HomeMy Public PortalAbout9221-9229 PENTLAND ST_Miscellaneous__ -CEkR" '-OB MISC-EL�L'�A E US APPL E TION
COUNTY OF LOS ANGELE I I
DEPARTMENT OF COUNTY ENGINEER ADDRESS t/ .� — 2 / -.� ✓
BUILDING AND SAFETY DMSION a
- JOHN A LAMBIE COUNTY ENGINEER - LOCALITY
COLEMAN W JENKINS SUP T OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE PROCESSED BY
• G' CONST
BUILDING • Ef HIGHWAY
ADDRESS �Z2I 97 - A T/Ir/ NOP (CIRCLE) STATE MAJOR SECOND LOCAL
LOCALITY - IN USE ZONE SPECIAL CONDITIONS
NEAREST
CROSSsr �/11 //r/�J-F• • d VGA ' _
REQUIRED • EXIST "
LEGAL f' SETBACK YARD HWY STREET NAME WIDTH
DESCRIPTION LOT NO C BLOCK
FRONT
NO OF LOT P ,
TRACT � 7..,� fJ NOW ON LOT ,
SIDE) �
USE OF P L
SIZE OF LOT /P 1'E%IS =
TING BLDG S - •�
O W N E R (� •.If C/ L�
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' APPLICATION FOR + -
OCCUPANCY 00
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INSPECTION SAFETY PERMIT y
TRAILER USE
v a USE OF STRUCTURES OR DEVICES r1 G-
to ,Y ..r LIMITED TIME USE
GATE DATE
FROM TO
INSPECTOR S
APPROVALS DATE SIGNATURE
OCCUPANCY APPROVAL
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS, GROUP OCC LOAD
APPLICATION AND STATE THAT)THE ABOVE 15 COR
• RECT AND AGREE TO'COMPLV WITH ,ALL COUNTY 1
ORDINANCES AND STATE LAWS REGULATING SUCH TRAILER USE
,WORK AS INDICATED HEREON a F �• -
SIGNATURE OF
y SAFETY PERMIT i
PERMITTEE , TEMPORARY '
�• _ +GA F STRUCTURE APPROVED -
'ADDRESS TEMPORARY
STRUCTURE REMOVED'
FEE FINAL APPROVAL• I 1
APPLICATION VALIDATION JOHN F LEWIS, PRINCIPAL STRUCTURAL ENGINEER
(NOT A PERMIT) y----W-0--jAc»— PERMIT VALIDATION CK ''M G013 A
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING _
ADDRESS
BUILDING AND SAFETY DMSION
JOHN A LAMBIE COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS SUP T OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN D�CT NON GROUP TYPE PR s BY
L CONST
'ED'NGADOR ESS 91Z/ 19ZZ9 f�r/1/rG4A1 MAP HIGHWAY
NO O/ (C IRCLU STATE MAJOR SECOND LOCAL
LOCALITY L CJ USE ZONE SPECIAL CONDITION$
caoss sr .,tJ6'/1t117,d 4Ve /
LEGAL / REQUIRED YARD HWY STREET NAME EXIST
DESCRIPTION LOT NO 4 d'S BLOCK G SETBACK WIDTH
FRONT
NO OF BL T y p L
TRACT Z Z/O NOW ON LOT J
`eSIOE
USE OF
SIZE OF LOT IZO X /S9 EX"TIN
G BLDG P
OWNER
ADDRESS 3
CITY �MPLf C/ No` Z�j2/
d
APPLICATION FOR
OCOU PANCY ,
INSPECTION SAFETY PERMIT
V
W
TRAILER USE LL
H
USE OF STRUCTURES OR DEVICES =
_ LIMITED TIME USE
/ DATE DATE
FROM TO
INSPECTOR 5
APPROVALS DATE SIGNATURE
OCCUPANCY APPROVAL
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS ORO OP OCC LOAD
APPLICATION AND STATE THAT THE ABOVE 15 COR
RECT AND AGREE TO COMPLY WITH ALL COUNTY TRAILER USE
ORDINANCES AND STATE LAWS REGULATING S CH
WORK AS INDICATED HEREON SAFETY PERMIT '
SIGNATURE OF
PERMITTEE TEMPORARY
3 STRUCTURE APPROVED
ADDRESS 3 TEMPORARY
STRUCTURE REMOVED
l
FEES
ere, FINAL APPROVAL '
APPLICATION VALIDATION - JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
(NOT A PERMIT) e«.--M-er--caR— PERMIT VALIDATION cK mo CASH
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