HomeMy Public PortalAbout5028 HELEO AVE_Miscellaneous__ s�/XX CITY
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COUNTY OF LOS ANGELES
' DEPARTMENTe UILDI NG �
ADDRESS OF COUNTY ENGINEER ✓ L
BUR.DING AND SAFETY -DIVISION ADDRESS L_ e
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING NEAREST
CROSS ST. ZCI Z -S
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PROCESSED BY
CONST �. I
BUILDING a •7 V -1� -
ADDRESS - NOP (CIRCLE) STATE MAJOR. SECOND LOCAL
LOCALITY ' L USE ZONE SPECIAL CONDITIONS
NEAREST
CROSS 5T.
LEGAL '-} REQUIRED YARD HWY STREET NAME EXIST.
DESCRIPTION LOT NO. / BLOCK SETBACK WIDTH
FRONT
NO. OF BLDGS. / P.L.
TRACT NOW ON LOT 51DE
SIZE OF LOT I9O EXESTO N/G BLDG. ��
OWNER L S- -/� -l-?OAR
A DOR ESS �Q - / L- Q r Imo'
CITY JLLi-CryToEL4r-G/ 3�o
-'� APPLICATION FOR- --��--
U
OC OU PANCV _ CD
INSPECTION SAFETY PERMIT �� O
TRAILER USE C
C.
USE OF STRUCTURES OR DEVICES Z
t
LIMITED TIME' USE
DATE DATE
FROM: TO:
APPROVALSDATE INSPECTOR'S
SIGNATURE
OCCUPANCY APPROVAL '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GROUP OCC, LOAD
APPLICATION AND STATE THAT THE ABOVE 15 COR-
RECT AND AGREE TO COMPLY WITH ALL COUNTY TRAILER VSE
ORDINANCES AND STATELAWSREGULATING SUCH
WORK ASINDICA yEQ( E/UN.
SIGNATURE OF SAFETY GGiiCC'' SAFETY PERMIT
PERMITTEE TEMPORARY
STRUCTURE APPROVED
ADDRESS i > ` �� TEMPORARY
STRUCTURE REMOVED
FEES TO� FI NAi APPROVAL 6�j n
APPLICATION VALIDATIOJOHN F. LEWtS, PRINCIPAL STRUCTURAL ENGINEER
(NOT APERMIT) M.D. PERMIT VALIDATION CK. M.0. CASH
i ;' 2 2 1 : GGT 14 2 2' D. '1 5.0.0