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Home My WebLink About969 BEGONIA AVE - Building PermitsJobAtltlress: ydy tlttiVNIAAV Suite: Vicinity: ROOF Primary Occ: R3 Dwellings/ Cong Res <10 Parcel Number: 41217601 npp�icant:, FERGUSON, LEW Address: 1216 N HANCOCK SUITE 107 ANAHEIM,CA Owner: Address Contractor Address: Zip; � , ,. Arch : - Address: ZiP: RITTER, FREDERICK K 969 BEGONIA AVE, - COSTA MESA, CA . MC CORMACK�ROOFING 1216 N HANCOCK � - SUITE 107 ;, �" ANAHEIM,CA� 92807''� � t Typeo(Construction: V-N Zoning: R1 Phone: ' ' �License: � � Phone: .714-777-4040 � Zip: 92807 Phone: . , ._ - Zip:. 92626 Phone: 714-777-4040 •License: 643700 Eng: � Address: ISSUED BY: 5[a[us: ISSUEU Applied: 09/06/2006 Issued: 09/O6I2006 Phone: , License: SCOPE OF PERMIT . TEAR OFF EXISTIIJG ROOF. INSTALL 1 LAYER 30# FELT, 5:12 PITCH, OWENS CORNING, 30 YEAR.COMPOSITION SHINGLES AND . REPAIR/REPLACE'SHEATHING AS NEEDED. 2,100 S.F. . . . .. . '� - � � � � ..�,. - ,-, . �_ . .. . . . � :: ' FEE SUMMARY'. Plan Check: , $Q.00 _. Calc Valuation: Sa,2oo.00 Permit:.,, . $11125 Claim Valuation: $a,zoo.00 SMIP Res: , ` $0.50 , : SMIP Com: :. � . $0.00 ' �.— . --- - - - . � Other: " ' � $0.00 � � � ` -� " , �,Inspection: . , _$0.00 - . � �� TotaL � ',;$111J5 � � � . � . �, - . `t . ' `• ; - - , - . . �e �� ' ' ` �,'�PLANNING & ZONING � � SETBACKS . , . �, MAINSTRUCTURE �Front�� 0 0 `�,� "`Rear- �0-Oi; ; y ';Lefl 0-0 � � i�, ' Rigfit _ 0'0 ' � ^ � ACCESSORY•�,�� Fronl� 0� V�� ear 0 OJ . �- Lefl� 0-0 . , .,Right 0.-0 ��j � � ^ ��.. ' - ... , , ., , PARKING �� ` �xistin : �� 0 �i", � Reauired� � 0�+,� �„ . .,.Pr000sed � 0.! � "� ;�� .\-. ,J .. ' _ . ' . . , � , �, i� � ��•- . _ , , . �'V�' � � t . \ � r �/ , : ' / `• - NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutas 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 180 days, or if work is suspended or abandoned for a period of 180 days. � � r• �� ' INSPECTIONS: In order tor ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inapeetiona anq }Inal approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 2aas-ae (a�oo� WORKERS' COMPENSATION DECLARA710N: � . � . � . I here6y eflirm untler penalry of perjury one of the following declarations:� _ _', �� . �' , ❑ I pade antl will maintain a certiticate of consent to setl-Insure tor workers' campansation, as provided for by section 3700 of ihe Lebor Code, tor the pedortnence of ihe �/ /''ork for which this permit is issuetl. 'L✓J-+-I,pave a wlll maintain workers' compansetion insurance, es required by section 3700 oi the Labor Code, for the pedortnance ot the work for which ihis permit is issued. ' My wo rs' compensation In�ur/y'nce carner�/�n�d policy number are: �ne� MG/LiCSw� /�'G-K� /T'�SH22.�CC ,'PolicyNumber. -"±Ii-y��4�'I � f.Thi�cfion need not be completed il the permif is valued af one hund�ed dollars ($100) or Iess.J ❑ I certity that in the peAormanca of the work for which this pertnit is issued, I shall not employ eny person in any manner so as to become subject to the workers' compensation laws ot Calit nla, an0 agree that If I should become subject to the workers' compensatlon provisions of Sectlon 3700 of ihe Lebor Code, I shell forthwith comply with these pr vi . // �Ap�canl Sig�. �, ...--' /� �E -��ti..�— I�q-p��q p 9 �p (�./o �E .WARNING� FAILURE TO SECUR SREKFOWE �MPENSATION CO GE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOF IN SEGTION 37060F THE LABOF CODE, IMEREST, AND AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I h�e�reby afl¢m.that I am.licen�ed u der provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions otle, end my license is in full �force antl eRecL.Lic #�" - = . � % �� s - Giass N � e 3g � �."� t ,�,�g ctor s Signeture �j-`--= ��Date: � � 9�bG /v L � : •�.. .R.-d .; _�-�--�'"' � - r � �-- CONS7RUCTION LENDING AGENCY: ' ❑ I hereby attirtn Ihat there is a construction lentling agency for the peAormance of �he work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Adtlress: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby eHirm Ihat untler penalry ot perjury that I am E%EMP7 FROM THE CON7RACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business end Pmfessions Cotle: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires iha epplicant for such pertnit to File a signetl statement thet he or she is licensetl pursuant to the provlsions of the Contractors License Lew (Chapter 9(commencing with Section 7000) ot Divlsion 3 of Ihe Business and Protessions Code) or thet he or she is exempt theretrom and t�e hasis for the alleged exemption. Any violation of Section 7031.5 by any applicant tor e pertnit subjects ihe epplicanl to a civil penelty of not more ihan five hundred dollers ($500).): ❑ I, as owner of Ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intentletl or ottered for sale (Sec. 70a4, Business antl Protessions Cotle: The Contractors License Law tloes not apply to an owner ot property who builds or improves lhereon, and who does such work himsetl or herseN or Ihmugh his or her own emDloyees, provided that such improvements ara not imendetl or otterad for sale. If, however, Ihe building or improvemem is sold within one year oi completioq Ihe owner-builGer will have ihe burtlen of proving that he or she did not build or improve for purpose of saie.). � ❑ I, as owner ot Ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business end Professions Code: 7he contractors License Law does not apply to an owner oi property who builds or improves thereon, and who contrects for such projed with a contrector(s) license pursuent to ihe Coniractors License Lews.). ❑ I em exempt untler sec. Business and Pmfessions Code for this reason: SignaNre: Date: Owner ID veritied by driver s license. ❑ Ves ❑ No Driver's License No. Verifiwtion oi Ownership 6y (type oi tlocument, i.e. - property tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMITCERTIFICATION: Expires: ❑ I hereby certity t�at no excavaiion five (5) or more teet in tlepth into w�ich e person is required to descend, will be made in connection with work authonzed by this permit, end ihat no building structure, scaHoltling, talsework, or tlemolition or dismantling ihereof, will be more then ihiny-six (36) feet high. (Ghap. 32, Grp 2, Art 2, Sec. 341, Title e, Calitornia Administrative Code). ❑ As owner-builder, I will not employ anyone to tlo work which woultl require e permit from ihe Division of Industrial Safery, as noted above, unless such person hes e permi� �o do such work from ihe division. Signature: Date: Division ot Indusirial Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZA710N OP EN7RY: I certify under penalry of perjury that I have read Ihis application antl stale Ihat ihe�intorma�ion given is correct. I agree to comply with all state laws end ciry ortlinances relating to building constructioq and authodze representalives ot the Ciry of Costa Mesa to enter upon the ebove-tlescnhetl property for inspection purposes. I agree not to occupy or allow acupancy ot any building authorized by Ihis permit until tinal insDection. CODE t. INSPECTIONTYVE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Raaf � � 201 Finel BIocWRetaining Wall 202 Final Factory Fire Ptace. . 203 Final Sign 204 Final Domolition Ownar(s) BdL 206 208 210 Final MeChaniCal Final Plumbing Final Electrical 212 Final Fire Prevention 220 Final.Planning Approval 222 Final Site 250 _ . Date (714) 754-5273 • Fax (714) 754-4856 • v+v+w.ci.costa-mesa.ca.us ' 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 969 BEGONIA AV Suite No Vicinity: Parcel Nunmber: 41217601 Applicant SZABO, KEVIN � Address: 2737 S CRODDY� � , STE D � ; ; Phone:' (714) 241-1414 SANTA ANA, CA �� - Zip: 92704 � .� - "'� , �. , ' . . . , Owner. -�RITTER, FREDERICK K Address 969�BEGONIAAVE �" ' , � � , Phone: � � COSTA MESA, CA Zip: 92626 Status: ISSUED Applied: 12/16/2003 Issued: 12/16/2003 ISSUED BY, , � � `\ _�� . �� , � �. � \ Contractor: COAST ROOTER PLUMBING HEATING & AIR CONDITIONING Address: 2737 S CRODDY � � � � STE D , Phone: p74) 241-1414 . SANTAANA,CA � Zip: 92704 � � � � � License: 529127 � � Arch / Eng : Address: . - � - , ,-, -- � . . Phone: � . � . , ' . . Zip: � , � , . " ; � . . . ' . -� � License:, � � - " ' " . • . . . � � SCOPE OF PERMIT� �� '� . � WATER HEATER CHANGE OUT. . . _ , ' � � � ISSUE FEE . - Backflow irrigation � Backflow Preventer BathWb Clarifier System Connect Qce,Soda,etc)�� Dental Units �� Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve �. . AMT QTY $23.50�, � . $0.00 ,' 0 ' $0.00 �' 0 �� $0.00 0 $0.00 0 $0.00 0 $0.00'�, 0 � $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 Laundry Tub / Washer Landscape IRigation ' " P-Trap Pressure Regulator � Process Piping (per 10 ft) Receptors Septic Tank Sewer Cap for Demo Sewer Connect Sewer Private Line Shower Sink, bar Sink, commercial Sink, Floor $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 � i/ � � i �TY AMT 0: ; - 'r --:. Sump;P.urrip � � .$0:00 0 ; _ � �'' Swimming Pool � ; � $0.00 0 Trap Primer - '; $OAO 0 - Urinal' " � $0.00 0 , Vacuum Brkr Bkflow(1-4) $0.00 0 - � Vacuum Brkr BkFlow(5+) $0.00 0 " WasFi Basin % �% %� $0.00 0 � Wash BasiaSet � $0.00 0 Waste�and,VentSystem $0.00 0 Water Closet (ToileQ $0.00 0 Water Heater / vent $12.30 0 - Water Piping (Inst or Rep.) $0.00 0 ' " Water Re-pipe $0.00 0 Water Service $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under 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 780 days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d6�N00) WORKERS' COMPENSA710N UECLARATION: I hereby attirm untler penalry of perjury one of the ❑ I have and will maintain a certificate ot cons � work for whiCh ihi5 permit is issuetl. antl will melntflin workers' Cerrier. V (Thls section need nof be comp ❑� I certity ihat in the pe or compensetion laws o I comply with these pr si< Applicant Signeture: WARNING: FAILURE TO SECU E N THOUSAND DOLLARE ($100,000), IN �Cd�:b9� Zd�7:Yi:LCd[�1:b7�7��1I_1:ISiG7:F tleclarations: sel4lnsure tor workers' compensation, es provided tor by section 3700 ot t�e Labor Code, tor the pertormance ot ihe as one by section 3700 af tha Lebor Catle, tor the peAormance af the work for which ihis pertnit is Issuetl. or less.) Policy Number: ch this permit is issuaQ I shell not employ eny person in any manner so as to become su�ject to Ihe workers' I should become subject to the workers' compensetion provisions ot Sec' n 3700 t i�he Le1bor Cotle, I shall forihwith � Dete: `�L W � � _J WVERAGE IS UNLAWFUL PND SHALL SUflIEGT AN EMPLOVER TO CFIMINAL PENALT�D CIVIL FINES UP TOONE HUNDRED F COMPENSATION, DAMAGES AS PROVIOED Wii IN SECTIqJ 31060F THE LABOR CODE, IMEREST, AND ATTORNEVS FEES. 1 hereby attirm that I am lic�se� under prov s�fi � of Chapter 9(commencing with Section 7000) of Division 3 ot iha Business and Professions Code, an0 my license is in tull forte and ettecL Lic. # / N c�ess x Coniractors Signature: A _ Date: ri l�) 7 I1 � D CONSTRUCTION LENDING AGENCY: ❑ I hereby effirm ihat ihere is a constmction lending a9ency for ihe pedormance ot the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: Signature: OWNER-BUILOER DECLARATIONS: Date: I hereby attirtn that untler penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Protessions Cotle: Any ciry or counry which requires a permit to consiruct, alter, improve, demolish, or repair any siructure, prior �o its issuance, elso requires the applicant for such permit b tile a signed statement thet he or she is Ilcensed Dursuant to Ihe provlsions of �he Conirectors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 of ihe Business and Protessians Code) or that he or she is eaempl Iherefrom end ihe basls for the alleged exemption. Any violetion of Sectlon 7031.5 by any appliwnt for a permit subjects ihe epplicant to a civil panalry of not more Ihan five �untlred dollers ($500).): ❑ I, as owner ot �he properry, or my employees with wages es their sole compensation, WILL DO THE WORK, and ihe structura Is not inlentle0 or oflered tor sale (Sec. 7044, Business and Protessions Code: The Coniractors License Law tloes not apply to an owner of property who builds or improves ihereon, and who does such work himself o� herself or ihrough his or her own employees, provided ihat such improvements are not Intended or oNered for sale. Ii, however, ihe building or improvement is sold within one year of completion, ihe owner-builder will have Ihe burden of proving that �e or she did not build or improve foi purpose of sele.). ' ❑ I, as owner of the property, am ERCLUSIVELY CONTRACTING WITH LICENSED CONTBACTORS to consiruct the project (Sec. 7044, Business and Professions Code: The con[ractors License Lew tloes not apply �o en owner of propeny who builtls or improves Ihereon, and who contracts for such project with e contrector(s) license pursuant to ihe Coniractors License Laws.). ❑ I am ezempt under sec. Business and Protessions Code tor ihis reason: Signatura: Date: Owner ID veritied by dnvei 5 liCenSe. ❑ Ves ❑ No Driver'S Licensa No. Expir85: Verlfication ot Ownership by (typa at dacument, i.e. - property tez bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or mora fee� in depth into which a person is requiretl to descend, will be made in connection with work authorized by Ihis permit, antl ihat no building siructure, scaHolding, talsework, or demolition or dismantling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 3.2, Grp 2, Ah 2, Sec. 341, Title 8, Calitornia Administrative Code). ❑ As ownar-builtler, I will not employ anyone to do work which would require e permit from Ihe Division of Industrial Safety, as noted above, unless such person hes e permit to do such work from ihe division. Signature: Date: Division of Industrial Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certify under panalty of perjury ihat I have read this appliwtion and stete that the inlortnation given is correct. I agree to comply with all state laws and ciry ordinances relating to builtling conswction, entl authodze representatives oi the City of Costa Mesa to anter upon ihe above-descnbetl property for inspedion puy�ses. I agree not to ocapy or allow occupancy of eny building euthorized by this permit until final inspection. Id•77#7�1�-i9�aihl;i:19� 7616 Fized System Final Fire Preven�ion 1268 Pool Spa Final 200 Final Re-Rooi 201 Finel 81ock/Relaining Wall 202 Final Fectory Fira Place 203 Finel Sign 204 Final Demolition ��JIIIIIS� ��L._ �. _ GOOEI INSVECTIONTYiE 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 Finel Flre Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency �g � -,il� 3-03 n� CITY OF COSTA MESA REQUEST FOR OC UPANCY L��`��-e �_- �� /G �� , � /�/ TRACT NO.�� DATE--1� � _ r.ox vo. 23 ADDRESS The developer of the above entitled tract desires to se11 the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that � (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement o£ the conditions necessary for approval other than those conditions protected by satety bond. The undersigned agrees to indemnify and hold the City harmless from Feny claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. RECEI_V.ED - C:T'( GF COSu1 i�iE�A � i'i'�:'dl:;r q:°7. r;o�! 2 i 1973 A� PM � �g�9iiUii1�12 i + iz►�i4�5i6 � A BY 0�-�. c urchaser , � ,-_ ___-- BY �->,�(C�'-��-�� -i.��c��c��:.1 Developer and/or authorized zepresentative �.--' l �� sY ,.�u t � r_v. _ , � l ,� Lender '. Z . aU Z Z Q Om am J7 J � Q W 00 J J m Q U N Za W ¢ aW J � m Z J � W � _ Z� w� N � � � / . � '�03�3 PI:Iu 1i�(i-�-I�J�;��Sr�O �Lf`�;` R::'s;Y'sh.SC COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFOHNIA 92626 • A LI ATION FOR BUILDING PERMIT For Applicant to Fill in Completely •1.{� fiE I E V DATE RECEIVED DiATE I SUED ADDRESS � � O'v �,1 • � u e , // v^ � � OWNER p � C. / N N e / A.P. NO.� /�(�� ' I 7� �� PERMI NO. MAI l p G /� A BUILDING /9 /n� � /// ADDRESS ' / b / (�� O � I /7 V � ADDFESS {h / CJ'`' /y�� (/�� CITV CO ST� eS� NO. s� TRACT ��/ LOT� �J BIOCK. CAIJSTRUCTION W A LENDER BRANCH �'{� OWNE � 1 ADDRE55 (^N' VALUE ARCNITECT TEL. 5 O�-W C� �-�V ORENGWEER N . I FIRE ADDRESS �ONE TYPE GROUP Q APPROVED � � �! �(CONTRACTOR � B�' DATE J ADDRESS ZONE NO.OF /� USE OF NEW �J,��1j CITV NOL ' P�� / BUILDING �C�� STATE CITV VAPDSAPPROVED VARDSAPPROVED LIC. NO. ��C. NO. MAIN eUILDING ACCESSOFV BUILDING SI2E NO.OF BLDGS. (FFOM C/L S REET) OF LOT NOW ON LOT FRONT FT. USE OF EXISTING BLDG. �Q F . FT. SIZE OF / y ND.OF NEW BLDG. C/�X RG70MS STORIES L. SIDE d FT. EMERIOR WALL RDOF � COVERING CPVERING FiEAR FT. FT. USE OF BUILDING AND WOPK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. � VAR.,1� DATE C C.V.P.# 11PGROVED APPROVE -,W P1Oi �V,�'�S� I hereby acknowletlge that I hevB reetl this application and stete thei the above intormation is conact antl apree to comply wiih all laws reBuleting builtling constYuetion, and I shall not employ � any Darson in violation of the workman's compensation laws of th¢ Stata ot California. 'i� � hereby certify that I am properlY ��ansetl as a convactor untler SQ. FT. ihe State of California Business a�tl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that such licenses are in full force antl effact, or I TME PUFPO6E OF ESTABLISHING A PERMIT FEE ONLY: am exempt trom tha provisions of the State of CelifOrnia Buslness anG Professions Cotla, Division 3, Chapter 9. VALUATION � n r �� PERMIT FEE $ Peamlttee � Y� �!W' K/h'KL'/ $ J �/C! �� PLAN CHECK $ �./ Authorizetl Apent � TOTAL FEE $ � OWNER Tp .��, JOB ADDRESS �GENERAL C0� AP No. !{�' —1 ' � INSPECTIONS sm� � GAS WATER ROUGM PLUMBING PROP. SWR. LINE ROUGH HEATING AN� AIR CONOITIONING UN�ERGROUN� Lf POWER U R01/GH WIRING TRENCHES FOFMS � STEEL REINF FLOOR SYSTEM BON� BEAM � STEEL REINFORCE [, SHEATHING FRAME ANO FLAS LATHING — IN � GLASTER. BROWN FI ou�� n�ur r�uni 4�.! 9_// DATE 8-1—�5 BUILDING PERMIT N0. 21PTION of WORK PBi',i0 CWCP ZONE VALUE$ 5 .00 PE GROUP J 2 SUBCONTRACTOR PER � t . 36�� I 201 gGOSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Z . w w a U Z ZQ O c~i7 am J � J � Q W p1 J J m ¢ U� Za W � aW W Z J 0 m Z J � w w ❑ ZH w� N � 70 F z Q U J a a Q 0 F N z O F U � � F N Z For Applicant to Fill in BUILDI A�DRE OWNEF MAIL TEL. CITV Encino, California No.986-8890 LCE DER�+�N Larwin South ern California � BRANCH 16255 Ventura Bld. ADDFESS Encino, California � � OR ENGINEER Larwin S. Calif. No '273-4464 ADDflESS 9100 Wilshire Blvd „ Bev. Hills CONTRqCTOR Larwin Southern California AODRESS 16255 Ventura Blvd. TEL. ��T� . Fncino�aliPornia "1O 986-8890 STATE CITV uc. No. 191311 LIQ NO. IS-1 OF LOT S3 X LOG NO.OF BLDGS. I NOW ON LOT Q USE OF EXISTING BLDG. � sizeoF 1436 aoonns sroaies 1 NEW BLOG, EXTERIOp WALL ROOF COVEFING SCllCCO COVERING WOOd shinQle USE OF gUILDING AND WORK TO BE PERFORMED Construction Sinele Familv Resi�ence ��:,��, �----OO fiO3'+ :::'-* i 26.D5 ra:i 11-7.,��,,. BUILDING PERMIT FE,C(e_I�/E BY O E ECf "!/,�'� A.P. NO. BUIIDING j ADDRE55 �7� E� TRACT JJLH W ADD A OWNER �-✓FZl^%IN SD useSf/2d w�T-/ c. FIRE ZONE TYPE APPROVE � � / ROM /NO.OF PLANS i APPROVED 5' DI5TANCE BET MAIN B�DGS. VAR. # C.U.P. # HOLD FOR I hereby acknowled8e that I have reatl this apPlication and state Mat the above intormation is correct antl agree m comply with all laws reguleting builtling construction, and I shall not employ eny perspn in violation of the workman's compenution laws of Me State of California. , / I hereby certify that I am properly licansatl as a conttactor untler the Siat¢ of Calitornia� Business antl P�ofessions Cotle, Divisicn 3, THE AMO Chapter A, and that such licansas are in full force and etfect, or I THE PURM am exempt trom the provisions of the Stat¢ of California Business VALUATION antl Prof@ssions a e, Division 3, Chapter 9. Signatura f Permitt " nnp,.n,q $ 22�],�Q Authorized ABent 'on//�' f�,/E. LOT Z.3 BLOCK �i G/(� t, 7�VALU$ � � GROUP DATE�1-9-73 USE OF NEW SjREr BUILDING�T% 1l+AR VARDSAPPROVED ACCESSOflV BUILDII BET. MAIN ACCE55. BL DATE APPROVED TAX C VALUATION IS FOR j A PERMIT FEE ONLY: ¢ e s 83.00 � m K s 41.50 E 0 g 124.50 " �OWNER �108 AC ��'GENER �``AP No. �INSPEC 501 L WS � WnTER �� ROUGM P PROP. S� LINE I I HOUSE COH. MISCELLPNEOUS ROUGM NEPTING AND /IF CONOITIONING TEMPOli�RY SERViCE OR POLE UN�ERGROUN� � POWER � ROUGH WIRING TRENCHES fOPMS STEEL RE FLOOR SYSTEM BONO BERM n STEEL REINFORCE [ SHERTMING FRAME ANO fLRSNING LATMING - IN �'I OI1T n i�:L��ll DATE SUBCONTRACTOR Q OWNER L4RWIN So.-Cal. DATE JOB ADDRE55 969 Begonia Ave GENERAL CONTRACTOR _ same AP No. GAS NG PERMIT N0. FIRE ZONE VALUE 8 22 SUBCONTRACTOR PROP. SWR. LINE �j'HOUSE CON. (�j' / , fQ " SPRINKLING SVSTEM MISCELLANEOUS ROOGH HEATING ANO AIR CONDITIONING (p �✓ 3 TEMPORARY SERVICE OR POLE UNOERGROUN� � POWER � ROUGH WIRING - j / TRENCNES FORMS ��STQEL REINF. :Q' FLOOR SVSTEM BON� BEAM STEEL REINFORCE SHEATHING �� %3 FRAME AND FLASHING LATHING - IN I PLASTER.BROWN COAT -NT., REFRIG. HNO A FINAL AN� GAS TESI