HomeMy Public PortalAbout5112 ROSEMEAD BLVD_Miscellaneous__ 76M444-DBS 7511-55 MISCELLANEOUS APPLICATION-
DIVISION
PPLICATION DIVISION OF,BUILDING AND SAFETY
oSof-ic�OCCUPANCY-SAFETY-T� KERS.
Deportment of County Engineer
County of Los Angeles BUILDING\4 _ ]
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING T rH,J/e
LOCALITY J y
FOR AppPPLIC T TO FIL 1 NEAREST
OWNER . CR fi C. yQ CROSS ST.
MA IL
ADDRESS 'V Gla Z> �1 DISTRICT NO. GROUP TYPE CONST.
CITY wt NO �L 23 a MAP
TEL. HT
WY
/ a NUMBER 7-017- S ATE YES NO'
CONTRACTOR NO. USE ZONE SPECIAL
CONDITIONS
ADDRESS A,-/ - -
LEGAL M.7 V G 45�LZL
DESCRIPTION LOT NO. BLOCK BUILDING YARD HWY I STREET NAME. I WIDTH
SETBACK
/� NO.OF BLDGS:• +
TRACT {t' S s" "L Z 3 I NOW ON LOT ' FRONT L 12-7 I. P�W7- �N�' I � - i •
USE OF Fo9 -C� z— P.
SIZE OF LOT -/ 7-)(11 �F' I EXISTING BLDG. AWE SIDE .I
P. L.
APPLICATION FOR INSPECTION RECORD
OCCUPANCY
INSPECTION 1 SAFETY PERMIT
_.....I....,___.....................
TRAILER USE -I LIMITED TIME USE -
�...._..... ...=-_...........
DATE DATE -
FROM: TO: .
USE OF STRUCTURES OR DEVICES ' _—,_._..____:.�...-:..___
-
- A.......................:..........
Sc
OG.C n — .................
.......
- .
............._...... ....::..:................,........
INSPECTION FOR
.00CUPANCY AS I---...._ _..........:...... .._..._._ I •.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
'DATE INSPECTOR'SSIG NATURE
APPLICATION AND STATE THAT THE ABOVE IS CORRECT -
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES OCCUPANCY APPROVAL- 'q
AND STATE LAWS REGULATING BUILDING CONSTRUC- GROUP G OCC.LOADS-
TION.
SIGNATURE OF i^�`�1�� '��i,G t�L(✓ TRAILER USE -
P9RMITTEE
=1.: (�•.E ..SAFETY PERMIT -
ADDRESS-34 -� —
TEMPORARY
pv e')A_ eel_ _ _STRUCTURE APPROVED
Y' TEMPOBARY"
'STRUCTURE REMOVED.
FEE$ Uv
FINAL APPROVAL
JOHN-A. LAMBIE, COUNTY ENGINEER VALIDAT CLYDE N. DIRLAM.CHIEF BLDG. INSPECTOR
,CK MO CASH ,
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