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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