HomeMy WebLinkAbout1571 WINTERGREEN PL - Building Permits 1/1
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COSTA MESA BUILDING-SAFETY DEPARTMENT ".h't 7-7 �,,SpOC i t 407 *** 1 71.r 0
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEI ED V DATE/RA�CrEIVED DATE I SUED
BUADDRESS 1571 Wintergreen P1. -
,5'' _7z �,5--PERMf 4-P
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OWNER Harbor Mesa Corp. A.P.NO. I n-'
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BUILDING �J
MAIL 15117 Ventura Blvd. ADDRESS � S ���f�jt.(�.1/lho? n!.
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ADDRESS h ^� / d - -'
0w UI-U CITYsherman Oaks,Ca1 91403 ryp 906-5077 TRACT is c?.-L/ I LOT /y' BLOCK
I- ZCONSTRUCTION NEW ADD ALTER REPAIR (MOVING OEMnI ISH
O co _ LENDER
J O BRANCH '/ J-.-d-(5)71,4..../L.,
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J N - OWNER � -.-d-( )Q i L-e�'-JU/.
Q W ADDRESS /
CO-CO ARCHITECT Rappoport -'1652-5571, USEati vALus� /�
J Q - OR ENGINEER N . ,{
ZQ FIRE Z
w CC ADDRESS 146 N. Robertson Bid. ZONE TYPE GROUP
a w Pacific Go s, Inc. APPROVED
W Z CONTRACTOR timeBY DATE
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:i cc ADDRESS 15117 Ventura Blvd. •
LU w - ZO NO.OF USE OF NE i
0_ CITY Sherman Oaks,Cal 91403
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C�IPLAJS r BUILDINGSZ I- J- 2A10
W O STATE I CITY YARDS APPROVED YARDS APPROVED
NCC LIC.NO. 8991 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
J O SIZE NO.OF BLOG.�� (FROM CIL STREET)
OF LOT 66.5 X 96.7 (NOW ON LOT sone FRONT S—DFT. FT.
USE OF / /
EXISTING BLDG. None R.SIDE SFT. 6 FT.
I- SIZE OF NO.OF / dZ _NEW BLDG. 56 X 59 ROOMS 9 STORIES 1 L.SIDE SFT.(J FT.
< EXTERIOR
ROOF
C. _COVERING WALL
Stu CCO COVERING Rock REAR /J7FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
0- BL S. ACCESS.BLOCS.
0 - MAIN sY�'J G 6-
/ Q
Q d"+ CURP.yIG{��_-in APPROVED/D"-(O`s�/
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V) - Dap AX $ a G9r 94r. . B.YAPPRW-D f. 6�g,o DATE 5---‘--/ �0
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hereby acknowledge that I have road this application and state H LD FOR Sit; REQUIREMENTS
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I- any person in violation of the workman's compensation laws of
IA the State of California. co
/ �r
Z �s I hereby certify that I em properly licensed as a contractor under SO. FT. r� , o
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; a
am exempt from the provisions of the State o fornia Business
VALUATION
end Professions Co ,Division 3,Chapter 9.
PERMIT FEE FEE 5 0
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Signature of AV."... ,/
Permittee j/ spi 'y,2 z OO PLAN CHECK $ CZ eV E
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Authorized Agent / TOTAL FEE $ �7/i Q� LL