HomeMy WebLinkAbout618 BROOKVIEW WAY - Building Permits�
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PpOSELTP00PE55: 61S BROOKVIEW WY
OWNEN'SNFME: BROOKVZEW CONDO HOA
aooaEss: 630 PAULARINO
CM., CA., 92627
(719) 587-0399
pHCHENGINEER:
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HEG.NO.:
UNIT:
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�PEflMITTEE: MESA ROOFING CORPORATION ( 714 ) 548-3012
AUDPE55: 893 W. 17TH ST
COSTA MESA CA 92627
LICENSEO CONTflACTOB UECLANATION: I �ere0y ailirm Iha� I am li[en5e0 un�er pmvisions ol ChaO�ar B I�ommen[ing with Se[Iion
70(DI ol Urvision 3 of Ihe Business antl Pmfessions CoUe. antl my li[e ��n-foM�!mcearA�et
cnr uc.: 6 1 sraTe uc.: 5691 cuss:
Dale: Sigwt r —
WOFNENS'COMPENSATIONOELIAflATION: I�erebya�li V�allhaveaCetliliCale01ton5enito5el6in5urearacertilicaleolWOrkerS'
Compensalion Insurance. or a cetlifiea cooY ihereol (Section 3800, Lab. CI.
Poucvna.: PWC24167500 E%P.ORTE: O%�O1I99
xaaNr: GOLDEN EAGLE
Cenilietl copy is hereoy Wmishea. � CeNfietl co ' with ine cily BuilOing
Oale: �� / � ADDIic C —� /�
E%EMPTIONFPOMWOFKEHS'COMPENSRTIONOECIAflATION: (TIIi�IUemmD@IeOil�he iis�oron¢�mkre0�511p�orle55�.
I cerlily I�at in ��e Oetlarman[e ot t�e vrork lor whic� t�is permii is i55ueA, I shall nol em0loy any p¢rson in any manner so as la �ecome
su0ieci io �he Workers' Compensation Laws of Calibmia.
�ale: SignaWre:
NOTICE: II, alter making this declaration, you shoultl become sublect to ��e Workers' Compensation pmvisions of ihe La�or
Code, you mus� fort�with comply wi�h such provisions or t�is permil shall be 4eeme0 revoke�.
CONSTBIlCTION LENOING AGENCY: I �ereby atfirm ihai ihere is a consimc�ion lentling agency far the pedormance of the work lor
whic� this permit is issuea (Section 3097. Civ. C).
LENOEN:
AOOFESS:
OWNEB BUILOEB �ECLAPATION: I �ereby athrm �ha� I am e�empt Irom IAe Conlrac�ors' $tate license Law for the follovring reason
(Setlion 70.'11.5 Business ana Professional Code: Any city ol tounly wnich repuires a permit to constmct, alter, im0�ove, demolish, or
repair any stmcture. prior lo its issuance. also repuires I�e apDlicant lor suc� DermA �o file a 5igneE statemeni t�ai �e/she is licensea
pursuant la �he D�ovisions al I�e Conlraclor5' S�aie license Law (C�ap�e� 9(commencing vn�h Seclion 7000) oi Oivivon 3 of I�e Business
and Pmlessions Cotle) or Ihat �e/she is exemp� Iheretmm antl t�e Dasis lor ��e allegetl exemption. Any viola�ion of Section 7031.5 by
any aOPlitani br a permit SUEjet15 I�e aDPlitan� Ia a tivil penal�y oi noI mOre Ihan fiv¢ �unaretl tl011ars (E500�.
I. as owner of ine pmpeny or my employees with wages as iheir sale camoansation, will tlo ihe work, anA ihe
❑ simclure is not intenEetl o� ol�ered lor sale (Sec�ion 70a4. Business an0 Pmtessional Cotle: T�e Camractors' State �icense Law
doe5 not apD�Y Io an owner o� a prop¢tly who Euilds orimprov¢s�her¢an, and wlq does suc� wark himself/hersell or Ihwugh
�is ar ner own em0loyees. D�ovitletl �hal suc� improvemenis are nol inlenGed ar oflered for sale. If. hawever �he builtling or
� impmvement is soltl wilnin one year af comptetion, ihe owner will have ihe buraen of pmving he/slle aid nol build or impmve
lor ine Ourpose of sale).
I, as axner oi ine pwpeny, am eKclusively coniracting wiih licensea comracims m cansimct the Droled (Section 7044, Business
❑ antl Pmtessions Catle: T�e Coniractors' State License Law Eo¢5 no� appry Io an owner o� Dmperty who bw105 or improves lhereon
antl w�o tonvac�s tor SUCh prole��s wilh a tontractor�s) iicense pur5uant Io Ihe ContraClorS' Siale LiCense Law�. i am aware
I�al D�oal ol ��eu Worker'S Compensation insurance should be provitletl to me.
n I am eMempi under Seclion: B. 8 P, C.
lor Ihis reason�.
Oa�e: Owner.
I Oo nereby cenily Ihat I am aware ol and understand Ihe requiremenis af Calilomia Health and Salety CoOe Sections 2550.5. 25533, antl
2559< an0 Ina� I or any IWure Guilaing accupant vnlVvrill no� �circle one) neetl to comDty vnt� uiE state cotles anE t�e reQuirements lor a
permil lor con9mc�ion or motli�i[a�ion imm �he Air �uab�y Management D�slricl. Fe5i0eniul con5imc�ion appliw�ions are ¢Kemp� irom
�heSe orovisions.
Oa�¢: Fpplicant: _
I �er¢py t¢pdy ��a� I have read IhiS a001italion anA Siale Ihai Ihe
orOmances ana Slaie la�vs rela�ing b building cons�mc�ion anC her
pmpeily loi inspec�ion purposes.
�ale.� Z � �� Si na
Dnvefs Lic¢nse or Sociai Securiiy r: ���
to camON ��n all city and counly
to ¢nter upon �he aDove-memioneA
i6at_46 N1pne—BwlCing; Green—Co�e Eniorcement; Canary—A001¢ant; Pink—Revenue: GolOenrotl—Assessor
CZTY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06403
PERMZT NO: 8 064033 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; �� PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; T/OFF, �H-6 REROOF W/COMP SHINGLES SQ FT; 8,645
CLAIM VALUE: 8,645.00 CALC—VALUE: 8,645.00 GROUP OCC; R-3 /M-1
w�******ir*w�*��*�***�**�r***+Nr****fr�r+Ir+�r***D*D**�***r�w*+rB+Rr��**�r**r*�tx**r��r**x**�r
Z O N Z N G R E Q U I R E N E N T S
S E T B A C K S
------------- MAZN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEPT: FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL: 93405065 ZNE; REF NO;
PLANNZNG N6TES> .
i'
itlkMitlFMifififlElflFifiFfffFMMlflfM1f1f1fMMMMftM/flflfiElEikiFMMM1f1t1fMiFlfMMlEMit7FiF1FMlfif7fifif7f7E1kMMiEM1fiE%MifIfMIEMMlf1f
D E V E,L O P M E N T S E R V I C E S R E Q U I R E M E N.T S
ZONING APPROVED BY DATE:
BUILDING APPROVED HY :
L
if%%MM1flf�tiflEiFMMifiFMMiflflfiFlfffltlfiEifMMltlflfMlflfMMM1FMMMMiFMIfM1FiFM
LEGALIZATION;N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRZC MECHANIC
PERMIT 108.00
DATE:
iFfllfMKifiElflFMM1fMMMifklfif/fMlfMkiE
STRUCTUEiAL SEGMENT:Y
PIRE SMIP/R86 GRADING
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 108.86 0.00 0.00 108.66 108.86 .00
REVENUE DIVISION TOTALS--> COLLECTED: 108.86 OVER/SHORT; .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
108.00 .86
MMMMMltffftftffltMMlti!!tlflflkffll1f1f1f1F1f1hM1hikft1t1t1fitiFMMiffflhMMlf1l1F%1f1E1EM1FMfh1f1F1klfiflflEiFftlElfMikftMlfffMMkMNifMM
I N D I V I D U A L F E E B 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
SFR 8645 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 8,645.00
END OF FEES
SMOKE DETECTOR
REQ�IRED
Oi OOi47i23-00147519 T �3 T !03.�6
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PROJELTAOOXESS: (SE HROOKVIEW WY
OWNEfl'S NRME: PASCO MANAGEMENT CO
�ooness: P O. BOX 2968
COSTA MESA, CA 92628
AXCHIENGINEEN: 6 4 1—� 5 9 3
nooness:
HEG.N� :
UNIT:
uxir:
PEHMITTEE: ORION CONSTRUCTION ( 714 ) 363-0727
aoosess: y18jp,OAqKCrLIFF DR (�
LICENSED CON7FqC70F6fCTAl11IfIDN: 1 hleFyU�it�at I am licensetl under pr�ovisio9ns�(C�O�r 9(commencing wit� Section
7004) of f7lvision 3 ol Ille Business and Pmfasslons Code, and my Iltenso is In lull lorta antl e�feci.
CITY LIC.: � STRTE LIC.: CLASS:
� O100i�� 485454�--��B�
Dale: Signamre: —/� �—
WONRENS COMPENSR ION OEClA8ATI0N: I hereby afii N aue a cetlilicate o�onsent to sel ' ure or a cenificate ol WOM1ers'
COmOensalion InsUrant¢, or a Cetliiietl Copy Ihereof (Set� 00, L�
voucrNo.: 046-93UNIT03554 EIIP.ORTE: OS�OlI9�i
LOMP4NV: STATE FUNIL.
.] Cenifiea cooY is nereuy lumisnea. LK Cenilietl mpy is Ii1eU wiln tne city Buimin nsian.
Oate: '� Applicani: �'ti `^ ��
EIIEMPTIO iBOMWO RENS'COMPENSATIONOEClA8ATI0N: ' seqionne¢tlnolEeco pleletli�Ueper slaronehunOrea�5100�orie55�.
I certily Ihat in ��e petlormance ol I�e work for w�ic� Ihis permit is issued. I s�atl not employ any Derson in any manner 5a as to �ecome
su�le�� �o t�e Worker5' Compensation Laws ol California.
Oale: SignaWre:
NOTILE: II, alier making I�iS deUaralion, you ShoU10 Oecome SUCIeci t0 �he Work¢r5' CAmpensa[ion provi5i0n5 01 IA2 La�Or
COAe. you musl lorl�wi�� comply wiih such pmvisfons or this permil shall be tleemed revoked.
CaNSiPUC110N LENOING AGENCY: I here�y aifirm thai ihere is a consimclion IenOing agency for the DeAormance al tne work br
w�ich t�is permii is i5sue4 (Senion 3097. Civ. C�.
LENOEP:
AODPESS:
OWNEB BUILOEB OECLABATION: I hereby aflirm �ha� I am exempt Irom Ihe ConVac�ors' Slate License Law �or Ihe lollowinp r¢a5on
(Section 7031.5 Business anE Pmfessional Code: Any ciry of counly w�ich repuires a permit to consimct. aiter, improve, Aemolish, or
re0air any simclure. prior lo ils issuance. also repuires ��e aOGlicant for such permit to lile a signetl statemenl ltut A¢/s�e i5licenseG
pursuam to i�e pmvisions ol the Comracmri S�ate License Law (Chapler 9(cammencing vnth Section 7000) ol Division 3 of ��e Business
an0 Pmiesvons CoOe) or Iha� twJs�e is exemp� �herelmm anG Ihe EatiS IOr l�¢ all¢geG eremp�ion. Any vioWtion o� Seciion 7031.5 Ey
any applitan� for a permil subjecR t�e applicani to a tivil Oe�alry ol noi moR tllan live �undred ddlars (SSW�.
I, as owner al the pwpeny or my emDlayees vntA waAes as iheir sole comDensation, wi0 Oo t�e wnM, and ihe
❑ simcwre is not intenAeO or offere0 br sale (Section 70a4, Busmess anA Prolessional Code: T�e Coniracmrs' State License Law
Goes nol apDly Io an awner of a D�o�enY who builUs or impmves t�ereon, antl w�o tloes such wOrk him5el�/herse�� or tAroug�
�is Or her Own ¢mpl0yees. pmviUetl ��at Suth impmvemen�s are noi in�entletl ar oneretl lOr Sale. II, �Ow¢ver I�e �Vilding Or
impmvemenl is sold within one year oi comple�ion, Ihe owner will �ave Ihe DurOen of pwving he/she tli0 no� builtl or impwve
lar I�e purpose o� sale).
I, as owner of Ihe pm0erry, am evclusively conVac�ing wi�h licensed conVacmrs m constmct �he pmjec� �Sec�ion 7044, Busine55
❑ antl Pr01e55ions Code: T�e COnlraClOrs' State Litense Law tloes n0� apply l0 an Ownero� prop¢tly who �uilds or improves ��ere0n
an0 w�o Contracl5 �or Such pmjeCis wiih a tontrat�or�s)litense DUr5Uanlio the ConVat�Ors' Sia�e Litenie Law�. I am awar¢
�hat pmol ol I�eir Warker's Campensaiion insurance shoWd Ue pmvide0 lo me.
� I am ex¢mpt untler $¢Clion: B. 8 P. C.
br Ihis reason:
Da�e: O�mer.
i eo hereby cenify tnat I am aware of ana unaerstan0 the requirtmems ol Califomia Healih ana Safery Coae Sections 25505, 25533. antl
25534 and Ihat I or any IUWre DuilGing occupanl will/vrill no� (circle one) neetl to comply with saitl staie todes ana ihe repuiremenis for a
Oermit Im conslruclion or mo4ilicaiion �mm Ihe Air Ouabry Managemenl OiSVict. Fesitlential conslmction ap0lication5 are exem0� ��om
Inese vmvisions.
�ale: ApPlicant:
I �erehy cer�ity ��at 1 �ave reatl I�is aDO�italian antl state ihat t�e aGove information is fArrecl I agree to compty wit� all ciry an� county
ortlinances and statelawsrelalinglo builtling conslmclion anA here6y autMrrze represenlatives olthis drytoenter upont�e above-mentioneG
pfOp¢Iiy IOI�nSpCLIiOn purpOS¢5.
_�� Date: � Signalure: � �`—�
Ddver's Gcanse r Social Secudiy M.' ��—�
164L46 Whne—Builtling; Green—CoOe Enlorcemem; Canary—Applicanl' Pink—Revenue; GdEenroa—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; B 063674 PLAN CHECK NO; N
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR
JOB DESCRIPTION : REMOVE SIDING AND RESTUCCO UNIT 618
PERM NO; B 063674
GOVT: N SUPP: N
PURPOSE: REP
SQ FT: 2,600
CLAIM VALUE; 2,600,00 CALC—VALUE; 2,600,00 GROUP OCC; R-1 /
COMMENTS: X
iF if 1E k!f k 1f �F �E 1f if 1F 1f if iFlk ik 1F if �k k IE itlt �f iF �f if k iF �f if 1Fik�k �E it k k ik �k iF iF�F �f iF�F�E �E 3F ik if iklf �F �f �E �! iF iF iF iF 3f �F iE iFik iklF �1t if iF if �f iF �F i! �f k
Z O N I N G R E Q U 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 RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL; 93905012 ZNE; REF NO:
PLANNING NOT'ES>
%
if ik if M iF if 1E iF �F it 1f iF if ik M k i! ik k k 1Elf k 1f �F iE if if i! 1F M if if 1f 1FM if iF iF if if !k it iF fF fE iE iE k ik 1F if if if ik if 1k if k if 1E if if if �F iF iFiE 1E iklf iF iFlE fF if iF 1t if
D E V E L O P hI.E N T" S E R V I C E S R E Q U I R E M E N T S
20NING APPROVED HY ' DATE;
BUILDING APPROVED BY :� DATE;
APPLICATION ISSUED BY; '� DATE• C�' 2iI1,
ffkkkikif�FififlflE�fiflfifltikifkif.klf iF�f�k1klfiFiFiflEiE iFM
if if if if ik if 1f if iF if M if if iF 1f iFlk �f 1f iE �FiE k iE if if if k if if iE if k!f k �f if if k k k if if iflEiE �)E iF k if if 1f iE if iE iE iF if iF ik 1f 3f if !E it if iE iFlk if if ik 1E k iE if �f ik 1k
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54,00 50
PL� SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAZD DUE
TOTALS----> 54,50 0,00 0.00 54.50 54,50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT; 00
BLD54P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOO GRADING PLAN—CHECH
if if k it i! if 1E iF iE iE if if M it 1f iE 1F if ik iF 1F iE �f ik �f iF iE iF iF if iF k iE iF if iklF �f if if if k iE �E iF 1FlF iF iF 1E 1F if 1F fF�klf if 1f iF if iF 1l1F if �k 1E iE iE iE iF k fE iF if �f if 1f 1t �f
I N D I V I D U A L F E E B 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
SFR 2600 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 2,600,00
END OF FEES
01 U0145820—OD145821 T C7 Y 54.50
DATE: QE!?6/93 TIME: l3:S3
CONSTRUCTION AND PLANNING PG & SPA
APPROVALS Permit,$ Date Inspector APPROVALS Permitx Date Inspector
1. Temporary Electrical ServiCe or Pole 52. Pool & Equipmen[ Locat��on
2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcemen[
,� �icctri�ai Condo'r't UtN�ty�Undrgmd. '' 54. Forms
�>Electri;�'Conduit�'�rgmd. � � 55. Elettrica16ond��g
�5. Steei F£einforce+nent _ . 56. Rough Plumbing & Pressure Test
_ � '
��6i'El�trical UFEF},Car�. - 57. APPROVAL TO COVER�GUNITE
7:i f=ootings r- ' 58. Electrical Conduit�Undrgrnd.
'.8, Fo�ndation • - 59. Gas Pipe, O Undrgrnd., Test
'.9. Wytzr Prpe-Undrgrrid. 60. Backtvasb Lines, P�Trap, C7 Undrgmd.
70. Str:�cturat Floor System .�� 61. APPROVAL TO DECK
i'.. Property Setver Line�$ House Connection 62. Backevash & Receptor�Final
12. Sewer Cap - 63. Hearer & Vent�Final
� .
13. Root Drains _ 64. Plumbing System � Final
14. Rough Plumbing •-- . 65. Electrical�Final
15. Rough Electrical�ondult 66. Solar System-Final
76. Rough ElettricbViring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT, flEQUIREMENT
. .i �: u'���o�r . t
20. Rough Feytory Fireplace i v��t � i r �� �� �r• � RPPRmVAtS�'. ��Eermit #
f1 ? �t J �+'v• 1 '�IHi l
21.Ductsi Str tur�_; �t;': ':� .r �. '� '-I� .. ''.. Rt � �.
� , . � �G . � • • H 5 � .> . . �70. llndergivund�-lyclZo
22. �Duc6, Ventilgting w� i C,� ; ^ ¢�� 77, produci,Pipirig OCr,as ❑Od
23.'Gas Wipe�f�ouys & T�st � -� ;. ', �' ' ;�` ' y2. Under round�Flu�1,i � "� ,', ` �
� i i . � . ��� _r K 3� 9 . i i.� . ,
24.�Aoof;,Fr�ming�' �. i ��t • •�i� y;- ��� !r � 33. Undergmd:Storayeil'artk OGas OOii'
25. Roo�Sh{a4hing ' `- :�'., x �`' �� > '" �j4. �Qvgrhead Hydro . .`. J
�L
26. �,�Bae,Ceiling iStruc6urall & Mpnocoat � � _ _�,•. 75. D^q Chemical { � � � .
27. Prame and Flashing'- ?� N 4 � ,�, .�' �" 76. �Diy Stand '�ip� _ ', „ ' '
/ �
;z8• tathi�g &'Siding .: �� ; i�: � $�'�/�f� • r 77. �FIXED SYST�EM F`iNAL `
_ �� �� ' � �
�29. Insulatiorj, ^ '� � � "" - _ ' # � 78. FIRE PREV. FINAG -
�30. Drywall (�laiti�g r�' �'� . . HEALTH DEPT. REQUIREMENT
�31. Plaster Bid�vn_Coat : ,i � �� „ ���J�gg � , �9.'FINAL INSPF,CTIO�V _ � � . �
�2. 6lectrica��ower MeteriFinal �� F �,_ �. � Q0. FOOD CERTIFI�qTE IS3IJED �
33. f{in�f Ele`gjriC� '� r, �r ` � � ' Noce1: :'� , y': "� . � �
'34 iFina[=Hea in9 & Air Cond'6tioqiri�r � ; .� � � , i �_ �� ,� • �
35. fin2}fiasTPiP�est �� � ' j ' C. :.� � .•
. �� - i-,, `�i
36. Hood or �anopy „ , � . . • : r, � j. � ii. - � ' .+
�37.'Final �Fac4ory Firepl8ce � -'� ^ ` � � '
I l.' 1 • •-� � ' \ 9
38. FinAI;�Plum6ing i '� ; � �� �� . � > � �
�39. Water Service�Final - � � � � I :'� ' �
.w �
90. Gas Serv[ce-Final � . . � ; � '
.41. Solar pofnestic�Final � C .. - '. x . . .
n r�
�42. �Backflow Preventer �; �`' � � • �•- -
:
43. Backflow Irrigation � � � +> � ' � • ' � • .
i �
44. Landscape Irc�gatiorlSystem . �',� ,� * , � '.' s, ���: ' .
45.�$ound AttenUationr . t� � . +�' �� - �� �.i '��: . '
i a �
46. �Handicap Re§ulations ' , � � �� . � � , �� , �
47, fINRL STRUCTURE & BUI�D�NG � �� �c � � � �
48. fINAL PLANIVING. ', ', '` '�' .� "
:49. lec'tr�ic Release to Edison � � •.. -
x
'.50. Gas Release to Southern Californ�a,Gas Co � ; , ,
'S1. CEflTIFICATE OF OCCUPA�V , + . .-, v;.. .
No. Date
���sH� %� ,
. , :.
� COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
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BUILDIN�7ji�"��'-'�� �Y' _
ADDRESJ-
OWNER HELTZER ENTERPRISES-BROOKVIEW
TEI.
ciTv Los AnQeles. CA 90038 "o
CONSTRUCi'ION
�ENoea United California Bai
BPANCH
ADORE55
ARCHITECT Fields & Silverman TE�. 653-016
OR ENGINEEF NO
ADORE55 113 N. San Vicente, Beverly Hill
CONTRACTOR George J. Heltzer
ADDRESS 740 N. La Brea Avenue
TEL.
ciTv Los Angeles, CA 90038 No. 937-2171
L C No. 3144 LICYNO.
S I Z E NO. OF BLDGS.
OF LOT I NOW ON LOT Nnna
USE OF
EXISTING BLOG.
512E OF NO. OK
NEW BLOG. FOOMS STOflIES Z
EXTERIOR WALL ROOF
COVERING plactvr COVERING Wnn[j
USE OF BUILDING AND WORK TO 8E PERFOFMED
Res dential
� C/.(// TS lO.� � � .�!/_Alo,c
I hereby acknowledpe that I �ava reatl this epplication antl state
thet tha above information is correet anC eBrae xo comply wiM
all laws regulatinp building construction, antl I shall not amploy
any perwn in violation of the workman's compensation laws of
Me Srote of Califomia.
I hereby certify Mat I am pto0e�ly �icensetl as a contractor untler
the Stete of Californie Business anG Profesz(ons Cotle, Oivisicn 3,
Chopter 9, antl that such licanses ere in tull forca antl affect, or I
am ezempt from tha pro isions of the Stata of Celifornie Business
antl Profassions Cotle, D � on 3, Chapter 9.
S10^etura ot
Permittee '
�
AuthoNzetl Agani
A
'F" 1 C5.49
"��� 1 R-74�,-;_:O(1 531'� =t,*
APPLICATION FOR BUILDING PERMIT
fERI
TRACT Oh.7/ I LOT I BLOCK
FIRE
ZONE TVPE GROUP
APPROVED
gV DATE
N NO.OF USE OF NEW 3 GON�O
�"C(P PLAN$ Z BUILDING � �
VAFDSAPPROVED VARDSAPPROVED
MAIN BUILDING ACCESSORV BUILDING
(FROM C/L STREET)
ROIYT S FT FT.
� FT l FT.
L. SIDE /��' FT. LCI' FT.
/�q �
REAR J` �T. ♦ FT. �
DISTANCE BET. BET, MAIN &
MAIN BLDGS. ACCESS. BLDGS.
��RP #�-�3 �7 �ROVEDa ��.V —��
APPROVED
'I
THE AMOUNTSHOWN UNDER VALUATION IS FOF
TNE PURPO6E OF FSTABLISHING A PERMR FEE ONLV:
VALUATION
�y" �EflMR FEE $ I O
� �$ (�� tJP� PLAN CHECK S �
TOTAL
m
m
O
`o
LL