HomeMy Public PortalAbout9638 GIDLEY ST_Miscellaneous__ 71SM444-CE#e75 2-60 MISCELLANEOUS APPLICATION
COUNTY OF LOS ANGELES OCCUPANCY-SAFETY- AILER
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADD Els
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT.OF BUILDING LOCALITY,FIP -P
R P TO F IN NEAREST
OWNER CROSS ST. ES,E
MAIL T DISTRICT NO. I GRO I TYPE P 0D BY
ADDRESS G? ,tom d(/ CONST. -
TEL. 1
CITY NO. �U�J 77� MAP � -1 `STATE
HWY
TEL.
NUMBER YES NO
CONTRACTOR NO. USE ZONE SPECIAL
CONDITIONS
ADDRESS /I
LEGAL
DESCRIPTION I LOT NO. (:.,�f I BLOCK BUILDING EXIST.
NO.OF BLDGS. SETBACK YARD HWY STREET NAME WIDTH
TRACT = NOW ON LOT FRONT /J /
USE OF P. L.
SIZE OF LOT EXISTING BLDG. SIDE
P.L.
APP CATION FOR INSPECTION RECORD
OCCUPANCY _
INSPECTION SAFETY PERMIT
a
TRAILER USE LIMITEDTIME USE ---
I I .:
0
H
DATE DATE 7l
FROM: TO: �J
USE OF STRUCTURES OR DEVICES
. I I
� I
INSPECTION FOR
OCCUPANCY AS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS DATE INSPECTOR'S SIGNATURE
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH AV�NG
ORDINANCES OCCUPANCY APPROVAL
AND STATE LAWS GU INCONSTRUC- GROUP OCC.LOAD
TION. r'
SIGNATURE OF TRAILER USE
PERMITTE 1— o,
- �� •r SAFETY PERMIT
ADDRESS-' TEMPORARY VV
STRUCTURE APPROVED
TEMPORARYU�
STRUCTURE REMOVED � __G
FEE$ d h✓ u FINAL APPROVAL Ar
,,-VA-i4DATION CLYDE N. DIRLAM,
CK Mo CASH PRINCIPAL STRUCTURAL ENGINEER
LAW85a -9 MAY 1622 D 1500 4
OF