HomeMy Public PortalAbout5920 PRIMROSE AVE_Miscellaneous__ 76M444•DBS 7811.88 MISCELLANEOUS APPLICATION
DIVISION OF BUILDING AND SAFETY OCCUPANCY-SAFETY=TRAILERS _+
Department of County Engineer
County of Los Angeles 'BUILDING ! `
JOHN A.LAMBIE. COUNTY ENGINEER :ADDRESS J^rl�O Al,
CASSATT D.GRIFFIN,SUPT OF BUILDING /'
,LOCALITY /h �� L vtle
'FOR APPLICANT TO FILL 1N NEAREST
OWNER
CROSS ST.
MAIL DISTRICT NO. GROUP TYPE CONST.
ADDRESSTEL J �Ar Nt f —f
CITY NO. MAP STATE YES NO
TEL. i NUMBER HWY
CONTRACTOR NO. USE ZONE SPECIAL
CONDITIONS.
ADDRESS 3
DESCRIPTION I LOT NO. BLOCK BUILDING
EXIST.
SETBACK YARDI HWY I -STREET NAME I WIDTH
NO.OF BLDGS. FRONT
TRACT NOW ON LOT ,
IEX187 NG.BLDG.USE OF
SID
SIZE OF LOT P.Le
APPLICATION FOR INSPECTION RECORD.
OCCUPANCY
INSPECTION I SAFETY PERMIT I vva G A t � Q•(,
TRAILER USE I LIMITED-TIME USE JAI 3 .zcvy�
DATE DATE
FROM: TO: I
USE OF STRUCTURES OR DEVICES
Al
4.
i
INSPECTIONFOR u +lj,p r/ '
OCCUPANCY A
APPROVALS'
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS DATE INSPECTORS SIGNATURE
APPLICATION.ANDS,'' WIATTHE ABOVE IS .CORRECT
AND AGREE TO� PTH ALL COUNTY ORDINANCES 'OCCUPANCY APPROVAL
AND STATE LAWS1 BUILDI G CONSTRUC- GROUP OCC..LOAD
TION.
SIGNATURE F� TRAILER USE
PI;'RM IT
` ;SAFETY PERMIT.
-
ADDRES "TEMPORARY
STRUCTURE APPROVED
TEMPORARY ,
STRUCTURE REMOVED
FEE$
FINAL APPROVAL
JOHN A.LAMBIE.COUNTY ENGINEER VALIDATION CLYDE N.DIRLAM,CHIEF BLDG. INSPECTOR
CK Mo CASH
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7GM444•aft,7111fti MISCELLANEOUS APPLICA ION
DIVISION OF BUILDING AND SAFETY OCCUPANCY-SAFETY-TRAILERS
Depcmb hent of County'Engineer
County of Los Angeles FBUILDI'NG
JOHN A.LAMBIE.COUNTY ENGINEER SS
CASSATT D.GRIFFIN,SUPT OF 13UILDIHo
TY
FOR APPLICA T TO.FILL NEAREST
OWNER A"19 1 ! RAJI+Al- CROSS ST. t/
MAIL DISTRICT NO GROUP TYP ONST.
ADDRESS p. (� /SST / HAI 5, 19 I.
CITY J V m V/Q d g 'NO.- /f,77:1 g MAP STATE YES N
TEL. NUMBER !Zf HWY
CONTRACTOR NO. USE ZONg SPECIAL
NDITIONS
ADDRESS
LEGAL
DESCRIPTION I LOT NO. BLOCK BUILDING Y.4 HWY STREET NAME I WIDTH
SETBACK
NO.OF BLDGS. FRONT
TRACT NOW ON LOT P.L.
USE OF SIDE
SIZE OF LOT I EXISTING BLDG. P L
APPLICATION FOR INSPECTION RECORD
OCCUPANCY
INSPECTION I SAFETY PERMIT
TRAILER USE I LIMITED TIME USE
Pow/a P^'A w-e- t _
7-1 i.r A wAleik
I -,A4 Bien y '4co!!�D. _I.
DATE DATE •-
�?c�// oma i
FROM: TO: I .I..:Z..._-._...._.-........
USE OF STRUCTURES OR DEVICES
w Noa,tPolo ?Uva - r �r-,OVA — - i„ I lbw_
INSPECTION FOR C Ili ; �-
.00CUPANCY A I I-- ---^---
APPROvArs
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS DATE INSPECTOR'SSIGNATURE
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES OCCUPANOYAPPROVAL
AND STATE LAWS EGULATING BU LDING CO. TRUC- GROUP OCC.LOAD
TION. i
SIGNATURE OF ' TRAILER USE
PERMITTEE
SAFETY PERMIT
ADDRESS
-,raw wDo e� TEMPORARY
/aoq w
fL STRUCTURE APPROVED
TEMPORARY
STRUCTURE REMOVED
fv q U A, FEE$ /� -"'�- FINAL APPROVAL
JOHN A.LAMBIE.COUNTY ENGINEER/ VALIDATION CLYDE N.DIRLAM.CHIEF BLDG. INSPECTOR
CK MO CASH
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