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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA.CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
Fo Appli an b/
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I/ V r. BY • DATE ISSUED
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BUILDIN �� _ i
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OWNER HELTZER ENTERPRISES-BROOKVIEW A.P.NO.k'+L-O .t O3.(4(- 7 PERr•08 03
BUILDING 4' MAIL _--�� e�`.77 I
ADDRESS 740 N. La Brea Avenue ADDRESS [[]]--- x-77" -..—• rte wit;• TEL. 213- TRACTBZI I LOT BLOCK
0- z CITY Los Angeles, CA 90038 NO. 937-2171
Z C CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
O0.- I- LENDER United California Bank 1
-I En BRANCH Main Branch J II / �f- , Q�� d
J OWNER !Lf .f/�'
mJ ADDRESS 600 S. Spring St. , L.A. 90054 D //�J� ��j/�(Jf,LUE /,7/ ' I ,,
m ARCHITECT TEL USE ja./ 4/ .4 ',eel $ (✓((J/f /
Q OR ENGINEER Fields & Silverman N .653-0160
V to FIRE 1 ()]��
w Ir ADDRESS 113 N. San Vicente, Beverly Hill ZONE TYPE ! / GROUP /7
tL W APPROVED /
LU J Z CONTRACTOR George J. Meltzer BY DATE
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CC ADDRESS 740 N. La Brea Avenue
W W ZONE NO.OF USE OF NEW S;ANpa
CITY Los Angeles, CA 90038 NOL 937-2171 ea"1-C? PLANS BUILDING 4-G
STATE CITY YARDS APPROVED YARDS APPROVED
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CC LIC. NO. 3144 LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D SIZE •
• (FROM C/L STREET)
OF LOT I NO. •OF BLDGS.
NOW ON LOT None FRONT (2.-B FT.bZk r FT.
USE OF
4171-44
7 F L T
EXISTING BLDG. R.SIDE T C F'[,C}✓� FT.
H SIZE OF NO.OF1 I
Z NEW BLDG. ROOMS STORIES 2 L.SIDE el/
FT. , FT.
Q EXTERIOR WAL ROOF L
V COVERING Master ICOVERING Wood ' REAR 351!T.be, FT.
h. Ja USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
CL Reside -a . MAIN BLDGS. �j ACCESS. BLDGS.
Q . / C U.P.#t6-73-Do APPROVED
0 5 alt//7`S /h�/7�LC /, DATE
P 20-73_
M.,
r / / APPROVED
N _-AY DATE
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�9. V I hereby acknowledge that I have road this application and state ( F '
N D that the above information is correct and agree to comply with `
CC all laws regulating building construction, and I shall not employ `
H any person in violation of the workman's compensation laws of ` TAX
N the State of California. to
'.0 2275 .Q
Z aSO.FT.I hereby certify that I am properly licensed as a contractor under o
the State of California Business end 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 PERMIT24C215.0
FEE ONLY: y�rll
am exempt from the p •visions of the State of California Business VALUATION �o�So
and Professions Code) Ion 3, Chapter 9.
PERMIT FEE $ /
_ Signature of / /5/. 25 m
Permittee l $ /,,„/V-, G00 PLAN CHECK $ E
o
Authorized Agent LL
TOTAL FEE $
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