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Home My WebLink About988 CARNATION AVE - Building PermitsApplicant to fill in all s0acei exceD� those wilhin heavy �ortler lines antl si9n , ON PERMIT �j� AppTicanYs Mail(in�g Ad�dr-e^Ss ��—�`�^'��r � Owner's Name \ �-��'"� ��N�'--' ! ' Phone �S�L �, Address �� C�nc4'.N�Tio s.{ � Arch/Eng. ��}.,� . CS ^ y�q ' � License No. � a►F'13 Address �� [7 F'" • l'��q(�,rK � Contractor's Nam Phone`��%"�n�i� Address Imailing) n'L - 3 Ciry License No. �7 4" ��.� LICENSED CONTRHCTOR DECLqqqTION � 1 hereby ai�irm that 1 am II[ensetl Untl¢r proviSiOns ot Chart<� 9(COmmenCing with sectlon 7000) o/ DlviSion 3 bf the Busine5s antl Prote55ion5 COCe, antl my Ilcensa Is In full orce� etfect. 1 �1 LicenSe Cla � � ns`* No.' � �'��] �l_� Date � � 5'9 t � ��5.��- 01'� WORKERS' COMPENSATION DE L�RATION ' I he�eby atfirm that I have a certiti<a[ of consent l0 581f-Insu�e o� a CartlfiCdte �of Worke�s' Comp¢nzation Insu�aq�e, Or a ce�tlfletl copy [hereo/ (Sactlon 3000, Lab. CJ ' PoliCy NO. Company Certi/ietl copy is nereby fumishatl. Certifietl copy is filetl with the <ity guiltling �IviSion. Date Applicaq� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not ba <omPleted il tha perml[ is tor' ne huntlretl (EI00) or I¢ss). I certify Nat in the pertormance o� t e Ork to� r Ith th Brm�t is Issuetl, I shall not amploy an person in a�y nner zo t beco sub�}�t to the Work s,p t n Laws o( Cdf mia. � i� �_ Da[e 7� ��—Si9natur —�� NOTICE: Ii, aiter making this tleclar , you sh Id become subject to tne Wo�kErS' Compensation provislons o� he Ldbo� Code, you mu5l Iorthwittt comply wltb Suth provislons or � 5 permlt shall b¢ tltEmetl revok¢tl. CONSTRVCTION LENDING AGENCV ' I hereby afllrm that there is a construttion lentling a9ency lor tne performance ot .the work for w�ich this PRrmit Is issuetl (SecHon 309] Civ. CJ Lentler's Name - Lentler's Ailtlress OWNER BUILDER DECLARATIQIY � 1 hereby atfirm that I am exempt from lha Con[ra<tor's Licenso Law for th� followin9 reason (Section 7031.5 gusinezs antl Protessional Cotle: Any Nty o� couniy w�icb r¢quires a p¢rmil to �on5truct, dlt¢q Improve, Eemoli5h Or �epa any structura, prior to its issuance, also requires the applicant for sucn permi to file a SiqneU statlmenl that he/6he IS Iic¢nsetl pursuant lo th0 provi5ion5 O therefrom antl tha ba5i5 for me aqe9etl axempUon. any vioiauon o� aacuon ]031.5 by dny applicant tor d purmil Subjec[5 the applicant to a civll �enalty of not more tnan five huntl�etl tlollars (5500). I, as Owne� ot Ihe prOperty Or my em0loy¢85 wltn wag85 as th¢ir sole comp¢nSaHon, will do the wo�k, an� Ihe zlructute Is not IntenCetl Ot offeretl for sale (Section 7044, Business antl Protessional Cotle: Th¢ Con[ractor's License Law tloes not apply to an owner of a properly wno builtls or Improves thereon, antl who Goes such work nimsolf/herself or tnrougn his or her own employees, provitletl that such imbrovements are not intentletl or offered for sale. If, noweveq tne bulltling or �mprovoment Is soltl wi[bin one year of tom- D�etion, Ihe owne� will hdve ihe bu�tlBn ot O�ovin9 he/she tlitl nat builtl Or Im- �rove for th¢ purp05¢ of sale). I,'as owne� of [he 0/operty, am exclu5ively cont�a<ting with IICOnsetl con� tractors to construct the project (SecUon 7044, Business antl Prolesslons Cotle: The ConVa<tor's License Law tlo¢s not apply ro an owner ot property wM10 builtls or Improves thereon, antl who contracts tor such Projects with a con- tractor(sl Ocense pursuant to the Con[ractor's License Law). I am aware that proof of their WorkeYs Compensatlon Insuranca shoultl be provitlotl [o me. ❑ I am exempt unCer 5¢ction B..& P. C. for this reason Date _ I hereby cer' information i antl state laK sentatives of Inspectlon pu Signature � Drivers' Li2Ei ,� CMF 0865�46, _ Owner I have r� .. I aoree to ty to e{�teP 1\ m antl state that the above city antl county ortlinances antl hereby authorize repre- rve-montionetl ,yroperty tor _....... .,.. _ 13QC ��F7`� �1�� TVPE OF CONSTRUCTION rvEw ao� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLOG. — aecla� ��a ON U REPAIq TVPE OF PERMIT LI GRAOING LI FOUNDATION LJ STRVCTURAL ❑� yT�p ANT ❑ E�ECTRICA-Lr ❑�s/ L_U�M.BING /❑� ME4HA/�NICAL�^ L�Q OTHER �U��iMM�•v�jCJO��S✓/L� I l'r �\YVI PROJECT DESCRIPTION 54. FT. ��—�—r�r_CU�-v� CON STRUCTION TVPE VALUATION ^a � ZONE GRADING CU. VDS. ACRES— Remarks: / ^ft C. �� Preven[er Irrigation Drinking Fountains Floor Drains Floor Sinks GasService Outlets Inrerceptors Kitchen Sink Lavetories ' P-Trap ' Roof Dreins Reinspection Fea - � $75 Duct - Under Grountl Duct - Structural Duct - Ventilating Exheust System ❑ Multiple Firepl/Fact. Blt. IC80 # Heating.System & Ducting ❑0.100,000 BTU �100,000 r 55 # � Rainspection Fae $75 4/84 White - Bulltling; Canary - Applicant; Pink - Accountln9; Goltlenrotl - AssesSor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal water Closet� Water Heater Water Service laue Fae Hood or Typel ❑ Canopy Type I I ❑ Retrigeretion System ❑aioo,oaoeTu Dioo,000 System Repair/Alteration Issue Fae $ 3 $ 3 A.P. # S Main B E T Front B Rear A C Fight K Le(t , Ping. RFf. �/k Planning Notes: Auromatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Electric Fan F.A.U. Fixlures Device Boxes Outlecs Switches Garbage DiSposal Generator �65 KW C � Reinspection Fea s DEVELOPMENT SER 2aning Approved By- Building Approved By 6574 B/17/84 ' � Zone Accessory Bu��ding 'Z.1_( ( � Parking Req./Provided ELECTRICAL Trens(ormer ❑ 15�50 KW ❑ 50+KW Meter ❑up to 100 amps Meter pover100amps � Sub Panel Motors �0.1 HP � 1 h- 6 Inc. Solar �9-15 HP 016-15+ Microwave Pole Light Range Standing Sections 5-15 KW Trash Compactor � s a' $15 Issue Fee 255046 '�'. �'1�� O N I �_ 1� N t G 1_ d R E Q M ;_i . T S. FEES $ 3 SU MARV OF FEES I 3� BUILDING PERMIT $ � SMIP $ PLAN CHECK $ � �' 3 Z PEFiMIT PlUM81NG $ CO'OO ISSUANCE $ PLAN CHECK 25% $� ENERGV P.C. $ E�ECTRICAL $ IZ•� GRAOING $. PLAN CHECK 50% $ � •S� MICROFILM $ -�� y/� MECHANICAL $ TOTAL FEE . $ � PLAN CHECK 25% $ _ �NSTRUCTION AND pLANNING � -F�OVALS Permit # Temporary Electrical SHrvice or Pole. �.. Soil Pipe-Undrgrnd. i 3. Electrical Conduit Utility�Undrgrnd. 4. Electrical Conduit-Undrgrnd. '�' 5. Steel Rei"nfo�cement , ' 6.. Electrical UFER Grnd. '� 7. Footings , 8. Foundation . � 9. Water Pipe-Undrgrnd. 10�. Structurel Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap . 13. Roof Drains 14. Rough Plumbing 75. Rough Electrical-Conduit , - 16. Rough Electric Wiring ' 17. Rough Wiring $ign ' ` 18. �Rough Electrical-T Bar Ceiling � 19. Rough Heating & Air Cqnditioning � 20. Rough Factory Fireplace ' � 21. Ducts, in Structure . � 22. Ducts, Ventilating ' 23. Gas Pipe-Rough & Test � 24. Roof Framing' � ' 25. Roof Sheathing � 26. -Bar Ceiling (Structural) & Monocoat 27.�Fr'ameandFlashing ' . 28. Lathing & Siding 29. Insulation 30. Drywall Nailing � 31. Plaster Brown Coat ' 32. Electrical Power Meter-Final � 33. Final Electric 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Finaf Plumbing , 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestioFinal 42. Backflow Preventer 43. Backflow Irrigation , . . 44. Landscape Irrigation SYstem' 45. Sound Attenuation 46. Handicap Regulations � 47. FINAL STRUCTUR�E & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY Date Date POOL & SPA Inspector AppROVALS Permit# 52. Pool & Equipment Locatio � 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit�Undrgrnd. ' 59. Gas Pipe, � Undrgrnd., Test -. 60. Backwash Lines, P-Trap, O Undrgmd. � - 61. APPROVAL TO DFCK . �' 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING II 69. POOL/SPASYSTEMSFINAL a FIRE DEPT. REQUIREMENT � APPROVALS Permit# 70. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank � Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: Date � Inspector J �' Gunite pEFORT OF INSPECTION ON Hasonry Contrete To: IAddress: ,: . , � � � � 1� \ � OIrt1ER: %i� � Y�J.? ��Cl ' .,. -� �2i �7T �'� �.� ,�.�i�Fv � . ,�,_. PROJECT: ��uJ � ni!/rlr.G� ��,.. i; i.x� /, S'�,,¢ Report NO. 2. Address: 7�� i1�i9To� Pennit No. {�; �� i��i;/r� � Archi[ectt Address: Englneer: �,�f .��A-.f�S Address: �f/-.��n.il �f-oJc' 0 Mlx Uzed: �� —� Slump, Inches: • Admlxture: Destgned Stre,�n th, P5�1/: o�ooc {nsptCioY: -r��'T VOZJiP.0 ��i��b.'S'be�� r-j a 5y Lontractort �/'�I, ?� �S ` , Address: y.fy,cJT,A.� �7n.ci .�.p.4 °:il�;. �� . , �/ . Subcon[ractort /jf�[�� /.,�J� ie (Gunite� '/ Masonry or /�J N.,� !f>>.�� 'ru-P�/ Concrete) Address: Reba�: Br(ck: 81ock: The (olloriing Inspectlon was performed In accordance wlth the approved drexings, Cu.Yds. No. of DATES Placed Cyi. � �-,�-r .� � /9�z sxs Remarks � ��„� �.,J ��, C� � �'a �'�. ��; �-� , ,��_ �,1.� C��.r� ,Si�c L_ cv" ( �i(e.e�cJP-P O ��_ �onS_p /G1'TS' �ili9��?' �CCE's.5.a��/ %LL �/ j ' L1.rJ l7Pr �S �f�.�� l%/_C"� D.?� C'1�� L./>r Coples of Reports to: (INDICATE 11HICH BLDG. DEPT. b FURNISH ADDRE55 OF ANY NOT LiSTEO) 0 3i0'2 . Applicant to till in al1 spaces except tnose wtinin neavy eoraer Ilnes ana sign all approvriate eeelantions. �^' PEFMIT NO. � T CT NO. LO NO. UNIT N6. I L.� (��` �) � cLrYOFCOST Esa ONSTRUCTIONPERMIT 3�� . Project Address �C�18 ��/1�i4T/AAI 2912 I I/27/84 � 7�� TL AppliCdnt�S Mdilin Add�¢5S �� S - TVPE OF CONSTRUCTION'� NEW ADD ALTERATION REPAIR � ❑ CONVERSION O DEMOLISH ❑ OTHER q,p, # /a —` 7 Zone � Owner's NCa�me Phon - DESCRIPTION OF WORK/USE OF BLDG. � Address ,/_� -/L� T/n. - S Main Building: �—�� Flccessory Building: Arch/Eng. LicenSeNo. TVPEOFPERMIT GRADING FOUNOATION STRUCTVRAL T Front � ` � Addre55 / // _ � ❑ ANT EIECTRI�yq L❑ L/V� BING ❑ MEGHANICAL A qear�_ � N Conlractor'S Name 1 � Phone C�`/'��-y�� L �OTHER L��f� �Fi �_ Address Ima'f g) ��T�L� dL�. l"'�UN i� F3�r PROJECT DESCRIPTION 5 FT. OCCUPAN K Ri91� 50 ' R Ciry Licen�P No � 4/ CONSTRUCTIONTYPE VALUATIONS��ly� g Left � C G ZONE GRADING CU. VDS. ACRES p�ng. Ref. � Parking eq./Provided E LICENSED CONTRACTOR DECLARATION -- Q 1 hereby atfirm [hat I am Iicensetl untler provisionz o harte� 9(commencing Remarks: Planning NOLBS: 5 M wi[h 5ection ]000) ot �iviSiOn 3 Ot the Bu5ine55 antl tessions Cotle, antl my license is in (u�l tor�e ntl eitect. T Licens la � .i nse No. ^ S Date� Signature PLUMBING FEES WORKERS' COMPENSATION DEC RATION Baf Sink ShOwe�s I nereoy aftirm that I have a certific e of consent to self-insure or a certlficate ELECTRICAL FEES of Workers' Compensation Insu � ce, or a certifietl wpy thereot (Section Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW Policy No. Company Backflow Irrigation Sewer Ca ❑ 50+ KW" eCertifietl copy is hereby tu�nispetl. � P COnSVuctiO� PoICSUb. , Certi(ietl copy is filetl with the city Builtling Division. Bathtubs Sewer Connection Cookin9 Unit Meter ❑up ro 100 amps Dale Applicant EXEMPTION FROM WORKERS' COMPENSATION OECLARATION Clarifiers $plar Collectors Dishwasher Meter ❑ove� 100amps (This section neetl not be complete� if tlte Oermit is for on huntl�ed ($100) o� � less). Dishwasher � Solar Pipin9 Dryers ❑Gas ❑Electric Sub Panel 1 cer[ify t�at in the pertormance of th ��k fo� i Ich th pe�m�t ISlssuetl, I shau t=mpl�y �o—y aoy�on in any nner so t beco e sYbj t to the Drinking Fountains Solar Tank Fan Momrz �0.1 HP O1 X- 8 XWorke en i n Laws ot Cali mia. r- Date �_4� Signatur Floor Drains Swimming Pool wlSpa p q U �NOTICE: If, a�te� making this decl r ti n, you shOultl become subjec[ [o [he InC. SOId� �9-15 HP ��6-75+ Worke�s' Compensation provizlons of he LaUo� Code, you must forthwi[It FI00� SinkS UtiOdl Fixtu�¢5 comO�Y `�'ith such p�ovlsions o� is permi[ shall be tlaemetl revoketl. MiC�OWav¢ - CONSTRUCTION LENDING AG CV' (�idSS¢rvic¢ OuLICtS Wat¢�CIOS¢[ DEviC¢BOxes I bereby aftirm that there {5 a conStruCtion lentlinq ag¢ncy for the performance P012 Li9ht of the work for which this permit is 6sue0 (Sectlon 3097, Civ. C.) Interceptors Water Heater Outlets Lentler•s Name Range Lentler's Htltlress Kitchen Sink Water Service Switches � Sign OWNER BUILDER OECLARATION I herCby aHlrm [ha[ I am exempt froT [he ConVacLorY l.icense Law fo� [h¢ LavaLOliCS AutO-WdSh following reason (SecUon �031.5 Businass antl Protnssional Gotle: Any tlty or Garbage Disposal � ; Standing Sections county which �¢quir¢5 a permit to conStruGt, alte�, ImOrove, tlemollzh o� �e0alr P-Tf2 any structure, orlor m its issuance, alm requires the appliwnt for such pormit P Laundry Trays Generator 0�5 KW d5-15 KW to fiie a signetl statement lhat he/sne Is Iicensetl pursuant to the provisions of � Trash Compactor the ContractOr'S License Law (Cnapter 9(rommenung with Section 7000) ot ROOf Drains \ Division 3 at lne Busine55 antl ProfesziOns Cotle) or that he/sh¢ is exempt theretrom antl the bazis lor [he allegetl exemption. Any viOldtlon of Sectlon •- ` ]031.5 by any aOPlicant for a permit subjects [M1e applicant to a civil �enalty of no[ more than tivn huntlretl tlollars (E500). / I, as owne� ot the ProOe�ty or my employaes witn wages as their Sole RBinSpBttion FBB $15 IAue FBe $ 3 � compensa[ion, will tlo tne work, antl [he structure is not intenEetl or otferetl Rainspection Fee $75 Issue Fee $ 3 for sale (Section 7044, Buziness antl Protessional Cotle: The Coniractor's - MECHANICAL FEES License l. w tloes not apply lo an owner ot a property who builtls or Improves tM1ereon, antl who tloes sucn work nimseu/hersen or throu9n his or her own - DEVELOPMENTSEHVICESREQUIREMENT$ � employces, provltletl that such imorovements are not Intentled or otfered ror Boiler - Hood or Type I ❑ ' ny� �''1 11 � Y sale. 11, however, the builtling or improvement is 5oltl wlthin ona year ot com- Cdnopy Type I I ❑ Zoning Approved By `t�� WA� Date � pietlon, tne owner will have tne burtlen oi provin9 he/she tlitl not bulltl or Im- Duct - Under Ground ' Building Approved By Date �rove fo� [he purpose ot sale). ' Z I, as owner ot the oroperty, am exclusively contractin9 with licensetl con- � Duct � Structural Refrigeration System Appliration luuetl By Dat [ractors to construct tne project (Section 7044, Business antl Professions Cotle: The Contractor's License Law tloes not apply ro an owner of o�operty who Duct - Ventilating ❑0.100,000 BTU ❑100,000 BTU SUMMARV OF FEES builtls o� improves thereon, an0 who conlracts for such projects with a con- tractor�sl license oursuant m the Contractor's License �aw). I am aware that Exhaust System ❑ MWtiple ❑ System Repair/Alteration ' BUILDING PERMIT $ � �•�i SMIP $ • S� proof o( their Worker'z Compensatlon insurance shoultl be proviaetl to me. PLAN CHECK $ ��SD PERMIT ❑ I am exempi untler Section e. & P. C. Por this reason Firepl/PacL BIL ICBO # Fire Dampers pLUM81NG $ ISSUANCE $ Date Owner Hea[ing System & Ductmg egisters PLAN CHECK 25% $ ENERG�' P.C. $ I hereby certliy that I have reatl tnis applicatlon antl state tnat me above ❑0-100,OOOBTU �100,0008T GRADING $ Iniormation is c rect I ee to comply with au tlty antl county oralnances ELECTRICAL $ antl state la s lati to ilCing mnstruction, antl hereDy authorize repre- MICROFILM $ sentatives his ci to ter on the above-mentionetl property for ' , PLAN CHECK 50% $ inspection poses., �� [�7,.�'( Q/ MECHANICAL $ TOTALFEE $ � � SignaWr. .� �_ Drivers' Lice ze or � ReinspeRion Fee $15 Isue Fee $ 3 PLAN CHECK 25% $ ,�- _ CMF 0865-46, rev. 10/84 White - Builtling: Canary - AppllWnt; Pink - Accoun[inq; Goltlenrotl - Assessor �. 1 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit � � Date Inspector AppROVALS Permit # Date lnsp>cTor � 1. 7emporary Electrical Service or Pole 52. Pool & Equipment Location , � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electr,ical Conduit Utility�Undrgrnd. 54. Forms , ' 4. Electrical Conduit�Undrgmd. � 55. Electrical Bonding •5. �Steel Rei�forcement. , . 56. Rough Plumbing & Pressure Test �, 6. ��lectrical 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, O Undrgrnd. 10. Structural Floor System � 61. APPROVAL TO DECK 11. Property Sewer Line & House Corinection 62. Backwash & Receptor-Final . 12. Sewer Cap � , ' . . 63. Heater & Vent�Final 13. Robf brains , • 64. Plumbing SYstem � Final 14. Rougfi Plumbing • 65. Electrical�Final 15. Rough Electrical-Conduit � 66. Solar System-Final 16..Rough Electric Wiring 67. Fencing & Access Approval 17.�Rough WiringSign 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 i 22.,Ducts, Ventilating 71. Product Piping OGas ❑Oil � 23. �Gas Pipe-Rough & Test 72. Underground Flush 24, � Roof Framiag � 73. Undecgrnd. Storage Tank fl Gas � Oil 25. Roof Sheathing , 74. Overhead Hydro 26. T-Bar Ceiling (Str'uctural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. L2thing & 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 � Nntes: 34. Final Heating & Air Conditioning 35. Finai Gas Pipe-Test ' 36. HOod or Canopy � 37. Final Factory Fireplace � 38. Final Plumbing � 39. Wa,ter Service-Final , � 40. Gas SeYvice-Final . 41. Solar pomestic-Final � � 42. Backflow Preventer � 43. Back4tow Irrigation � . , i 44. Landscape Irrigation System . 45. Sound Attenuation • 46. Handicap�Regulations � 47. FINAL STRUCTURE & BUILDING �( Z� 48. Special Requirements Completed � 49. Electric Release to Edison � � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . N�. Date /�oo��ant to fill in all spaces except those within neavy oortler Iines antl sign all apProDriate ileelantlons. I,CC/ . �'` � CiTY OF COsrpq��QE� ��pp /(j`4N��S�TRUCT�IO/N PERMIT PER� o. S� iNO. LOT yp. UNIT N0. �Y� ProiCct Addre�' - IVI.J `I�-IV��OI�I. L 4 � � Applicant'S Mail'lng Addresi �1�` � �S 1L c�_ TVPE OP CONSTRUCTION NEW ADD AI.TERATION �REPAIR � ��Q ' A ❑ CONVERSION ❑ OEMOLISH ❑ OTHER q_p, q/, � ZanB Ownl�r's N e 4 Phone DESCRIPTION OF WORK/USE OF BLDG. Address �� '�'�T�� S Main Building: Accessory Building:' E Z Arch/Eng. License No. TVPE OF PERMIT GRf�oiNG ❑OUrvOqTlOnl STRUCTURAL T Front - p AddreSi . ❑ry y_�_.� ANT j`'��^E�LE�CT� pAICA'L ❑ LAUM'B,ING ❑ MECHANICAL B Redf N ContraCtOr'SNam 5 p`S PhOne �'��HER c7CJl_F+�— �Yciv��..� A � � PROJECTDESCRIPTION Sq.FT. oCCVvt�rvCv C Ri9ht N Address (mailing) � • K Left G CONSTRUCTIONTVPE VALUATIONS S City LicensP No � ZONE GRADING CLLVDS. ACRES R LICENSEO CONTRACTOR DECLARATION Ping. Fef. # Pd�king R¢q./ProvidCd E I hereby afli�m that I am lic¢nsetl antle� provislons o/ Charter 9(Commencing Rema�ks: �_� S Planning Notes: . � wl(h section 7000) of �Ivision 3 ot Ihe Business antl Professions Cotle, antl , M fOy IIC¢n5¢ i5 i!1 tU (O! tf¢C[. ^� T LiCen e CI 55 Li n p� No. � S' Date O— O Signature PLUMBING . FEES WORKERS' COMPENSATION DEC FATION Bar Sink ShOw¢�5 I hereby aftirm that I have a certi(ica e oi consent to selt-insure or a certificate ELECTRICAL FEES of Workers' Compen5ztion Insurance, or a certitietl Wpy thereot (Section gackflowPreventer ServiceSink 3800, Lab. C.) Automatic Washer Transformer � 15-50 KW _ Policy No. company Backflow Irrigation Sewer Cap Construction PoleSub. � 50+KW � 8 Cer[ifietl copy is her¢by furnishetl. Certitietl copy is filetl with the city Builtlin9 Division. Bathtuhs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date APPlicani EXEMPTION FROM WORKERS' COMPENSATION DECLNftAT10N CI3�iFietS SOIa� CollecL0�5 � DiShwdSh¢� Me[er ❑ov¢� 10� dmpS (This section neetl nof be completetl if the permit is tor One huntl�etl ($100) o� . less). � Dishwasher Solar Piping �,2, � Dryers �Gas ❑EleMric Sub Panel I certity [hat In Ihe performance ot M a�k tor Ich [his p m�t is issuetl. I shall not emplqYt any er n in any ner m t ecom sub ct to tne Drinking Fountains Solar Tank Fan Motors �0-1 HP �7X-8 �� Worker maE�sajj of Cali nia. � Dam �� Si9natur Floor �rains Swimming Pool w/Spa F.A.U. Inc. Solar �9-15 HP 016-15+ NOTICE: It, atter making this tleclar io , you st tl ecome subject to the Worker5' Compensatlon provisions of �e Labor Cotle, you musf forthwi[b Ploot Sinks � Urinal Fixtures Microwave comply with such p�ovisions o� a pe�mit Shall b¢ tleemetl �evoketl. - CONSTRVCTION LENDING AGENCV GasService OuU2t5 Wet¢f CIOS¢t D¢vic¢ BOx¢5 POIC Li ht I hereby affl�m that there is a conztruclion 1¢ntling a9ency tor the pertormance 9 01 the work fo� which thiz permi[ is Issuetl (Sectlon 309] Civ. C.) Inrereeptors Wdt¢f H23t¢� Outl¢tS R2ng¢ Lentler's Name Lentler's Ailtlrezs Kitchen Sink Water Service Switches - OWNER BUILDER DECLARATION , Sign I hereby aftirm that 1 dm exempt (rom tne Contractor's License Law 10r [be LOvdtO�i¢5 tollowing reason (Section 7031.5 Business antl Professional Cotle: Any city or Garbage Disposal Standing Sections county whi[h r¢qui�es a permlt IO construtl, alteq Improve, tlemolish or r¢pair P—T�dp any structure, prior to its issuance, also requlres the applicant for such permit Generamr DO-5 KW �5�15 KW Trash Compactor to file a si9netl sta[emenl that ne/she is Iicensetl pur5uant to the provisiOns of ROOi D�ainS the Gontractor's License Law (Chapter 9(commencing wltb Section 7000) of (� T � Q DiviSion 3 ot the BuSinesS antl Profe551on5 Cotle) or tnat ne/she is exempl thCretrom antl lhe ba5is for [he allegetl ex¢mplion. Any viola[ion ot Section 7031.5 by any applicant ior a permi[ subjec[s the applicani to d clvil �enalty of not more lhan five huntlretl tlollars (5500). LJ I, as owner of the property or my employees with wages a5 their sole RBinSpeetion Fee $15 � lau¢ F80 $ 3 compensatlon, will tlo the work, antl [he sfructure is no[ intentletl or otferetl Rainspection Fe9 $15 Issue Fee $ 3 for sab (Se<lion 7044, Business antl Professional Gotle: The Cmtracior's MECHANICAL FEES License Law tloes not apply to m� owner ot a property who bulltl5 0� imprOves tnereon, antl who tloes such work himsel(/herselt or througn nis or har own DEVELOPMENT SERVICES REQUIREMENTS: , employoes, provitletl tnal such improvements are not Intentletl or of/erea for tloiler Hood or Type I ❑ salo. If, howover, the builtling or improvement is soltl wlthin one year of com- �ynopy Type I I ❑ Zo�i�9 Approved By_ Date pletlon, the owner will have the burtlen 01 Proving he/she tlitl not builtl or Im- DuCt - U�d¢� i�i�0und Building APProvetl By ._Date �rove ror the purpose of zale). I, as owner oi the propercy, am exclusively mntractin9 wlth Iicensetl con- Duct -Structural Refrigeration System Appliration Issued By Dat � tractO�sto const�uct the p�oject ($eciion ]044, Bu5ine55antl Prote55ions Cotle: �:.. Tne ConVactor's l.icense law tloes not apply to an owner ot property wno Duct - Ventilating ❑0.100,000 BTU ❑100,000 BTU $UMMARV OF FEES builtls or improves Ihereon, antl who contracts tor Such projects with a wn- tractm�sl ➢cense pursuant to tne Convactor's License Law). 1 am aware that Exhaust System ❑ Multiple � System Repair/Alteration BUILDING PERMIT $ SMIP $ prooi of [heir Worker'S Compen5a[ion inwrance shoultl bC provi0etl to me. PI.AN CHECK $ PERMIT ❑ I am exempt untler 5ection B. & P. C. tor this reason Firepl/Fact. Blt. ICBO # PLUMBING § ��• 0� IS$UANCE S Date Owner ' Heating System & Ducting ENERGY P.C. $ PLAN CHECK .25% $ —�— 1 hereby cert'ty �nac I have r ' application antl state tnat the abovo ❑4100,000 BTU �100,OOOBT J• � V GRADING 5 inlormation i co rect I a t omo with all city ana county ortlinances ELECTR ICAL $ antl state law r latin9 to 'I m conse ction, antl hereby authorize repre- MICROFILM $ sentatives of is <it�to i r pon t ove-mentionetl properry'for / PLAN CHECK 50% $ inspeGtion 0 5. O �{G MECHANICAL $ TOTAL FEE 5� Signature Date Drivers' Ucense r 55 � Refnspec[ion Fee $15 Isue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46, v.4/84 White - Builtling; Canary -Applicant; Pink - Accountinq; Goltlenrotl -Assesso� 'CONSTRUCTION AND PLANNING POOL & SPA QPPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2� 9oil 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. � S. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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 Electriral-Conduit 66. Solar System-Final ((�/y��-( (�'�' 16. Rough ElectricWiring 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 Condition{ng FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing . 73. Undergrnd. Storage Tank O Gas ❑ 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: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test , � 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer . 43. Backflow Irrigation . 44. �Landscape Irrigation SYstem 45. Sound Attenuation 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILpING 48. Special Requirements Completed 49. Electric Release to Edison �� 50. �Gas Release to Southern California Gas Co �57. CERTIFICATEOFOCCUPANCY a, ' Noh�,�. Date *. � ► . •t_ _ : . �' � (,_�` • � � � T1Nvt17t1t� ��OiB�Oti@� �f �'��" �' G;/o�:a, J.,�. � 7]30 Alrporl WaY /�Iilnp Mbm PA. Ba: {7 / L.aip BYtn. CA y0l01 /(21a1 �N.-3JSS / 121 71 6 7 6-21l6 /(71{) 62li47Q; ��6 BRAHGM OFFIGE� 131MO NM� Sufan StrNt/ S�nL M; CA Y2)Ql /(7111 534-2645 September 18, 1984 DsnnniNnTioN N0. 84-13074 COMPRESStON TESTS ON GUNITE CYLINDERS Elmer G. Volden 14509 Dalwood Avenue Norwalk, California 90650 PROJECT ADDRESS AACHRECT ENGINEEq B, C. Adams SAMPLE FROM MI% DATE CAST DATE TESTED SPECIMEN N0. COMPRESSION TOTA! LOAD LBS. POUND$ PER S�. IN. AREA.SQ.IN. COMPLIANCE SPECIMENS DISTRIBUTION Elmer G. Volden - 4 Q[`'fi�G-dAFr�.' _ i�osT•t ,!?c,s,F — / SWIMMING POOL WI'TH SPA 988 Carnation, Costa Mesa, CA CONTRAC70R K, hT. Pools SUBCONTFACTOR Arco Gunite 111: Shallow end floor walls and beam /III: Deep end floor walls and beam SPECIFiED 4:5-1 STRENGTM 9/6/84 SLUMP SPECIMEN SIZE 9/17/84 9J17/84 IX IIY 11-Day 11-Day 98,000 101,000 3,470 3,570 Z8.27 2,000 6" x 12" 11-Day tests comply with specifications. MADE 8�: DEIIVEFEO BV: RECEIVED ON: A.S. E.V. 9/13/84 �� • CiTY 0`r C"vSTA *f�SA REQJEST r0R OCCuP�tiCY TRACT N0. / �� S� � IAT N0, ot / ADDRESS -/ � � l nn..w.� /iiw_ Qi(/`L DATE Z 7 3 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 undersi ned, by executing this a reemen�, acknowledges that (he-she-they) (was or were)__/� advised that th3s tract has not been given final nspection 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 aesumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by sure�y bond. .� The undersigned agreea to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncomplated condition.� �� % � �-- �- - -- --- - : , . � 'ny'�. R • : . d1TK . .. ,,' �; ,' , Ji AM ; 'f, � ' 7�g��i1t •� , , s :,i,;'.' , ;•pM,. :;.:.s ;. 5�6;;�:':.�:'; ;';;;.. ,, .; ;, �:; �: : BY ' BY �%^�'''G� � �ll�"y2lJ w�"' Developer and/or authorized representaciva . ' BY ' �G'C� /,J/-G '�'" - Londer. ;...:. ; , ' . �.i �;::'- ;.!.,:'�,,.;., , , , � ti;�> ; :�. �� ,, ,;`. �,�� .. . � , ; �• ; . UPll:l� 7 TRACT 7718 FIRE GAS WATER RU:11 MISCELLAN�OUS ROUGH HEATING ANO AIR CONOITIONING UNOERGROUNO � POWER ROUGH WIRING, TRENCHES FORMS F�OOR SYSTEM BON� BEAM � STEEL ftE SHEATHIN6 FRAME AND FLASHI G LATHING - IN ( PLASTEF. BROWN COAT MEATING CTRIL LDING, DATE SUBCONTRACTOR NG PE es. r 3( Z . ww aU 2 Za � N a m J � J � (t] J m J Q U� za W � aW J Q m Z J � W w � ZH w� �� o _ 35�G0 COSTA MESA 6UILCIWGSGFFTV DEPARTMENT Ii;I LF'%�S�Mq�OO � � �4:} irs: i< � 5��.3� �� A P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicanr to Fill in Completely RECEIV B DATE CEIVED OATE ISSUED ADIDRESS 988 Carnation Avenue �� 73 �—l�'73 PERMI'pp10;]O OWNEFi Larwin �O• C��If. A.P. NO. �� J �� / MAIL BUILDING ADDRESS 16255 Ventura B�vd. .4ODRESS � �,P.n/,pT'iB�.� , CITV Encino CA No`.�986-8890 TRACT 7%�p LOT 29 BLOCK CLDENDER�ION 1 Q��h SO. CQIII � W ADD A P L BRANCH 16255 Ventura Blvd. OWNER ADDFESS � VALVE �.,// ORENGINEER Larv,i n NOL.^73�L,� S 5 !lV L VY nooaess 9b00 Wilshire Blvd_ Bev. Hills FIRE / ZONE TY GROUF APPROVED CONTRACTOR Larwin So. Calif� BV DATE ADDRESS 16255 Ventura B►vd. 7EL. ZO NO.OF USE Of CITV Encino CA No. 986-8890 P�+� Z BUILOING STATE CITV �'ARDSAPPROVED VARDSAPPROVED ��c. No. 191311 LIC. NO. B—� MAIN BUILDING ACCESSORV BUILDING 512E NO.OF BLDGS. (FROM C/L S`TREET) OF LOT bO X I OO NOW ON LOT Q FRONT J FT. FT. USE OF ` EXISTING BLDG. J FT. NEW BLDG �9�7 �s� ROOMS STORIES I L. SIDE S FT. FT. COVEROINGA`L StUCCO COV�ERING Wood $hin IC REAR FT. FT. USE OF BUILOING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BlDGS. ACCESS. BLOGS. Construction Single Family Residence cuRP # APPROVED APPROVE / MfE �' 'HOLD FOR SPECI L RE b I hereby acknowledge that I have reatl this application antl sxete thar the above informafion is correct antl a8ree to comply wich ell laws repu�ating building consttucxion, antl I shell not employ ony perwn in violatian of the workman's compensation laws ot the Srote ot California. + �� m b I hereby certify that I am properly licensetl as a conttactor untler SQ. FT. J'� o the State of California Business and Profeuions Cotle, Divisicn 3, THE MOUNT SHOWN UNDER VAL ATION IS fOR � Chaptar 9, end t�at such licenses are in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: ¢ am exempt from the proviSians ot the State of California Business VALUATION antl Protessions Code, D�vision 3, Chapter 9. � Q� � °� PERMIT FEE 5 � � SIB^atura m Permitte D. Downs g� �/ (/� � PLAN CHECK $ 50.75 E b° Authorized Apent /, /� � LL TOTAL FEE $