HomeMy WebLinkAbout1601 WINTERGREEN PL - Building Permits il
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COSTA MESA BUILDING-SAFETY DEPARTMENT
I P.O.BOX 1200 •COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
REC/ Vf/BY DATE REECFIVED DATE
ISSUED
BUILDING 1601 Wintergreen P1.ADDRESS
Harbor Mesa Corp. A.P.NO. 5-1
/_74
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OWNER i
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BUILDING /'/ ��L(/�J
MAIL
ADDRESS 15117 Ventura Blvd. Rm 6 ADDRESS//O/ (�/[ �ZtDiyll j — r
d U CITVSh Arman Oaks,Cal 91403 NOL.986-5077 TRACT Ij, / l LOT/7 BLOCK
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Z 4 CONSTRUCTION NEW A D ALTER REPAIR (MOVING OFMOIISH
O N LENDER
C- ea
J D BRANCH _' / /
J CO OWN E�Lq_r�/�-ti.L -i f�/[/
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ADDRESS (213) /// --- VALUE
•03 ARCHITECT TE L.
J Q OR ENGINEER Rappoport NO.. 652-5578 _ISE $
U FIRE
WCC ADDRESS 146 N. Robertson Blvd. ZONE TYPE --r-GROUP -7-74'0F
42" W Pacific �L7nC� , Inc. APPROVED
W Z CONTRACTOR ] BY DATE
JO
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_4 ADDRESS 15117 Ventura Blvd.
Di $ TEL rtgC
Z NE NO.OF USE OF NEW
Z 1— clTY Sherman Oak ,Cal 91403 No 986-5077 �L P PLANS?r BUILDING /42.
U STATE `I- CITY YARDS APPROVED YARDS APPROVED
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in CC LIC. NO. 48991 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLOC'S, (FROM CIL`STREET)
OF LOT 66.5 X 96.9BLOC'S,�
NOW ON LOT none FRONT •.�/ UFT. FT.
USE OF �' / .r
EXISTING BLDG. None H.SIDE 7 PT. t� FT.
I— SIZE OF 56 X 59 NO.OF 9 1 // Ir
QNEW BLDG. ROOMS STORIES L.SIDE rc-FT. f!/ FT.
o EXTERIOR WALLStuccB ROOF Rock �j
COVERING COVERING REAR / O FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1 MAIN BLOCS. ACCESS. SLOGS.
ODATE
- CUR.# ' 4?-69 APPROVED/o'.6 —67
sD NW�!ex 1" Ltt��l yGtit/ APPRo '* - UU
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N / 'J- DATE .5.115--7
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epi I hereby acknowledge that I have read this application and state HOLD FOR SPEC'AL REQUIR MENTS
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
y the State of California. `� ] T 4.
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zI hereby certify that I am properly licensed as a contractor under ^^�� SO. FT. fi Y Q/ o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
CE
am exempt from he provisions of the State of California Business
and Profession- •de, Division 3,Chapt VALUATION �/ m
PERMIT FEE $ ///.,f j
Signature o // `/ J Ofl 57 �a.n m
Permittee �LA.t/// \ /2-4r."..47
��./�v'y'� $t7•7 */p Z` PLAN CHECK $ �(/( E
Authorized Age, r `
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// TOTAL FEE $ `7/, r-v LL