HomeMy WebLinkAbout619 LAKEVIEW LN - Building Permits,B�l�Dii✓y �'3 _
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COS7A MESA BUILDING-SAFETY DEPARTMEN7
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Appl�ant m Fill in Coir�plelely . _
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APPLICATION FOR BUILDING PERMIT
BUILDIN a(r a�i vy p��v� 8V �Aj TE�ICE�VfjD DATE ISSUI
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ADDRESS
OWNEF HELTZER ENTERPRISES-BROOKVIEW p''P'N�' �DI
BVILDING �
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AODRESS 740 N. La BTBd AV2IlU2 ADDRES
a � CITV Los An eles CA 90038 No��937-2171 TRACTgj2
ZQ CONSTFUCTION W '4
�� LENDER United California Bank ^/
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� � BRANCN Main Branch
J y OWNER
Q"� ADDPESS 600 S. S rin St. L.A. �
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J� ORENGINEER F�ELaS & Silverman NE�653-0160 sE
U FIRE
W a ADDRESS 113 N. San Vicente Beverl Hills Z�NE
d w APPROVED
� Q CONTRACTOR Geor e J. Heltzer 6V
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� a ADDRESS 740 N. La Brea Avenue
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BLOCK
w w TEL. Z E NO.OF USE OF NEW LE �,p�
Z F cirv Los An eles CA 90038 No� 937-2171 3 °'-""S Z BUILDING � p�
�. W�% STATE CITV �'AFD$APPROVED VAROSAPPqOVE�
� (q $ uc. No. 3144 l�C. NO. MAIN BUILDING ACCESSOPV BUIIDi
� Q (F ROM C/L STREET) i
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT NOn FFOM � FT
VSE OF I
E%ISTING BLOG. Bl F
F` SIZE OF NO. OF
Z NEW BLOG. ROOMS � STORIES Z L. SIDE �T
EXTERIOR WAIL ROOF � }�
U COVERING Plaster COVERING WOOd REAR �tJ FT
4 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET.
4 Resident ia MAIN BLDGS.
Q 4'�i! l/� CURP.#� �
F" APPROVED
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U1 hereby acknowledge thet 1 have read Mis application antl rtate
� itiai tM10 above inf0/mation is colleCt entl aB�ee To comply witf�
� all laws requlaling buildinp construction, nntl I shall not employ
F any oerwn in viulation of Me workman's tnmDensation Inws of
(/� Me State of Calitomia. �O
� I hereby certity Mat 1 am proPerly Iicensetl as e contractor under Sn' F
Me State of Callfornia Business entl Profeuions Code, Divisicn 3, THE AMOUNT:
Chapter 9, antl Mat such licensez ara in f�ll force antl Niect, or I TME PURP06E O
am exempt trom tha pro isions of Me Stete of Californie Business VALUATION
antl Professions Cotla, on 3, Chapter 9.
Signaiure ot
Pnmlttee $ l C�' O�D
Aut�orizatl AOent
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ER VALUATION IS FOR =
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W ATER
ROUGH HEATING AN� AIR CONOITIONING
TEMPORRRV SERVICE OR POLE
UN�ERGROUND � POWEF �
ROIIGH WIRING
TRENCNES [' FORMS � STEEL REINF
F�OOR SYSTEM
BONO 9ERM ❑ STEEL REINFORCE �
SHEATHING
FRAME ANO FLASHI
LATHING - IN OUt
PLASTER, BROWN COAT
$TRUCTl1RAL FINAL
HEATING, VENT., REFFIG. AN� A.C., FINAI
PLUMBING, FINRL lND GAS TEST �
ELECTRIC, FIN4l.
BUILOING. FINr1L
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DATE �UN � �J{
BUILDING PERMIT Ni
ZONE VALUE
PE V GROUI
SUBCONTRACTOR
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