HomeMy WebLinkAbout3371 LARKSPUR ST - Building PermitsT
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IJCENSEU COMRACTONS DECLAFATION: I heraby eRvm uMx penetly d pe ry Il�el I en IcanseE uMer prarieione d Cheper e
(cpmmanorp wilh Seclbn ]0001 d pimion � M �he &nireas vM PMessbns Co . end mY k s in lull larca vd elled.
cm uc. No.: uc cuss: b uc. No.: I"v F.iiF :
/�_�_ Q�—� i 1
De�a:_, Comreaor ��i �
OWNEP BUILDER DECLAHATION: I hereby eifirm uMer peneYy ry the� 1 em exemq from ihe Comreapa Liceme Lew /a Me
idbwiq reeaon (Sedion �03t.5 Bus'vwes arM Pmleanarm Cade: cily a couMY �� �Qu'vea e permil to msWCY. eller. improve.
demd'sh, a repv any evucnue. p'v w es iaauence. ebo requi epd�� �or such pmmil lo fib e epned eletemem ihet M or ahe
u IicenseE W��� �o tha proviaiona d the Conlreaon License lew �Chep�er 9(mmmerid�p vrilh Sedon )000) d DM6ian 3 d ihe
Buaineae arM Rdesaiore CoEel «ihei ha « eha a examq ihereM1om aM tM bese la ihe elbped uemqion. Mv vioWbn N Seaion
)031.5 by any appliranl la e parmil aubpae the eppl'rant to e wil pandry A iwl more Ihen (rva hundred Eollen �SSW�).
� I,'es owrer d Iha Orope�y or my emWqeae v.ih wepea m �hert ede mmpammnn, vrill do IM woA, enA tM ewciure u� ime�Med
«arteeeE ror sde (Sxtion 1oa. ButlrbsaeM PM«aiansCade: Tha Coniredon Liroree lewtlaee not MNY Io en ownerd MWaM
wlw buids a mpmes Iharean. md xiw daee euch work Nmsell or hanN a throuph hm a her ovm emoloyeee. pwided thm euch
imporamenm era rat imeMed a dlered lor aele. M. Irowewr, IM buikiip a inprmanem ie edd wnhin wp yan d wmpld'on, �he
owmr-0uiltler will heve iM buNen d povirp M or ahe d'd nd build w improve ta iM WN�e d sele�.
� I. n owrrr d the propMy. em eRdu�wely wnirm'vq wnh licen�etl conUmlas b connrutl Me projeU (�� ��. �eirwee eM
Pmlaeeione Cab: Tha Coniredon Licenae Law dma m� epply ro en owner M popMy who Wiqe a impwm ihaean aM who
conVacb fa ewh prqeaa wnh a mMredor(a) Icemad WnueM to Ihe Conlretlaa lioenae Law). .
� I un uemq uM« Seclon: - 8. a P.C., i« �ho rmvon:
Dete: � Omwr:
I do MreW cenM Ha� I em awere af end uMenieM tM nVuimnsue d Cal/omie Heellh eM Sde�Y CoEe Setliam 25505. 25533. enE
2553a, eM Aw I a eny Mure buikiip mvpent vAll / wtll nM (drcb one) r�eed lo compty wih uid eteta coden eid IM �puimmaw br
e Parmtl IaconswCbn a motlifimtionhan iheA'r�yi�enepemam Diqrvl. Reaidenliel mruvudian Wi�ioroenuemq Irom Ihese
povisions.
DPoe: ' Applcem:
W ORKER'S COMPENSATION OKLAR�TON: 1 hereby effiem uMx peneMy d pe�jury ane d IM /dbwi�p ESWetbu:
❑ i n�.�a.,u �m� a�en�a a o�i �o.�r.� ror won�� �anVa�ion, m V�ov'vbA tor M Satlion 3]00 M tM lebor
code, io, ina w�+o��e w m. ww� i« wm�n m�a �n m ���ee. .
n �h����mein�enwoekerammpenae�ioninsurance.earpuiradbySapim�]00d�heleborCade.lor�MpeAoemarvadtha
]� wak la which IM G�� o iseueE. MY wwksra' mmPerw�ion inwrence'errier eM GdKY number ara: �
c�.: SAW_YF.R ' fii{PIitE.S
PdkyNumber: y� i di�A77—i�y V1%VI%7t3
(This secfion neeC nd be romplMeE f tM qrm�t ia !w one hurWred Jd/ars �g'f001 a lec�.)
❑ I mnM �� in tha peAormanw d the wark br whch thu permn a iaueE. rw1 emply� e�ry menror eo m lo
Eacome wbjetl lo IM warkere' compensation kwa d CelHanie. e^E r96 thet G I��wbl� to ihe woMere'
. .. ._ _. _ _ . ... . . .
oma: i�.o7�-� i A����:
waminp: F.Ilun ro rcun woilrx.' caryxwtlon cw�rap� _ .wNl, ana alu/l w6)�ct an �mpraysr ro eNMnl p�narou.ne
cron nnw up ro om hunared efwus.m ao/an (Si�,�A ��uron ro n. �o,r o� �o�ye�w�an a�.y., u P.oHdw ror m
Sectlon ])O6 0l Ms Lebor Cotls, Infens4 enC afrorvny'� leu.
LONSTHUCTION LENDINO ROENCY: I haraby elfirm uMer peretly d perNrY �� �� a a congruiion bMinp epericy Iw tM
pen«ma�e d �he .�wk mr whim �na re�� �. ewea (s<aon aaa�. c'v. cl.
LENDER'S NRME:
LENDEN'S �DOHESS:
i�anM mm i n�e reaa m�, �d�e��.�d mma me� ine ewve �mwmm�a, u caree. i mree m mmdr wun di ar.�d cow,n «�d�w�oa.
eM ele�e bwe �elqip to WJE'vq mnNWbn end heraby eNhor¢e �apesen�e�ive5 W t�ie tily lo en�er upon iM ebove-maMbneE popaM
lorir�speciion pur es.
L[iT3� • OLIVAS
PnnlName ^
Cn
Dme: /
SgnaWredOwrred�genUAppicenVConlrmor �
(St51de.WP) Whne-BuikipBS+fery;Greer�Fb;Carary-AppYmnt;Pink-Aevenue;0oldanrod-Aeseemr
� CIiii ut CGSiA MESA - nuILUING PtRMII
FERM ivG: b 065y�y
PEkMI7 NG: b "v8�9u5 FiAN CH�,CA NG: N GGVT: N SUPP: N
CGNSZRuC7IU1V TY"PE: JN PEHMII I'YPE; 57k � PuriFGSE: OIH
Jub LESCkIP?Iu1S : TivFF, SAEAiriiCGVEk 3� YR COMF Su Y1: b,�uu
I.LAlM VALUh: � b, SGG. "v"v I.ALI:-1%ALl.lh; b, �iiO.Ov Gii�i.ir OCC: A-3 i
CGMMENTS: SM�KE LETECTGFtS REQUIREU ' '
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APPLICATIGN 1SSlItL nY: DATE: 0� .�
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I,EGAiZZATI�N;N F• E S U M M A k Y SIkUCTUkAL SEGMEN7:Y
biuG PMI YLuMnING EitC2rtIC MECHANIC FIkE SMIFinES GkEwING
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PLAi3
ISSUE FEE
HUZLLINI'a—L1V—> PtFtMIi i��liE Pi,At3-CHECh
TV71�L5----> 125,40 G."v"v �,GG
REtiENuE LI'VISIirN 7GTAL5--> COLLECiEL;
bLLG FMT PLliMbING ELtCiRIC MtCHANIC
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11-24-1997/11:36 A�/fI25.48
PERMITet@8 ;909
tCONSTRUCTION AND PLANNING � P60L & SPA
� � Date Inspector
APPROVALS PBrmit # � APPROVALS � Permit # _
� ► ,�... , r .
��--i� Temporary Electrical Service or^Pole � . 52. Pool & Equipment Location' .
2. Soil Pipe-Undrgrnd._ � �,,. . � � � � 53. Steel Reinforcement �-�- �
.-i�� Y' 9'+ . . �
:'��3y,Fjlectrical Conduti,�,U.�i�it Undr rnd. � 54. Forms � ,.�. ,
' ��4. �Electrical ConduitaUidrgrnd. �;� � 55�. Eiectricaf Bonding . /�.� .
�?^�i�eel Reinforce�teitU ' 56. Rough Plumbing & Pressure Test
7 fti;��lectrical UFE �nd. � � � 57. APPROVAL TO COVER�GUNITE
� �'�T��Footings '�'% 58. Electrical-Con , i�Undrgrnd. �
�ra�r.-r �
� �iTB,., Foundation �� ,j . �c � 59. Gas Pipe, � U�drgrnd., Test . "
�� 9. Water Pipe�Undtgrnd.� J ,�� 60. Backwash Lines,�:F�'-Trap, L� Undrgrnd.
�'0. Struciural Floo� SVscem _ ��'..',� • 61. APPROVAL TO�pECK �'�`- '
1 L�F'roperty Sewer Line"& HouseConnection -,, -62. Backwash & ReceptorFinal
� ,T _
12•;SQ'r�e� CaP �� y`'�_ . - 63. Heater & Vent�Final -..
�8�3. Roof Orains �- " 64. Plumbing Syitem � Final � �� ' ,
�-,
' �4. Rough Plumbin� � (� � 65. Electrical-Final ' • �
�J.5. Rouqh Electrica%Coi�uii .. . 66. Solar SVstem-Rina! ,�
. '�6. Rough Electric'Wir {n�q 67. Fencing & Acc�s�pProval i_
,1.7. Rough Wiring S�n � � 68. APPROVED F�QikP�ASTERING ��
78. ftouqh Electricai=7 Bar Ceiling ' 69. POOUSPA SYST£MS FINAL
19.�AoughHe}tiqg&�Ai(Conditionirrg iT�; �r. �a �_� �::.�:' iT fifR¢��;EPTSjiEQUIREMEN.T �iy
_ . 1•7 '-•OSJ�� Ir1 Y b+ �:,
ZO.�.f�ou� P¢ttocV FiY.ePlace i�ir �r..t �e ��-� i;+��: � APPROVA�L'�S-+�� P�tmit #-� '� '=
s• �� o--� " r � :.,i� : r '� i� "] '7 K .E .5:�' � I:! :c 1 :
i' Iti � M.:� �.. .. H:S C .S H k� H (*1i_ ' "
21.,j?ucts, inTStrt�Ctur� i I :5�-+ �n �. �� �l F: 70.hUndergaeuqd F[ydro k
22.:fluci3, �A@nti�32ing� ° I i^•'� .�: �- 1 tl, �� R 77. Produl'•�iping�'i�s .l� Oil �, ,'
23. Gas��pe;�touah 8y;fist i �r 'r � v �T1 "' �S ���.F � � �� i � �n : � ���
� i f- i��� 'k � S'% �_ 72. Undergrdund Fi.ish1 •�. ;r ,�
24. oof�Framing ,j � � 1T3 k M �� �� '�-+.A �• 7�� Undergr�d.Stoka§el"an�OGas ❑Oi1
25..Roq�Sheathing �� � �_ `ZS_ �� �r f4„�verhead Hydroi; r
i
. 26.;,. •Bar'. Cet4ing 1Stru�fural) & Y�qn�oat �� �� :� '7�t 1�'.,[-Dry ChEffiiCal H�� '� :*7
� -1 � •i'T' ..�
27.'�rarTjPaiiB Flashi '7�'r, �� n. :N �bx x�,� � w �r ,�
�v . ��x �-,r•!�'J �Y �g :N.k 76. Dry StarZtlPiPe�ia . :7 �t} ,7
�' 28. Lathing;& Siding�� r �7 �1� O .d �� ..' ..4� 77J. FIXED'SYSTENf�FINA�L+-+ .� ..
i�
� 29. Insulation ,: '}'�r �S '' '� :F T I �r 7,�. FIRE PREV. F1�L .v'� �^' ;�
� 30. Drywall;�lailing ;r � :-+ '�✓ 'K'-� � � `}�� S �vNfALT1M DEP.T. REQUIREMENi
a 1�1 tti Iti
'; 31. Plaster 9�owry:Coa�.�. ' i:��� r. � �\�t � 79. FINAL���PECI;�ON K;� i-. i*j
� � �.. : .-. � • i., 1 . � � . . � ,; . r.
. 32. ��IectricarPower t}9�terFi.nal ! r ',� K�� SB� FOOD CERTIFJCATE 163UE[3� �X
� 33.�in�L�Ele��c'tric� ''+ - � s F.,. �.�. N�tes: �� �y�.y t�� �� i�tir
4�^ � �., k!� ' t � �Z ITI:I ,K ir<;
�^. it 'r , l� i y e ! �� -�•�
' 34..�ina7;He;{ing� A(r�qnditioning !� K 7 � i; �� '� �-,;_ '�� py
�Hc � r��
35.•Final GayPipe*Test ` �a� ^ '''J � � ff � ��'� '��, '� �-�"
+ 'v ,t n Isi :-t
� 36. -R'�oo� or,��oPY < �l . i i: r � ;. ` � �< m ;[� i �. �� '=f in
+c m.
' � 37. Final'Factory FirePlacg, r ' �^�" .'' '. ^ k r .'•. ";
� , �r � I �o .Y �V E` �S :r e: .S
�•.' 'Y � tt i • :n � I . �_ i� .�
= 38. Fina�'Plu� bi�g f: �T7 i tU :� � (v. � i-+ �-.�r; x A i�
� 39. Water Service'-Final r :: � 'r' �+: ' i kk > ^-+ +`� � S
� �% • tk I-»�n • 'K t:; M
' J 40. Gas Service-F �ai .�'�' ,i;��� jn �; �' � ( �. ��' . .�� F • ;
., 41. Solar pomestirFinal i=� t_ i r- �r 7� b' .K ;: t�
B i-• Q � 't :S
42. Backfiow Preventer.` ^ 'U 'r � i i �; � � - � .-,
.o ��:5 li-�i-i K�-� 6 1-7 �:7���� k r
it,
�43. Backflow irrigation �. . � � � � ! '� �� .� �� � � •
~�-- �•� a 'r: ; tti :I: 3 lJ :�
ir' a1 .... : ���n.' I,^� :k I*1 � i� � :L �-� lJ .� .�
44 Landsca e Irri ation S stem;�� ..
��., •;, P. Q Y �=, k 'S S 1;�r �_ ;e, :n �J��. ". S .
1 ._ . ,� . . . . . . . . . .
45.4�ound Rtrenuationt� y ^ •• +T' �*1 i�s�K t- �r �r = � • i-�7 t
�'l t O , 1. .. f ' / 1-1..^.. ..p.i .F
'46. Handjcap'Reg6latioqs - � k' ; ( _i� ; ,,y _,j � _� ;
_47.`FIN�LSTRUCTURE&BUItDING � �ts�� ; ��E' • � '> >-+
.� i.Nrw 1 I. F �i
48.�FIN:ALPIrANNING�. • v + I�,}Y�r;: - �1 -, .� k �y .,
�49.�Electiic�ReleasetoFdison i .r { �/.-�c;� •„; e ', �'
u- 'c c-1 t
�-�.y 'i: I � L-il: r li "i . �'ij 'i �J
�50. Gas'�elea'se to Sout�iern Califocnia Gas Co �
i i .� 'r x • .5 ::�.7 �'l . r� .�
51.CERTIFICATEOfbCCUPANCY ' "
No. Date
�
Date Inspector
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70
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COSTA MESA BUILDING-SAFETY DEPARTMENT •
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
AP LI ATION FOR BUILDING PERMIT
For Applicant to Frll in Completely
(` RE I � � CENED D ^ 5¢j1E�-
BUILDING 33 I ��V^S �'�V .1� � X
ADDRESS U
/� P RMIT NO.
OWNER /y , M'�O ( hI ��r A.P. NO. . r-
BUILDING �� �/ %_ '� �J�l
MAIL ADDRESS C�j'/j �/
ADDRESS .��L�N Q. �f''f n
C° / � NQLSS_83� TRACT/// LO [� BLOCK
CITV
CON5iRUCTION ' EW ADD A R P
LENDEfl
BRANCH ��r
OWNER ODICJ�C/�!
ADDRE55 � � ALUE
ARCHITECT TEL. S �� $
OR ENGINEEfl h1 .
FIRE �� � ��
AODRESS � 20NE TVPE GROUP
APPROV n ��
CONTRACTOR �... BY J - OATE —
ADDRE55 ZpNE NO.OF USE OF NEW /QT/L
TEL. —/ p�qryg'�/ BUILDING
GTV NO.
STATE ' CITY �'AFDSAPPROVED VApDSAPPROVED
LIC. NO. ' LI0. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE / NO.OFBLDf3$. IFROMC/LS fiEET/)J�
OF LOT �Q /( � O�= NOW ON LOT I FRONT FT/� � FT.
USE OF �/ D /
EXISTING BLDG. I� S��I ��^ C� 51 O. S FT. FT.
$IZE OF / NO. OF
NEWBLDG. 1 R OMS STORIES L.SIDE FT. FT.
EXTERIOR WALL ROOF �
COVERING COVERING REAF FT. FT.
USE OF BUILDING ANO WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
p MAIN BI.DGS. ACCESS. BlDGS.
r a+7�/T� E S\ /IUCT�IiI�E VAR'# DATE .
���0 EG�J G.U.P. # AP7ROVED/
APPROVE� c.�' _ 3
% /-
I hereby acknowletlge that I have reatl this application antl state $S
that the above info�mation is cor�ect antl agree t0 comply with
all laws regulating building consiruction, antl I shall not employ
any person in violation ot ihe wOrkman's compensation laws ot
the State ot California. . d�
I heieby certity that I am properlV licensetl as a contracror under SQ. FT.
the State of California Business and Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR
Chapter 9, and thai such licenses are in full forca antl effect, or I THE PURPp$E OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from tlie provisions ot the State of Calitornia Business VALUATION /1A
antl PrOfessions Cnoe, Division 3, Chapter 9. PERMR FEE $ "S�
Signaturaof �V�(..�-^� � J
Permittee �{p�1���g�' $ 7 n PLAN CHECK $
Authorizatl Agent " / � TOTAL FEE S
. 35 I �.0
COSTA MESA 6UILDING-SAFETY DEPARTMENT
C P.O. BOX 1200 COSTA MESA, CALIFOHNIA 92626
� For Applicant to.Fill in Completely
BUILDING ��-�� Larkspur Street
ADDFESS
OWNEfl
MAIL
TEL.
CITV Encino N��986-889i
CANSTFVCTION ' '
LENDER LarWin So. Calif.,'Inc.
BRANCH 16255 Ventura Blvd. "
ADDFESS Encino �
ARCHITECT � � TEL.�
ORENGINEER T.alt,iin 'NO 273-446�
aooaess 9100 Wilshire Blvd. Bev. Hil
CONTRACTOfl LBTWlll So. Calif�, Inc.
nooaEss 16255 :1Ventura Blvd.
TEL.
CITY Encino NO� 986-889i
STATE � CITV �
ua No. 191311 ��c "'o B-1
SIZE � - �NO.OFBLDCS.
OF LOT ' 6O X�OO I NOW ON LOT O
USE OF
EXISTING BLDG. '
SI2E OF ' NO. OF
NEWBLDG.1987 ROOMS STORIES 1
EXTERIOR WALL - Ii00F . i,�
COVERING StuCCO COVERING S�i�ngle
USE OF BUILDING�AND WORK TO BE PERFORMED
PA1D
AO!; 15-72�M;kO01055� ��� � 15434
TION FOR BUILDING PERMIT
DATE FECEIVED DA ISSUI
�-2Y�7 �/�/
A.P. NO.
BUILDING
ADDRES:
ZONE��NO.OF
PLAN$
VARDS APPROVED
MAIN BUI�DING
(FFOM C/CSTREET)
VAR. #
C.U.P.�
APPROVE�
PERMIT NO.
BLOCK
��� �
VALUE •�1
DAT
USE OF NEW �j/R
BUILOING (A//�
VARDS APPROV
BET. MAIN &
)
pU
I nereby acknowletlge thei I nave read ffiis application ana stare �Q� .F�R SPECIA RE .*
that the above information is correct antl agree to comply with
all laws regulating b4ilding consttuction, and I shall not employ � '�� '
any pe�son in violation of the workman's compensation laws of
ffie State of Calitornia, � m
b
I hereby certify that I am properly licensetl as a controctor untler . SQ. FT. o
the State ot California.Business and Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR �
Chapter 9, antl [hat such licenses ere In full torce antl ettect, or I THE PURP�E OF ESTABLISHING A PERMIT FEE ONLV: m
am exempt from the provisions of the State ot�Calitornia Business VALUATION ¢
and Professions Cotle, Division 3, Chapter 9. ' ' � N
O� PERMIT FEE $ U ]
Signaturaot ' � � �-y�( /�j ?s m
Permittee (���y��i%/�� D. Downs . s����+� PLANCHECK $``iU �' E
�
AuffiorizetlAgent , L �j �L� u
TOTAL FEE $ 'J L �'
DATE
BUILI
LOT �n� TRACT 771A FIRE ZONE
SUBCONTRACTOR
SPRINKLING SVS
MISCELLANEOUS
ROUGH HEATING AND AIR CON�ITIONING
UNDERGROUNO LJ POWER
ROUGH WIRING
STEEL REINF.
FLOOR SVSYEM
BONO BEAM � STEEL REINFORCE
SHEATHING
FRAME ANO FLASHING
LATHING - IN n OUT
PLASTER. BROWN COAT
HEATING, VENT., REFRIG. AND A.C.
P�UMBING, FINAL AND GAS TEST r
ELECTRIC, FINAL
BUILOING, FINqL