HomeMy Public PortalAbout9240 KENNERLY ST_Miscellaneous__ 70M4" CE#8702.50 MISCELLANEOUS APPL CATION 1
COUNTY OF LOS ANGELES OCCUPANCY-SAFETY-TRAILERS +
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS D'
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT.OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER. aA G
MAIL40 P C v j DISTRICT NO. GROUP TYPE P CESS D BY
ADDRESS 1.. • �I I �- CONST.
CITY �� 1 y^ NO MAP STATE
NUMBER OZ D TAT
YES NO
TEL.
CONTRACTOR NO. USE ZONE SPECIAL
CONDITIONS
ADDRESS ,
LEGAL
DESCRIPTION I LOT NO. O BLOCK BUILDING, EXIST.
NO.OF BLDGS. YARD HWY STREET NAME
SETBACK WIDTH
TRACT NOW ON LOT FRONT Le
USE OF P L.
SIZE OF LOT EXISTING BLDG SIDE -
P L.
APPLICATION FOR INSPECTION RECORD
OCCUPANCY
INSPECTION L11 SAFETY PERMIT
TRAILER USE LIMITEDTIMEUSE
-
O
DATE DATE I I
FROM: TO:
W
USE OF STRUCTURES OR DEVICES I I
•i=_vR pe lel a U It u) 1711 O U B I I
PERM
INSPECTION FOR I I
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 ALL COUNTY ORDINANCES OCCUPANCY APPROVAL
AND STATE LAWS REGULATING BUILDING CONSTRUC- GROUP OCC LOAD
TION.
SIGNATURE OF TRAILER USE
PERMITTE
• O SAFETY PERMIT _
ADDRESS TEMPORARY
STRUCTURE APPROVED
TEMPORARY
STRUCTURE REMOVED '
FEE
FINAL APPROVAL
VALIDA� CLYDE N:DIR CTU
CK Mo CASH PRINCIPAL STRUCTURAL ENGINEER
I '
8 4 7 1MAY 10 2 2 D .1 5.00-