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Home My Public Portal About9156 FORTSON DR_Building__ -DMSION OF WELDING AND SAFETYj ` Department of County Engineer I� - ILEDING County of Loa Angeles I WM. J. FOX; COUNTY ENGINEER APPLICATION T FOR APPLICANT TO FILL IN ADDRESS NG ADDREB LD'SS 40C T�•p N- �J Y•• LOCALITYNEAREST LOCALITY �iy�iw/TA -� CROSS ST. NEAREST DISTRICT NO. .1 PLAN .CK. OR RBCNO PERMIT NO.* CROSS ST. •� wT 11 OWNER / _ -REC IVED Y DATE'OF APPL. DATE'ISSUKD ADDRESS MAIL 9iS; �a QTS O'T� a ' _ ? — - r • ee ,�/ USE-ZONE_I 'PLANS NO OF ® GROUP FIRE ZONE CITY G. NOL. -I �� J ARCHITECT OR - 'TEL � �ZONING_ _.._.. •� K.-„,,,-,r{�DATIGD - ENGINEER NO. v APPROVED BY- ADDRESS _ BUILDING + L O ,�• ` ,ORD NO y { ; SETBACK LINE: _j/ y ' �jL•`7 LlJ :TELA APPROVED DATE CONTRACTOR NO. '” BY t HOUSE NUMBERING F , ADDRESS ••``'' -- _ _ i LEGAL ._ ' MAP NUMBER .4sd 3 - `NO•ASSIGNED BY ' DESCRIPTION ,LOT NO D ~I BLOCK` .I a"' t DATE w CORRECTIONS INSPECTOR i TRACTNO. OF/�J r}r !P G �.2 I NOW ON LOT S. SIZE OF LOT USE OF _ NO. OF EXISTING BLDG f I FAMILIES e O DESCRIPTION OF WORK 7f NEWALTERATION ADDITION I , I r REPAIR DEMOLITION SQ OF SIZE �6X'2o' 40747;0p MS STORIES a EXT WALL . �.. p ROOF COVERING I COVERING 1F0A-/4-. USE OF STRUCTURE - ' APPROVALS ` • INSPECTOR'S�SIGNATURE DATE , , ' FOUNDATION- LOCATION • FORMS, MATERIALS I-HEREBY,ACKNOWLEDGE THAT_1 HAVE.READ THIS AP- FRAME- FIRE STOPS, ,/�i�/ f1I4 I 1l9 PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT - 1•AGREE TO COMPLY WITH ALL COUNTY ORDINANCE'S FURNACE LOCATION, AND STATE_ LAWS REGULATING BUILDING C TRUCTION. GAS VENT, DUCTS ,rte SIGNATURE.O - �'O LATH, INT. PERMITTE LATH, FXT. ' ADDRESS ' AUTHORIZED AGT PLASTER, INT. �• _ _ PLASTER, EXT _ $ O v P. C.$ HOUSE NUMBER QOR- ' J ® FEE RECT AND POSTED VALUATION FEE Y� ® ` FINAL 76A688A DBS 9 2-59 v DEPARTMEV.T_OF,BUILDING AND SAFETY APPLICATION FOR PERMIT _ 'i-"-* ,„COUNTY-OF LOS ANGELES � WM.'J. FOX, CHIEF ENGINEER 1L FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING - I/la � - `/] _ _ „ DISTRICT NO. PLAN CK.NO. PERMIT D ADDRESS LOCALITY (/(/ RECEIVED�BY DATE yOFA,PPPL. DATEISSUED NEAREST 174- �0 /Y / / �f CR058 ST. - _ BUILDING-- y/ 7 _ OWNER �/J� ,� - ADDRESSMAIL /[)/J�� /J��• ADDRESSJ' �(J"CLOCALITY le-Z71 I F NEAREST V G TEL -CROSS ST. ITY NO. FIRE _ - NO.OF TYPE t!' , GROUP/ � ARCHITECT OR _TEL. _ ZONE I PLANE �/ ENGINEER NO. ��- BLDG. � ORD.NO. ADDRESS SETBACK LINE _ f APPROVED r CONTRACTOR F TEL. p -I! 7 BY DATE ` USE APPROVED _ ADDRESS ZONE'�L./ BY DATE - LEGAL - DESCRIPTION I LOT NO. `)`"(�I BLOCK CORRECTIONS TRACT NO OF SLOGS. �� < SIZE OF LOT (j0 X Icj„ I NOW ON LOT - - t USE OF NO.OF __ NO.OFA EXISTING BLDG. I FAMILIES I ROOMS _ DESCRIPTION OF WORK NEW ALTERATION ADDITION � O A REPAIR MOVING DEMOLISH GI Sq.FT. / -NO.OF e� / Z - SIZE ! ROOMS I STORIES ! > WALL ' I ROOF r COVERING COVERING -USE OF NEWv BUILDING ate49 or; ' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ' FORMS, MATERIALS AND STATE LAWS REGULATING.SUILDING CONSTRUCTION. _ FRAME: FIRE HTOPB, SIGNATURE OF - 1 BRACING,BOLTS OWNER LATH,INT.: AUTHORIZED AG' LATH,EXT.: � t DBS-3 25M SETS 1-4cle G P C III PLASTER. INT. �d FEE L/d PLASTER, EXT. , VALUATION Q d FINAL FEE , .1`i7" APPLICATION F'OI� BOILDING 'PERMI`T' 1 7EAG98A CE#809 - - COUNTY OF LOS ANGELES BUILDING /t DEPARTMENT OF COUNTY ENGINEER„- ADDRESS BUILDING AND SAFETY DIVISION r OCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D GRIFFIN,SUPT OF.BUILDING CROSS ST DISTRLCT NO I GROUP TYPE SEWER MAP FOR APPLICANT TO FILL.IN .� PG ' ~ ' BUILDING /C D ADDRESS A/ •Y STATISTICAL CLASSIFICATION . " LOT NO. _ `7" BLOCK- CLASS NO)-- -DWELL UNITS - c NUMBER STATE HWY YES ' NO TRACT" j ` l}$E ZQNE' SPECIAL _ NO'OF BLDGS • CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG / G� /T�[ ' k_7BUILDING EXIST _ YARD HWY STREET NAME.- SETBACK WIDTH OWNER FRONT MAIL P L C, T ADDRESS ,T a iSIDE O" CITY ' A,L 7� No/9T .30 P L INSPECTION RECORD -ARCHITECT OR - TEL I ENGINEER rYN NO A' DDRESS � TEL CONTRACTOR_ NO' - ADDRESS ' DESCRIPTION'OF WORK `. 1 1, y .3 / EFr el /J NEW ADD ALTE REPAIR DEMOLISH - o SO FT NO OF NO OF RI 70 _/gip, R SIZE ZGO STORIES FAMILIES- a _ F T E 7 ' i /✓� T S/�Il L S �� A?A VA p ' 'SIGNATURE tom`- � !,i APPROVALS ,'', APPLICANT �V s��v.'.• �V ._ . ., - DATE' INSPECTOR S SIGNATURE ADDRESS` -� LJ 8�1.� • I FOUNDATION 'LOCATION �j,� )FORMS,MATERIALS � P f 1-�.7� 1 ' " >/-00 Q' _ P C - FRAME FIRE STOPS, FEE •BRACING BOLTS VALUATION, S FURNACE 'LOCATION. - FEE GAS VENT DUCTS 'I HEREBY ACKNOWLEDGE THAT 1 HAVE READ T.HIS.AP- LATH,I 'INT PLICATION AND STATE THAT THE ABOVE IS,CppiiRECT AND - AGREE TO COMPLY WITH ALL COUNTY ORDIrNANCES AND STATE'LAWS REGU.L-ATJN N STRUCTION - LATH,EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEF7 RECT AND POSTED j'�a/J ADDRESS FINAL' 2 �7�iS� *In V CLYDE N DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PIAN CHECK VALIDATION' CK M O. SH PERMIT VALIDATION CK „ M O CASH �11-? g 019 :JUN'T.1 >F 1 ,A 6:0 0 � fi APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING ,._-. •• COUNTY OF LOS ANGELES ADDRESS / C' f % ' St'/i1 1 DEPARTMENT OF COUNTY ENGINEER - CITY ,1f ','„�” ('`, ZIP e= '� BUILDING AND SAFETY DIVISION r NO.OF BLOGS. BUILDING `... r� •, = ,;:___-. ' SIZE OF LOT - xI NOW ON LOT ADDRESS 'f .,,,,/�f+^• - v'• '��I . I j TRA BLOCK LOT NO. (,i) LOCALITY_ ..� -,.-�_. J' `• �T' ^''' ''' IIN�TEL,• J f� f,� NEAREST OWNER] f _ i �C�'HI`�1c.rNOr' •�C "-/ /T CROSS ST. ASSESSOR ADDRESS ..f:. ,,r reZ" rLll ^'� MAP BOOK PAGE PARCEL DISTRICT I GROUP TYPE FIRE .-PR'OCESSED BY CITY J _ �t t Z PC/ C� „ CONST,.- ZONE ARCHITECT' �R TEL. " (✓r - - '"'rs�j�` ENGINEER 'wJ it NO. STATISTICAL CLASSIFICATION SEWER MAP I ADDRESS CLASS N0. ="'!f DWELL,UNITS BK PG'f TEL. ' CONTRACTOR NO USE ZONE MAP LIC. NO. ADDRESS NO. f y'' �i SPECIAL LIC. +`, -t'1 CONDITIONS CITY CLASS 'FZOAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ } CONSTRUCTION LENDER,` a NAME AND BRANCH C ;f1i�,t?'-� , 0 ;"If +BLDG.SETBACK FROM O ADDRESS/// r! CITY `A "' a FRONT PROP.LINE OF (STREET) U � HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING � SQ. FTN+•.j NO. OF NO, OF ` CHECK FRONT PROP. LINE HIGHWAY WIDTH u. SIZ6.�v p / STORIES FAMILIES / ONE DESCRIPTION OF WORK a �+ NEW ❑ + -z BLDG,SETBACK FROM y,: + CD ADD SIDE PROP, LINE OF (STREET) o- ALTER HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF. EXISTING 1w- REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF } EXISTING BLDG, DEMOL ❑ APPLI t TE CORNER CUTOFF YES ❑ NO ❑ (PRINT) BY (SIGNATU IN OPEN SPACE YES ❑ NO ❑ Q IN COASTAL ZONE YES ❑ NO ❑ - VALUATION$ / (fi �[ CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT 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 RELATING TO _ WORKMEN'S COMPENS TION INSURANCE. � I' SIGNATURE 0 !.�t.`�fI - �(C / ji, PERMITTEE _ y� - �f ADDRESS / Lp FINAL BY CITY ...�,%i_../!-I. c.- NO ;X`,1 >�, e.I. ..DATE /IAKE CHLCKS PAY1131-E 70: f FEE FEE HARVEY T. BRANDT, COUNTY ENGINEER i PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. .: M.O. CASH 76A638A CE0803 12/72