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Home My WebLink About3456 FUCHSIA ST - Building PermitsOctober 6, 2008 CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92828-7200 DEVELOPMENT SERVICESDEPARTMENT Adela Paleo 3456 Fuchsia Street Costa Mesa, CA 92626 RE: DEVELOMENT REVIEW DR-08-06 LARGE FAMILY DAY CARE USE IN AN EXISTING SINGLE-FAMILY HOME 3456 �UCHSIA STREET Dear Ms. Paleo: The Development Review for the above-referenced project has been completed. The application, as described in the attached project description, has been approved, based on findings and subject to the conditions of approval (attached). The decision will become final at 5 p.m. on October 13, 2008, unless appealed by an affected party (including filing of the necessary application and payment of the appropriate fee) or is called up for review by a member of the Planning Commission or City Council. If you have any questions regarding this letter or the project, please feel free to contact me at 754-5136 between 1p.m. and 5p.m. Sincerely, �� WENDY I Associate Planner Attachments: Project description , Findings Conditions of Approval Approved conceptual plans cc: Engineering/Dev. Ser. �Fire Protection Analyst Building Division Isabela Mauri P.O. gox 1797 Santa Ana, CA 92702 Building Division (714) 75d-5273 • Cotle Enlorc¢ment (71a) 75a-5623 • Planning Division (714) 750�5245 FAX(77a)756�d85fi • TOD(7t<)754-524G • wmvci.costa-mesa.ra.us "s' s DR-08-06 PROJECT DESCRIPTION ■ The property is zoned R1 (Single-Family Residential), has a General Plan designation of Low Density Residential, and contains a single-family residence. ■ The applicant has obtained a license from the State of California Department of Social Services to operate a large family day care for up to 14 children. A deve{opment review is required by the City's Zoning Code because more than seven children will be cared for and it is located more than 700 feet from another large family day care home. ■ The day care is provided in the family room and dining room areas. The backyard is also used periodically during play time. ■ The applicant resides on the property and has two employees to assist with the day care operation. • The use, subject to conditions, is compatible with the existing single-family residential neighborhood. FINDINGS A. The large family day care home, as conditioned, complies with the intent of the State Legislature as set forth in Section 1597.30 through 1597.621 of the Health and Safety Code which states that "family day care homes for children should be situated in normal residential surroundings so as to give children the home environment which is conducive to healthy and safe development." B. The large family day care home is consistent with the General Plan. The location and number of children to be cared for will not be detrimental to the health, safety, and general welfare of the persons residing or working in the neighborhood or be injurious or detrimental to property or improvements in the vicinity. C. The California Environmental Quality Act (CEQA) does not apply to establishment or operation of a large family day care home per Section 15274 of the CEQA Guidelines. D. The project is exempt from Chapter XII, Article 3, Transportation System Management, of Title 13 of the Costa Mesa Municipal Code. CONDITIONS OF APPROVAL Ping. 1. Use of the garage for day care activities is prohibited. 2. The day care operation staff shall consist of the large family day care home operator and two employees, as stated in the applicanYs letter of justification. Further, the day care operator must be a resident of the home serving as the day care facility. 3. One off-street parking space shall be provided for each non-resident employee who drives to the large family day care home. The required parking for the dwelling may be used to satisfy this requirement. DR-08-06 4. The day care operator shall instruct all clients to use on-street parking areas as a drop-off/pick-up area so that children may be safely loaded and unloaded from vehicles; no tandem parking or parking a vehicle in such a manner so that it encroaches into the adjacent sidewalk or street shall be permitted. The use of the day care operator's driveway for drop off/pick-up is prohibited. 5. The day care operator shall instruct clients not to do the following activities: perform u-turns in front of the day care home, double park, block driveways, use driveways as a turnaround, and honk vehicle horns. The day care operator shall require all clients to sign a statement of compliance with all applicable rules. 6. The number of additional trips generated by the project shall not impact the existing traffic level of service on Fuchsia Street. If deemed necessary by the City of Costa Mesa Planning Division, there shall be an attendance schedule prepared by the applicant and subject to review and approval by the Development Services Director or his designee, which provides for the staggering of arrival and departure times to avoid traffic and parking congestion. 7. A copy of the conditions of approval must be kept on premises and presented to any authorized City o�cial upon request. New business/property owners shall be notified of conditions of approval upon transfer of business or ownership of land. 8. The development review. herein approved shall be valid until revoked, but shall expire upon discontinuance of the activity authorized hereby for a period of 180 days or more. The development review may be referred to the Zoning Administrator for modification or revocation at any time if the conditions of approval have not been complied with, if the use is being operated in violation of applicable laws or ordinances, or if, in the opinion of the Development Services Director or his designee, any of the findings upon which the approval was based are no longer applicable. CODE REQUIREMENTS The following list of Federal, State, and local laws applicable to the project has been compiled by Staff for the applicanYs reference. Any reference to "City" pertains to the City of Costa Mesa. Ping. 1. The large family day care home shall provide care for a maximum of 14 children, as set forth in Health and Safety Code Section 1597.465. 2. Signage advertising or identifying this business is prohibited. 3. The applicant shall comply with all applicable State regulations for large family day care homes. Bldg. 4. If new construction is proposed, comply with the requirements of the 2007 California Building Code (CBC). Fire 5. Comply with all applicable provisions of the California State Fire Marshal's ordinance. PHOJECTAO�NESS: 3QS6 FUCHSIA ST OWNEfl'SNFME: MAURI, DANIEL � aooeess: 3456 FUCHSIA ST , COSTA MESA,CA � AflCHIENGINEEP: nooeess: 2�j T �N�T: O �� 92626 HEG.NO.: UNIT: PEHMITTEE: NOCK PLUMBING ( 719 ) 895-1296 I aooness: 11610 SEABOARD CIR STANTON CA• 90680 LICENSED CONTFACTOF�UECLAPATION: I hereby attum ��a� I am licensetl untler pmvision5 0l Chapter 9(commencing wiih Sec�ion 7000� ol Division 9 of Ine Business anA Professions Cotle, antl my license is in full farce an0 effect aTY u� 0 86 sTaTe uc.: 511971 ciass: C— ,`_� � A Oa�e� Signature: 6L` s, i � HEBS' C PENSATION DECLFRATION: I hereby a�firm �ha� I have a cenifica�e of consen� to selbinsure or a ceni�icaie of Workers' Compensa�ion Insurance or a ceni�ietl co y �hereol (Section 3800, LaG. C). vaucvNo.: 1167992-9� E%P.UFTE: 03/OS/9S I comrnxv: STAT E ' , Cendied cooY is ereby fumisnee. � Ceniliea covv is fil U'Vn ihe cily Builtlin '' ion. /D Ie � � ApplicanL ��` E�PTIONFIIOMWORREBS'COMPENSATIONOELLNPPTION: i55edionneetlnotbecompleteCi�tAepermiti5foronehunUreO(5100�ar1e55�. I certity ihal in Ihe perlormance o� the wark �ar whicA this permi� is issued, I s�all not employ any O¢aon in any manner so as �o become subleci lo Ihe Workers ComOensation Laws oi Calilomia. Oale: Signalure: NOTICE: I�, ai�er making Ihis Oeclaration, you shoultl become suble�� o lhe WOBers' Compensa[ion pmvisions of �he La6or Code. you musl fo�hwrth comply wiih such provisions or ��is permi� shall be tleemetl revoked. . CONSTNULTION LENOING AGENCY: I hereby aflirm �hai Ihere is a conSlmc�ion lending agenty br Ne pedormance o� �he work for which Inis Oermil is i=suetl (Sec�ion 3097. Civ. C�. LEN�EN: FODNESS: OWNEN BUILDEB DECLABRTION: I hereby affirm ihat I am exempt fmm ihe Contractors' Slate License Law br the tollowing reason �Seclion 7031.5 Business and Pm�essianal Cotle: Any ciry oi counry which requires a permit to con5imct, atler, impmve. Oemolis�, or repair any simtlure. prior lo its issuance. also requires ihe applicant tor such permit to file a signe0 stalement ihat nelshe is licensed pursuaNto�he provivons o�lhe ConVacmrs' S[ate License Law�Chapter9(commencing wit� Section 7000�o�Division 3 a1�Ae Business antl Pro�essions Cotle) or Ihat helshe is exempt I�erefrom and the basis �or the allegeJ exem0tion Any uiolalian of S¢ction 7031.5 Cy any appiicam tar a permit suGlecis t�e applicant to a civil penalty of not more than live hunOreU dallars (5500�. I, as owner o� �he pmperiy or my employees wit� wages as thei� sole comDensa�ion, will Ao Ihe work, and lhe I❑ 5tmtlure is na� iniendetl or olfere0 for sale (Settmn 7064. Bu5ine55 an0 Pm�essional CoOe: The COnVat�ors' State License Law tloes not apply lo an awner oi a pmpe�y who builtls or impmv2s Nereon, and wAo Aoes such work himself/hers¢fl or Nmugh his or her own employees, pmvi0e4 Ihai such improvemen�s are noi in�ende0 or oifere0 b� sale. II, however ihe building o� impmvement is soltl within one year of completioq the owner vnll have the 6ur0en ol pmving �elshe tli0 not build or impmve lor Ihe purpose ol sale). I. as owner ol lhe pmperty. am exclusively conlracling wii� licensed cantractors �o can5imti Ihe pmlect (Section 706d, Business ❑ antl Professions Cotle: The Coniractors' State License Law Ooes noI apDly to an owner oi pmpeny who huilJs or improves ihereon an0 who conVac�s for such prolec�s wi�h a contractm�s) license pursuan� to Ihe Contraclors' State License law),I am aware �hal prool of �heir Worker's Compensa�ion msurance shoultl be pmvided �o me. � I am exempt untler Section: 8. 8 P. C. lor mis reason� Date: Owner I do hereby ceNty tha� I am aware ol antl untlersi5ntl Ihe requiremen�s of Calilomia Health and Sa�ery Code Sec[ions 25505, 25533, ana 25534 antl Iha� I or any tNure builtling occupant will/will no� (circle one) need Ia com0ly wi�h said slale cotles antl Ihe reQuirements lor a permil for conslmciion or moAificalion Imm Ihe Nu Ouahty Managemen� �islricl. Fesitlen�ial conslmc�ion applica�ions are exem0� �mm I�ese pmvisions. oaie�. aonimam: I hereby cerldy Ihal I �ave rea� ��is apOhca�ion ane slale that the ahove intormation is correcl. I agree �o compty wi�� all city an0 coun�y ortlinances an0 sl�lelawsrelatinglo buil0ing consimclion and hereby ay(rorizerepresentative�S4this cirylo enter uponlhe above-mentioned � Signaiure'. �yL( d LitCOSE 0� $Otid'i Securiiy a: 16ab<6 WM1ne—Buildmg; Green—Code Enb¢emenL Canary—Applicanl', Pink—qsvenoe', CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 066705 PLAN CAECK NO: CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU JOB DESCRIPTION : INSTALL WATER HEATER CLAIM VALUE: CALC—VALUE; i� PERM NO: P 06670 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT ****��*��**�***x x�*�r*�x��***�r*�r**x��**�***�*�rx *xx�**��+�*�r****+r**��+�**��r�*x�*+t** Z O N I N G R E Q 0 I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGIiT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: pARCEL; 41217306 ZNE: REF NO; PLANNING Nd'I'ES> i +t�r�ri��r�r�r*x�*xx�***+r+��r*�t*+r+r�i�x�xx�r�rf��e�r�***�r+r*i�**�r�r+tx+r.�t�it�rx��r�r�ex�***+r**�r**�rx��r�r+t�x��rir***x�� D E V E L O P M E N T S E R V I C E S' �;R E Q U T A E M E N T S ZONING APPROVED BY ' ��, ' DATE: BUILDING APPROVED BY : - ` DATE: � : � _ , , . .cT� rr �' HYYL1LH11VN 1SSUCU uz: ' DATE; �.)1 �� iEiFif�EifiElEiEiFiEIEMiEiF1E9EiEiEiEiE9Fif iEltiflFiFiFififMlE 3FlF�FiF�F1EiE iE 1E 1E �E iE iF 9E iE iE �IF iF iE iF iF 1E iE 3E 3f �F iE iE if if jF if iF iE if iE iF iF iF iE 9F aE if 1E iE 1E 1E iF if iE if iE iF iE iE iE iE iF.1F fE iE iF iE iF ik if iE iF iF fE iE if iE iE iF iE if �E jE 1E iE iE iE iE if i4 LEGALIZATION:N F E E S U M M A R Y• STRUCTURAL SEGMENT:N PERMIT BLDG PMT PLUMHIoo ELECTRIC MECHANIC "' FIRE SMIP/RES GAADING 25Y — SMIP/NON—RES PLAN ,, ISSUE FEE 20,00 �— BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7,00 20.00 ,'. 0.00 27.00 27,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27,00 OVER/SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 2 7 . 0 0 , !E iElE if 1Elh ff !f 1F fF fElE 1ElElF iE 1E 1E 1f 1E 1E 1k if if !F iE if 7f iElElE 1E 1E iE 1E 1ElE iE if !E 1h 7f it �F 1E 1E 1f 1E 1E 1F k 1t 1F 1E 1f !f ik 1f ik iE IE 1ElElE iE if 1f fF 1E fElE 1E iElF if iE 1f it 1f I N D I V I D U A L' P E E H R E A K D O W N TYPE QTY D E S C R I P T I O'N UNIT COST TOTAL COST PLU �. 1 WATER HEATE AND)/OR VENT 7,00 7,00 �;j END OF FEES #. EXPIRE � . {nC0►npJete InsPectians ui 0�158494-00158434 T GT 27,pp OATE= 04/Obl94 TIPIE: 09=09 p� « \/ Siy < 61 DQi`8482-UD�`5432 T GT .OQ OAT£: 04/06/94 TIi1E: 09:03 _ � �� . , C:ONSThUCT�ON AND PLANNING POO :PA APPROVALS Permit# Date Inspector p�ppROVALS Permit$ Date Inspector t. Tempor8ry Electrical $ervice or Pole � 52. Pool & Equipment Location , 2. Soil Pipe�Undrgrnd. �., , ^.� 53. Steel Re(nforcement �'$.-Eiectrical Conduit�U#ility�Undrgrndr'� 54. Forms �,: 4. E�ectrical Conduit�Undrgrnd. � 55. Electrical Bonding � ' 5. Sreel ReinforcertferiF • 56. Rough Pfumbing & Pressure Test , .��8.�'ElectricB�UFE�?�Grnd. .. 57. APPROVALTOCOVER-GUNITE ' I �� -i.: �Fboting5 - 58. Electrical Conduit-Undrgrnd. .. 8. Foundat�on ' -' 59. Gas Pipe, O Undrgrnd., Tesc _� I 9. Water Pipe-Undrgrnd. 60. Backwash Lires, P�Trap, O Undrgrnd. �� 10. Structura� Floor Sys�em ` 61. APPROVAL TO DECK 11. Property Sewer �ine & House Connection 62. Backwash & Receptor�Final , 72. Seiver CaP ,. � 63. Heater & Vent-Final 73. Roof Drains -; � 64. Plumhing SYstem � Final 14. Rough Plumbing <• 65. Etectrical-Firat 15. Rough Electricaj�Conduh 66. Solar SYstem-Final ' 16, Rough Electric'-Wiring 67. Fencing & Access ApP�oval 77. Rough Wiring Stgn 68. APPROVED FOR PLASTERING 18. Rou9h Electrical-T Bar Ce�ling 69. POOLiSPA SYSTE :15 FINAL 19. Rough Heating & Air Conditiomng PIRE DEPT. REQUIREMENT ' 20.;.Roirgh F�ctor.y F�eplace �;,c ", -� 7 '� . � PPRQVR�LS�C% :Permit?f b- -- ,; ti c- � � 21.�uc4�,inSiructure: ��"c; '`'= `� � '�.'" ^-�" •'� '. n ��+ . '70. l�hderc�puFd; Hy,r�ro 22.� Ducss. Ventiiating. � � �: � � ! � � � � ;77. ProducF'TPit�ing (3'G s G�`Oil 23.�Gas Pipe�Rouqh &T,er. ' ;Y , :,� ` ;�'y ,� ��2, Vndergroun� Fivsh ; _ r� 24..Rooj Fr9mirig. , - . -• " �+ ? V. �� _73.?,Undergrnd.Stora�2:Tank 'QGas ❑Oil - �y � 25. Roo° Sheathing � t t r - � '�" '� -74 =0verhead �fydro-� ' !. � 26. =f-&ar CE��ng (Stqectural) &;�lonocoat � -v J �^* * 75:=Dry Chemical - � - r - T� 27. Frameand Flashiq9� L' ,' ' „ ^ ^" 76. Dr Stand� � e "`"" " � � � ' -, ^. r, = r - Y ,n , Y f��,P . ~ .�� 77 ^FIXED SYSTE�1'E:INAL' y '_28. Latliing'& Siding-i;. ;,; - _ ... . .. �. ' '29. Insulati0ti �` -� � �' " F'' � �` ;� 76�F�RE PFjEV. FWQL . -, r, �30. Dry�•iall Nailing y; �� l • ��•:+ JHEALTH-DEPT-R-EQUIREMENT ; • - s- � � 31. Plaster 8rown.Co�[r .... � t..r., ° � I � : �79.��F'f�NAL��N5PECTIE�N '. - ` - �2. Electrical�Pow.er MPte�;Final i'~' r: � • T:+ -80.,-.FOOD CERI'IFIC.4i� ISSUED y� -� _33.'Finaf El�ctric .-. ` -� � t'� � . -'• �• �Not�s ��`= ' �' / � i � �, � , : -� �.'�'( : NC,(�g1tic�i L�7 [� 1vzf7l�� r - !. � n T '.-i.-. [P 1 r •v ��.. 34. �Fina,'f Heating�& Air,Conditionic�g- , i ,�'i , _ �- . _. - ' �.. 35. Final Gas Pipe-Test � " �. . y�� i b. �, cyC �:'�• - '� -' - '36. Hoosj or CanopY �f `' . ,�- �� _ s ! � ' { f _ ;- . .. � � �l %V' � � t�I J Q • ti F 97. �PinaPFactory Pireprac�z, � `-,� " ' �� ; [;' ` � ; ; s �. x -' 38. Final�Plumbing . � .. .. . r � _, ' . �.. 3 „ 39. Water Service-Final �_ � i�(� ' F- S"� '-+�•_ ` z Y j 40. Gaz Serv�ce-Final . - � � -' � ^ f•" . � %t' F 41. Solar pomestirFinal ; � � . � ' �20 � ' m a � ' y . .-� . � � . �42. �Backflow Preventer ` � � ; .-� , ' `� " . - ' ,�•• ^7 I b �f-� ;, 43. Backflow Irrigazion, .� _ � ._ -� � T.^ - - . . - a T �`� . - y `~ - Y � . ` . .. 44. LandscaPelrrigationSystem! ,�,� � -, `-, - ti,. ��, .L � - �, � . 6 , _45.;Sound Attenuation� -�:E+ . -� � E-'� `.-� r•" r •�' ^- �c`� hy '� " ' * � C •Z • -� r' • ' . -- .. . .. . . �:' ^ . . �,y - • ; •- I '�! .. .. ..{ 'F IJ -' .- ._. ..�� .. � . 46. �(iandicap Regutatioqs r, '� ,, * , r T � ;;o � � , . , 47. �EINAL STRUCTURE & BUI�DING t � ' ' � 4 . -; .. � ^ r "' '-' ;j� 1 � T �t Y � - 48.:�INAL PLANNING. � �.'� ; . � � _ t: : - 1� " . � , . 49. �Eleceric Release to fidison - I ' r*�. T . • - a -i• . :� i � i �. a � J _ ::. - 50. .Gas Release to Southem CaiifPrnia.Gas Co y � n.� ,' . . -�; ' • :51. CERTIFICATE OF OCCUPANCY' , : - _ � . . No. Dace October 25, 1994 1�TY OF COSTA ME� GLLIFORNIA 9262&1200 P.O. BO% 1200 DEVELOPMENT SERVICES DEPAFTTMENT Dear Costa Mesa Property Owner: In reviewing past permits, we find that work has been done on your property located at 3456 Fuchsia Street. Permit No. P66705, for a Wate Heater. The permit is valid for 180 days from issuance or your last inspection, per Section 303 (d) of the 1991 Uniform Building Code. Should we not hear from you within 10 days, your permit will expire as stated herein and additional fees will be required to finalize the permit. To activate the above permit, please follow these steps: 1. Telephone (714) 754-5626 or 754-5627. 2. Request an inspection; state address, permit number, and type of inspection. 3. Be sure to have working smoke detector's as required per Section 1210(a) of the 1991 Uniform Building Code. 4. Have an adult present at the property at the time of inspection to provide us access. Should you have any questions regarding this process, please contact me at (714) 754-5273. ThanK you for your cooperation. � Sincerely,_ /I �� i/�.f91. � Y anda Huapaya Permit Processing Specialist 77 FAIR DRIVE BuilOing Di+ision p14) 754-5273 • CoOe Enlorcemem (71a) 754.5623 • Planning Division (716j 754-52<5 FA% (714) 5567508 • TDD (714) 754-526d 6 DATE , �S• The develo�er of the above e^.titled tzact cesires to sell the sbove set LGYCIl IOi pr'_o: to t:e time t?:at the ::act .`.as bee^. completed a: d its st_ee�s accepted 'oy the City of Costa N.esa. The und igned, by executi:o t'r.is agreer.en�; acxnowiedges that (ne-a!re�e+ey) i� (was ob.�rese) /t:�'�, advised that this �ract r.as r.ot �ee: givea final inspectior. nor has it been zccepted by t`�e City of Cost2 ?fasa as ::aviag camplied with t^e conditio^.s o� approval which were, imposed by the City at the ti�e the final tract map was approved. The City assumes no liability for the enforcement of the conditior.s aecessary for approval other thar. those conditioas_protected by surecy bor.d. The undersigned agrees to indemnify and hold the City harnless from any claim resulting in damage or personal injury to the undersigned by reason of the afore.��entioned uncompleted cor.ditioa. RkC�IVtp C�Y; C`r G^"i � ;l,e,;\ n� , ,.,�. .. . Stl' �;J 1973 ARi p�q 7i8i9ji��iilil�i'iizi3;:}�5i6 � 6 BY • ��',(/�f.� T rcnaser �_ .,__ ' `-y�= BY � -'� : �°-,t' '. � 1 ._/ �l� , =!"��. / Developer a::d/or autho:ized represe^.cative L: -' � BY : z�.-.r_/�%, ��/�c_�� Lender ..._..._. ... - , _ . � -• --- -�--�-�-_---._.., �.�._._..,.�.�..,,.,.��,...�.--- � - - -- _.,_-__ __ . OWNER ESS DATE BUILDING 00, SUBCONTRACTOR ROUGH PLUMBING / �"J � r f- PROP. SWR. LINE NOUSE CON. / ,yl ,� SPRINKLING SYSTEM ROUGH HEATING ANO AIR CON�ITIONING TEMPORARV SERVICE OR POLE UNDERGROUNO � POWER � ROUGH WIRING TRENCMES [[� FOqMS STEEL REINF FLOOR SVSTEM BOND BEAM ❑ STEEL REINFORCE r] SHEATHING FRAME ANO FLASHING LATHING - IN OUT PI_ASTEq, BROWN COAT S' 'URAI, FINA� H 4, VENi., REF(SIG. ANO A.C., FI IAL PLUMBING, FINAL AND GAS TEST ELECTRI�� FINAL BUILOING, FINAL 3�,aos 301 ARCOSo eoxEtzoo CIOSDT'A M SAFCA I ORNAIA 9 626 T For Applicant to Fill in Completely / BVILDING �1 � i�'I �..n i. �I •F 2 d U Z ZQ O� n- m J � J N 0] J m J Q UN Z a W � aw W2 J Q m z J � W W � z� w� 70 F z Q U J a a Q 0 F y Z O H U � � F" N z v;,�� :: ,:�:: .,.3i. P� i 1-i3�,;� � 00 61 � 15' I TION FOR BUILDING PERMIT �� OWNEF �,yy�in Southern California ^`.'.'"". BUILDING AODRESS 16255 Ventura Blvd. /aDDRESS � y�C cirv Encino, Calif: aio� 986-8890 rRncr 7718 GONSI'RUCTION EW AO A R �FN�Fa Larwin Southern California / BRANCH 16255 Ventura Blvd. nooaess Encino California ARCHITECT ��'. Larwin So. TE�.273-446 OR ENGINEEF NO. ADDFESS 9100 Wilshire Blvd., Bev. Hi11s CONTRACTOR I,arwin Soutts�n California ADDRESS 16255 Ventura Blvd. TEL. cirv. Fncino� Calif N� 986-889 � c rivo. 191311 uc�No. B-1 SIZE NO.OF BLIX'aS. OF LOT CiO X I.00 I NOW ON LOT O USE OF EXISTING BLDG. - SIZE OF NO. oF . NEWBLDG. �9g� ROOMS STORIES 1 E%TERIOR WALL ROOF COVEFING $tUCCO COVERING WOOCI shinQle USE OF BUILDING AND WORK TO BE PERFORMED L� I hereby acknowledge that I have reatl this application antl state that the above intbrmation is correct antl agree to comply wiih all laws regulating builtling consvuction, and I shall not employ any person in violei{on of the workman's compensation laws of xhe State of California. I hereby �certify thgt I am properly licensed as a contractor under �the State of Calitornia eusiness antl Protessions Code, Divisicn 3, Chaprer 9, antl ffiat such licenses are in tull force antl effect, or I am exempt trom the provisions of the Stete ot Calltornia Business antl Protessions Cope, Division 3; Chapter 9. Sipnatwe . ' - Permitta Authorized Agent OWNER FIRE 20NE APPROV /�Siti' ST, LHH BLOCK '�..�r/ Sa �,v� �✓/i�1-ij 61a�ALUS / OATE N � / " NE NO.OF VSE OF NEW>}-�cfz � ,2� / PLAf�1S 2/ gUILDING�Tr �A� • VAROSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSORV BUILDING OI5fANCE BET. MAIN BLDGS. VAR #` C.U.P. # APPROVED/ � q_ av i�T '�IOLD FOR THE PVRPOSE OF VALUATION . $ 29,800 BET. MAIN & ACCESS. BLD DATE APPROVED /,v�� m �L' o UNDER VALUATION IS FOR j LISHING A PERMIT FEE ONLV: v ¢ RMIT FEE 5 LO1. SO' � j 4N CHECK $ SO. JS E `o TAL FEE s 152.25 LL