IDENTIFICATION
1. HISTORIC NAME OF PROPOSED RESOURCE (if any)
2. STREET ADDRESS (include all addresses associated with the property) 1326 N Maryland Ave. ZIP CODE 91207
3. ASSESSOR'S PARCEL NO(s) 5647-007-017
4. COMPLETE LEGAL DESCRIPTION (attach legal description): TRACT Thompron BLOCK 2 LOTS) 3+4
5.OWNER(S Elizabeth Stasuc
ADDRESS (if different from above) CITY STATE ZIPCODE
PHONE EMAIL
6. PRESENT USE Residential ORIGINAL USE Residential
PROPERTY DESCRIPTION
Describe as much as possible about the history of the structure. It is required that copies of any articles, information, or other supplementary documentation to support this application be attached.
7. ARCHITECTURAL STYLE, INCUDING ARCHITECTURAL DETAILS AND CHARACTER DEFINING FEATURES Attach additional pages if necessary. (For residential usc, please see the Glendale Design Guidelines for Adopted Historic Districts.
The residential structure at 1326 N. Maryland Ave. incorporates -lements of exterior and interior design inspired by
Arts and Crafts movement of the early 1900s. The home
Paperth the front Facing comic 1 pitched galle rapi, roof. Deoply YEAR BUILT SOURCE OF INFORMATION:
Casa Verdugh Historge 27
9. ORIGINAL ARCHITECT (if known) Alfred F. Priest
10. ORIGINAL BUILDER (if known)
II. DATES OF ENCLOSED PHOTOGRAPHS (see attached instructions for submiting photographs) August 2022
12. SQUARE FOOTAGE (if known)
Revised 11/2012 7
13. ALTERATIONS AND DATES OF ALTERATIONS (based on building permits, physical analysis, oral information, see attached "Sources of Information" for obtaining City building permit records, attach additional pages in necessary):
I-Room addition at the North - East
corner. of the brome.
14. IS THE STRUCTURE (check one): ON ITS ORIGINAL SITE MOVED UNKNOWN
15. LIST NAMES, OCCUPATIONS, AND TENURE OF ALL PREVIOUS OWNERS AND OCCUPANTS. IF KNOWN (see attached "Sources of Information" for obtaining prior ownership information):
1913-? Wyman Family Mo & Mrs. Elliot E. Wyman
(Grocer)
? - 1979 Lake Roy R-sign writer Alexanders
Market
1979-2022 Joel Gary Rutberg-business owner
*. Continued from
can can hava ta maintained. calement the doo
multiple
underneath
eat megan eaten and tad ra pering.
that are
18. CRITERIA FOR INCLUSION IN THE GLENDALE REGISTER
In order to qualify for inclusion on the Glendale Register, the proposed resource must meet at least one of the following criteria.
Please explain how the proposed resource meets one or more of the following criteria. A proposed resource does not need to meet all criteria in order to qualify for the Glendale Register. However, if the proposed resource meets more than one criterion, please include all information in this application. If a criterion is inapplicable, indicate "Not Applicable". Attach additional pages, if necessary. Identify the source from where the information was obtained and provide copies of any supporting information and documentation with this application.
CRITERION 1
IS THE PROPOSED HISTORIC RESOURCE IDENTIFIED WITH IMPORTANT EVENTS IN NATIONAL,
STATE, OR CITY HISTORY, OR DOES IT EXEMPLIFY SIGNIFICANT CONTRIBUTIONS TO THE BROAD
CULTURAL, POLITICAL, ECONOMIC, SOCIAL, OR HISTORIC HERITAGE OF THE NATION, STATE, OR CITY? IF SO, PLEASE DESCRIBE:
CRITERION 2
IS THE PROPOSED HISTORIC RESOURCE ASSOCIATED WITH A PERSON, PERSONS, OR GROUPS WHO SIGNIFICANTLY CONTRIBUTED TO THE HISTORY OF THE NATION, STATE, REGION, OR CITY? IF SO, PLEASE DESCRIBE:
CRITERION 3
DOES THE PROPOSED HISTORIC RESOURCE EMBODY THE DISTINCTIVE AND EXEMPLARY
CHARACTERISTICS OF AN ARCHITECTURAL STYLE, ARCHITECTURAL TYPE, PERIOD, OR METHOD OF CONSTRUCTION; OR REPRESENT A NOTABLE WORK OF A MASTER DESIGNER, BUILDER OR ARCHITECT WHOSE GENIUS INFLUENCED HIS OR HER PROFESSION; OR POSSESS HIGH ARTISTIC VALUES? IF SO, PLEASE DESCRIBE:
Crafteride tombeing an exoptional example of an garly Aside from described this Craftsman home stands out
rom many of Ingesther datalogue homes or contracto
architect
he ded
CRITERION 4
HAS THE PROPOSED HISTORIC RESOURCE YIELDED, OR HAVE THE POTENTIAL TO YIELD,
INFORMATION IMPORTANT TO ARCHAEOLOGICAL PRE-HISTORY OR HISTORY OF THE NATION, STATE, REGION, OR CITY? IF SO, PLEASE DESCRIBE:
CRITERION 5
DOES THE PROPOSED HISTORIC RESOURCE EXEMPLIFY THE EARLY HERITAGE OF THE CITY? IF SO, PLEASE DESCRIBE:
19. PLEASE STATE ANY ADDITIONAL FACTS PERTAINING TO THE PROPERTY THAT WAS NOT ADDRESSED ABOVE.
Per Architectural Resources Group
evaluation of the Casa Verdugo historic resources
survey, 1326 N Maryland is considered a
contributor to the Casa Verdugo historical
district. See page 27 of Casa Verdugo
Historie Resources Survey Draft, dated
Sept. 28, 2020. (cory attached).
•
Revised 11/2012
10 20. OWNER CONSENT FORM
I Certify That I Am The Current Property Owner Of Record (Include All Owners):
Elizabeth Staruc
Print Name
Aasue Sert. 7, 2022
Signature Date
Print Name
Signature Date
Print Name
Signature Date
Revised 11/2012 11
D-26-27243
ADDRESS 1326 M.Manylaud
OWNER CB. Nymau
PURPOSE OF BULLDING FIRE DISTRICA NO.
Youes) BRUMBING 6-15:36 1th APLASTERING WIRING
BUILDING
JK'$ DATE 5-14-48 OUT
DATE 6-10-36 DATE 1-71-30
DATE 1-4-30
NO. 51446 sW.
NO. 1153
No. 0 //78 NO. 33388
FIX.
_RANCE
AME 400 - АМТ. нте YDS. INT. 60 мот
YDS. LAT: M.S. Wyrnan FUR
con. Y, Alert son. CON. TAy ler BRos. CON.CITY OF GLENDALE • INSP•D INSP•D. INSP. INSP•D. INSP. INSP•D. INSP.
INSP.
ROUGH EXT. LATH ROUGH
FOUNDATION IL
GAS IN. LATH FINISH
7-23
1 ST FOOR SEWERCT 3 '29
EXT. PLASTER FIXTURES
3 W/
CESSPOOCT
2 & 3 FLOOR IN. PLASTER MOTOR
FURNACE
GARAGE FURNACE
CHIMNEY FINISH
SEWER CESSPOOL FURNACE X WIRING
DATE DATE /- 20-30 OuT 3
DATE DATE
100129 sW.
No. 2269
No. /Tereati NO. FIX. 2
NO. 34L17
MOT
ANT 00LZUY AMT. AMT.
FUR
con Fettertuld CON. CON. Partes son
CON.
1-26-10480
OWNER ) 25. Пушал ADRESS 1326 M. Maryland
Cdditem.
PURPOSE OF BUILDING FIRE DISTRICT NO.
BUILDING PLUMBING PLASTERING WIRING
7-10-28 7-12-28 DATE OUT
DATE DATE DATE
sw. i
No.
No. 20254 10175 No. FIx!
AMT. 150 ANT. 98= YDS. INT. MOT.
YDS. EXT. FUR.
conE. ll Yard CON.
INSP D INSP. INSP'D. INSP. INSP'D. INSP. INSP•D. INSP.
ROUGHJUL 1 3 1928 1147
FOUNDATION EXT. ROUGH
GAS FINISH
1sT FLOOR INT.
SEWER
FIXTURES
CESSPOOL CHIMNEY
2 & 3 FLOOR
MOTOR
FURNACE
CHIMNEY FINISH GARAGE FURNACE .
SEWER CESSPOOL FURNACE WIRING
DATE DATE DATE OUT
DATE
NO. sw. y
No.
NO. No. FIX.
AMT. MOT.
AMT. AMT.
FUR.
CON. CON. CON. CON.
JOB ADDRESS
1326 N. Playland
APPLICATION FOR A 50
SWIMMING POOL PERMIT
BUILDING SECTION, PUBLIC WORKS DIVISION
CITY OF GLENDALE, CALIFORNIA
STATE LIC. NO.
CITY BUS. LIC. NO.
MAILING ADDRESS
76PB.
TEL. NO.
STATE LIC. NO. 000:
Dany saia 15059
wheell 3491872
MAILING ADDRESS PLAN CHECK VALIDATION
326
NOTE PROVIDE PLOT PLAN ON BACK SIDE OF ORIGINAL COPY ONLY To x 10
PRIVATE 00.00
• SEMI-PUBLIC
LOST. CAPACITY. 1500 им сл M.O. NiN
YPE FILTER. -_ BACKWASH?.
(NOTE: Include Labor, Material, ) $ 7000
Electrical, Heating, Plumbing
SYALUATION
PLUMBING FEES
STATE LIC. NO.
ONTRACTOR
MAILING ADDRESS CITY BUS. LIC. NO.
TEL. NO.
_POOL HEATER L 2250 - GAS SYSTEM
POOL PIPING 2.02 DÁYWELLS. I IN THIS SPACE, 26.90
PLUMBING PERMIT FEE_
11.50 1-cash
TOTAL PLUMBING FEE_
-PARCEL VALIDATED
LOT NO BLOCK NO.
USE F TYPE OF
1 TON PANCY. CONSTR.. PROPERLY PERMIT TO DO WORK DESCRIBED HEREON. 76 SW
RIGHT SPECIAL
REQ'D FRONT SIDE LEFT SIDE
13/6 CASE
SET
BACKS I
APPROVAL BY OTHERS
PLANNING SPECIAL WHEN 8 OCT 18
ENGINEERING PUBLIC
W SERVICE E DIVISION CASE NO.
LW GUL
7.75 NOTE:
P.C. FEE
cbove application ond know the some to be true
I have reod and examined the
All provisions of the lows and Ordinances covering building con-l and corfect.
struction will be complied with whether specified herein or not. "I certify that in the performonce of the work for which this permit is issued I shoil not employ M.O. ony person in any manner so os lo become subject to the workmen': compensation lows of Colifornio." 2 SHEETS THIS FOR CONSTITUTES
mitatele
GINATURE OF OWNER OR CONTRACTO
FORM B-56 (REV 7174) OL PERMANENT
- =
- 1326 N MARYLAND AVE Permit Number: BB 20021913
Plan Check Number:
Printed On: 15-ОСT-02 Expiration Date: 12-APR-03
CITY OF GLENDALE - BUILDING AND SAFETY
BB1060 633 E. Broadway, Rm. 101 Permit Status: OPEN
I SED-REROOF §lendale, CA 91206 - (818) 548-3200 (818) 548-4830 (INSP) Status Date: 15-OCT-2002 Building Pernit
Scope of Work
MATERIAL: COMP SHINGLE CLASS A
NO. OF SQUARES:
TEAR OF EXISTING (Y/N) :
EXISTING NO. OF LAYERS: FOUR -COMP CAP ROCK
Install min. 3/8" structural wood panel with 6d common nails at 6:12. This may be installed over existing spaced sheathing.
Individual's / Company Name Address / City, State Zip City, State Lic. / Worker's Comp. Phone Number (APP) David Paine Inc Preferred R 17526 PARTHENIA
Northridge, Ca 91325
(OWN) Rutberg, Joel G & Flora E 1326 N Maryland Ave 818-240-32531 Glendale, Ca
(CNT)
(ROD) David Paine Inc Preferred Roof 17526 Parthenia CCLC 200104311 Northridge, Ca. 91325 VILLANOVA INSICA 0075396,021602 818-772-8415 Tract Name / Number Block(s) Lots) Assessor's ID
00000 0004 5647007017
Estimated Value: Calculated Value: $7,500
Permit Quantities Qty Comments or Y / N Permit Quantities ety Comments or YIN Existing Use Of Bldg Sfd Proposed Use Of Bidg Sfd
Section Map Number 34
Residential zone (Ii
Comments
Fees Amount Fee Description Amount
BUILDING PERMIT $120.00 ZONING SURCHARGE $8.04
Total Fees: $128.04
Total Fees Due: $0.00 Total Fees Paid: $128.04
Clearances Agencies :
Activity Code Status BY Date
BUILDING DONE SHAIRAPETI 15-OCT-02 Signature:. Date:
Condition Code Status BY Date
The person signing for this permit acknowledges that there are NO Oak, Bay or Sycamore Trees with trunks larger than an eight inch (8") diameter within a twenty foot (20 ft.) influence of the proposed construction.
At the time of final inspection, the inspector shall verity the installation of smoke detectors in all sleeping rooms and hallwaysr.= leading thereto. Battery operated smoke detectors are acceptable in existing construction.
The peris or piators age once or te or i cer at a cop rina ete of actoriate an retire of perei senor this individual mas be veried by personal lentication. Any person siening.
Apication sealed y to day ing ted. painita ages earned pi am, for de Cing ate a man code and the f pe any apies sulmited to the departmen hal be returned to the COPYRIGHT KIVA 1997 - 2002
306 N-Many boog
CITY OF GLENDALE
PERMIT SERVICES CENTER
633 E BROADWAY
MSB ROOM 101
GLENDALE CA 91206-4453 B10061036
(318) 548-3200
PERMIT TO BUILD ASSUE BATE: 89/2712
MENT TYPE.: ADDITION
USE : SINGLE FAMILY DWELLING
PROPOSED ADDITION SINGLE FAMILY DWELLING
PROPSD LINE1: FT ADDITION TO BATHROOM
PROFSD WORK LINEZ: REMODEL BATHROOM
OWNER INFORMATION:
BUILDING ADDRESS: JOEL G AND FLORA E
1326 AVE 1326 PETEER MARYLAND AVE
N MARYLAND
GLENDALE CA 91207 GLENDALE CA 91207
PROPERTY DESCRIPTION: 5647-0007-0017 WKE HM: (818) 240-3253 THOMPSON TRACT LOTS 3 AND APPL: G 4 A POMSERTIES-SHELDON LOT 4 BLK 2 #
CONTRAC ATIONE
G & G PROPERTIES
9970 GLENDAKS BLVD
SUN VALLEY CA 91352-
PHONE:
ZONING: CITY GEN00154
WORKERS WORKERS: E178/99 STATE LENSE LICENSE:
LICENSEE: & G PROPERTI
PHONE: (813) 771-0072
A CERTIFICATE OF OCCUPANCY IS REQUIRED EXCEPT FOR SINGLE FAMILY DWELLINGS TO BE ISSUED BY PERMIT SERVICES BEFORE THIS BUTLDING MAY BE OCCUPIED. NO CERT-
IFICATE OF USE AND OCCUPANCY WILL BE ISSUED UNTIL BUILDING PLUMBING •MECHANICAL MECHANTING BREADERSHIP CHANNES A NEW ME ARE SEE DEANE _USE OF NOTE: SEPARATE ELECTRICAL, MECHAÑICAL AND PLUMBING PERMITS ARE REQUIRED.
THIS
DATE ORIS
ISSUANCE
FOR A PERIOD OF 90 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ======LOT CHARACTERISTICS=: BUYING EAT
AREA ..L.E.N.. - WIDTH. CORNER LOT BUILDING HEIGHT
HILLSIDE LOT NUMBER OF STORIES
NO. OF DWELLING UNITS
NO. EXISTING BUILDINGS
SPRINKLED N
TYPE OF CONSTRUCTION
==ENGINEER OR ARCHITECT
TOTAL AREA SO FT 10
VALUATION $ 3000
*==-BUILDING DIMENSIONS===== ***===UNITS=*=== ======IMPROVEMENTS*=--==
LEN WIDTH SINGLE FAMILY CENTRAL-A-C
NBR BEDRMS ELECTRIC
BASEMENT FIREPLACE
1ST MULTI FAMILY PLUMBING
2ND FLOOR EFFICIENCY BATH (NBR)
-GARAGE- 1-~ BEDROOM- -OTHER:
CARPORT BEIROOM
PORCH S+ BEDROOM
DECK. TOTL: UNITS
ZONING ==SETBACKS==÷MAIN=∞==ACC= STORE UNEH
FRONT
REAR FEET
PW: AGREEMENT SIDE (MIN
SUBDIV REGE CC&R SIDE (COMB ======PARKING======
AFFORD RATE ALLDC.# 000000 ALLOC. 000000 SIDE ST OFF STREET
MARKET MAJOR ARTERY HANDICAPPED
COVENANT NO. FIXED SEATS 000
=*==WORKERS COMP.==== ===-AIRPORT ZONE====
XEMP NOISE FLT PATT
====COMMENTS=======
• FEE: $ 97.35
THIS IS TO CERTIFY THAT PERMIT TO BUILD IS GRANTED THIS DATE:
FOR INSPECTIONS
CALL 818 548-4830 «PUR PERMIT SERVICES ALMINTSTRATOR
PW-PSC-2 (REV. 10/95)
APPLICATION FOR BUILDING PERMIT
Permit No. B10061036 24/96
Accepted by: A
• City of Glendale P.C. Receipt No
- Permit Services Center B.P. Receipt No. 2566B0z4
MS8, Room 101 633 E. Broadway at Glendale Avenue (818) 548-3200 Please print legibly in ink and complete all applicable spaces.
Separate permits are required for plumbing, electrical, heating & air conditoning A double fee will be charged if work is started before permit is issued 9/21/96
Job Address 326 N. Maniland Date 9-1796
i hereby affin that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code of the State of Califomia, and my license is in THIS PROJECT IS FOA:
full force and effect. Addition
Demolition
GaG Alteration Reroof
Dwelling/Duplex
Apartments
Commercial
a1352
State Zp
(818) 771-0072 Describe work to be done:
Emergency Tele. No. 2'-8" × 3'-8' Additition
465496 GEN 00154
Contractor's License
1-18-97 Remodel Bathroom
A Architect
State License No. —
91352 Lot Characteristics
Sun valley, Cf
Lot Area Lot With Lot Depth
City Stace
[email protected] 120 r. 1481.
Telephone Emergency Teie. No. 2
No. existing bidgs
Gary a filleen Rutberg
No. Dwelling units on lot -
mast Meanyland
Mating Addien Floor area increase
ivendale CA 9007 decrease - sq. ft.
State
(818)240-3253 No. of stories
Telephone
Max building height 20. - Ht.
FOR STAFF USE ONLY Building Dimensions Existing use DWELLING Garage Proposed use DWELLING
Map Bk Page Parcel No. Section Sht
Carport
5647 7 17 34 N/s
Porch. No. Fixed Seats
UBC ed. Lot No. Block No. | Tract
304 2 Dock. No. of Parking Spaces -
94 1st Floor
Fire Zone Occupancy 1 Occ Load
ZORI 7 - 2nd Foor: CONSTRUCTION VALUATION
-3 R3
Type of Construction Including labor, malenals, wring, plumbing, heating, ele Construction Type $3,000,00 9/½7/42
Required Setbacks Masonry
Front Right side Lett side Rear Special Structural Steel Revised Valuation Ho CMAHEE
Wood Frame
Engineering - Easements: Reinf. Concrete
Public Service: Electric Water_
Distance from face of curt to Property Line Other 0.K To ISSUE • 9201/26 NOTE: Attach Plot Plan Sheet
Hillside Lot Yes No with this Application.
Printed on Recycled Pacer : Be!!, Z(B.C)
PLOT PLAN INSTRUCTIONS
City of Glendale
Permit Services Center
PLEASE SHOW ON PLOT PLANS FOR BUILDING PERMIT THE FOLLOWING INFORMATION:
1. Make the bottom of the page the street frontage.
2. Draw the shape of the lot only if it is irregular.
3. Put the dimensions of the lot.
4. Draw where existing structures sit on the property and show length/wth size. Locate all structures on the lot and their distance from one another.
5. Draw where the new construction will be located: in. onto an existing building or on the property and its size.
6. Show how far from the property lines existing buildings and new construction, will be. * STREET NAMES
1. Give the names of the road or streat your property is located on. Mark an X where the building is located.
2. Show the nearest intersecting streets or roadways.
130.
GAR
58 CADOITIONI
SFO
301
1326 r. maryland
CITY OF GLENDALE
PERMIT SERVICES CENTER
BROADWAY
ROOm 101
GLENDALE CA 91206-4433 INER: 10063321
PROJECT NEE
(818) 548-3200
PERMIT TO BUILD APPLIC DATE: 03/06/97
ALIFORNI ISSUE DATE: 03/25/97
USE FEET TE SINERETFOM SINGLE FAMILY DWELLING
PROPUSED ALTERATIGN SINGLE FAMILY DWELLING
PROFSU WORK LINÉi: CONVERT PORCH TO LIVG SPACE-ALTER
PROPSD WORK LINEZ: CEILING IN BORM.EXPRESS P.C.
DUNER INFORMATION:
: BUILDING ADDRESS: RUTBERG-JOEL AND FLORA E
1326 N MARYLAND AVE 1326 N MARYLAND AVE
GLENDALE CA 91207 GLENDALE CA 91207
PROPERTY DESCRIPTION: 5647-0007-0017 wA: 818 24023239 1e 240-3225 THOMPSON TRACT LOTS 3 AND FLCRA RUTBERG
LOT 4 BLK 2 DR.
CONTRACTO INFORMATION:
HOMEDWNER
PHONE:
WORKERS COMP ExEMPT: Y ZONING: CITY LICENSE:
WORKERS COMP. EXP DATE: STATE LICENSE:
LICENSEE:
PHONE:
A CERTIFICATE OF OCCUPANCY 1S REQUIRED EXCEPT FOR SINGLE FAMILY DWELLINGS TO BE ISSUED BY PERMIT SERVICES BEFORE THİS BUILDING MAY BE OCCUPIED NO CERT:
IFICATE OF USE AND OCCUPANCY WILL BE ISSUED UNTI ALL.
HAVE BEEN MADE AND •PLUMTAR®USE OF
& ELECTRICAL INSPECTIONS
THE BUILDING OR IF OWNERSHIP CHANGES, A NEW CENTRE GATE MOST ER COSTATRED! NOTE: SEPARATE ELECTRICAL, MECHANICAL AND PLUMBING PERMITS ARE REDUIRED.
AND VOID IF WORK IS NOT COMMENCED WITKIN
FROM DATE THATE OF ISSUENCE OR IF CONSTRUELON ISSUANCE OR IF. OR WORK NO SUSPENDED ON ABANDONED DAYS FOR A PERIOD OF DAYS AT ANY TIME AFTER WORK IS COMMENCED. ==LOT CHARACTERISTICS=an= ==BUILDING CHARACTERISTICS-
AREA LEN.. - WIDTH. I CORNER LOT N BUILDING HEICHT (FT›
HILLSIDE LOT STORIES
NO. OF DWELLING UNITS
NO. EXISTING BUILDINGE
SPRINKLET
TYPE OF CONSTRUICTION
OCCUPANCY TYPE R3
ammazes ENGINEER OR ARCHITECTanammacg= OCCUPANCY LOAD
SHELDON BROWN C5660
TOTAL AREA SO FT
VALUATION $ 7G00
FEEBUILDING DIMENSIONS**=== ==== IMPROVEMENTS*=
LEN WIDTH SINGLE FAMILY CENTRAL -A-C
NER BEERMS
BASEMENT REPLAI
1ST ULTI-FAMI PLUMBING
FFICIENCY BATTER)
3GARACE BEDRCOM. OTHER
CARPORT
PORCH 3%E UNITS
DECK
ZONING
PERATESUM HEIGHT
PW. AGREEMENT SIDE (MIN)
CCSF SIDE (COMB)
MARKET RATE ALLOC:# 000000 SIDE ST OFF STREET
IARKET 000000 MAJOR ARTERY HANDICAPPED
OVENANT FIXED SEATS 000
EXEMPERS COMA: 2555* NOTSEATRFORE
FLT PATT
FEE: $ 391.30
THIS IS TO CERTIFY THAT PERMIT TO BUILD IS GRANTED THIS DATE:
OR FERMIT SERVICES ADFINTSTRATOR
:
PW-PSC-2 (REV. 3/92)
• F
APPLICATION FOR BUILDING PERMIT
Permit No. B10Q63821
Accepted by: (14)
City of Glendale P.C. Receipt No. 95998024
• Permit Services Center VJB.P. Receipt No.
MSB, Room 101 633 E: Broadway at Glendale Avenue 10(818) 548-3200 9600B024 B1006 1034
Please print legibly in ink and complete all applicable spaces. 5367785 Separate permits are required for plumbing, electrical, heating & air conditioning 3-6-97 A double fee will be charged if work is started before permit is issued.
Job Address 1326 N. MARYLAN
Date 318/97
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of THIS PROJECT IS FOR:
Division 3 of the Business and Professions Code of the State of Califomie, and my license is in full force and effect. New Addition
Repair Demolition
Alteration Reroof
Contractor/Company Dwelling Duplex
Apartments
Mading Address Commercial
City State Zip
Describe work to be done:
Telephone Emergency Tele. No. PORCH
SOLVERE SPACE
Contractor's License
Architect SHELDON BROW i c 5660 18-6lx9:01
Engineer State ticens ALTER CEILING IN BORM
9970 GLEN OAKS) "CI
Mailing Aodress
SUN VALLEY 9352 Lot Characteristics
Lot Area Lot Wlath Lot Depth
City
(818) 504-0529 1176001.120 - п. 148 M
Tetephone Emergency Tote. No
No. existing bldgs - 2
GARY RUTBERE
No. Dwelling units on lot
PAZE N. MARYLAND
Mating Address Fioor area
GLENDALE decease 156 sa. He
91207 decrease
(818) 240 3253 No. of stories - -
Telephone
Max building height - H.
Building Dimensions SED
FOR STAFF USE ONLY Existing use
Garago. Proposed use SFO
Map Bk Page Parcel No
5647 07 17 socia st Carport -..
Porch - No. Fixed Seats -
JBC ex Block No.
14 Lot Na, Keene Dock
2 Fact No. of Parking Spacas.
1st Floor
Zong Fire Zone Occupancy Occ Load...
-R3 -and Floor BT CONSTAUCTION VALUATION
Including labor, materials, wing, plumong, heating, erc.
Type of Construction IN
Construction Type = 5
Roquired Setbacks Masonry 7000
Front Bigh side Special Structural Steel Revised Valuation Wood Frame
Reinf. Concrete
OK TO SUBmITgE.
Distance from face of curb to Property Line ft. Other
Hillside Lot Yes No NOTE: Attach Plot Plan Sheel 3-6-7
with this Application.
PWPSC: 51 (Rav 1105) LEGALZE → DOUBLE PERMIT FEE
DKTO ISSUE. AN 3/25/97
PLOT PLAN INSTRUCTIONS S1*
• City of Glendale
Permit Services Center
PLEASE SHOW ON PLOT PLANS FOR BUILDING PERMIT THE FOLLOWING INFORMATION:
1. Make the bottom of the page the street frontage.
2. Draw the shape of the lot only if it is irregular.
3. Put the dimensions of the lot in the brackets provided on the sheet for right, left, front and rear; or if it is irregular, on the outside of the lot lines
4. Draw where existing structures sit on the property and show lengthwith size. Locate all structures on. the lot and their distance from one another.
5. Draw where the now construction will be located: ie. onto an existing building or on the property and its size.
6. Show how far from the property lines existing buildings and now construction will be.
STREET NAMES
1. Give the names of the road or street your property is located on. Mark an X where the building is located.
2. Show the nearest intersecting streets or roadways. 28-0"
3. Check the appropriate box if the property is a comer or hillside lot. ( 15.o" 120.0
GARAGE
18-6"
ADDITION
148.00 DWELLING
it-a 32:0"
MARYLAND
1356 N.marylande
LENDAN =
CITY OF GLENDALE
PERMIT SERVICES CENTER
633 E BROADWAY
MSB ROOM 101
LIFORN GLENDALE CA 91206-4453 PERMIT NBR: PEOMEET NER: #10052264 (818) 548-3200
PERMIT TO BUILD APSSUE BATE: 87/1Z/35
IMPROYEMENT TYPE: SINELETFAM SINGLE FAMILY DWELLING
PROPOSED ALTERATION SINGLE FAMILY DWELLING
PROPSD WORK LINE1: RECONSTRUCT 2 PLASTIORS AT FRONT PORCH PROPSD WORK LINE2:
OWNER INFORMATION:
BUILDING ADDRESS: 13ZBER MORELAND ADE JOEL G AND FLORA E 1326 N MARYLAND AVE 1326
GLENDALE CA 91207 GLENDALE CA 91207
PROPERTY DESCRIPTION: 5647-0007-00173 WK: (805) 273-3875 HM:
THOMPSON TRACT LOTS 3 AND APPL: RUBEN
LOT 4 BLK 2 DR. #
CONTRAL MATIONE
RODRIGUEZ RUBEN R
3053 RANCHO VISTA_BLVD A 55$1327
PALMDALE
PHONE:
EXEMPT: CITY LICENSE: GENO2432
WORKERS COMP: EX DATE: " ZONING: WORKERS STATE LICENSE:
LICENSEE: RODRIGUEZ RUBEN
(805) 273-3875
A CERTIFICATE OF OCCUPANCY IS REQUISED EXCEPT FOR
TO BE ISSUED BY PERMIT SERVICES BEFORE THİS BUILDING MAY OCCUPIED.
IFICATE OF USE AND OCCUPANCY WILL BE ISSUED UNTIL ALL BUILDING PLUMBING gE DE MECHANICAL 8. ELECTRICAL INSPECTIONS HAVE BEEN MADE AND APPROVED IF THE THE BUILDING OR IF OWNERSHIP CHANGES, « NEW CERTIFICATE MUST BE DBTAINED.
NOTE: SEPARATE ELECTRICAL, MECHANICAL AND PLUMBING PERMITS ARE REQUIRED.
THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN 180 DAYS
FROM DATE OF ISSUANCE OR IF CONSTRUCTIN OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 90 DAYS AT ANY TIME AFȚER WORK IS COMMENCED.
SLOT CHARACTERISTICS:== ==BUILDING CHARACTERISTICS=™
AREA ..LEN.. • WIDTH. CORNER LOT N BUILDING HEIGHT (FT)
HILLSIDE LOT NUMBER OF STORIES
NO. OF DWELLING UNITS
NO. EXISTING BUILDINGS
SPRINKLED N
TYPE OF CONSTRUCTION
OCCUPANCY TYPE
======-ENGINEER OR ARCHITECT== OCCUPANCY LOAD
TOTAL AREA SQ FT
VALUATION 2500
====BUILDING DIMENSIONS====*
LEN WIDTH SINGLE FAMILY CENTRAL. -A-C
NBR BEDRMS ELECTRIC
BASEMENT FIREPLACE
MULTI FAMILY PLUMBING
2ND FLOOR BATH (NE
* CARAOE OTHER
CARPORT *BEDROOM BEDROOM
PORCH
DECK TOTL UNITS
ZONING FRONTBACKS-MAIN===ACC= STATE HEI
STORIES
REAR FEET
*W. AGREEMENT IDE (MIN
SUBDIV REGS CC&R SIDE COMB =====-PARKING======
HARDER RATE ALLDC # 000000 SIDE ST OFF STREET
MARKET ALLÖC.# 000000 MAJOR ARTERY HANDICAPPED
COVENANT NO. FIXED SEATS 000
====WORKERS COMP.====: =====AIRPORT ZONES===
EXEMPT NOISE FLT PATT
=====COMMENTS=========
-
FEE: $ 96.95
THIS IS TO CERTIFY THAT PERMIT TO BUILD IS GRANTED THIS DATE:
PW-PSC-2 (REV. 3/92)
APPLICATION FOR BUILDING PERMIT
Permit No. B100 52264
Accepted by: 21:
City of Glendale P.C. Receipt No. 2692 Baza
Permit Services Center B.P. Receipt No.
MSB, Room 101 633 E. Broadway at Glendale Avenue (818) 548-3200 Please print legibly in ink and complete all applicable spaces.
Separate permits are required for plumbing, electrical, heating & air conditioning 105JE A double fee will be charged if work is started before permit is issues Job Address * 1326 MARy LAND AVENUE Dato K 7/12/95
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of THIS PROJECT IS FOR:
Division 3 of the Business and Professions Code of the State of Califomia, and my license is in New Addition
Repair Demolition
RUBEN RODRIGUER A ASCOCIATOS Alteration Reroof
Dwelling/Duplex
3053 suito H327 Apartments
Mailing Addres: Commercial
ANDALE CA 93551
cis (805) 273-3875 (805) 273-3985
Describe work to be done:
Telephone Emergency Tele. No.
495953 LEN 02432 PE-contact 2
Contractor's License Empt
AT
Architect FRONt pORcAt
Engineer MiLEs ENGINUteNate License No., 9398
7136 HASKELL AVeNUE suite 323
Mailing AdAms Nuys CA 91404 Lot Characteristics
Lot Area Lot Width Lot Depth
City State Zip
(818) 994-6278 - sq. ft. - _ ft. . н.
Telephone Emergency Tele. No.
No. existing bldgs.
ZARY RUrBERG 1
Property Owner's Name/ No. Dwelling units on lot
1320 N. MARYLOND AVE NA
Mailing Address Floor area increase
GLENDALE cs 91207 decrease - sq. ft.
City State Zip
(818) 240-3253 No. of stones
Telephone
Max building height NO C HANK
FOR STAFF USE ONLY Building Dimensions SED
Existing use
Garage SFD
Map Bk Page Parcel No. Section Sht Proposed use
34 Carport
NA
Porch No. Fixed Seats -
UBC ed Lot No. Block No. Tract THompso Deck
3 No. of Parking Spaces - NO CHANGE
TRACT
1st Floor
Zone Fire Zone Occupancy Occ Load
2nd Floor _
3 23 CONSTRUCTION VALUATION
including labor, materials, wiring, plumbing, heating, elc.
Type of Construction
2 Constiuction type =2,500
Required Setbacks NO CHANGE Masonry
Front Right side Left side Rear Special Structural Steel Revised Valuation Wood Frame $
Engineering • Easements: Reinf. Concrete
Public Service: Electric Water
Distance from face of curb to Property Line_ _H. Other
NOTE: Attach Plot Plan Sheet
Hillside Lot Yes No with this Application.
PWPSC - 51 (Rev. 4/95) Printed on Recycled Paper
PLOT PLAN INSTRUCTIONS :
City of Glendale
Permit Services Center
PLEASE SHOW ON PLOT PLANS FOR BUILDING PERMIT THE FOLLOWING INFORMATION:
1. Make the bottom of the page the street frontage.
2. Draw the shape of the lot only if it is irregular.
3. Put the dimensions of the lot.
4. Draw where existing structures sit on the property and show length/width size. Locate all structures on the lot and their distance from one another.
5. Draw where the new construction will be located: ie. onto an existing building or on the property and its size.
6. Show how far from the property lines existing buildings and new construction will be.
STREET NAMES
1. Give the names of the road or street your property is located on. Mark an X where the building is located
2. Show the nearest intersecting freets or roadways.
CHALE
PL T
HOUSE
MARYLAND LAVE
All Applications Must Be Filled Out By Applicant
(USE INK OR INDELLIBLE PENCIL) 117t
Fire District.. PLANS AND SPECI CATIONS
And Other Data Must Also Be Filed
DEPARTMENT OF PUBLIC WORKS
DIVISION OF BUILDING
1-C
Application to Alter, Repair, Demolish or Move
Application is hereby made to the Superintendent of Buildings of the City of Glendale for the approval of this detailed statement of specifications herewith submitted for the alteration, repair, demolition or move building herein described. All provisions of the building ordinances and state laws shall be complied with in the alteration of -said building, whether herein specified or not. It is also understond that the granting of a permit on this application does not grant any right or privilege for the alteration, repair or demolition of the building herein described, on any public street or alley or on any land or portion thereof, the title or right of possession to which is in litigation by, or is disputed by the City, County or State; or as giving or granting any right or privilege to use the said structure or building for any purpose which is or may hereafter • be prohibited by ordinance of the City of Glendale. (SK HER, James tury
Lot No. Block.
No. 13>6 STREET
Frangland "AVENUE
1. Owner's Name.
2. Owner's Address. 1326 h. Marylan
3. Architect's Name
4. 5. Contractor's Address 1226 Unme
4000
Class of Building. Readine ..No. of Stories in Height..
9. Size of New Addition 6 x 17-6 Material of Foundation.. concrete
10. Depth of Foundation 6"' -Size Footing... ..Size of Wall 8"
11. Size of Exterior Studs- 2x4 Interior Studs z x/
12. Size of Mud Sills 2x6 Bearing Studs 2x4
13. Size of First Floor Joist. 2x6 ..Second Floor Joist...
14. Ceiling Joists 2x4 Roof Rafters 2x4
15. Specify Material of Roofing.. composition
16. Number and Kind of Chimneys MoSize of Flues.
- STATE-ON THE FOLLOWING LINES JUST WHAT YOU WANT TO DO:
PERMIT NO.. Date Issued. / - 4 19230
All Applications Must Be Filled Out By Applicant
(USE INK OR INDELLIBLE PENCIL) 20356
Fire District and other Data suse A150 Be Tol
Be Filed
DEPARTMENT OF PUBLIC WORKS
DIVISION OF BUILDING
1-C
Application to Alter, Repair, Demolish or Move
Application is hereby made to the Superintendent of Buildings of the City of Glendale for the approval of this detailed statement of specifications herewith submitted for the alteration, zepair, demolition or move the building herein described. All provisions of the building ordinances and state laws shall be complied with in the alteration of said building, whether herein specified or not. It is also understood ..that the-granting of-a-permit-on this applieation does not-grant any right-or-privilege for the alteration, repair or demolition"of-the- building herein described, on any public street or alley or on any land or portion thereof, the title or right of possession to which is in litigation by, or is disputed by the City, County or State; or as giving or granting any right or privilege to use the said structure or the City of Glendale.
(SIGN HERE)...
3 1326 11 carplan
•STREET
AVENUE
1. Owner's Name...
Owner's Address
3. Architect's Name ... Address
4. Contractor's Name
+31
5. Contractor's Address
Entire cost of the Proposed Improvements, $…. 150-
6. 7. Purpose of the Building.....
8. Class of Building: No. of Stories in Height
9. Size of New Addition Material of Foundation.
10. Depth of Foundation.. Size Footing. Size of Wall.
11. Size of Exterior Studs. Interior Studs X.
12. Size of Mud Sills.. Bearing Studs X.
13. Size of First Floor Joist x. ..Second Floor Joist. X.
14. Ceiling Joists x.. Roof Rafters
15. Specify Material of Roofing......
16. Number and Kind of Chimneys.. _Size of Flues
STATE ÓN THE FOLLOWING LINES JUST WHAT YOU WANT TO DO:
cust орениз
aul
Dra been 7-10 12F
PERMIT NO..
-
1326 N MARYLAND AVE Permit Number: BB 20000821
Plan Check Number:
Printed On: 16-MAY-2000 Expiration Date: 12-NOV-2000
CITY OF GLENDALE - BUILDING AND SAFETY Permit Status: OPEN BB1020 633 E. Broadway, Rm. 101
SED- ALTERATION/REPAIR slendale, CA 91206 - (818) 548-3200 (918) 548-4830 (INSP) Status Date: 16-MAX-2000 Building Permit
Scope of Work
VOLUNTARY INSTALLAITON OF FOUNDATION ANCHOR AND CRIPPLE WALL BRACING PER DETAIL.
Individual's / Company Name Address / City, State Zip City, State Lic. / Worker's Comp. Phone Number (APP) Seismic Safety Inc. 1410 N. LAKE AVE.
Pasadena, Ca 91104
(OWN) Rutberg, Joel G And Flora 1326 N Maryland Ave (818) 240-3253 Glendale, Ca 91207-1330
(CNT)
(GEN) Seismic Safety Inc. 1410 N. Lake Ave. CCLE 200002251, Pasadena, Ca 91104 GOLDEN EAGLE,060100 626-791-2300
Tract Name / Number Block(s) 101(8) Assessor's ID
Tract 3 5647007017
Estimated Value: Calculated Value: $3,700
Permit Quantities Qty Comments or Y/ N Permit Quantities Qty Comments or Y/ N Single Family Dwelli Y
Comments
Fees Amount Fee Description Amount
BUILDING PERMIT $79.50 PLAN CHECK $65.00
Total Fees: $144.50
Total Fees Due: $0.00 Total Fees Paid: $144.50
Clearances Agencies
Activity Code Status BY Date
BUILDING DONE ELEE 16 - MAY -2000 Signature:. Date:
Condition Code Status BY Date
The person signing for this permit acknowledges that there are NO Oak, Bay or Sycamore Trees with trunks larger than an eight inch (8") diameter within a twenty foot (20 ft.) influence uf the proposed construction.
At the time of final inspection, the inspector shall verify the installation of smoke detectors in all sleeping rooms and hallways leading thereto. Battery operated smoke detectors are acceptable in existing construction. e City of Glendale restricts issuance of the building permit to the property owner or licensed general cuntractor only. Signatures of this individual must be verified by personal identification. Any person sign! permit application as agent for the owner or contractor shall have an original letter of authorization ut the time of permit issuan DAVE,
plications Shall expire 180 days after the date of submittal unless excepted by sec. 107.4 of the Glendale Building Code, and thereafter, any documents submitted to the department shall be returned to i plicant or destroyed by the building official. Upon written request from the applicant, the building official may extend the period of permit applicati‹ 1326 N MARYLA
CITY OF GLENDALE - BUILDING AND SAFETY APPLICATION NO.
633 E. Broadway, Room 101 BB - 2000082r
Glendale, CA 91206 - (818) 548-3200, 548-4830 (Inspection)
APPLICATION FOR BUILDING PERMIT
Separate applications are required for Electrical, Plumbing, Heating/Air Conditioning, Fire Sprinklers, Use & Occupancy and Signs Please complete the section below clearly, legibly and in ink EXPIRATION DATE:
Maryland Ave.
• COMMERCIAL • RECREATIONAL
APPLICATION NO. APARTMENT/CONDO MANUFACTURING I PUBLIC ADMIN/UTILITY CONSTRUCTION L ALMOST STRUCTR BB Loluntary installanon or foundaron anchor ana
Inppie wall bracing per derai
COST OF CONSTRUCTION
@ 5/16/00 CHECK THIS BOX IF WORK HAS
(includes all fixed equipment, electrical, plumbing, mechanical $ ALREADY STARTED. Double the and labor costs. This may be revised by the building official.) 3,700 permit fee will be charged for legalization.
HAPPICANTS NAME N-laxe ave. 626 43904089
AUSTEN VI BON IT, STATE & ZIP ALT. PHONE NO.
Check one for the primary contact MAILING ADDRESS PHONE N Cut bera 1326N. Maryland. 318 240325:
ARCHITECT/ENGINEER'S NAME MAILING ADDRESS STATE LIC. NO PHONE NO.
Besi Safery AN ASS N. lane 6004200 320000225 26 7912300 STAFF USE ONLY BELOW THIS LINÉ
ASSESSOR'S PARCEL NO. LEGAL DESCRIPTION, TRACT BLOCK LOT
SECTION MAP NO PARCEL ZONE
FIRE ZONE 4 C
NO. OF EXISTING BUILDINGS ON PARCEL AND RESPECTIVE USES LOT AREA 1 LOT DIMENSIONS
PROPOSED USE OF BUILDING 85o EXISTING USE OF BUILDING (Only if changed) USE OF SPACE OCCUPANCY DESIGNATION FLOOR AREA (BLDG.)
OCCUPANT LOAO
R3
BEDROOMS DWELLING UNITS FIRE SPRINKLERS HEIGHT (BLDG.) BASEMENT MEZZ STORIES SPECIAL INSP.
TYPE OF CONSTR
FLOOR AREA (ZONING) HEIGHT (BLDG.) PARKING PROVIDED PARKING REQUIRED CASES, ORDINANCES, VARIANCES...
STAFF COMMENTS. (INITIALS)
PLAN REQUIRED
• PLOT PLAN ATTACHED
NEW CERT. OF OCCUPANCY
SMOKE DETECTORS REOR.
•
O.K. TO SUBMIT/EXPRESS BY: DATE
PRINT SIGNATURE AT 5/16 / 5 RECEIPT NO.
ENGINEERING 0025 N
DATE W. EASEMENTS P.L. TO CURB FACE
ACCESSIBILIT
PRINT SIGNATURE
Y
= ZONINGrate DATE FAI IS DATE - = ENERGY=
PRINT SIGNATURE PRINT
SIGNATURE Y
FIRE/INDUSTRIAL WASTE DATE P.S. ELECTRIC
DATE
PRINT SIGNATURE STRONG MOTION
Check only V appacabli PRINT SIGNATURE Y
DESA REVIEW DATE
AGENCY: DATE
PRINT SIGNATURE S.F.C. Ne
PRINT SIGNATURE
AGENCY: DATE AGENCY:
DATE
PRINT SIGNATURE PRINT ARCHIVE A RADES
SIGNATURE
BLDG. PLAN CHECK DATE ACCEPTED BY:
DATE RECEIPT NO.
PRINT SIGNATURE SUPP. P.C. FEE
TO ISSUE PERMIT BY ACCEPTED BY: DATE RECEIPT NO.
PROJECT ADDRESS SIGE CUBA DATED/ /IS RENT FEE
THE CITY OF GLENDALE RESTRICTS ISSUANCE OF THE BUILDING PERMITTO THE PROPERTY OWNER OR LICENCED GENERAL CONTRACTOR ONLY. SIGNATURES OF THIS INDIVIDUAL MUST BE VERIFIED BY PERSONAL IDENTIFICATION. ANY PERSON SIGNING THE PERMIT APPLICATION AS AGENT FOR THE OWNER OR CONTRACTOR SHALL HAVE AN ORIGINAL LETTER OF AUTHORIZATION AT THE TIME OF PERMIT ISSUANCE. APPLICATIONS SHALL EXPIRE 180 DAYS AFTER THE DATE OF SUBMITTAL AND THEREAFTER, ANY DOCUMENTS SUBMITTED TO THE DEPARTMENT SHALL BE RETURNED TO THE APPLICANT OR DESTROYED BY THE BUILDING OFFICIAL. UPON WRITTEN REQUEST FROM THE APPLICANT, THE BUILDING OFFICIAL MAY EXTEND THE PERIOD OF PERMIT APPLICATION. 88 Rev. 01/2000
LICENSED CONTRACTORS DECLARATION
| HEREBY AFFIRM, UNDER PENALTY OF PERJURY, THAT I AM LICENCED UNDER THE PROVISIONS OF CHAPTER 9 (STARTING WITH SECTION 7000) OF DIVISION 3 O FTHE BUS. & PROF ODE. AND THAT MY LICENSE IS IN FULL FORCE AND
512926
LICENSE CLASS _ LICENSE NO. CONTRACTOR'S SIGNATURE LATE 5/16|00 OWNER-BUILDER DECLARAȚION
AS THE PROPERTY OWNER AND BUILDER OF THE PROPOSED PROJECT ('OWNER-BUILDER') YOU ARE THE RESPONSIBLE PARTY OF RECORD ON THIS PERMIT. BUILDING PERMITS ARE NOT REQUIRED TO BE SIGNED BY PROPERTY OWNERS UNLESS THEY ARE PERSONALLY PERFORMING THEIR OWN WORK. IF YOUR WORK IS BEING PERFORMED BY SOMEONE OTHER THAN YOURSELF, YOU MAY PROTECT YOURSELF FROM POSSIBLE LIABILITY IF THAT PERSON APPLIES FOR THE PROPER PERMIT IN HIS OR HER NAME. CONTRACTORS ARE REQUIRED BY LAW TO BE LICENSED AND BONDED BY THE STATE OF CALFORNIA AND TO HAVE A BUSINESS LICENSE FROM THE CITY OF GLENDALE. THEY ARE ALSO REQUIRED BY LAW TO PUT THEIR SHOULD BE AWARE THAT IF YOU EMPLOY OR OTHERWISE ENGAGE ANY PERSONS OTHER THAN YOUR IMMEDIATE FAMILY, AND THE WORK (INCLUDING MATERIALS AND OTHER COSTS) IS LICENSE NUMBER ON ALL PERMITS FOR WHICH THEY APPLY. IF YOU PLAN TO DO YOUR OWN WORK, WITH THE EXCEPTION OF VARIOUS TRADES THAT YOU PLAN TO SUBCONTRACT, YOU 5200 OR MORE FOR THE ENTIRE PROJECT, AND SUCH PERSONS ARE NOT LICENSED AS CONTRACTORS OR SUBCONTRACTORS, THEN YOU MAY BE AN EMPLOYER. IF YOU ARE AN
EMPLOYER, YOU MUST REGISTER WITH THE STATE AND FEDERAL GOVEMMENT AS AN EMPLOYER AND YOU ARE SUBJECT TO SEVERAL OBLIGATIONS INCLUDING STATE AND FEDERAL
INCOME TAX WITHHOLDING, FEDERAL SOCIAL SECURITY TAXES, WORKERS COMPENSATION INSURANCE, DISABILITY INSURANCE COSTS, AND UNEMPLOYMENT COMPENSATION CONTRIBUTIONS. THERE MAY BE FINANCIAL RISKS FOR YOU IF YOU DO NOT CARRY OUT THESE OBLIGATIONS. AND THESE RISKS ARE ESPECIALLY SERIOUS WITH RESPECT TO WORKERS' COMPENSATION INSURANCE. FOR MORE SPECIFIC INFORMATION ABOUT YOUR OBLIGATIONS UNDER FEDERAL LAW, CONTACT THE INTERNAL REVENUE SERVICE (AND, IF YOU WISH, THE U.S. SMALL BUSINESS ADMINISTRATION). FOR MORE SPECIFIC INFORMATION ABOUT YOUR OBLIGATIONS UNDER STATE LAW, CONTACT THE DEPARTMENT OF BENEFIT PAYMENTS AND THE DIVISION OF INDUSTRIAL ACCIDENTS. IF THE STRUCTURE IS INTENDED FOR SALE, PROPERTY OWNERS WHO ARE NOT LICENSED CONTRACTORS ARE ALLOWED TO PERFORM THEIR WORK PERSONALLY OR THROUGH THEIR OWN EMPLOYEES. WITHOUT A LICENSED CONTRACTOR OR SUBCONTRACTOR, ONLY UNDER LIMITED CONDITIONS. A FREQUENT PRACTICE OF
UNLICENSED PERSONS PROFESSING TO BE CONTRACTORS IS TO SECURE AN 'OWNER-BUILDER' BUILDING PERMIT, ERRONEOUSLY IMPLYING THAT THE PROPERTY OWNER IS PROVIDING HIS OR HER OWN LABOR AND MATERIAL PERSONALLY. INFORMATION ABOUT LICENSED CONTRACTORS MAY BE OBTAINED BY CONTACTING THE CONTRACTORS' STATE LICENSE BOARD IN YOUR COMMUNITY OR AT 1020 N STREET, SACRAMENTO. CALIFORNIA 95814. NOTE: THE CURRENT MAILING ADDRESS OF THE CONTRACTORS STATE LICENSE BOARD IS P.O. BOX 26000 SACRAMENTO, CALIFORNIA 95826.
SECTION 7031.5 OF THE BUS. & PROF. CODE REQUIRES THE PERMIT APPLICANT TO SIGN A STATEMENT ABOVE OR CLAIM EXEMPTION FROM THE CONTRACTOR'S LICENSE LAW AND STATE THE BASIS FOR SUCH EXEMPTION. VIOLATIONS OF THIS SECTION SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS ($500). I HEREBY AFFIRM THAT I HAVE READ THE PARAGRAPH ABOVE AND WILLFULLY ACCEPT THE RESPONSIBILITY OF AN OWNER-BUILDER. I FURTHER AFFIRM, UNDER PENALTY OF PERJURY, THAT I AM EXEMPT FROM THE CONTRACTOR'S LICENSE LAW FOR THE FOLLOWING REASON:
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR
INITIAL IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT THE IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE. IF. HOWEVER, THE BUILDING OR IMPROVEMENT
IS SOLD WITHIN ONE YEAR OF COMPLETION, THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS INITIAL CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR THE PROJECTS WITH A CONTRACTORS) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW.), I HAVE OR PLAN TO CONTRACT WITH THE FOLLOWING PERSON (COMPANY) TO PROVIDE THE PROPOSED CONSTRUCTION:
__PHONE _CONTRACTORS LIC. NO
I. AS OWNER OF THE PROPERTY, PLAN TO PROVIDE PORTIONS OF THE WORK BUT I HAVE OR PLAN TO CONTRACT WITH THE FOLLOWING PERSON(S) /(COMPANY(IES)) TO
INITIAL PROVIDE THE WORK INDICATED
NAME ADDRESS PHONE,
_TYPE OF WORK
NAME ADDRESS PHONE
_TYPE OF WORK
NAME ADDRESS PHONE,
_TYPE OF WORK
I AM EXEMPT UNDER SECTION _ OF THE BUS. AND PROF. CODE FOR THE FOLLOWING REASON:
INITIAL
Name of Property Owner Signature Date
WORKERS COMPENSATION DECLARATION
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' COMPENSATION, AS PROVIDED FOR BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.
INITIAL I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. MY. WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE CARRIER solden caa e POLICY NUMBER NWC 55/242-06 NoMINA: 06/01/00 THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (5100) OR LESS
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR CODE, I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS.
CONTRACTOR
OWNER
Sarsmic Sakery lo loo
Print Name Signature •Date AGENT
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANDICIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF
THE LABOR CODE, INTEREST, AND ATORNEY'S FEES
ASBESTOS NOTIFICATION -+.:. -
I declare that notification of asbestos removal is not applicable to this project A notification letter has or will be sent to the AQMD or EPA -— SIGN
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OR THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC 3097, CIVIL CODE)
LENDER'S NAME LENDER'S ADDRESS PHONE
FINAL DECLARATION
AWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THE CI OWNER•
_Signature. Dio 06/01/00 AGENT
RESIDENTIAL FOUNDATION
RETROFIT
MR AND MRS RUTBERG
STAS CONDIE
1326 N MARYLAND AVE
GLENDALE CA 91207 DETAILS
by Seismic Safety
MAY 15, 2000
Basement stair
access
N.I.C. @ Adition Addition
®
®
One story
Single fomily
Dwelling
Conc. Porch
Maryland Ave.
Not to exoct scale
NOTE: This set of plans only addresses the installation of a floor bolting system to improve the connection of the floor to the foundation. This work does not upgrade the entire building to meet current seismic code requirements. This work will not address any type of prior or future foundation settlement, cracking or damage, This work addresses only the perimeter foundations.
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