HomeMy Public PortalAbout6250 ROSEMEAD BLVD_Miscellaneous__ IQM444-CIC#8788-W MISCELLANEOUS APPLICATION
COUNTY OF LOS ANGELES OCCUPANCY-SAFETY-TRAILERS
DEPARTMENT OF COUNTY ENGINEER s ° '
BUILDING AND SAFETY-DIVISION ABUI DDR SESS S a, �= `,
ADDR
JOHN A. LAMBIE, COUNTY ENGINEER /� F i
WILLIAM A. JENSEN• SUPT.of BUILDING LOCALITY I/�/
�ifOR APPLICA T O FILL IN NEAREST'
OWNER r� CROSS ST.
�.
MAIL �' DIST_RI�jN ' GROUP _ TYPE
CONST.
ADDRESS/ �DD�7, /�J J F� O
TEL.
CITY N.O. MAP STATE
NUM ER
TEL. ��. HWY YES NO
/
CONTRACTOR NO. USE ZONE SPECIAL
CONDITIONS
ADDRESS
l/L
LEGAL
DESCRIPTION I LOT NO.J['
1600 I BLOCK 90 BUILDING EXIST.
YARD HWY STREET NAME
�y/ NO:OF BLDGS. / SETBACK WIDTH •
TRACT S�0 T // NOW ON LOT" FRONT
SIZE OF'LOT S49 XIi 3 USE OF SI L.
EXISTING_BLDG. SIDE
APPLI 'TION FOR P.L.
INSPECTION RECORD
OCCUPANCY
INSPECTION I SAFETY PERMIT
TRAILERUSE LIMITED TIME USE
I I 0
� i a
ODATE DATE I I
FROM: TO:
U
USE OF STRUCTURES OR DEVICES I I
i I Z.
. - I I •
• I I �
INSPECTION FORy�S O I I
OCCUPANCY A
1 'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS DATE INSPECTOR'S SIGNATURE
APPLICATION AND STATE THAT TH OVE IS CORRECT
AND AGREE TO COMPLY WI H AL COU TY ORDINANCES OCCUPANCY APPROVAL
AND STATE'LA S REGU IN UIL ING CO STRUC- GROUP OCC.LOAD
TION.
SIGNATURE-OF TRAILER USE
PERMITTE
SAFETY PERMIT _
ADDRES TEMPORARY
STRUCTURE APPROVED
f TEMPORARY
S STRUCTURE REMOVED
FEE a FINAL APPROVAL
c
VALIDATION-., CLYDE N.DIR CTU
' CK Azo( C;ASiH• PRINCIPAL STRUCTURAL ENGINEER
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