BLDG. URM ❑
Signature APPLICANT(PRINT) TEL NO. LDMA Perm# z
❑ I, as owner of the property, or my employees with wages as ZOv.�°
their sole compensation, will do the work and the structure is ADDRESS I (.
not intended or offered for sale (Section 7044, Business and FINAL DATE 110--73303
� ?
Professions Code.) OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 36_`x/3 D �s�•1
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL - / J
❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE?1111FINAL BY ITEMS
licensed contractors to construct the project (Section 7044, YES NO
Business and Professions Code.) TOTAL �- -
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ...
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH � Lw 117 013
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
GUIDELINES. r, t1r.
I hereby affirm that there is a construction lending agency for YES El NO 11 CHANGE °or-I
CM rn the performance of the Work for which this permit Is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING
3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE.
TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS 0301313-11.3013
�.) I.I��yy'y i /p s
$ Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. ((I,i_.1J13-JL71J 1 (71 6f 731
0 Lender's Address OWNER OR AGENT 0—82 1 A 1 9:23.
0
0 I certify that I have read this application and state under penalty
0 of perjury that the above Information is correct.I agree to comply P.C.FEE PERMIT FEE
N with all county ordinances and State laws relating to building
construction,and hereby authorize representatives of this County ISSUANCE FEE �� l
m to ent95 upon th above-mengpned property for inspection purposes.
INVESTIGATION FEE TOTAL FEE
SOftne W A°AVVni a AD DNA / J
SEE REVERSE FOR EXPLANATORY LANGUAGE