HomeMy WebLinkAbout1577 WINTERGREEN PL - Building Permits ? 853 "1Y2/-7(Pn,p001141* ***171.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely REc oar AEC IVED
BUILDING DATE ISSUED
ADDRESS 1577 Wintergreen P1. "
7r �026"��
PERMIT Oak
OWNER Harbor Mesa Corp. A.P. NO. .-i 1 hInq
BUILDING
MAIL ADDRESS S 1/(SLe-11ADDRESS 15117 Ventura Blvd. // -'777 tit ')'✓��y q�pJ
0_ C.) CITY Sherman Oaks,Cal 91403 No, 986-5077 TRACTL c24 LOT'.0 BOCK
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Z Q CONSTRUCTION NEW ADO ALTER REPAIR MOVING nFN ISH
O cn LENDER
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' J 7 BRANCH '"�,,��
-I to OWNER //1.1-4- i
m J_ ADDRESS (213) VALUE
.03 JQ OR ENGINEER Rappoport TENOL. USE G, Y Sr
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WFIRE
K ADDRESS 146 N. Robertson Blvd. ZONE TYPE GROUP Jiv -
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. Pacific CO Um9, inc. APPROVED
W Z CONTRACTOR 101OIy{g BY DATE
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in
in Z AODREss 15117 Ventura Blvd. / , / /
W w ZONEr �p NO.OF. USE OF NEW Ci
z I- CITY Sherman Oaks,Cal 91403 NO. ,86-5077 /R, -(�EIPLANS2- BUILDINC�
O STATE (3 CITY YARDS APPROVED YARDS APPROVED
N Et LIC.NO. 48991 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
7 O (FROM C/L STREET)
OF LOT 66.5 X 96.7 NOW ON LSIZE ia OF O�tOne FRONT 15-7!IFT. FT.
USE OF /' y
EXISTING BLDG.cNone EL-SIDE ,ST. l/0 FT.
I-
2 NIZE OF
EW BLDG. 56 X 59 ROOMS NO.OF 9 STORIES 1 L.SIDE 3 FT. (0 ti FT.
U EXTERIOR WALL ROOF ry-�
COVERING StUCCU COVERING Rock REAR / YET. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q.a MAIN BLDGS. ACCESS.BLDGS.
0 VA .AL DATE
"R'eritinitt CURP.#hti .-- ] APPROVED /O747
z ,C�C�/ex In l! !T I7z R L0`mitt_ 62-' SATE S-1 S`7�
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I hereby acknowledge that I have read this application and state • / E,r
(..1 HO ' FOR SP:CI• L REQUIRE'MLty lv.
CC that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
I- any person in violation of the workman's compensation laws of
the State of California. 7 ''j / s te
zI hereby certify that I am properly licensed as a contractor under �"��� SD. FT, l f��J O
the State of California Business and 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: Z
CC
am exempt from the provisions of the State of ifornia Business
VALUATION �/
and Professions Code Division 3,Chapter f/ O d P,
PERMIT FEE $ / D
Signature of / e / o �'// 00 m
Signattee ./.!A L�����C%/�/ tyf $ 2L/ yZ '� PLAN CHECK $ d�Jrr
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Authoriz Agent (_�- a _.1 ` / / TOTAL FEE $ / / /r to® LL