HomeMy WebLinkAbout928 DAHLIA AVE - Building Permits68.
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' %H�RXP.0. BOX 1200 COSTA MESA, CALIFORNIA 92626 - -
- PPLI ATION FOR BUILDING PERMIT
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DATE RECEIVED DA
For Applicant to Fill m Completely
_ PERMNIT-NO
�.A.P. NO.
BUILDING
ADDRESS
-:Dahlia Avenue
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"OWNER Larwin Southern Calif., Inc.
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16255
IMOVINQ
ADDRESS.,
Ventura -Blvd
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CITY '-Encino,
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CONSTRUCTION
LENDER'
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16255. Ventura Blvd,:
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ADDRESS
Encino Calif. -
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ARCHITECT Larwln NEL'273-446
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DATE RECEIVED DA
ISSUED
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�.A.P. NO.
BUILDING
ADDRESS
ADDRESS 9100 Wilshire BeVn
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ADDRESS 9100 Wilshire BeVn
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LarwinSOuthern• Calif..
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CONTRACTOR
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162SS;.Ventur,a Blvd,.
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NO. OF
USE OF NEW H(J IWKa
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CITY Encino.,: Calif. ND986-8890
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STATE .CITY -
YARDS APPROVED
YARDS APPROVED
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LIC. NO. 191311. -LICJNO. B-1
MAIN BUILDING.
- ACCESSORY BUILDING
7 O-
SIZE' NO.OF ILDGS.
(FROM C/L STREET)
OF LOT S3 X 100 NOW ON LOT 0
FRONT Cl,FT.
FT. -
USE OF -
S
EXISTING BLDG..
SI FT.
'FT.
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'SIZE -OF..- NO. OF •'
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NEW BLDG i 1987. ROOMS STORIES. 1
L. SIDE FT.
FT.
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EXTERIOR.WALIStUCCO-,
''.COVERING'
ROOF W
d. Shin le
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COVERING
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REAR FT.
FT.
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USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET. -
BET. MAIN & -
1
a.
MAIN BLOCS.
ACCESS. BLDGS. `
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onstruct single familydwellin
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1 hereby acknowledge that I -have read this application and state
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HOLD FOR SPECIAL
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that the above information is correct and agree to comply with
'all
laws regulating building construction,. and Ilshall not employ
any person in violation of the workman's compensation laws of
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the State of California.
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I nereby,certify that'I-em properly'licensetl-az acontractor under
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THE'AMOUNTSHOWN UNDER VAL UATION'IS FOR•
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the State of California Business and Professioha Code, Divisicn 3, <
'Chapter 9, that such licenses are in full force and effect, or:
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
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_and ,I
am exempt fromthe provisions of the State of California Business--
VALUATION
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and Professions Code, Division 3, Chapter 9., - _ -
pt
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PERMIT FEE $�
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Signature of 'i " `
Permittee (//P/T/��` D- D. o-
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.PLAN CHECK $ �-
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Authorized Agent
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TOTAL FEE $ (r