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Home My Public Portal About5565 RYLAND AVE_Building__ WARTMENT,OF BUILDING AND SAFETY " AXLJeL&uum rUt& rrAAMLA COUNTY OF LOS ANGELES WM. J. FOX. cNiCr ENGINEER11 FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT No. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS jiglg VepV,&3C)• DATE ISSUED LOCALITY Los An_ales Count RE DATE a P I I / 77) � f/)/ NEAREST FXAPP ...... CROSS STS Live 0aic Avenue BUILDING I DWNERLinde Finance & Develoment Corr). MAIL LOCALITY ADDRESS 232--Soe Beverly Drive NEAREST cITY Beverly Class ST. Hills, Wife M. CR -I No.0 TYPE GROUP' FIRE F! ZONE jPLANS ' TEL- ARCHI ,N.,NjjOTOI9ame as above • SLOG. 170, R No. SETS 7/ ADDRESS APPROVED NOL' By mc Same as above CONTRACTOR USE APPROVED` I OAT ADDRESS IONS LEGAL DESCRIPTION _I LCT NO. 93 BLOCK TRACT 16957 SIZE or LOT 77x1-')7No()5 NOW OF SLOGS. ON LOT none USE OFI NO-Or NO.OF _EXISTLm&Zh&26_ __ F MILIED I ROOMS DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAIR MOVING DEMOLISH > or. SQ.irT. NO.OF r COVERING SIZE ;PYROOMS STORIES WALL StuccCOVERING o ROOF Dolonite - USE OF NEW Dwelling and attached garage -BUILDING pim lo6-B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS., APPLICATION AND STATE THAT THE ABOVE Is CORRECT FOUNDATION'LOCATION- INSOECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, -BRACING SIGNATURE or linde i ~ !5Av"eejwent PC _.., LATH, INT. '*.. j AUTHORIZED LATH, EXT- 7GA63BA-3 9'+49 _PLASTER,I NT. FEE PLASTER.EXT. VALUATION FEE FINAL 16A638ACE08033-69 APPLICATION FOR BUILDING PERMIT �I COUNTY.OF-L,OS ANGELES -BUILDING �+ J DEPARTMENT OF.COUNTY ENGINEER •ADDRESS - S f3s Cs�•`' _ BUILDING AND SAFETY.DIVISION ;LOCALITY.. JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPiNARET T OF BUILDING CROSSSST: jcvV-1t-- •- FOR APPLICANT TO.FILL IN'. DISTRICT /�NO. ]GROUP TYPE CONST. PROCESSED BY (PRINT OR TYPE ONLY) �-/ I v BUILDING �/ �A_ � � :STATISTICAL IF CATION .. S ER�MAp ' ADDRESS (p w�1 ${J— CLASS. N0. DWELL:UNITS BK' PG LOT NO. BLOCK USE ZONE MAPodd, - N0. ' TRACT '` SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF.LOT NOW ON LOT USE OF EXISTING BLDG. !BLDG. SETBACK FROM jJTEL. FRONT PROP. LINE OF.. (STREET) OWNER (� N0. TYPE OF EXISTING SETBACK HIGHWAY +• YARD" TOTAL ADDRESS �" �; �' � A'V6 HIGHWAY WIDTH FROM C.L. CITY' �(L-t� �� /"i � �� '` - ARCHITECT OR TEL. BLDG:SETBACK FROM. (STREET) ENGINEER NO. SIDE PROP. LINE OF TYPE OF' EXISTING SETBACK' HIGHWAY +' YARD' ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + _ > CONTRACTOR NO. n LIC. ADDRESS N0. CORNER CUTLOFF YES ❑ NO ❑- L CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS C CONSTRUCTION LENDER ' .: ~ NAME AND'BRANCH LL CL ADDRESS Z SQ. FT. NO. OF N0. OF ❑ SIZE STORIES FAMILIES; NEW USE OF ADD ❑ STRUCTURE ❑ • ALTER REPAIR SIGNATURE OF DEMOL ❑ APPLICANT VALUATION S APPROVAL'S DATE INSPECTOR'S SIGNATURE FEE 5 FEE. ►•v� FOUNDATION: LOCATION FORM TERIALS . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS'REGULATING BUILDING CONSTRUC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING'THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF'CALIFORNIA IN RELATING'TO WORKMEN'S'COM- _ PENSATION INSURANCE. LATH, EXT. lei SIGNATURE OF HOUSE'NUMBER CORRECT PERMITTEE - AND POSTED ADDRES � - ` FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURA} E I N R PLAN CHECK VALIDATION ., C . 'M.O. CASH - PERMIT VALIDATION CK• )I.O. CASH 1`: � 16-.2 k O kU�2 7 1 D 9.0 v . ry APPLICATION FOR �IL®ING PERMIT � COUNTY OF LOS ANGELES I BUILDINQ AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DOREss BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, 5565 RYLAND or a certificate of Workers'Compensation Insurance,or a certified CITY zIP copy thereof(Sec.3800,Lab.C.) LE CITY 91780 LOCALITY U Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. 1 1 NEAREST C o T. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. 01952 USE ZONE MAP NO. ASSESSOR MAP BOOK PAGE PARCEL Date Applicant 1^� SPECIAL CONDITIONS R S8 CERTIFICATE OF EXEMPTION FROM WORKERS' OWNFR TEL NO. I YES NO ' COMPENSATION INSURANCE M. a o d 8 8-447--7129 WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred 56 4 65 H)WARD DR DISTR GROUP J.TYPEGQN6T' FIRE ZONE P. SSED BY dollars($100)or less.) CITY ZIP { I certify that in the performance of the work for which this permit ARMIA 910071.70 3 is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject to the WOrkers'Compensation Laws. STATISTICAL C� I ICA1 Pi CONDO Data Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REOUIRED TOTAL SETBACK FROM 'y 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 comply with such provisions or this permit shall be deemed-revoked. ADDRESS LIC.NO. FRONT PL I LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PIIL c 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 S9•FT.SIZE NO.OF STORES NO.OF FAMILIES g Professions Code,and my license is in full force and effect. 1 NP-w- Roof (Reroof) F W ❑ BK I PG Poo. FR" DESCRIPTION OF WORK D ❑ License Number Lic.Class VALVA O Contractor Date i TER ❑ $ ° C2 ' ❑ 11I am exempt under Sec. � REPAIR $ 1 • BARC.for this reason DEMOL ❑ LDMA P/C N Date: USE OF EXISTING BLDG. 11;Yes URM - Signature APPLICANT(PRINT) TEL NO. LDMA Perm# ACCT.a I, s owner of the property, or my employees with wages as I — O a $ '4 -: , -7c r sole compensation,will do the work and the structure is ADDRESS p, fl/ 46.r.F not intended or offered for sale (Section 7044, Business and - d Dr. ; A Ca is CA 91007 r E�� L Professions Code.) LLTHEAPPLICANTORFUTUREBUILDINGOCCUPANTHANDLEAHAZARDOUSMATERIAL ,jA('0 _OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN1, as owner of the property, am exclusively contracting with HE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL TOTAL 43 m 75 licensed contractors to construct the project.(Section 7044, T) YJ Business and Professions Code.) 'YES El No I ti • CHECK LL THE INTENDED USE OF THE BUILDING 9Y THE APPLICANT OR FUTURE BUILDING 4^ 75 OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH n�'j�) CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST CHANGE FOR GUIDELINES. . I hereby affirm that there Is a construction lending agency for (yEs❑ No the performance of the work for which this permit is issued(Sec. I HAVE RM HECKLIS�T.�DNUS MSTATEAIALSRN ORMA IENTS UNIDER THE L08 ANGELES _ �I� —13001 3/14/90-- 3097,Civ.C.)- PERMI nNcGa l��l _ p� _ 3H 220.140 CONCERNING Lender's Name COU TI BRI716 LS REP NGS OaTAIN NG A M FROM THE SCAOMD. 9502 1 AM 8 o 33 J-LAOLenders Address on 14 o I certify that I have read this application and state that the above Information IS correct. I agree to comply with 'all county PC•FEE PERMIT FEE ordinances and State laws relating to building construction,and 1 - hereby authorize representatives of this County to enter upon ISSUANCE FEE - the mentioned p , ty for ins ection purpos /3,00 J J I VESTIGATION FEE TOTAL FEE �qsJ nWAppOnnlaApeM d SEE REVERSE FOR EXPLANATORY LANGUAGE•