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Home My WebLink About3449 FUCHSIA ST - Building Permitsp14) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.c�IL,71NG �rERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3449 FUCHSIAST Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 41217211 Applicant: MC CLUSKEY, STEVEN E Address: 3449 FUCHSIA COSTA MESA, CA " � Owner. MC CLUSKEY, STEVEN E Address 3448 F,UCHSIA � � \ COSTA MESA, CA � ' _ . Contractor. - Address: . . , Zip: Arch : Address: � "Phone: Zoning: R1 R1 Phone: 774-504-6600 Zip: 92626-1713 Phone: Zip: 92626-1713 Phone: License: Eng: . - - Address: ISSUED BY: Status: ISSUED Applied: 09/30/2003 Issued: 09/30/2003 Phone: Zip: � License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL NEW SHEATHING, FELT AND'COVER WITH 50�YEAR COMP SHINGLES. INCLUDES ATTACHED GARAGE. APPROX 3000 SQ. FL �� . , ...i .. . - _ . ' _ Plan Check: $0.00 � Permit: $97.25 ` SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 .-z .. � SETBACKS � � � . � MAIN STRUCTURE FrOnt ;�0- 0 Rear ACCESSORY Front � 0-0 � Rear PARKING Ex sfin :- o, �, Required: FEE SUMMARY Calc Valuation: Sa,00O.00 Claim Valuation: Sa,00O.00 _,: PLANNING-& ZONING � 0- 0 Left 0- 0 Right 0- 0 Left 0- 0 Right 0 Proposed: 0 � P NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis unde� California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abantloned for a period of 780 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeclions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-46(N00) WORKERS'GOMPENSAnON DECLARATON: � � I �ereby atlirm untler penalry of perjury one oi the following declarations: ❑ I have end will maintain a certificate ot consent to self�lnsure for workers' compensation, as pmvitletl for by section 3700 of ihe Lebor CoUe, for Ihe padormence ol the wofk tof whiCh IhiS pEf�tti� i5 i55ued. ❑ I have antl witl main[ain workers' compensatl insurance, as required by section 3700 of the Labor Code, for the peAormance ol the work or which this pertnit is issued. M workers' co io surance rar' a I number ew: Q Carrier:y � r i/VK/ � Policy Number: � lThis sectlon n no( be comolet�i! ihe if is va/ued af one hundred dollars ($f 001 or less. ) (�1 certity Ihat in tha peAortnance of ihe work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to Ihe workers' JV wmpansatlon laws ot alifomia, nd egree t�at ii I should become subject tclthe workep' compensation provisions of Secti 3700 of t11ry��eee Labor otle, I shall lonhwi[h wmply with Ihese pro�pn �� ApplicaNSigneWre: �7 r�� Date: l WARNING: FAILURE i0 SECURE WORKERS' COMPENSATIIXJ CAVERAGE IS UNLAWFUL AND SHPiL SUBIECT AN EMPLOVER TO CPIMINAL P ilES AN pVIL FINES UP TOONE HUNDRED Ti1d1SAND OOI.URE (5100.OD0). IN ADDITIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3lOfi OF THE LABOR CODE, IFIrEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLAHATION: I hereby attirm that 1 am licensed under provisions of Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Prolessions Code, antl my license is in tull force and eflecL Lic. a Class a ContrectoYs Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn that there is a wnsimction lentling agency for �he peAormance ot the work for which this pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lenders Atltlress: Signature: Date: OWNER-BUILDER DECLARA710NS: 1 hereby ettirm t�at untler penalry of perjury thet I em EXEMP7 FROM TME CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Profeuions Code: Any city or counry which requires a Dermit to constmct, alter, improve, tlemolish, or repair any swcture, prior to its issuance, also repuires ihe applicant tor such pertnit to lile a signetl stetement that he or she Is licensed pursuant to the provisions of the Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of t�e Business and Proteuions Cade) or that he or she is exempt therefrom end the basis for Ihe alleged azemplion. Any violation of Saction 7031.5 by eny applicent br e Dermit u6je tha applicent to e civil penalry of nol more t�an five �unared tlollere ($500).): I, as owner ot the property, or my employees with wages es their sole compensation, WILL DO THE WORK, and Ihe structure Is not intentletl or oHeretl for sale (Sac. 7044, Business and Professions COGe: The Con�ractors License Law does not apply to an owner ot properry who builds or improves ihereon, antl who tloes such work himseli or hersetl or through his or her own employees, provitlatl that such improvements ere not intentletl or oHeretl for sale. If, however, the building or imp�ovement is sold wit�in one year ot completion, ihe owner-builder will heve ihe burden ot proving that he or she tlitl not Duiltl or improve for Ouryase of sale.). � � I, as owner of the property, am EXCLUSIVELY CONTRACTING WIT}1 LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Protessions Code: The contwctors License Law tloes not apOty to an owner ot propeny who bullds or improves thereon, and who contraas lor such projact with a comractor(s) licanse p suam m the Comreciors License Laws.). ❑ 1 am exe der e. Business and Protessions Code for Ihis reason: SignaWre: Date: Owner ID veril eC 6y tlrivers license. ❑ Yes ❑ Na Driver's License No. Ezpires: Vedilcation ot Ownership 6y (type ot document, i.e. - property taz hill or deed): DIVISION OF INDUSTRIAL SAPETY PERMIT CERTIFICATION: ❑ I hereby certity that no eawvation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authonzed by this pertnit, and Ihat no builtling sirucWre, scaflolding, falsework, or demolition or dismantling thereot, will be more then Ihirty-sia (36) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Celitomia AAministrative Coda). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom the Division of Industnal Safety, as noted ebove, unless such person hes e permit to da such work irom Ihe tlivision. Signawre: Date: Division oi Industnal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AIJTMORIZATION OF ENTAV: I certify untler Oenalry ot perjury that I have reatl this epplication entl state that t�e intortnation given is correct Ieg ree to comply wit� all state laws end city ordinances relating to builtling construction, antl authonze represe��111etives ot the Ciry of Gosta Mesa to enter upon the eDove-dAsEn�ed pro� for inspection purposes. I egree not to occupy or allow occupancy ot any building au�honzy�{by��eLmit r�li��nspection. ✓�L � � � �/L lJ U —� Signature Of Legal Owner(s) And/Or Authonzed Applicam Date COUE t. INSPECTIONTYPE 1616 Fixetl Sysiem Final Fira Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition PAIE IMRIALS r7–t�� yODE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Pravention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency BaIE 1t�lkfl "� � �� b' �� %�� uu�uius j �utidto� OWNER-BUILDER VERI:FICATION �'jb� - OI �oS� A city or county, which is reyuired to give notice pursuant [o Sec[ion 19830, shall attach ro such notice, and, as a condition precedent to issuing a building permit, require the comple[ion and require the retum of, an owner-builder verification. Attention Property Owner. An `owner-builder' building permit has been applied for in your name and bearing your signawre. Please complete and retum this information in the envclope provided at your earliest opportunity ro avoid unnecessary delay in processing and issuing your building permiL No buildingpermi[ will be issued untii this verification is received. I. 1 personally plan to pro ide t major labor a�d ma[erials for construction of the proposed property improve ent. Yes ❑ No 2. 1(have/have noq "'L— signed an application for a building pertnit for the proposed work. 3. I have contracted with the following person ) to provide the proposed conswc[iore Name Address Phone ( City Contractor's Lic. No. 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( ) 5. I will provide some of provide the work indsc�d IYame 1002-06 (REV.9/9B) Address _ City _ s Lic. No. but 1 have contracted (hired) the following persons to Phone Type of Work � ` AOP�icant to fill in all spaces encept tnose wit�in heavy Eortler linez ana sign all ap0�apriate tleclarations. CITY OF COSTA MESA CO � STR CTI O�I PERMIT PERN�!'Ij NO. __ �� TRACT NO. LOT NO. UNIT NO. A P# �+ Project Address �� . Applicant's Mail' g Ad/d�r)ess `Ic� n 'I Own¢!�5 Ndfi1C —�,�//L�/_��^y�� PFnna ��7o(D' Address �Xdi/ � +r � Arch/Eng. License No. Address Contracror's Name - Phone � � r � Address (m�'�'�nl � City License No /�� LICENSED CONTRACTOR �ECLARATION I hereby afiirm Ihat I am licensed untler provisions o( Charter 9(commencing with section 7000) of Division 3 of the Business antl ProTessions Cotle, antl my Ilcense is in f W I for e A eflecL � License ss ��e� /No _�� Date�� 5'g t «t<r� WORKERS' OMPENSATION DECLARATION I hereby affirm that I have a certificate o� consent to salf-insure or a certificate "�Workers' Compe/n�sation pIn/s�urance, or a certifie�dy` ryc�oipy tnereot ($ectl�o,n/ 0� Lab" ��`73y G 7 �/(R /L ��/�( .cy No. � CompanY �ertifietl wpy is hereby furnishetl. t� � � is tiletl with th¢ tity BJ�� iPpoA�'�u/a��5y�. Q/ Date�_ Applicant / �LE,i�L�� EXEMPTIO FROM WORKERS' COMP NSATION DECLARATION (Thisseclion neetl not ba completetl if the permit Is for one huntlretl ($100) or less). I certily thal in the performance of the work for which thls permk is issuetl I Shall not employ any pe�son in any mdnn¢f 50 a5 to become subject to t{�e Work¢r5' CompenSation Laws of Galifomia. Date Si9nature NOTICE: If, after making this tleclaration, y0u shoultl become subject to the Wo�kers' Compensation p�ovislons of the Ltbor Cotle, y0u must fo�thwith bomply wi[h suth provi5ions or this pe�mit sM1all be tleemetl revOk¢tl. CONSTRUCTION LENDING AGENCV I hereby aitirm that Nere is a construction lehtling agency tor the performance ot the work for which,thi5 permit ii �ssuetl (Section 3097 Civ. C.) �entler's Name Lentler'S Atltlress � OWNER BUILDER DECLARATION I hereby affirm that I am exempLfrom Ihe Contractor's License Law tor the followin9 reason (Section 7031.5 Business antl Protessional Cotle: Any city or County which requires a pe�mil to conStruCt� al[eq improva, tlemolish or repair any structure, prior to its issuance, also reqtl�res the applicant for such permit to file a signetl Slat¢ment Ihdt he/she Is licet�setl puRuant to the p�ovisions oi tne Contractor's License law (ChaO�er 9(cor*�mencinq witn Section 7000) of ' Division 3 of the Business antl Professions Cotle) or that he/she Is exempt' ��herefrom antl the basis for the'allegetl exeinpfion. Any violation ot Section i1.5 by any applicant fo� a permit sUbjects the applicant t0 a tivil alty of no[ more than five huntlretl tlollar5 (5500). � 1, as owner of the property or my emPloyees with wages as their sole mmpensation, will tlo the work, antl the structure is nof �intentletl or-otferetl to� sale (Section ]044, BuSiness antl PrOf255ional Cotle: The Contracto�'s LicenSe Law aoes not apply to an owner of a Property who builtls or improves thereon, antl who tloes such work himself/nerseH or throu9h hls or ner own em0loyee5, provitletl that Such Imp�ovements are not intentletl or of(eretl fo� sdle. If, however„the builtling o� imp�ovemenf is soltl within one year ot <om- pletion, the owner will have the burtlen ot proving he/she tlitl not builtl or im- prove for the purpose of sale). ' ❑ I, as owner of [he property, am exclusiv¢ly mntractin9 with Ilcensetl con- tractors to construct the Droject (Section 7044. Business antl Professions Cotle: The Contractor's�License Law does not apply to an owner of property who builtls or impraves [hereon. antl who cont�d�t5 fo� such oroiects with a con- tractar(s license pursuane to [ne ConVactoY'S LicenSe Law). I am aware that proof o� their Worker'S COmpensafion insurance shoultl be provitletl to me, ❑ I am exempt untler Seciion B. & P. C. for this reason Date Owner _ I hereby certi(y [hat I have �eatl this intormation is correcL I agree to comp antl state laws relating to builtling con 5entative5 ot thi5 Clty to entel u O! Inspection Ourp Signature Orivers' License or 55 � � 0865-46, rev. 5/88 'aHon antl state that the above i all city antl county ordinances on, antl hereby aut�oriEe re0re- above-mentlonetl property (o� � Dafe sa� �9 TVPE OF CONSTRUCTION LJ NEW LI ADD LI ALTERATION .LCREPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. , TVPE OF PERMIT IJ GRADING� FOUN�ATION LJ STRUCTURAL � ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ.FT. oCCUPaNcv CONSTRUCTIONTVPE ' VALUATION$ 20NE GRADINGCU.VDS. ACRES Remarks: � ' Bar Sink eackflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks :id5 $EfVICE - �IItIQtS Kitchen Sink Lavatories � P—Trap Roof Drains Reinspection Fea $15 Duct - Under Ground Duct - Structurel Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. iC80 dk Heating System & Ducting ❑0.100,000 BTU 0100,000 peinspection Fee � $15 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenroa - Assessor Showers .Service Sink, Sewer Connection Solar Collectors Solar Piping Solar Tank � Swimming Pool w/Spa Urinal Water Closet ' Water Heater Water Service Auto-Wash � Iwue Fee Hood or Typel ❑ Canopy� Type II ❑ - 9efrigeration System . ❑0-t00,0006TU ❑t00,000E System Repair/Alteration Fire Dampers laue Fee S Main Building: E T Front AFear C Right g: Left Ping. Fef. # Planning Notes: FEES Automatic Washer Constructi0n Pole Sub. � Cooking Unit D ishwasher Dryers ❑Gas''�Elec' Fan � � - � F.A.U. Fixmres ; 7 � Device Boxes �' Outlets Switches Garbage Disposal Generator 065 KW C $ 3 FEES $ 3 Fea Zone � Accessory Building: Z O � N I ' N G , R Parking Req./ProvideJ E � M T ' S. ELECTRICAL - Transformer ❑ 15-50 KW ❑ SO+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel ' . Motors �0.1 HP �1'/: - 8 ' ' Inc. Solar �9-15 HP �16-15+ 1 Microwave Pole Light Range Standing Sections 5-15 KW Trash Compactor $15 Issue Fee DEVELOPMENTSERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application luued By ES $ 3 SUMMARV OF FEES BUILDINGPERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ �� ISSUANCE $' —�— PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL � $ GRADING $ PLAN CHECK 50% $ MICROFILM $ � MECHANICAL $ TOTALFEE $ '' PLAN CHECK 25% $ iil D00344bQ-04034460 T��T 5.�0 DATE: Db/02/89 TiME: i1:3s ^ i \ � 1 CONSTRUCTION AND PLANNING POOL 'A . Date Inspector � Date Inspector APPROVALS Permit # , APPROVALS Permit # 1. Temporary Electrical Service or Pole .�, 52. Pool & Equipment Location . �2. Soil Pipe-Undrgmd. � - .53. Steel Reinforcement - 3.� Electrical Conduit Utility-Undrgrnd. 54. Forms 4�.Electrical Conduit-Undrgrnd. ' .55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Gmd. - 57. APPROVAL TO COVER-GUNITE . 7.�Footings • • � 58. Electrical Conduit-Undrgrnd. � 8.,Foundation ," , . 59. Gas Pipe, O Undrgmd., Test , 9.;Water Pipe-Undrgrnd. �, 60. Backwash Lines, P-Trap, � Undrgrnd. . 10. Stiuctural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final 12. Sewer Cap . 63. Heater & Vent-Final '• 13. Roof Drains ' ' 64. Plumbing System - Final , � 74. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 117. Rough Wiring Sign 68. APPROVED FOR PLASTERING ,ift. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL �9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT .20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. DuctS, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test � 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (5tructural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe� . 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final �80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: . ' 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � � 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing 6 � � � 39. Water Service-Final fn 40. Gas Service-Final �� 41. Solar pomestic-Final ''� � tii 42. Backflow Preventer ��? �+��,.. 43. Backflow Irrigation �1 - � i+ 44. Landscape Irrigation System ' � � � 45. Sound Attenuation �-- � � � 46. Handicap Regulations��v y � 47. FINALSTRUCTURE&BUILDING � 48. Snecial Requirements Completed • . 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co � � �• �'� • ��. 51. CERTIFICATE OF OCCUPANCY ' �� i' No. Date • � � � ' - F� � :^ -il �� / CI:. OF COSTA ::ESA REQIIEST £OR OCC��+fiCY TRACT :70. / �T \0.. F�,��5 3 4� 9- us1 � DATE � I � The eece_oper ef the aboce entitled tract desizes to sell the aboce set �o=�; lot ��ior to tne time tnat the tract has been co�pleted and its st:eets �cce�+:�d bp t�.e C,ty of Costa Mesa. T_�e undersigned, by executing tnis egreement, acknowledges that (�+�-she-_hey) (was or were) advised that this tract has �.,_ '�ee^ g��en fiaal inspection nor nas it oeea acceoted by the City of Costa *?esa ...; :,�.v.:,g c^�I_ed wit4 th=_ conditioas ef eparoro•al o,-nicn were imposed by tne C'_�� ..._ C1� 'i_.�e =ae •`_ir.2s tract ma� w2S �&DVLUVecs. � I".^.e Ci�y zssw^�es r.o liaoiiity for tne enforcement of the conditioas ,.:^e�;s.::;j fo: 2ppre�al o�her than tnos� cond__aons nretected by ssrety bond. ...._ '�IIC=iSl�.^.@Gt 3G�EC5 :O'iP.CET.A?_�V' 2.^.0 �oid t'r.e C�i,y h2t�less �'�0::'- ,^. �_�.:� res,_:ir.g i: da. age er person2.i _:jvrr to tne undersigr.ed Sy reasoa rf ��e a`^-e.��.^.tiezed ;:ncc^�ieted co:^.difioa. � S'a��'�� 9t'8`$�,L ►y� WU �� cirr,lL'�,j � � '1d30 9NINNtlId tlS3Vd tl1S0� �0 A110 a3nt��3a �`. J'�- __�--- �� BY �—�,.-/�-^._,:�_l� -�.�J% '.i'>�' � D^_veloper and/or autho:ized r.epreseatacive BY �i ;� �i".._ l /��<. iender , OWNER LARWTN So C�l` ' DATE �_ JOB AbDRESS 3l�ly9 Fuchsia Street BUILDING PERI C 2AL CONTRACTOR same DESCRIPTION of WORK Res, w FIRE ZONE VALUE GROUP ISaJ TYPE SUBCONTRACTOR WATER ROUGH PLUMBING PROP. 5WR. LINE OUSE CON. �� SPRINKLING SVSTEM MISCE4LANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPOpARV SERVICE OR POLE UNDERGROUNP � POWEF � ROUGH W�RING TRENCHES FORMS STEEL RE FLOOR SYSTEM BOND BEAM ❑ STEEL REINFORCE [ SHEATHING FRAME pN0 FLASHING L4""NG - IN OUT � R, BROWN COAT 5� .fUftAL, FINAL HEATINf,. VENT.. FEFRIG. ANO A.C_ FI Z . aU Za O v~i am J � J � Q W 0] J J m Q U � Za W � d W WZ J Q m z J ¢ W W ZF wo � � 7'O � z Q U J a a Q 0 H N Z , O F- U � � H N z '_— –�"—__ . . . '" _r_ __T,.–,_. ;i . ' ." , , � 363E39 ,Pa1i-73FacuU�� 5�,;: ;:��1��i34 COSTA MESA BUfLDING-SAFETY DEPARTMENT � lg P.O. BOX 1200 COSTA MESA, CALIFORNIA 82626 � APP C�T�ON FOR BUILDING PERMIT ForApplicant to Fillin Completely RECEIV DA E CEIVED DATE ISSUED � ADOFiESS � ✓ � �� 9 ' PEFRMIT Nbt , OWNEF Larwin Southern California .A.P•NO. M'41L ADDRE S �/ �CNSIA / � � ADORESS 1�6255 Ventura Blvd. _ cirv Encino, California nTio� 986-8890 TRACT 7718 �or 11 BLOCK. BRANCH 1(�'Zjrj ADDRESS Encino ARCHITECT _ OWNER nrio`' 273-4464 sE FIRE ADORESS 9Z00 Wilshire Blvd., Bev. Hills CONTRACTOR Larwin Southern-Californi�a ADDRESS 16255 Ventura Blvd.� 7EL. cirr Encino, California No: 986-8890 L C No. 191311 LICVNO. B�1 SIZE NOWONLO O OF LOT 6� X 1�� I USE OF EXISfING,BLDG. - S2E OF ' NO. OF ' NEW BLDG. 19H7 ROOMS STORIES 1 EXTERIOR WALL ROOF COVERING StLLCCO COVEFING WOO(� shingle USE OF BUILDING AND WORK TO BE PERFORMED . � r.� VARDS APPF MAIN BVIL 90M Gl STR VAR. # C.U.P. # HOLD FOR I hereby acknowletlga that I have reatl this application and state � ' � that the abova information is correct antl agrae to comply with all lews regulatfng building construction, antl I shall not employ � eny Derson in violatian of the woikman's compensation laws of the Stata of Celifoinia. � � �.,. ., � hereby certify that I am properly licansed as a conbacior untler '�-5O the State of California Business and'Professions Cotle,��DiJision 3, .HE MOUf Chapter 9, anC that such �icenses are in full force antl effect, or I, TH PUqPOSI em exempt from the provisions of the State of CalifOrnia Bus(nass VALUATION and Protessions Cotle, Division 3, Chepter 9. - . Pemitt`e�' „.e, -i!� D. Downs g 29�800 � ' Authorizetl Agant /N � GOL VALUE ei7' �,s�o� s Z � OF USE OF N NS � BUILDING. FT OF � 9- T_ P.PPROVED BET. MAIN & \ T� I �. , m /� � �L� c JN UNDEfl VALUATION IS FOR j ABLISHING A PERMR FEE ONLV: m � ¢ PERM�TFEE $],OL.SO � PLAN CHECK $ SO. %S E 0 152.25 LL TOTAL FEE $