HomeMy Public PortalAbout9520 PENTLAND ST_Miscellaneous__ ,..w. =sST,.ED MISCELLANEOUS APPLICATION 1
COUNTY OF LOS ANGELES OCCUPANCY—SAFETY-TRAHMS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DP✓LSION BUILNG
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JOHN A JENLAMBIE COUNTY ENGINEER
A
WILLIAM JENSEN SUPT OF BUILDING LOCALITY
FOR�AJ PPLICANT TO FILL IN NEAREBT
OWNER G /Y B CROSS ST
MAIL -I DISTRICT NO GROUP T�.pE PR ESS BY
ADDRESS S �/ /V /� n// n J` Q =/ CONST
CITY Pj l.J / NO s5 d 4 '.S NUMBMAPER O b HWY YESTATE S
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CONTRACTOR NO US ONE SPECIAL _
CONDITIONS
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LEGAL �C
DESCRIPTION LOTNO BLOCK BOILDINGBACK YARD HWY STREET NAME EXIST
NO OF BLDG9 SETBACK WIDTH
TRACT S NOW ON LOT FRROLNT
USE OF J
SIZE OF LOT EXISTING BLDG SIDE
APPLICATION FOR P L INSPECTION RECORD
OCCUPANCY
INSPECTION SAFETY PERMIT
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TRAILER USE LIMITED TIME U9E O
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DATE DAT[ `
FROM TO
USO STRUCTURES OR DEVICES r n
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INSPECTI FOR
OCCUPAN Y AS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS DATE INSPECTOR 5519XATURE
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMP Y WITH ALL COUNTY ORDINANCES OCCUPANCY APPROVAL
AND STATE LAWS GULATING BUILD]N CONSTR UC- OROuP OCC LOAD
TION
SIGNATURE OF TRAILER USE
PERMITTEEIt1
SAFETYPERMIT II N
EMPORARY
I/
ADDR 16 STRUCTURE APPROVED h I/' 4./ y
TEMPORARY
STRUCTURE REMOVED K
FEE$ FINAL APPROVAL I
ATION CLYDE N STREAM
CK D CARR PRINCIPAL STRUCTURAL ENGINEER
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