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>A BUILDING-SAFETY DEPARTMENT
200 COSTAMESA,CALIFORNIA92626 �
APPLICATION FOR BUILDING PERMIT '
ApPr;_a;r ro�/1 CO/nPIg-BI1/ /�ECEIY6� BV DQ,TE 9ECEIV@D nerc iccuen i
ADDRESS
OWNER HEI.TZE A.P• NO. lrip �
MA1 L BUILDING
z . �p
a,00aess 740 N. La Brea Avenue ADDRES
acu'.� ciTv Los eles CA 90038 No� 937-217 TfiACTVZ
Z Q CONSTRUCTION W A D
p� lENDER United California Bank
am
� � 9RANCH Main Branch
J N OWNER
m J ADDflESS
J a AR ENGINEER Fields 6�Silverman ryEL. 937-,217 5
V Q FIRE
W� Aooaess 113 N. San Vicente Beverl Hills ZONE r
a W APPROVED
J O CONTRACTOR George J. Helt2er BV
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�¢ ADDRE55 740 N. La Brea Avenue
w W TEL. Z��� NO.OF �
Z� CITV Los An eles CA 90038 No� 937-2171 P�'� '
W � S7ATE CITV YARDS APPROVED
(q � �ic. No. 3144 IIC. NO. MAIN BUILDING
\ _� 512E NO.OF BLDGS (FROM UL STREETQ)1�
OF LOT NOW ON LOT None F10NT FT. G
USE OF
�XIS7ING BLDG. S �
F� S�ZE OF 7J0. OF / '� 1�
Z NEVJBLDG. ROOMS STORIES 2 L.SIDE �O FT.AC
a flMERIOR WA ROOF ? 1
V COVERING `%laster COVERING W REAR -/O FT.[�E
aUSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET.
a Reside ial nnniN eincs.
o ll.ver� ` ��P ��e- �3-
F APPROVED
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UI hereby ecknowladpe that I heve reatl t�is application enC staie
� that the above intormation is correct antl apree co comply with
� aii laws regulatin9 �uiltlin8 constructian, antl I shall not employ
F anV �e�son in violetian of Me workmen's compensation laws oi
y me Siace ot Caiitomta. Q/� n
Z ���.
. � hereby certity thet t am properly Iicensatl as a contractor untler
the Sta2e of California 8usiness antl Frofessions Cotle, Divisicn 3, TNE AMO
Chapter 9, antl t�at such iicenses are in full torce antl effect, or I THE PURP
em ezempi from Me p��' lons of tha State of California 8usiness VALUATION
. antl Professions Code, lon 3, Chapier 9.
SiB^ature of / 17 %
Permittea - � $ �
A�thwi:etl Agent
4
LOT
DATE
USE OF NEW S LpN�
BUtLDING „Y GA•R
VARDS APPFOVED
ACCESSORV BUIIDING
FT.
� FT.
BET. MAIN &
ACCESS. BLDGS.
� APPROVED���O��i
�
TAX
2 7 / m
FT. � C S �CaQ �
0
f SHOWN UNDER VALUATION IS FOR ^
OF ESTABLISHING A PERMIT fEE ONLY: .�
TOTAL FEE
0
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