HomeMy Public PortalAbout6160 ENCINITA AVE_Miscellaneous__ ,76M444-CE RBTS 9-68 MISCELLANEOUS APPLICATIIO
COUNTY OF LOS ANGELES BUILDING 61��
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY _
COLEMAN W. JENKINS. SUPT. OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DIft1f NO. c P TYPE SSED BY
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NO. GdQ IC GR CL E) STATE MAJOR SECOND LOCAL
LOCALITY ��� Us ZONE SPECIAL CONDITIONS
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O HWV STREET NAME WIDTH
DESCRIPTION LTJNO. NZ D` BLOCK {�
v:CNac.�N C[in.<.Ze NO. OF BLDGS. / FRONT
TRACT �� i/e�r NOW ON LOT
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SIZE OF LOTU &A �J-o EXISTING BeLDGLLGC'L P L
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APPLICA ION FOR
OCCUPANCY'
INSPECTION SAFETY PERMIT dcnp
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TRAILER USE W
USE OF STRUCTURES OR DEVICES
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1 n
L MI ED TIME U
GATE DATE
ROM: TO:
�/ 23 APPROVALS DATE INSPECTOR'S
J SIGNATURE
OCCUPANCY APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GROUP OCC. LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT AND AGREE TO COMPLY WITH ALL COUNTY TRAILER USE
ORDINANCES AND STATE LAWS REGULATING SUCH
WORK AS INDIC AT ED ER EON. 'Y
SIGNATUREOF `� SAFETY PERMIT
PERMITTEE II�� / TEMPORARY
STRUCTURE APPROVED
ADDRESS C� � "��- - =U TEMPORARY
STRUCTURE REMOVED
FEES / O /1 FINAL APPROVAL 3 70
APPLICATION VALIDATION V JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
(NOT A PERMIT) CK. PERMIT VALIDATION CK. M,0. CASH
qtr 3502 JAR28 22 0 15.0 G'" c