HomeMy WebLinkAbout1067 REDDING AVE - Building Permits r ice.
CITY OF COSTA MESA
y' '> BUILDING DIVISION PERMIT NUMBER
t' " -' ' DEVELOPMENT SERVICES DEPARTMENT
g• PERMIT
B99-00598
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
•
Job Address: 1067 REDDING AV Status: ISSUED
Suite: Applied: 05/03/1999
Vicinity: Issued: 05/03/1999
Parcel Nunmber: 41210508 Zoning: R1 R1
Applicant: BRANNON, TOM ISSUED BY:
Address:
Phone: -
Zip:
Owner: HANIK, BARRY D
Address 1067 REDDING AVE
Phone:
COSTA MESA,CA Zip: 92626
Contractor BRANNON ROOFING
Address: 15161 LAFAYETTE ST
Phone: (714)897-8147
WESTMINSTER,CA
Zip: 92683 License: 609940
Arch : - Eng:
Address: Address:
Phone: Phone:
Zip License: Zip: License:
SCOPE OF PERMIT
REROOF-T/O, NEW CLAYLITE ICBO#3523 TILE ROOF, INSTALL 1/2"CDX PLYWOOD&1 LAYER OF 30#FELT
(2200 SF).
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $7,000.00
Permit: $124.75 - i ! Claim Valuation: $7,000.00
SMIP Res: $0.70
SMIP Corn: $0.00
Other $0.00
Inspection: $0.00
Total: $125.45 •
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 ' ' Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 . Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
•
NOTES: -
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements 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 180 days,or if work is suspended or abandoned
for a period of 180 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 inspections 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)754-5626
DECLARATIONS
?YORKERS'COMPENSATION DECLARATION:
'I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My work°ry mpedtion Insure carrier and policy number are: ro ff /J 9 9
Carder: ),, /A �( 0sr� Policy Number: /clout Ory 7A' /
(This section sod not be completed it the permit is valued at one hundred dollars($100)or less)
❑ I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these p n -� -/Applicant Signature: Date: 5-- 3-97
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provl njof apter 9(commencing with Section 7000)of Division 3 of the Business app Professions Code,and my license is in full
force and effect.Lie.N (.7�v)L/ 7 Class M•
-�
Contractors Signature: �_qr 1/ vX ) Date: .i -5"f
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors license Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant toe civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: _.
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes 0 N
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application°permit for such construction or modification
from the South Coast Air Duality Management District or Iram any other air pollution control district or agency? Yes LJ No
(Section 65850,2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 if a permit from the South Coast Alr Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 es 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the Information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: • Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection.
!! re Of L�gel Owner(s) -9 L Je
And/Or Authorized Applicant ate
;ODE t INSPECTION TYPE QbJE maw CODES 915PFCTION TYPE 2ATE IN'TIT ens
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof � y�y7 2110 Final Electrical
201 Final BIocWRetelning Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2448-46
GARRETT ENGINEERING ASSOCIATES
Consulting Structural Engineers
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CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. e,z4/ Sr DATE / 75
LOT NO. Q!!
ADDRESS jo G 7 .
The developer of the above entitled tract desires to sell 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 of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
BY 10 N.`-.Q�� 71`—"`^-4.
dr Purchaser
BY `
�Deve r /or aute-Olzed
representative
BY
Lender
• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION� PERMIT i pR.M.IL O /3 TRACT NO. LOT NO. UNIT NO.
Project Address /0 6� /1QP(/ {/�a� �- Yj - _ 2083 2/10/B7 5e00 TL
Applicant's Mailing Address TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION 'L'7 REPAIR
// 6-5,6/7Q7
/�7�7 ❑ CONVERSION ❑ DEMOLISH El OTHER A.P.# Zone
Owner's Name /'y%%{{II'J��'J��(K Phone• >s� /`y/ DESCRIPTION OF WORK/USE OF BLDG.
Address /Or S Main Building: Accessory Building:
• E Z
Arch/Eng. License No. TYPE OF PERMIT LI GRADING r r I -OUNDATION ❑ STRUCTURAL T Front O
0 Address ' ❑ TENANT ❑ ELECTRICAL LTJ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name 44 A , Imo/ Phone es-0Q()a C ❑ OTHER
•
Address(mailing) -
n s.r i_77 PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
N f- u
CONSTRUCTION TYPE VALUATIONS S Left G
City License No. L... ���� 7a17A
ZONE GRADI NG CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: RECEIVED FEB 6 i17, Q
with section 7000) of Division 3 of the Business and Professions Code, and M
my license is in ful//�• e d effect. 7/9L/`a^ T
Licensee .s IlJV ice a No.L�(/ J / S
x Date _ '/ Signature g�1g2iz •' -4 a PLUMBING I FEES
' ° WORKERS'COMPENSATION DECLARATION '
Bar Sink Showers
t I hereby affirm that I have a certificate of consent to self-Insure or a certificate - ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C)^'/2,,i '� `�-(� ,ya , .- nl Automatic Washer Transformer 0 75.50 KW •
Policy No. lei "/ Company b t_ s i u'('LaL Backflow Irrigation Sewer Cap0 50+KW •
Construction Pole Sub.
\ Partitied copy is hereby furnished. _
Cer iti=. cop is filed with the city idirlp'91�Isif ns� Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date t •/ - '7 Applicant !/(�/- /. li` ��IllI � - -
EXEMPTION FROM WORKERS'COMPENSATION DECLARRTION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit Is for one hundred ($100) or
less). Dishwasher Solar Piping Dryers OGas ❑Electric • Sub Panel
I certify that In the performance of the work for which this permit is issued, I l "= _
shall not employ any person In any manner so as to become subject to the . Drinking Fountains Solar Tank Fan
Workers' Compensation Laws of California. - Motors❑0-1 HP ❑1%-g
Date Signature Floor Drains - Swimming Pool w/Spa —
F.A.U. Inc.Solar ❑9. 15 HP'016.15+
NOTICE: If,after making this declaration,you should become subject to the - - - - -
Workers' Compensation provisions of the Labor Code, you must forthwith ' Floor Sinks Urinal -
comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave -
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes '
1 hereby of firm.that there is a construction lending agency for the performance / POIe Light
of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors / Water Heater • . "9 Outlets Range
Lender's Name - ,-
Lender's Address - . . Kitchen Sink Water Service Switches - Sign
OWNER BUILDER DECLARATION •
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following-reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap LaundryTra s
any structure, prior to Its issuance, also requires the applicant for such permit y Generator 00-5 KW 05-75 KW Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Ord105 •
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of '
Division 3 of the Business and Professions Code) or that he/she is exempt-
therefrom and the basis for the alleged exemption. Any violation of Section '
7031.5 by any applicant for a permit subjects the applicant to a civil -
o natty-of not more than five hundred dollars($500). I i
I U I, ai owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure is riot intended or offered 1 - Reinspection Fee I $15 • Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES '
License Law does not apply to an owner of a property who builds or improves -
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type 1 ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion,the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
' prove for the purpose of sale). •
• 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issbed By • S-k/1 Date Y/
tractors to construct the project (Section 7044.Business and Professions Code:
The Contractor's License Law does not apply-to an owner of property who ' Duct-Ventilating 00100,000 BTU 0100,000 BTUSUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con- -
tractor(s) license pursuant to the Contractor's License Law). I am aware that •
Exhaust System ❑ Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their,Worker's Compensation Insurance should be provided to me. PLAN CHECK $ ' PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBO# Fire Dampers PLUMBING $ ,l5— CC] ISSUANCE $
Date Owner Heating System& Ducting Registers • PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above _ DO-100,000 BTU 0100,000 BTU ELECTRICAL • $ • GRADING $
information is correct. I agree to comply with all city and county ordinances -
and state laws relating to building construction,and hereby authorize repre-
sentatives of this city t neer upon the above-mentioned property for f��V
inspection purpo / /� ,
.
CMF 0865-46,rev, 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit Date Inspector APPROVALS Permit - _ Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location`
2. Soil Pipe-Undrgrnd. 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 Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd
8. Foundation • 59. Gas Pipe, O Undrgrnd.,Test'
9- Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural 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
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 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. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit# _
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping ❑Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas El Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & 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: 4,-7,$7 tea- Gpp,�. £,CA
34. Final Heating & Air Conditioning q-25-37 &Arch., lis net Zc.E UPC L.FAD
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing I/11
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER HF.LTZER ENTERPRISES- DATE 8-28-72
JOB ADDRESS 1067 Redding Avenue BUILDING PERMIT NO. 35268
GENERAL CONTRACTOR Heltzer DESCRIPTION of WORK Res..W/ Att. Gar.
AP No. LOT 21+ TRACT 621+5 FIRE ZONE . VALUE $ 35,000.00
INSPECTIONS SAi9�ature Date GROUP I & J TYPE 5 ZONE Hi
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SOIL S'/G— .---77--' PERMITS ISSUED
GAS SUBCONTRACTOR
/� Date I Number I Signature
WATER u/MS/ -- -n- MC
, u l
ROUGH PLUMBING 4 ,� ,(J f,,,��/i�G tir% y/ /j/L/ 4A/c<?
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PROP. SWR. LINE HOUSE CON. V ( � �-G�/ U/'� 'Ii "- �X� J���-/.6//OfneU/
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING ,- ,V0-77
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER I ?? // .
ROUGH WIRING f�1 "�/�/�`� J/G25 Heating and ent.
TRENCHES P�FORMS STEEL REINF. O/l,//S/4/'j- 72/ ye* M�pg// 2. �'/g(yA 6'3
FLOOR SYSTEM re4..¢ 1I-//__73 99-5-9
BOND BEAM n STEEL REINFORCE n
SHEATHING per. „2,49 7_3
FRAME AND FLASHING ,.�/�
�N' s.3
LATHING - IN & OUT ® ",vL �� .'
PLASTER, BROWN COAT j7' ' , 4"/ .75
STRUCTURAL, FINAL EIP�5J}}rle
HEATING, VENT., REFRIG. AND A.C., FINAL ',,, Z .1e4.T ' -['Q C.-. 87:7 :277
PLUMBING, FINAL AND GAS TEST IP" Cf r .1 /./S/
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ELECTRIC, FINAL ^hJ
RIIILDING. FINAL '4,10 (./C^ 72,
• I. �Cb3 1UG 30 72PA10002059 173.45
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely/ RECE DATERECEIVED D TE ISSUED
ADDRESS BUILDING loC.7 Q -Dm ru 6 AVE-A � / -.7,-7 02-f-7Y
OWNER Helt7er Enterprises-Costa Mesa // pC�1� AVE
MAIL BVILDING
ES Vb ( l N - PYV G
ADDRESS 740 No. La Brea Ave. ADDRESS
W W TEL. (213)
d O CITY LOS Angeles NO. 937-2171 TRACT 6245 LOT 24 BLOCK
~ Z
2 Q CONSTRUCTION NN — It
'E�W IADTER 1REPAIR 1MOVINfl DEMOI LSH
d m LENDER United California Bank
J J BRANCH Main Office
_Jul OWNER
¢w ADDRESS 600 So. Spring St. Los An eles VALUE
03-J ARCHITECT David Freedman TEL. 213) USE $
J OR ENGINEER NO. 6 3-3852
Z co FIRE o p,� //
WCC ADDRESS 113 N. San Vicente,Beverly Hills ZONE TYPE GROUP 62 Y/7`/�
d W APPROVED
IllJ Z CONTRACTOR George J. Heltzer BY DATE
CO Z
J ADDRESS 740 No. La Brea Avenue
W W TEL. ZONFn NO.OF USE OF NEWS(/V rel '.
or CITY Los An•eles NO. 937-2171 ( FLANS - BUILDING W G
STATE CITY YARDS APPROVED YARDS APPROVED
cnn m LIC.NO. 3144 LIC.NO. 1900 MAIN BUILDING ACCESSORY BUILDING
D SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT FRONT Sac FT. FT.
USE OF
EXISTING BLDG. R.SIDE S FT. FT.
I- SIZE OF NO.OF
Z NEW BLDG. ROOMS STORI ES L.SIDE S FT. FT.
U
EXTERIOR WALL ROOF
_ COVERING Plaster COVERING REAR 3 7
FT. FT.
J USE OF BUILDING ANO WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
d
O. MAIN BLDGS. ACCESS. BLDGS.
DATE
Single
N 1Residence Plan 4k407D Rev C URP# APPROVED
le--2:2/7
/
fA i�zf.0 L� '"L'� APPR f I l� DATE O/�"N 7-a-
Z f/// SIAIE "N
O
UI hereby acknowledge that I have read this application and state �y'.y� _OR S -Cita„ $E'/�i'J1.D.E��f- T.
D that the above Information is correct and agree to comply with K '/�- I
CC all laws regulating building construction, and I shall not employ TAX
I- any person in violation of the workman's compensation laws of
fA the State of California. �qq,,// D ,/ �f co
Z I hereby Certifythat I am G1'�1"��SQ. FT.1l /�"��/ o
properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER V LUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Ie
am exempt from the provi 'ons of the State of California Business VALUATION
co
end Professions Code,Div 3,Chapter 9. _- ,
PERMIT FEE $ / n
Signature of r/ / ,.. } A-. ` o-Q m
Permittee Ai/• '"I $ A" ) 01::-42PLAN CHECK $ v E
I I / !/ µz u.
Authorized Agent TOTAL FEE $