HomeMy WebLinkAbout604 RHINE LN - Building Permits I 01111-3:,//t-l'oe...2.. -
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Apelica t" o Fi l-'n Co+ ._; ��I• R Iv y •. DATE ISSUED
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BUILDING .,.— �f.�. "1, , •�.. _ /
ADDRESS Ilia 1.V C,'sN Q•-•.- -
OWNER HELTZER ENTERPRISES-BROOKVIEW A.P.NO.Rl-p(,'I -03,I`f,17 PERNJrn:n?
MAIL BUILDING .. / 1 _ '—`
ADDRESS 740 N. La Brea Avenue ADDRE - '• —;�
Z 213 '
0- U CITY Los Angeles, CA 90038 NOL 937-2171 TRACT i�}I LOT BLOCK
Z Z NEW ADD ALTER III REPAIR MOVING DEMOLISH
Z I- CONSTRUCTION United California Bank
O m LENDER
. a._I D BRANCH Main Branch , • ' %mJ _ADDRESS600 S. Spring St. , L.A. 90054 OWN/E/RmARCHITECTFields & Silverman NOL' 653-0160USE" -'".
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J N OR ENGINEER
Z Q FIRE "_� /}� ,� /
ill Q _ADDRESS 113 N. San Vicente, Beverly Hills ZONE TYPE Y GROUP
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tL W APPROVED
W Z _CONTRACTOR George J. Heltzer BY DATE
CO
1- cc ADDRESS 740 N. La Brea Avenue
W W •N NO.OF USE OF NEW Go^)po
O m TEL. . ."C ' PLANS BUILDING
Zi— _CITY Los Angeles, CA 90038 NO. 937-2171 'ti•- &Alt
W O STATE CITYYARDS • YARPPROOV
fn X LIC. NO. 3144 LIC.NO. ACCESSORYBUILDING
DO (FROM
SIZENO.OF BLDGS.
OF LOT I NOW ON LOT None l FRONTa FT.
USE OF
EXISTING BLDG. - • •' • FT,
H SIZE OF NO.OF � FT.
Z _NEW BLDG. ROOMS STORIES L.SIDE
UEXTERIOR WA ROOF _
_COVERING laster COVERING Wood ? FT.
1 USE OF BUILDING AND WORK TO BE PERFORMED a BET.MAIN&
a — /Residen ialBLOCS. ACCESS. BLOCS.
ti Q / 441 /?i- / / ../ DATE p
U • �� APPROVED p —ZO�3
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,1 V I hereby acknowledge that I have read this application and state DAT/Th
..t,\ D that the above information is correct and agree to comply with
Nfc all laws regulating building construction, and I shall not employ
r— any person in violation of the workman's compensation laws of AX
N the State of California. g 742 I, 0 �4- ......
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Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o '
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business VALUATION
and Professions Cod Division 3,Chapter 9. /
at PERMIT FEE $ 0235:53
Signature of ,s j ' /�/yq •,.// �/ D
Perm Ittee /Tl` 1. /�/�_ $ //r% /9`��- PLAN CHECK $ �1 / • / E
Authorized Agent // /7-
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TOTAL FEE $
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