HomeMy Public PortalAbout5840 PRIMROSE AVE_Miscellaneous__ 7SM444-.QpS 79. MISCELLANEOUS APPLICATION 1
DMSION OF BUILDING AND SAFETY OCCUPANCY-SAFETY-TRAIL-FRS
Deportment of County Engineer
County of Los Angeles FLoc
LDING ®
DRESS %59'4 0 f .12) ft nCf:e
JOHN A.LAMBIE.COUNTY ENGINEER �_�-
CASSATT D.GRIFFIN.SUPT OF BUILDING _ i
ALITYC'a i
. FOR APPLIC T TO FILL_IDI NEAREST T
OWNER �MAIL /,M1rS/! CROSS ST. !cS / w�wS
ADDRESS �(,3D ,SJQN /� ' /Jncf�q DISTRI NO. GROUP I TYPE CONST.
l TEL. Ill
CITY t� V!¢ //� NO. 2d 7SSY/b MAP STATE
TEL- NUMBER �� HWY. YES. '1 N
CONTRACTOR NO. USE ZONE SPECIAL
y--� CONDITIONS
ADDRESS
LEGAL. j
DESCRIPTION LOT NO. T BLOCK BUILDINGYARD HWY I STREET NAME I WAEXIST
SETBACK
` / NO.OF BLDGS.
CO
TRACT S (, / I NOW ON LOT FRONT
USE OF
P.L.
SIZE OF LOT&V Yj7,( I 'EXISTING BLDG. SIDE
APPLICATION FOR INSPECTION RECORD
OCCUPANCY
INSPECTION SAFETY PERMIT
TRAILER USE I LIMITED TIME USE
DATE DATA
FROM: TO:
USE OF STRUCTURES OR DEVICES
INSPECTION FOR j4 j'RQ C l�Ad 2
OCCUPANCY AS
APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
DATE IRSPRCTOR'8316t# TUR.
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL C LINTY ORDINANCES OCCUPANCY APPROVAL
AND STATE LAWS EGULATING HU LDING CONSTRUC- GROUP OCC.LOAD
TION. .ry®
SIGNATURE OF
Pg1iM Q TRAILER USE
ITTEE
ADDRES � /'-9�Av(- TEMPORARY
0 SAFETY PERMIT
STRUCTURE APPROVED
TEMPO$ARY L�
STRUCTURE REMOVED 1� �
FEE$
FINAL APPROVAL
JOHN A.LAMBIE..COUNTY ENGINEER VALIDATION CLYDE N.DIRLAM.CHIEF BLDG. INSPECTOR
CK MO CASH