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. W;7773-,7737/
z 7
County of Ventura
Building and Safety Division
Scan Control Sheet
3501 CANADA LARGA RD.V^nto^
' GIGANIN TR
0350220075.
1-220^^^- 757?;
. «'., __ /,_._ 71_ j, . y
' ' /L~~
□ Other____________
Address:
Owner:
Parcel Number:
Permit Number(s):
Street Files
□ Energy Calculations
□ Soil Reports
□ Struct Calculations
□ Truss Plans
□ Approved Plans
Q
D
&2
’X
»"Cmit«ct ■NciNssn oaaiQNKiT
TOTAL VALUATION $
LEGAL DECLARATIONS
EA. = $
EA. = $
0 $
, B. & P. C. for this reason
EA. = $
Date.
$
Policy No.,
5
EA. = $
Heated Area
Heating/Coollng Applicancc
□ate.
Flue
EA. = $
EA. = $
2-1^
$
FEE
AMPS
NO.
SERVICE
36-^-
/o-Q
j_
FEE
SQ. FT.
21&2Z
FEE
NO. RATING
3 "77^
S
$
-X-7^
22a
Bluo - Auditor Groon - Owner Canary - Filo
Whlto - Inspector Goldenrod — Office
'DISTRIBUTION:
ias-11 <R«V' 7/oo)
)
Pink - Assessor
■=»
__ /
/Q /o-
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9
{commencing with Section 7000) of Division 3 af the Business and Professions
Code, and my license Is In full force and effect.
Lie. Number----------------- ----------------------------- Ucen„ ctos_____________
Contractor Date
ELEC. PLAN
REVIEW FEE
VOLTS'
EA. = $
use/occupancy"
Ducts
Fan/Air Handling
Equipment
Gas Piping Outlets
Private Sewage
Disposal System
Building Sewer
Water System
LAVAJ^WV
aiMWMHU
EA.-t^y.a,
EA. = $
3 Trd
I ELEC.
| PERMIT FEE
NOTICE
P:-—
7j | PLMBG.
V | PERMIT FEE
MECHANICAL
I f<rUto8i~
COST I^ER
SQ. FT.
. *5C>
/when properly validated this is your permit issued av
ruAN Review validation permit valuation.
MECH. PLAN  i MEfcH.
REVIEW FEE S r->/ | PERMIT FEE
6 ELECTRICAL
4 .
Domestic Water Source: Private Well_____ _Public.
Method of Sewage Disposal: Private Public
~2
I certify that I have
mation is correct. I agree; u
state laws relating to bulldir
lives of this county to t
inspection purposes.______
TT
.’.ZrM ^/so.FT.e;
• so. rr.es
3____
U««P^ ■ UILOIWO
yr
COST EACH
Fire Protection DistrictConditions
r? V___ ft
EQUIP. OR MISC.
: of the work for which this permit is
in any manner so as to become subject
LCah-fornia.
*f Exemption,
visions of the
BUILDING
cfirx^yTucTioM dwil^if
OKMOMCM
‘ ”“l’
TOTAL Pl«ru»«l
“7
BUILDING PLAN
REVIEW FEE $
■EHMIT ISSUANCE FEES ------
I | PERMIT FEES S 3 - *4 - .
/^nn. i
Yes No
s.________________
TOTAL PLAN
REVIEW FEES $
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for
the following reason
y^-J^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
I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project
Lam exempt under Sec.
----------- DaU^SZ
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self-insure, or
a certificate of Workers' Compensation Insurance, or a certified copy thereof
(Sec, 3800, Lab. C.).
Company-------------------------------------- —-------
Certified copy is hereby furnished.
Certified copy is filed with the Ventura County Division of Building
□nd Safety or the Ventura County------------------------------------------- dcpartmenL
Applicant.
e above Infor—
irdlnances and
_.-e representa-
sed property for
1'~~' COUNTY OF VENTURA
A APPLICATION & PERMIT
—4' I RESOURCE management agency- division of building and safety
1 SITE INFORMATION
»««■■,nrVf/ f I
y, . f f ) ITATK "O.^
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not ba completed If the permit if for ana hundred
dollars ($100) arless.)
I certify-lhat Io the performance
issued, 1 sWlrtpt cfnploy/any person i
ES^SSiS
shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Lender's Name —--------------------------- -
Lender's Address----------------- -------------------------- - - —
read this application and state that the '■
to comply with all city and county ordl
Ing construction, and hereby authorize
enter upon the above-mentlonc
ENERGY FEE S
4
: 27
piyj»ioH
ADD/ALTM
32^
SQ. FT. @i
9
INSPECTION RECORD
INSPECTOR
DATE
1
PLUMBING INSPECTOR
DATE
I
7- 2.1 -c
INSPECTOR
MECHANICAL
ROUGH
I
INSPECTOR
DATE
INSPECTOR
DATE
i INSPECTOR
■ .© 0
_____ building
__________ ZONING
F°UNDATioN~u7^'ROUND „
___________ SLAB
BOND BEAMS
________ BOND BEAMS
________ BOND BEAMS
tilt UP PANELS
TILT UP PANELS
_______FIRE DISTRICT
FLOOR FRAMING
ROOF SHEATHING
_ _______ PRE-WRAP
_______ frame
INSULATION
exterior LATH/SIDING
INTERIOR LATH/DRYWALL
UNDERGROUND SOIL
UNDERGROUND WATER
ROUGH/TOP OUT
GAS TEST
SEWER/SEWAGE SYSTEM
FINAL INSPECTIONS
FINAL GRADING CERT. REC'D.
BUILDING ADDRESS
INSULATION CERTIFICATE
■PLUMBING FINAL
MECHANICAL FINAL
ELECTRICAL FINAL
BUILDING FINAL
UTILITY CLEARANCES
’ GAS___________ _
ELECTRICAL
DATE
ELECTRICAL_________
TEMPORARY POWER
ROUGH
CORRECTIONS -'NOTES
1^4
7
DATE
1
-- ."r“ "■
J
niKRirriOH
DwKVLina unit*
IITRUCT1OK
SQ. FT. 0$
I Fire Protection District Conditions
Heated building
Non
LEGAL DECLARATIONS
BUILDING PLAN
REVIEW FEE S 286.00
185.90
EA. = $
® $
EA. = $
<3$
EA. = 1
,, B. & P- C. for this reason
EA. = $ Water Sy;
@$
:m
Date.
Owner.
S
Policy No..
the i
Heated Area
EA. = $
Heatlng/Cooling Appliance
<3$
Flue EA.= $
® $ EA.= $
®l EA.= $
any manr
Itfornla.
$
f Exemption,
visions of the
VOLTS AMPS FEE
NO.
SERVICE
USE/OCCUPANCY FEE
COST EACH
EQUIP. OR MISCL, RATING FEE
NO-
eVeC-PLAN
REVIEW FEE $
10.00
$299.57
nKVlKW VALIDATION
‘S185.9aUCl.VTAC 9-26-6511013 S299.57VC
t
Bluo — Auditor Groan — Owner Canary - File Pink - Assessor
White - Inspector^
■UILOINO
x 100
am exclusively contracting with licensed
• PLAN
XUVnC B-20-S5H002
department.
.9.-J.(-ZT2
Ducts
Fah/Air HapdHffg
Eqyiprfient
TOTAL VALUATION $50 T000 «00
Yes(O No O
MECH.PLAN
REVIEW FEE
6
"m
11 ' ' v»>.u*rion
L0,00QSQ,.Fr-(gi5,0O = $ 5Q.OOO‘.OQ-
• - SQ. FT. ® $ ' = *
Yes
VN
COST PER
SO. FT.
Jbar^a Road
Gas Piping Outlets
Private Sewage
Disposal System
Building Sewer >
Domestic Water Source; Private Well ,Y Public.
Method of Sewage Disposal; Private Public
2
NOTICE.
PERMIT ISSUANCE FEES
1 TOTAL
| PERMIT FEES
ISSUED BV------
“ PERMIT VALIDATION
I PLMBG.
_________| PERMIT FEE
MECHANICAL
'SsTFUBUTION:
_________________________ 185.90
. WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
01ai
•TATR UC«HI« HO, U,17^
397456
987-8845 /'
•TATB CICBMIB NO. I
i>k or >u<
100'x
ENERGY FEE $
4
Goldenrod — Office
? . T
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self-insure, or
a certificate of Workers' Compensation Insurance, or a certified copy thereof
(Sec. 3800, Lab. C.J.
Company--------------------------------------------—
CSf Certified copy Is hereby furnished.
ll' Certified copy is filed with the Ventura County Division of Building
and Safetyar the
AppIicytrTT^Q^tA^^^xr?-
L/ CERTIFICATE OF
'35-22-11"“'
Geo Hearst
mail Aoowcaa ’
: Same as above
CONTRACTOR-------------------
_ Bannmaster
urn nnniiBn
...... .DjWgon^Br. ^.Camarl 11 n
____ 'X
COUrft^FVteNTURA 0
APPLICATION & PERMIT
RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDING AND SAFETY
3 BUILDING
OF AUILOIHO
Covered Pen
AOO/XLTtl
"23'35...........1
J_____________SITE INFORMATION
■ROJKCT AOORK*. ' x -----------------------
3501 Canada
PLMOG. PLAN
REVIEW FEE $
5
LICENSED CONTRACTOR DECLARATION
J hereby affirm chat I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions
Code, and my license is in MLforcc and effect.
Me. Number.-^^ License Class J5 ____
Contra ^Date
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for
the following reason
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
I, as owner of the property,
contractors to construct the project
I am exempt under Sec--------
[ "a"-s
BUILDING
PERMIT FEE $
STATE
SEISMIC FEE S
PLUMBING
■ft™
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed-if the permit is for one hundred
dollars ($100) orless.)
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.
Applicant---------------------- --------—:—■—------------------ Dat0-----------------------
KSSS5SB
Shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Lender's Name----:—----------- t--------------------:
Lender's Address----------------------- - " “ “
Inspection purposes.
I ELEC. "
| PERMIT FEE S
[ MECK
I PERMIT FEE S
ELECTRICAL
TRACT I CHOU STRRKT
CORRECTIONS - NOTES
DATE
-t
INSPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
DATE
INSPECTION RECORD
INSPECTOR
»
> < • »-> 1W Ax ■
PLUMBING
UNDERGROUND SOIL
UNDERGROUND WATER
ROUGH/TOP OUT
GAS TEST
SEWER/SEWAGE SYSTEM
ELECTRICAL
TEMPORARY POWER
IROUGHI
MECHANICAL
ROUGH
FINAL INSPECTIONS
FINAL GRADING CERT. REC'D.
BUILDING ADDRESS
INSULATION CERTIFICATE
PLUMBING FINAL
MECHANICAL FINAL
ELECTRICAL FINAL
BUIL'BiNG FINAL
UTILITY CLEARANCES
_________ GAS____________
ELECTRICAL
________ BUILDING
__________ ZONING
FOUNDATioNTuFERGROUND
SLAB J-"'"
BOND BEAMS ':
________ BOND BEAMS . ,
________ BOND BEAMS
_______TILT UP PANELS
_______TILT UP PANELS
_______ FIRE DISTRICT
FLOOR FRAMING
ROOF SHEATHING
_________ PRE-WRAP
___________FRAME
INSULATION
EXTERIOR LATH/S1DING
INTERIOR LATH/DRYWALL
DATE INSPECTOR
1
I
r
BUILDING
tyh or corrroMCnoH
©
■ = $
SQ. FT. @ $
3974561
5Q. FT. @ $
Fire Protection District Conditions
215.5(1
140,08
2,45.
n/a
X »LOO» O.Aim
CLOTH KA
DIIHWAIHIA
the
EA. 3 J
EA. = $
am exclusively contracting with licensed
EA.-5
,, 0. & P. C. for this reason .
EA. = J Water Sj
tern
Owner.
3
Heated Area
EA. = $
Heatlng/Coollng Appllcance
* EA. = $
Flue
9$ EA. = $
EA. = $
$
S
VOLTS
SERVICE AMPS/ FEE
NO.
USE/OCCUPANCY FEE
RATING COST EACH
NO. FEE
ELEC. PLAN
REVIEW FEE S
5140.08UC
111VTAC 6/05/8511001 ' ’ $227.9SVC
1HVTAC 7/15/8511006
t
Bluo - Auditor
White - Inspector Groon - Owner Canary — Flic Pink — Assessor
DISTRIBUTION:
fyjtjrlii,
. . .1 A-ILl L L!
/ei-tpif-f a»'<i
BXTar
VALUATION
sq.rr,@:10,oa' = s 34,560.00.
| '17*330-8
O«ICRI^TU3N
- ■ *- "rformancc
hall not employ any person I..
rkers' Compensation Laws of Cal
COST PER
SO. FT.
4640 Portion-Rd.
Domestic Water Source:
M£CH.PLAN
REVIEW FEE
6
jd&SSL
227.95
I MEcH. “
| PERMIT FEE
ELECTRICAL
BUILDING
PERMIT FEE S
STATE■
SEISMIC
PLUMBING
| ELEC.
I PERMIT FEE
M°U>
X____
PERMIT ISSUANCE FEES
“ | TOTAL
| PERMIT FEES 1
ISSUED BY
PERMIT VALIDATION,
Gas Piping Outlets
Private Sewage
Disposal System
Building Sewer
Ducts
Fan/AIr HamJWrfg
Equip^prtnt
Somis____________
Private Well Public.
Method of Sewage Disposal: Private Public.
2 legal declarations
ENERGY FEE $
4
EQUIP. OR MJ^C.
Goldonrod — Office^:
RESOURCE MANAGEMENT AGENCY - DIVISION
_
________SITE INFORMATION
^^g^rgaRd. ■■ ■
| LOT Mo. | YA ACT I HKARKAT CHOfl tTWKBT
A______
| PLMBG.
| PERMIT FEE
MECHANICAL
tl®«
TOTAL PLAN
REVIEW FEES S 140.08
■ WHEN PROPERLY VALIDATED TH)S IS YOUR PERMIT
PLAN REVIEW VALIDATION
035-0-220-011*
G. Hearst
MAIL AODAtZAA —
3501 Canada Larga Rd.
CONTRACTOR-----------------------— 2
Bammaster
TOTAL VALUATION 5^560,00
Building not heated <3/2- .^•aoLg.o__________
LICENSED CONTRACTOR DECLARATION
rc,a^
Code, and my license is ip full force and effect. ' ' ' '
Lie. Numberj 3^745S^>^ , R ■
FEE »
"ojai
WORKERS'COMPENSATION DECLARATION X------------------
I hereby affirm that I have a certificate of consent to self-insure, or /_____________
a certificate of Workers' Compensation Insurance, or a certified copy thereof pLMBG PLAN
Certified copy Is hereby furnished. - -----------------------------
Certified copy is filed with the Ventura County Division of Building
.l CERTIFICATE OF EXEMPTION FROM
V WORKERS' COMPENSATION INSURANCE
(This soction need not ba completed if the permit is for one hundred
dollars ($100) ar less.)
I certify that In the perfo
issued, I shall not employ any
to the Workers' Compensation I
Applicant—— -----—--------------------------------------- —- Da“-----------------------
NOTICE TO APPLICANT: If, after making this Certificate of Exemption,
vou should become subject to the Workers’ Compensation provisions of the
Labor Code, you must forthwith comply with such provisions or this permit
shall be deemed revoked.
CONSTRUCTION LENDING AGENCY /
Lender's Name---------------------- ------------------------------------------------------------------
Lender’s Address —---------4 ’
I certify that I have read ttiis. application and state that the above infor-
rarrect. I agree to comply with all city and county ordinances and
inspection purposes.
■ UILOIHO
36 ^96
______' X
- rO"eH 'X
BUILDING PLAN
REVIEW FEE S
OWNER-BUILDER DECLARATION
I hereby affirm that | am exempt from the Contractor's License Law for
re following reason
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
I, as owner of the property,
contractors to construct the project
O I am exempt under Sec. _
: of the work for which this permit Is
In any manner so as to become subject
' "jlifornia.
___B
987-8845 • < 
ATATA LICSH.A "O./
C 31777 (I 1
rttane KZr
482-9841 
f J I? COUNTY OF VE
APPLICATION & PERMIT
O(F BUILDING AND SAFETY
3/J,
' ’  Bam
piVIAION
NOTICE.
PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
‘VORK,sCOMMNC£D-
, allA-ur.,. b~r nwHMH MUILOAHl ’
”3501'
437 Dawson Drive ■ Camarillo
Hiroshi Hoshi7’"*''
CORRECTIONS-NOTES
it 77
f
INSPECTOR
DATE-
DATE
DATE INSPECTOR
-.-••’I ?.•'
■ INSPECTOR '
DATE-'
A
/ INSPECTOR
H
, 0 --
'ft
INSPECTION RECORD
is&CTOR A
J
MECHANICAL
ROUGH
'^PLUMBING
UljlDERGgOUND SOIL "
■'UNDERGROUND WATER
ROUGUZTOPOUT , „
~ GAS TEST"
SEWER/SEWAGE SYSTEM
7
5-
ELECTRICAL '
temporary power
ROUGH
DATE
FINAL-INSPECTIONS
FINAL GRADING CERT. REC'P~
BUILDING ADDRESS •
■iNSULATION CERTIFICATE-
: •• PLUMBING FINAL ' ~
• ■ MECHANICAL FINAL
~~ ELECTRICAL FINAL
" BUILDING-FINAL '
UTILITY CLEARANCES
-t?:yz-gas
ELECTRICAL
INSPECTOR
DATE
BUILDING
_______ zoning
FOUNDATION: /
^SLAB
bond'beams'- 
bond beams
tilt up PANELS
tilt up panels
FIRE DISTRICT
FLOOR FRAMING
ROOF SHEATHING
PRE-WRAP ~
FRAME
INSULATION '
EXTERIOR LATH/SIDING
INTERIOR LATH/DRYWALL
BUILDING
KMOLI1H
643-2611
SQ. FT. © $
MAIL ADORBBB
Fire Protection District Conditions
89.05
$
FEE
n/a
the
EA. = $
EA.= $
EA.M
@5
, 0. & P. C. for this reason
© *
Owner. Date,
insure, or
py thereof
S
EA. = $
Heated Area
EA, = $
EA. - $
@5
Flue
EA. = $
EA. = $
$
S
FEE
AMPS
SERVICE VOLTS
NO.
FEE
USE/OCCUPANCY SO. FT.
w. COST EACH
EQUIP. OR MISC. . RATING FEE
ELEC. PLAN
REVIEW FEE $
$
7
Bluo — Auditor
Whlta — Inspector
I
I
iI
I ■
■
3 ■
, S DISTRIBUTION:
YES
NOT FOR HUMAN HABITATION.
■ 8 9.05*.
..00*..
Goldenrod — Office
Heating/Coollng Appliance
PLMDG. PLAN
REVIEW FEE. S
5
MECH.PLAN
REVIEW FEE
6
same as above
contractor
"DRA. Contractors
437 Dawson
ARCMrTKCT CNOIHI,
coSTeHf'
^QfFT.
Ventura
NON-HEATED QR COOLED BUILDING.
—
BUILDING.PLAN
REVIEW FEE $
BARN
DIVISION
3
Ducts
Fan/Air Handling
Equipment'
Gas Piping Outlets
Private Sewage
Disposal System
Building Sewer
Water System
Domestic Water Source: Private Well'____ Public
Method of Sewage Disposal: Private PublicJ
2 LEGAL DECLARATIONS
| NBARABT C«O|I BT»««T
I Hwy 33
OWAUTHO^IieO ACKNT
&P^ENS s 89.05
■ WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
PLAN RKVIEW VALIDATION
PERMIT FEE Uy—T
STATE
SEISMIC
PLUMBING
I MecM.
| PERMIT FEE
ELECTRICAL
I
NOTICE
I PLAN HUI
I 380-N
_3_____
uaa or ouiloikg
' LIVESTOCK
1U< Or OARAOB
■x
rorCHAB, ratio, ri
•x
(’S COUNTY OF VENTURA 
*"»NCINUmImrT ^APPLICATION & PERMIT r
1 ' I RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDING ANO SAFETY j
2 SITE INFORMATION
TTFB ar eONBTHUCriON
VN
---- - VALUATION I
•° jaee-sQ-H-.a; i2.otf~>-a5.aror^»_
~ I PLMflG^
| PERMIT FEE
MECHANICAL
lS©$
I ELEC.
| PERMIT FEE
PERMIT ISSUANCE FEt- T----- 3 «'OTT
I TOTAL
| PERMIT FEI
I5SUEO DX
PERMIT VALIDATION
4 1 3 503 HH 3 1 '« 0 •
>v4 6 3 703. JUL1 3 '2 5
Groan - Owner” Canary — File Pink — Assessor
SQ. FT. e s______
TOTAL VALUATION JDFUP
Yes^ NaP
x "ANC<
V~
’loner ADonit,
_jSOI_Cgnadg Larga R „
“»••• 'AUCKL NUUM,------------------ 1—-------------
_J5-0-220-^S 2J |
George Hearst
397456 "j*’
Cainaxillo, E 93010 484-2689
ENERGY FEE S
4___
LICENSED CONTRACTOR DECLARATION
(ceL^X ffiX Joo'S?
Code, and my license is in full force and effccL xi
Llc.Nun,b.aj^3<?7^6 _
Cantractor^^A^^Z/^^^CS DurX-
OWNER-HUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for
ie following reason
O 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
forsale
I, as.owner of the property, am exclusively contracting with licensed
contractors to construct the project
O I am exempt under Sec.
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self-ip
a certificate of Workers' Compensation Insuranccujr a certified cop
(Sec. 3800, Lab. C.). tr „
Company^_.//Z^5/Z>-Zt/ Policy NnfX
Certified copy Is heretfr furnished.
[5?~ Certified copy is fpZdwtfhtHe Ventura County Division of Building
and Safety or theAWtfi^CgVnp^Z ------------------------------- department.
ApplicanL^_^d44^------------------ - Date^T6#^
/ CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not bo completed if the permit is for one hundred
dollars ($100) orless.)
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.
icant--------------------------------------------------------------- D1“---------1---------------
NOTICE TO APPLICANT: If, after making this Certificate of Exemption,
vou should become subject to lhe Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such provisions or this permit
shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Lender's Name----------- -——~
Lender’s Address-------------------------------------------------------------------
I r-rrlfv that I have read this application and state that the above Infor-
Inspection purposes. ■ - . ... ■ .
1
INSPECTOR
DATE
INSPECTOR
DATE
INSPECTOR
DATE
DATE '•
INSPECTOR
I
z
iya»,.atUsf
DATE
MECHANICAL
ROUGH
■ECECTRICAL^X?
TEMPORARY'POWER-'
ROUGH
FINAL INSPECTIONS
FINAL GRADING CERT. REC'D.
BUILDING ADDRESS
INSULATION CERTIFICATE
PLUMBING FINAL
mechanical final
ELECTRICAL FINAL
BUILDING FINAL
■ UTILITY CLEARANCES
, GAS
T ' electrical ■_______
------------ --------------
. ; INSPECTOR
rrr
7~7
__________PLUMBING
UNDERGROUND-SOIL _, (
• UNDER'GR<jUND'WATER ■ •
ROUGH/TOP&UT ■
A -GAS TEST.
SEWER/SEWAGE SYSTEM
DATE
~T '
e;.
INSPECTION RECORD '
CORRECTIONS - NOTeF~
________ BUILDING
_______ zoning
__________SLAB
BONO beams _
C V^oNd'bFams 1
, • Konq'T^ams'. 1 W~
TILT UP PANELS ; ,
tilt UP PANELS '
• FlREDTirfticr------------
FLOOR FRAMING
' ROOF SHEATHING
_________ PRE-WRAP
___________FRAME
INSULATION
EXTERIOR LATH/SIDING
INTERIOR LATH/DRYWALL
)
380-N
BUILDING
onicxirrioH
OWKIUUMS UHIT«
•x. SQ. FT. @ $
X SQ. FT. @ $
TOTAL VALUATION $
Aooaaat
Fire Protection District Conditions
73.45 ■e
s
n/a
LAVATORY
OtlHWAAHKR
EA. = $
EA.= $
@ $
EA. = $
0$
,0. i P.C. for this reason
Owner.
s
Heated Area
$
SERVICE VOLTS
NO. AMPS FEE
USE/OCCUPANCY SQ. FT. FEE
RATING COST EACH FEE
ELEC. PLAN
REVIEW FEE $
S
,0 0 a
7 3.45a .
Bluo — Auditor
White - Inspector Groon — Owner Canary — File Pink - Assessor Goldenrod — Office
DISTRIBUTION:
Private Public___
LEGAL DECLARATIONS
■I
I
' 7 -
NON-HEATED OR COOLED BUILDING.
BUILDING.PLAN
REVIEW FEE S
20,160.00
Yes No
BARN
-0UECH. PLAN
REVIEW FEE $
6
hp'h ~
YES
NOT FOR HUMAN HABITATION.
TYFB ar CONSTRUCTION
_________ VN
■ UlLtWy-y / ‘ ‘ VALUATION
'= SQ-FT-QSa.OO '=* 20,160.00
EA-’
K?—
V^CtA^S
Gas Piping Outlets
Private Sewage
Disposal System
Building Sewer
Water Systenjx^
PLAN HEVISW VALIDATION
I ELEC. “
| PERMIT FEE
z-*^ Ducts
Fan/Air Handling^-"
Equipment^
I PLMBG7
| PERMIT FE1
MECHANICAL
n®s
NOTICE,
PERMIT ISSUANCE EEE S
I TOTAL 7
| PERMITFEES v
u ) MEcH. •
I PERMITTEE
ELECTRICAL
J___
uac or auiLoiHa
LIVESTOCK
 M
___ X
"20"
| #* V
1
"ToVc^ Ventura, CA
CSOil «TRBKT
I Hwy 33 V
BUILDING
i PERMIT FBI
STATE
______ SEISMIC FEE
PLUMBING
Domestic Water Source: PrlvateW.li______Public -
Method of Sewage Dltposal:
2
f COUNTY OF VENTURA (7
^APPLICATION & PERMIT W
RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDING AND SAFETY
SITE INFORMATION
____________ £Prga Road
35--O-2z'o:ra?a£n]~aT“’- [
' 643-2611 ■
same as ahnvQ
tllimWLILw
DRA Contractors ‘
_437 Dawson_Drii
"CHITCCT CHoiNaaw psii
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATION INSURANCE
(This section need not ba completed If the permit Is for one hundred
dollars ($1001 orless.)
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.
Applicant--------------------------------------------------------------- Date — ■
NOTICE TO APPLICANT: /If, after making this Certificate of Exemption,
you should become subject to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such provisions or this permit
shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the per­
formance of the work for which this permit Is issued (Sec. 3097, Civ. a).
Lender's Name---------------- -------------------------------------------------------------------- —
Lender's Address —------------------------—------------------------------------------------------
I certify that I have read this application and state that the above Infor­
mation is correct. I agree to comply with all city and county ordinancesand
state laws relating to building constrpction, and hereby authorize representa­
tives'of this county to enter upon the’above-mentioned property for
Inspection purposes.
WHEN PROPERLY VALIDATED THIS IS .YOUR.PERMIT
.IDATION ** - . J , ’PERMIT VALIDATION
• : 44 3 683 MY 3 1 'SO 7 345a’’ 4 5 7 983 JUL 7 '2 5'
397456__________
■y^CarnariUo 93010 484-2689
PLMBG. PLAN
REVIEW FEE $
5
COSTPER
,SQ. FT.
Date
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self-insure, or
a certificate of Workers' Compensation Insurance, or a certified copy thereof
(Sec. 3800, Lah. C.). , u./u UT'ftt a
Company _ A?/.5,S/-4 V ^1 <S
Certified copy Is hereby furnished.
Certified epp^ 1$ filed with ihc^Ventura County Division of Building
and Safety or th^Vwpra Count/Q—/Z_________
___________department, [7 . ..
AppItronf^^^^V/ 11 ~~
LICENSED CONTRACTOR DECLARATION
nd'm’y tanfc'S" Jil^lee'P^”"’
Lie. Numb.r^_xgg.-7 Lle.no. A5
Contractor. (Tu - fit- fy-tztl nare^-v < -
OWNER-BUILDER DECLARATION
the rollowVmwn"”' ' im ““npt rr°,n Contrietor's Uee'nse Law for
0W V1® Pr°PerIy. °r my employees with wages as their sole
fornfc"531 °n’ * d° thC W°rk' ind the 5truclurc Is 001 intended or offered
O 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the.project
O I am exempt under Sec.
■ T E&VTe - CORRECTIONS - NOTES - ■
INSPECTOR •
DATE
INSPECTOR
DATE
INSPECTOR
DATE '
INSPECTOR
DATE
INSPECTOR .
DATE, -
■
ELECTRICAL ' ■
. TEMPORARY POWER
. .ROUGH
, MECHANICAL
ROUGH
INSPECTION RECORD
|u 2 INSPECTOR,; ■ |~
■■r-n
±2
________ PLUMBING._______
UNDERGROUND SOIL
UNDERGROUND WATER .
ROUGH/TOPOUT
, GAS TEST-. ~
.SEWER/SEWAGE SYSTEM .
FINAL INSPECTIONS
FINAL GRADING CERTTREC’O.
BUILDING ADDRESS
■ INSULATION CERTIFICATE
"PLUMBING FINAL
.MECHANICAL FINAL
electrical final ,
BUILDING FINAL /
UTILITY CLEARANCES
'GAS Z
■ '<*•» '^lectricai/
■?v (
V
,y>-g* V —*= -
BUILDING - VI
ZONING , . - X
FOUNDATION: UFER GROUND
___________ SLAB ‘
________ BOND BEAMS . .
BOND BEAMS ■ - •
"BOND BEAMS-■ ■
■ " .TiLT UP PANELS
_______ TILT UP PANELS
' fire DISTRICT
FLOOR framing
ROOF SHEATHING
_________ PRE-WRAP
_________. FRAME ‘
_________INSULATION
■ ■ EXTERIOR LATH/SIOING
INTERIOR LATH/DRYWAlL ■
•4=.
t
1
BUILDING
3
6_43-2611
20'160.00-
397-456
I TOTAL VALUATION $
Fire Protection District Conditions
an harttatton.
iln.nn"
n/a
Date.
S.AUHDRV TUB TOTAL. riXTUL
EA. = $
©I
EA. = 5
EA. =•$
@ $
,, B. & P. C. for this reason
EA. = $ Water System
Owner. Date.
S
EA^Z-
Heated Area
EA. = $
Hcatlng/Coollng Appllcance
Flue’ EA. = J
EA. = $
EA. = $
S
$
VOLTS AMPS FEE
SERVICE NO.
USE/OCCUPANCY SO. FT. FEE
no:^ rating' FEE
COST EACH
EQUIP. OR’MISC.
ELEC. PLAN
REVIEW FEE S
4 5 3 083 JUL ,00a
7 '2 5
Bluo — Auditor
Whlto - Inspector Green - Owner, Pink - Assessor Goldenrod — Office
Canary - Filo
distributions
YP.fi
NQT POP
MECH. PLAN
REVIEW FEE
6
©I
I MECri.
J PERMIT FEE
ELECTRICAL
COSTPER
SQ.JFT.
LIVESTOCK BARN
oiviciort
3
M
X
Gas Piping Outlets
Private Sewage
Disposal System
Building Sewer
Ducts
Fan/Air Handling"''
Equipm^pr^
f
i
"i
inn no
V« No
Ventura, CA
I c«ai« rrwK«r
I Hwy 33
^07-
~F~
PERMIT ISSUANCE FEES 5.00
| PERMITTEES
380-N
same as ahnw>
ccHTnAcran —
-&&££2!-xastaxs.__
-S37.,Datrt;nn un-xm
PLM0GT"
_________| PERMIT FEE
MECHANICAL
■TATS LICOHXX KO. I
_______ . . ’* I*"**
BUILDING
PERMIT FEE S
_____ SEISWC FEE $
PLUMBING
rvre or conitmuction o«
VN__
....• I
’ X_ ' ’ = SQ. FT. (9? ’■$
rOAGMB*. TATIO, rinSTLACS, STC.
■ ♦ ,'X••SQ. FT. & $3 I
TOTAL PLAN
REVIEW FEES S 73,45
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT issued dy
FUAN REVIEW VALIDATION PERMIT VALIDATION
4 ! 3 483 IUV 3 1 •« 0 7 345a"
Q) COUNTY OF VENTURA Q
APPLICATION & PERMIT
RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDING AND SAFETY
siteTnformation
35-0-220-BXs 11 | U°T _
George Hearst_____
| ELEC.
| PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self-insure, or
a certificate of Workers’ Compensation Insurance, or a certified copy thereof
I I Certified copy Is hereby furnished.
Certified copy is filed with the Ventura County Division of Building
and Safety or theA/tfAtiira County<^L—------------------------------ department
Applicant/ j2Zt//Ar=====- Date^ ?
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not bo completed if the permit is for one hundred
dollars ($100) or less.)
I certify that In the performance of the work for which this permit Is
issued, I shall not employ any person In any manner so as to become subject
to the’Workcrs' Compensation Laws of California.
Applicant—------------------------------------------------ ------------ Oale
NOTICE TO APPLICANT: If, after making this Certificate of Exemption,
you should become subject to the Workers’ Compensation provisions of the
Labor Code, you must forthwith comply with such provisions or this permit
shall be deemed revoked.
, CONSTRUCTION LENDING AGENCY
Lender's Name ——--------------------------------------------------------------------- -
Linder's Address------------------ -------------------------------------------------------------------
11
Inspection purposes. . ■ - . ‘ .
Domestic Water Source: Private Well_____ _Public.
Method Of Sewage Disposal: Private . pubI|c.
2' LEGAL DECLARATIONS
LICENSED CONTRACTOR DECLARATION
|eoL'X wffiX olf'<DTvSdo„,,3nS;'th?^ilS aiS P»^
Code, and my license |$ |n full force and effect. r)
Lie. Number License Class
Contractor
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor’s License Law for
the following reason
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
I, as owner of the properly, am exclusively contracting with licensed
contractors to construct the project
I atn exempt under Sec.
PLMBG. Kan
REVIEW FEE S
5
NON-HEAT'P.T) OP rnOLED RTTTT.DTNfl.
BUILDING.PLAN /3.4b
REVIEW FEE $ 21X2
ENERGY FEE S
4
ir^j ^uoTst" i.«t
NOTICE
INSPECTION RECORD
, ^CORRECTIONS - NOTES
INSPECTOR
DATE,
INSPECTOR '
DATE
INSPECTOR
DATE
DATE . INSPECTOR
DATE-,. INSPECTOR
DATE INSPECTOR
MECHANICAL
ROUGH
ELECTRICAL
TEMPORARY POWER
ROUGH
PLUMBING ■ ■ .
UNDERGROUND SOIL
UNDERGROUND WATER
ROUGH/TOP OUT '
.. .GAS TEST
SEWER/SEWAGE SYSTEM
„ BUILDING , ■ -
________ ZONING
FOUNDATION: UFERGROUND
___________ SLAB ■
.BOND BEAMS
• bond BEAMS
BOND BEAMS ' ’■
■ TILT UP PANELS .
_______TILT UP PANELS
' FIRE DISTRICT1----------
. FLOOR FRAMING
ROOF SHEATHING '
PRE-WRAP
__________FRAME.
________ INSULATION-’ •
EXTERIOR LATH/SIDING
INTERIOR LATH/DRYWALL
FINAL INSPECTIONS
FINAL GRADING CERT. REC'D,
BUILDING ADDRESS
INSULATION CERTIFICATE'
PLUMBING FINAL
MECHANICAL FINAL
ELECTRICAL FINAL
BUILDING FINAL
UTILITY CLEARANCES
GAS '
" ELECTRICAL
y/7 ■
... ..
&
I 3&P7u
BUILDING
o««c«imoH
OWILUXO UHIT»
rrrt or cox«r»ucrioH
OIVlUOH
SQ. FT. O $
'X
HFH
Fire Protection District Conditions
BUILDING PLAN
REVIEW FEE 5 S
uvAToxy
coir BACH
WTIt. H«ATH»
LAUXORI TUB
EA. - $
@1
EA. = $
@1
& f
, 0. i P. C. for this reason
Water System
Owner. Date.
$
EA. = $
Heated Area
L = $
Heating/Coollng Appllcance
EA. = $
Flue
EA. = |
EA. = $
$
VOLTS AMPS FEE
NO.
SERVICE
USE/OCCUPANCY SQ. FT. FEE
Np. ■''RATING
EQUIP. OR MISC. COST EACH FEE
ELEC. PLAN
REVIEW FEE $
.00*.
Bluu — Auditor Goldenrod — Office
m DISTRIBUTION: White - Inspector
•f
I
7^
PJ.-f.lBG. PLAN
hEVIEW FEE S
5
EA. = $
EA. = $
I mech. —
I PERMIT FEE
ELECTRICAL
__________ E
■■/a^Q.FT.et
• IXK O' a««AO«
•x •=> SQ. FT. @$
. - Ducts
Fan/Air Handling
Equipment
COST PEH ,
SQ.FT-;
Gas Piping Outlets
Private Sewage
Disposal System
Building Sewer
ENERGY FEE S
4 ,
_3________
U1B or BUIUOINO
TOTAL PLAN
REVIEW FEES $
~ 7 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT issucd dv
FLAN REVIEW VALIDATION PERMIT VALIDATION
CONTRACTOR
MAIL AOOADia
CONSTRUCTION
“ OR IF CON­
OR A PERIOD
above infor-
sunty ordinances and
tuihorize representa-
Joned property for
TOTAL VALUATION *
Yes No O
I PLMBGT"
| PERMIT FEE
MECHANICAL
ch & $
PERMIT ISSUANCE FEE $_____________ __
| PERMVr FEES
’ 4 6 3 883 JUL 1 3 ’2 5 ” • ■.
Groan - Owner Canary - File' Pink - Assessor
MECH. PLAJik'
REVIE^LFEE S
Date-----------------------
tlficate of Exemption,
ition provisions of the
slons or this permit
1
'35o7'cz
-ABCBU
MAIL AODMBaa
Domestic Water Source: Private Well______public ■ ’
Method of Sewage Disposal: Private Public
2 LEGAL DECLARATIONS
LICENSED CONTRACTOR DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9
(commencing wtth Section 7000) of Division 3 of the Business and Professions
Code, and my licenseJs in full force apd effect. . rrp
Lic- Ucen$e ciasvX
Contractor^ .l/fTffV
OWNER-BUILDER DECLARATION
. L h.freb.v affirm th* 1 Jm exempt from the Contractor's License Law for
the following reason
LJ 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
I, aS owner of the property, am exclusively contracting with licensed
contractors to construct the project •
O. I am exempt under Sec.
BUILDING
PERMIT FEE
_____ SEISMIC FEE S
PLUMBING
zr • .. 6^t
I eLec.
I PERMIT FEE S
lot no. j thact I ntA««rrcross arnccr
J. I HuJ^ 33
-• f ,HOH« T~
WORKERS'COMPENSATION DECLARATION
I hereby affirm, that I have a certificate of consent to self-insure, or
a certificate of Workers' Compensation Insurance, or a certified copy thereof
(Sec. 3800. Lab. C.). • ‘ * Z-
Company ---------- .Policy No-------- ----------------
Certified copy Is heyby furnished.
Certified copy the Ventura County Division of Building
and Safety or thejierrtljraZounnZ------7---------------------------------- department.
Applicant^^^-^^f^Zr? 0at^^&5z£5
7 CERTIFICATE Ow/xEMPTION FROM
WORKERS* COMPENSATION INSURANCE
-• (This section need nor bo completed if tha permit is for 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.
Applicant-------------------------------- ■ • 1
NOTICE TO APPLICANT: If, after making this Ccrti
you should become subject to the Workers Compensat
Labor Code, you must forthwith comply with such provisl
shall be deemed revoked.
■ CONSTRUCTION LENDING AGENCY
Lender's Name------------ -
--------------------- -------------------------------------
Lender's Address ----------------------———-
inspection purposes. . ■ ,
• ■ NOTICE
°w°miN°so SaysT'c
Cf (7777^^.-------
A COUNTY OF VENTURA ' Q
APPLICATION & PERMIT^ Zife.
RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDINGAND SAFETY
. SITE INFORMATION
CORRECTIONS-NOTES •'
DATE
INSPECTOR
DATE
INSPECTOR
DATE
DATE- . ■, INSPECTOR
INSPECTOR'.
DATE
7
5F
0
MECHANICAL
ROUGH
INSPECTION RECORD
INSPECTOR
3
■'ELECTRICAL
TEMPORARY POWER ■
ROUGH
Wre; j
FINAL INSPECTIONS
FINAL GRADING CERT. REC’R--
BUILDING ADDRESS
v■■insulation'certificate 77
'plUmbing'fInal'^
■ - "mechanical final
•ELECTRICACFIFIAL ' ~ ■
■■■■ Z-x-BuitoiNG FINAL
-■ -UTILITY CLEARANCES' ~
GAS______________
^■■■.yL-/-ELECTRICAL
PLUMBING.
UNDERgROIJNp SOIL' ~ X
UNDERGgOUNb WATEh ~
ROUgA/TOP OUT-'
v-.GAST.csr . -
SEWER/SEWAGE SYSTEM
_____ building
___________ZONING
FOUNDATION: UFER GROUND
____________ SLAB
, BOND BEAMS
' toND'BEAMs'<C '/.C
VBOND'BEAMS ■ .
_______ TILT UP PANELS
TJLT UP PANELS '
________ FIRE DISTRICT
• floor framing
ROOF SHEATHING
PRE-WRAP
___________ FRAME '
_________ INSULATION
EXTERIOR LATH/SIDING
INTERIOR LATH/DRYWALL
5ir -
/
BUILDING
TRACT
643-2611
70
■ = $
SQ. FT. @ $
'X
SQ. FT. © $
'X
TOTAL VALUATION $
MAIL ADDRIii
Fire Protection District Conditions
(company HAMS)
NON-HEATED OR CQOZD BUILDING,
BUILDING.PLAN
REVIEW FEE $ 338.00.
219.70
s
LAVATORY
CUOTMH WASH*. .LOOK OAAIH
COAT RACK
©$ EA. =• $
EA. = $
@ $
EA. = $
©S
., B. & P. C. for this reason
Owner. Date.
AM.
Heated Area
Centura
Heating/Coollng Applicance EA. = $
Flue EA.-J
Ducts EA. = $
Fan/Air Handling
Equipment EA. = $
?
s $
SERVICE NO. VOLTS AMPS FEE
USE/OCCUPANCY SQ. FT. FEE-
RAJJNG^
EQUIP. OR MISC., NO. COST EACH
ELEC. PLAN
REVIEW FEE $
5.00
3 4 8.88a
Canary — File Pink — Assessor Goldenrod — Office
»
VALUATION
7000 SQ. FT, @ S 12. Of)=$ 84(000.00-
Private Public____
legaldeclarations
I
4
t Is
iect
2 1 9.70'
" 3 5.00V"
Grbon — Owner
h/a
PLUMBING
Building Sewer,
WatepSfsum
MECH.PLAN
REVlEyrfEE
6
PLMBG. PLAN
REVIEW FEE $
5
FTTh"
Yes
NOT FOR HUMAN HABITATION,
348.88
-21^1 -
TYRA or CONSTRUCTION
PERMIT ISSUANCE FEES
I TOTAL
I PERMIT FEES $
BUILDING
PERMIT FEE $
STATE
SEISMIC FEE
Gas Piping Outlets
Private Sewage
Disposal System
_3______________________
LIIK or BUIUUHO OOCRIRTIOH
LIVESTOCK BARN ATTACHED TO EXISTING ARENA
OIV1IIOH
3
this permit
tcomesubje
COST PER
SO. FT.
bo completed if the permit it for one hundred
rPLMBGT
________ ( PERMIT FEE
MECHANICAL
[tl@$
■I
J
a DISTRIBUTION:
| MECH.
I PERMIT FEE
ELECTRICAL
:e HUMacnl
'^380-N WU’
ENERGY FEE S
4 ,
(commer
Code,
Lie. Number^^f?/7 Q>
Contractor W
IQHIt CLCARAhci
39707 '
1
'<£L________
an >IJTHO«II«0 AORNT
LICENSED CONTRACTOR DECLARATION
and myjlgng gd effect
--------— - - - •> —- Date
• NOTICE
** .liioUM or COHTHACTOR
TOTAL PLAN
________ __________REVIEW FEES S 219.7Q-
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT issued dy
PLAN REVIEW VALIDATION PERMIT VALIDATION
4 i 3 733 MY 3 1 ’« 0 21970a" 4 7 4 383 JUL 2 2 '2 5
4 1 3 883 MAY 3 1 'fl 3
White - Inspector Blua -Auditor
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent Io self-insure, or
a certificate of Workers' Compensation Insurance, or a certified copy thereof
(s«.3soo,ub.c.| -z6 Z-2ZZJ -rt
Company------------------- Policy No.
Certified copy is hereby furnished.
Certified cofSyfcXiIed with the Vepwma County Division of Building
and Safety or ra Count/1—------------------------- dgp^rtmyfit.
ApplicanLx(,^/tzi<4ir4Z^t^(^^3^^^f— Date-j^*^?^/^3
/ CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Thit section need not
dollars ($100} or less.}
I certify that in the performance of the work for which tf
issued, 1 shall not employ any person in any manner so as to bet
to the Workers' Compensation Laws of California.
Applicant---------------------------------------------------------------- Da'e-----
NOTICE TO APPLICANT: if, after making this Certificate of Exemption,
you should become subject to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such provisions or this permit
shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the per­
formance of the work for which this permit is Issued (Sec. 3097, Civ. C.),
Lender's Name-----------------------------------------------------------------------------------------
Lender's Address---------------:— -----------------------------------------------------------------
1 certify that I have read this application and state that the above Infor­
mation is correct. I agree to comply with all city and county ordinances and
state laws relating to building construction, and hereby authorize representa­
tives of this county to enter upon the above-mentioned property for
Inspection purposes. ... ..
Ventura________
| HCARCir CXOH «T«««T
| Hwy 33 M
X_______
’“'loo
Domestic Water Source: Private Well______Public.
Method of Sewage Disposal:
~2
84fQ0Q.00
Yesj^ No
I ELEC.
| PERMIT FEE $
OWNER-BUILDER DECLARATION
rhnreb-y afnrm tt**11 a,n cxenipt from the Contractor's License Law for
the following reason
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
LJ I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project
I am exempt under Sec.
r-,7,?axgr,a Roftd
..35-°-220-xm’"ii
__Geoxge Hearst-
MAIL AOOMltl
j -^BS^nfiagtsrg 3g7456 .
93010 404-2689
....“I
' 0 COUNTY OF VENTURA Q
APPLICATION & PERMIT ' r
RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDING AND SAFETY |
SITE INFORMATION
3501 Canada S.
9
CORRECTIONS —NOTES
DATE
INSPECTOR
□ATE
DATE INSPECTOR
. INSPECTOR
DATE
INSPECTOR
FINAL INSPECTIONS
HECTOR ~
DATE
J"., ■„
K
x
.building f
__________ ZONING
FOUNDATION: UFERGRQQND
~SLAB ~
bond beams
BQNDBEAMS V - • ’•
. BOND beams .
______ TILT UP PANELS .
_______tilt UP PANELS
_______ FIRE biSTR~|CT
FLOOR FRAMING
ROOF SHEATHING
_________ PRE-WRAP
___________FRAME
________ INSULATION
EXTERIOR LATH/SIDING
INTERIOR LATH/DRYWALL
BUILDING ADDRESS______
INSULATION CERTIFICATE '
PLUMBING FINAL_______
, MECHANICAL FINAL
ELECTRICAL FINAL
BUILDING FINAL
UTILITY CLEARANCES
. GAS. . ■_______ _
“.ELECTRICAL
ELECTRICAL T 
TEMPORARY POWER
ROUGHI
MECHANICAL
ROUGH
' INSPECTION RECORD
A .INSPECTOR
DATE
FINAL GRADING CERT. REC'D^ "X
~t
1
4. ?
• SI .
_________ PLUMBING_________
UNDERGROUND SOIL ..
underground water; /
ROUGH/TOP OUT
~ GAS TEST,
SEWER/SEWAGE SYSTEM
Q
O
BUILDING
SQ. FT. <S !
' =1500
' X
HPH
— Fire Protection District Conditions
BUILDING PLAN
REVIEW FEE $ 23.00
n/a
50
LAVATORY
EA. a !
@1
EA. 3 J
EA.3!
Qt
EA. = 5
Water System @!
Date.
$
Policy No.
Heated Area
Heatlng/Cooling Applicancc
Date.
EA. = $
Flue
EA. = $
@!
EA. = $
S
6
FEE
VOLTS AMPS
SERVICE NO.
USE/OCCUPANCY SQ. FE/ FEE
EQUIP, on MlSC., RATING COST EACH FEE
NO.
ELEC. PLAN
REVIEW FEE 3
5.00
(L 28.50
1
2 0 2 3*2 GuT 1 q *3 0 2 ®.5 3A
Blue — Auditor Groon - Owner
White - Inspector Canary — File Pink - Assessor Goldenrod — Office
DISTRIBUTION:
oas-11 (ROV. 7/30)
LOCALITY
Suite 2623, Los Angeles
«IX< or DVIUOIHO
Re Robf
above Infor-
rdlnances and
srepresenta-
iropcrty for
R__
750.00
■— •IoJaT U-“orOWNUM (ir^TN.IH MUIk<l>Rj
property, or my employees with wages as their sole
work, and the structure is not intended or offered
self-insure, or
I copy thereof
EA..- $
EA. 3 !
Ducts
Fan/Air Handling
Equipment
Gas Piping Outlets
Private Sewage
Disposal System
Building Sewer
Domestic Water Source: Private Well_
_____ Public
Method of Sewage Disposal; p,|„,e Pub,|c
2 LEGAL DECLARATIONS
OCMOMBM
ENERGY FEE S
4
_3_________________
use or builoino
FOREHAN'S RESIDENCE (REPAIRS)
OIVIBION
Aoo/Auraw
Puke says no z.c
j '“ppi'
I ELEC.
| PERMIT FEE
:ostper
SO. FT.
I MECH. “
________I PERMIT FEE
ELECTRICAL
SQ.FT.©! 5.00 ,= i 2,000.00
g^4.TQTAL VALUATIONS 2/750.Q0~
Yes O No O
NOTICE
-ruicPERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
PERMIT ISSUANCE FEE $
I TOTAL
I PERMIT FEES S
TOTAL PLAN .
REVIEW FEES $ D/a
’ WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT issued oy
PLAN REVIEW VALIDATION PERMIT VALIDATION
I plmbgT
________ I PERMIT FEE
MECHANICAL
ttl9»
rvre or COM*T"UCTI0H
V
performance of the work for which tl
,Kioy any person fn any manner so as to bet
sensation Laws of California.
3ANT; If, after making this Cer.
-ibjecl to the Workers' Compensation pre
. comply with such provisions
BUILDING
PERMIT FEt
STATE
SEISMIC FEE *
PLUMBING
i£$
COUNTY OF VENTURA
necessary. APPLICATION & PERM IT
RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDING AND SAFETY
SITE INFORMATION
| LOT HoTj~
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions
Code, and my license is in full force and effect.
Lie. Number License Class
Contractor Date —
x,Ventura, 'CA' 4 ,
T"»CT IHBARBiTe*O««»TRB«T
this permit Is
become subtart
_ ReviewFEik^;
rrtificate of Exemption,
isatlon provisions of the
s or this permit
PLM0G. PLAN
REVIEW FEE $
5
J____
.bouct Aooni-ia
3501 Canada Larera
OWNER-BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor’s License Law for
the following reason
■jSLj, as owner of the
compensation, will do the ■
for sale
I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project
I am exempt under Sec B. & P. C. for this reason
Oat* &
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to s«
a certificate of Workers’ Compensation Insurance, or a certified
(Sec. 3800, Lab. C.).
Company-------------------------- ----------- ------—
O Certified copy is hereby furnished.
Certified copy Is Filed with the Ventura County Division of Building
and Safety or the Ventura County... — department.
Applicant.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
f77i/r section need not ba completed if the permit is for one hundred
dollars IS100) or less.)
I certify that in the perform,
issued, I shall not employ any "*•
to the Workers’ Compcnr'1'”’ 1
Appl
NOTICE TO APPLICANT. ", *
you should become subject to th
Labor Code, you must forthwith
shall be deemed revoked.
CONSTRUCTION LENDING AGENCY . •.
Lender's Name-----------------------------------------------------------------------------------------
Lender's Address--------- - -------------- - s
I c.rliFv that I have appH«at'°n and.Hau that the
nation is torrent. I agree to comply with all city and county ordl.--------------
Hate laws relating to building construction, and hereby authorize r -
live' of this county to enter upon the above-mentioned pr-r..„ ...
Inspection purposes.
George Hearst
1150 S. Olive,
owner SQ.FT.©! '
PORCMREPALA400
INSPECTION RECORD
CORRECTIONS - NOTES
INSPECTOR
DATE
PLUMBING INSPECTOR
DATE
UNDERGROUND SOIL
SEWER/SEWAGE SYSTEM
INSPECTOR
DATE
MECHANICAL
ROUGH
INSPECTOR
DATE
DATE INSPECTOR
UNDERGROUND WATER
ROUGH/TOP OUT
GAS TEST
FINAL INSPECTIONS
FINAL GRADING CERT.’ REC'D.
BUILDING address
INSULATION CERTIFICATE
PLUMBING FINAL
MECHANICAL FINAL
ELECTRICAL FINAL
BUILDING FINAL______
UTILITY CLEARANCES
GAS___________
ELECTRICAL
ELECTRICAL
TEMPORARY POWER
ROUGH
DATE INSPECTOR •
__________ BUILDING
________ ZONING
FOUNDATION: UFER GROUND
—2217^7^^7
BOND beams
bond BEAMS '
_______BOND BEAMS
________ tilt UP PANELS
TILT UP PANELS
FIRE DISTRICT
________ FLOOR FRAMING
ROOF SHEATHING
___________ PP-E-WRAP
___________ FRAME
__________ INSULATION
EXTERIOR LATH/SIDING
INTERIOR LATH/DRYWALL
t
V
647-0500
JENEME
i il
date
Environmental Health
I Air Pollution Control
rTTJwnsr
PLANNING
Lot Width. Lot Depth
£ Use
oaoLOar report ar
hl ZONE CLEARANCE
NO.
DIVISIOM
DEPTH
AOO'ALTZR
tr
*10,848.00
FEES
OTHER PERMITS
PLAN CHECK FEE *40.95
GRADING#
ENERGY FEE $
PLUMBING «
BUILDING PERMIT *63.00
MECHANICAL #
5
STATE SURCHARGE * 3.34
ELECTRICAL #
Grading Permit No Grading Certificate
SOUND CONTROL FEE S
PLANNING
Flood Control Approval
S
Bond S- PYl (aae)
*107.29
TOTAL FEES Subdivision Approval.
No..
toy) <oata>
Private Well Public
tijiZcrunz o# cbuTMAcr I AUYHORIZtO AGENT
: or owhm ur owner builoeri
OTHER AGENCY APPROVAL
4 0.95a
7 2
, ■■ '-'INSPECTOR.
UBA,
CTION OR WOHIj
tFTERWOHKlSt
.6 3.0 0&
3.3 4a
" (company ninw)
Percolation Approval By:
I
i
^TOUNTY OF VENTURA--
O.-: . MOORPARK, NEWBURY PARK.
SIMI VALLEY, THOUSAND OAKS
Rl III DING PERMIT APPLICATION—■ I .I j1 HUE
ENVIROMMfT
' Btildii
POR PLAN CO.WICTIt
Ventura________
iHCARCtr CRO1> .T.CCT
MAIL ADDHCIS
1111 s.
cohtnactor
Majestij
MAIL AOORI
28270
2 ------------------------
_____—_____________ BUILDING & SAFETY
use or BUILDINGOSSCHIFTIOM
Single Family Dwelling (Modualr)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
5W®CKTWN 4 0.9 5a 1
7 5 3 977 1 ■
Julldlng & Safety
4 ‘
-
a ’ __
' O ENVIRONMENTAL-HEALTH
Domestic Water Source:
OWKLUNC UNITS
OCUOURH
; <V COXIT.
n
sq.ft, a s4.00= s 6,1*44.00
(tract ri*. PLAN
ZONING REFERENCE
>5^^
524-2292
648-6131
enterprise
1-9524
ZENITH
2-2000
Quickie
FOR APPLICANT TO FILL IN
—_________ __________•not
— -‘v.frx-—x-^nt—p^.aajx- ■ ov—a—s-a/st rbytiiitbetLAL»ii- - Biiet-x-db—utf BETWEEN BUILDINGS.
minimum 3" .i.pr-p'lacenient'.gf F.D. Connect -O§bILDINGw,nTH -
Not Lot Arc
SoCIlOA 7044).
MAXIMUM HEIGHT
Approved pursuant to Ordinance Code Section^ /O 7 "-P, /
Show location of suiting & prcpoMd buHdlnga & aetuM dliUncaa Io property linos, »
I* **
subject to approvai7±-rom..thi3 office.
*1 understand that "'it zone-clearence for
OX
★ NOTICE: fa.
Bafore foundation Inipectlon,
Indicitloni of lot lines thill
bo eatabl lined by owner.
—J
PUBLIC WORKS APPROVAL
,______ TT
rut nerr. conoitiow -* *• xo
| Install a 2,000 gal.
NOTICE
THIS'PenVIl'BECOMES HULL ANU VUIU IF WORK OR CONSTRUCTION AUTHORIZED
IS NdTCOMMWCm WITHIN tMAAYS. OR IE CONSTOtlCTION OR WORK IS SUSPENDED .
n47n,wLWKTNp aTEPIOO DAYS A£OrrjU&*HER WORK IS COMMENCED.
u>'
lA-
-!>
9j
c.
I
-Ss
Z.C. EXPIRES /tS>a 4^4
- -* 4 /
ERA MEMO,
Ugibility of writing, Typing or
printing UNSATISFACTORY
In portion, of fho documanT
-rosBivod. -
VENTURA* —
825 E. SANTA CLAIWSt
MMI31 -ijOQ,
SIMI VALLEY
1200 E. COCHRAN ST.
522-3012 B3oes
CAMARILLO
2400 VENTURA BLVD.
462-8641 8J0J5.
Method of Sewage Disposal
private public
—7
SIDE YARD Rear 1/3
REAR YARD cp?O *
y Lt^AR YARD Rear 1/3
SOIL TtJT BY:
Tierra Tech
fire zone I ~
4 I Install a 2,000 gal, water tank t.
a outlet.prior to framing ,
Pipe—from—i»nk^.oiipTQ,i . .CQnn'e&fe7rQn_sha-1-1—b i
xtlptUin f~f^>
REQUIRED PARKING ^-GRACES |
FRONT YARD (SIZE 9'X 2t>T COVERED '
A / - / /y eHviaoHMZMTAL sceosr neout.co
SIDE YARD /h NO YES
c -'i i
TOLL FREETELEPHONE 1
1^-=, DIAL _
529-2080 .
3 • APPROVAL SIGNATURES
Planning*^^?.
Public Works (see Item 5, below)
fee will be forfeited.
x HCW
24“".x'“64 ■ . 536
jut okmCmQC carfqrt-
20 'X 24 ’ - 480 SQ.FT. OS 5.00= $ 2,400.00
PORCHCI • FATIQ • nnCPLACt. ETC.
4 'X 64 ‘= 256 SQ.FT-@5 9.00= s 2,304.00
TOTAL VALUATION
MIMINUM SETBACKS REQUIRED
PC4482-G
1
3'501 Canada Lay™
LOT NO. |BLOCK~ TtRAGT-------- 24-------------------
----------------------------------------------------------- rrc—-
035 -JJ- 220-075 |
G.!.?..5S.R- Heatst
-Broadway, Los-Angeles
.c Mobil Homes_____ 292746
n _ RHOMt
Roadside Drive, Aaoura
H< "■— -4YAff lic£n4£ n6.
I
9
Q
I-
Noles:
ZZ
I
I-
I,
..Is ~o7 •
w*** ■  w “* •••• • —v
-.•■■• . r r •••••• • r ’ ;
• r.z.'. x • t - ‘
. ZONING.
FOUNDATION • ■
. -SLAB- „ .
FIREPLACE
GROUT 2,''
' ' . SHEATHING
' PREWRAP
'■ FRAMING ________
~ ■ INSULATION . .
' -? ■ ROOF COVERING
. EXT. LATH/SIO.'
- I NT.LATH/
DRY WALL
• - 7 priming ■: . •
— -in port*01** y -- : ’ - -----------
~~~~ FINISH GRADING' ■ / '
■ HOUSE NUMBER. /
ZONING COND.___________ ' -
• • ' ^AL- <?-
p'-Z. i ; ’ Nolqs: '_______ '• . ''
:: j£ oxi . . •• ’ ;■ ■■ ■■■
. PROJECT ADDRESS ’ ' -
lot------- TRACT-------------------------- -
-----------------------------------------
■ ASSESSOR parcel NO.' 7 - '!.<•; I 7>
: • -- " _____ 11
■ ■ ■ INSPECTION RECORD-1 „l
>-AVn,
4
COUNTY OF VENTURA
HCARC »T CHOU
STATE LICEHSC HQ,
£ OCCP.GROUP
UNDER SLAB
NUMBCB-
CONDUIT
3<&>
) CO WIRING
FIXTURES
TEMP. POWER
77 FINAL
REMARKS;
TYPE OF UNITS
OUTLETS
LIGHTING FIXTURES
OTHt« (STATE)
■ . .'j.4 .
OVER 10 AND HOT MORE THAN 50
OVER 500
TEMPORARY POWER POLE (INCL. SERVICE!
sicxATunc ar owner tir owxcx builder)
SUB TOTAL
PERMIT ISSUING FEE
TOTAL FEE
PEflMIT VALIDATION
965377 atl' 1 3.80a
7 ’4 4
BLS'VneV.S-rt INSPECTOR
dy^gO.POCCUPANCYt
“"ZE
’ i!ig»ptg5%
0 TO I
,O f
Buifdir
tee Leisl
»■
ELECTRICAL PERMIT APPLICMI
w’O^Lj/'iiTioi. xnoetsaco by
LOCALITY
REHAB
approved nr~
_______ SERVICE FEE
VOLTS
ing and Safer..*
shman, DirectO
SWIMMING POOL OPRIVATE Q COMMERCIAL
MISC. ITEMS NOT covcnco above ~
<)
_ 73'^. ___________
. WHEN PROPERLY VALIDATED (IN THIS SPa£e) THIS IS YOUR PERMIT
OVER 50 AND NOT MORE THAN 100
OVER 100 ANO NOT MORE THAN SoA
OVER 1 AHO NOT MORE THAN 10
VENTURA
-tli3S1ANTA9C3LQA0-^
SIMI VALLEY
CAMARILLO
24D0 VENTURA
482-0641 g
PLAN CHECK VALIDATION ERA MEMO(
■ of wriHnt;, W„g
pnnlmg UNSATISFACTORY
In portion. of th,, d<xum„t
»non rocolvad.
NOTICE
IO.‘XA
^TsXtfMATURC OF COHTRACTOA OR AUTHOAIZKO AC CWT
< ENVIRONMENTAL RESOURCE AGENCY^
M.L. Koester, Dir?ctr.»x
DIVISION of BUILDING and SAFETY1' • tee Leishman, Director
PLAN CHECK FEE
; AS..c.lb. wo.l lf) b0 aon0. r ' ‘
.....' ' -
<^~77
AGENCY
ST.
JOB ADDRESS
V NEAREST CROSS
SIP
CONTRACT state license ho.
REMARKS
SICHATURt
ixjmctcii nrcroo
LAVATORY
•
DIBHWASHCRtF!
LAUNDRY TUB
1
OTHER tBTATCl
ISKf.
OTHtR (STATE!
LIL
Gas Piping 1-5 Outtoto
Additional Outlets
Sewage Oieoosal
Sewer Connection
w
Water System
Percolation Tost
Other (State)
SUB
Up to & Inc. 100.000 O.T.U.
100.001 up to 600.000 O.T.U.
Other (State]
WHEN PROPERLY VALIDATED (IN THIS SPACEJ THIS 18 YOUR PERMIT
PERMIT VALIDATION
PLAN CHECK VALIDATION
’
7 7 8 377 1 6.0 OA
3 ’4 0
'WT
oiti
UKDtnenouxo:
CLOTHES WASNER
J? • ■
-- •
<2—L.
■< u.
■ /ill.
BUILD I MS RCRMIY HO.
• Ptm'lT IjEUIHOFK ______ J
1 PLUUBIHO PLAN CHECK FEE *
MECHANICAL PlLAN CHECK*FEE ’
771 TOTAL FEE  
rER^MN0
ry#
ii,~
LL
f. ■t su_iugiNG scwca
'a,', '<
SCFTIE TARR LJACll Fl
; ■' > ■A.-v ; fr-g; y»«U4<y.
/.-jAv-T Rgfrsy’y1-_________
PLUmiNp^PeniilTFEE^''' •
UECFfKFljCAL PEE11IT Fre;.;.- ' ;
t 'l-pjrrcTi * a^x.
I! "
ventura'
025 E. SANTA
848-4131
SIMI VALLEY
3200 E. COCtfhAN st.
522-3012 03066
CAMARILLO
2400 VENTURA BLVD
482-6341 03010
□•■crlba work to Qde
Air Handling i
2.000 C.QM. I
2.001 to 10.o
Other (StaioJ— —
(NTA CLARA
03001
1EHAB. ■■:
ERA MEMOi
tegibilify of writing, typing or
printing UNSATJSMCTORY
in portions of tha document
when received. INSPECTOR
.MAIL AO^yrts ~~
- ‘i . _ ”1! jAmoAvir of owwnLiuttna
TTriihrrawip ci Hm'«M| to (ruiull plEitfjlAo/mwhe^CK.) Ilwtum. I hrwby cwtlfy that I cm the «xm.
"dm
>riyi! llaief Jifx- ra b« SHaraizad, eowiKi or 'toxaalti. until it has bean Inspactsd and paxud by
rfcSjEfr <M/.4uro DMdon ei BuILfing.ond Sa/rty.
.BtaxsTuu or owner <ir owner auiuocai
OCCP. CROUP
SATH/SHDWER
1'2.U. e ■<.,<7
WETIR CLOSET '
' ENVIRONTAENTAL RESOURCE AGENCY
z—M‘L’Ko08tor'
PlumbingyMechanical Permit >^>plicqfi6h’BUiiding«nd&»<5?
DIVISION of BUILDING and SAFE^^^^T'’'
COUNTY OF VENTURA
1
.SIZE OF LOT
.TR
LOT
LOCALITY
OWNER
I
CITY PHONE
GRADING CONTRACTOR Address
STATE CONT. LIC. # -CLASS 5
ARCHITECT/DESIGNER .STATE LIC.#.
ADDRESS PHONE
_ CITY - —
Na,
SUPERVISED GRADING
STATE LIC. # PHONE
.TOTALYARDS .
SET OF
■H3PCCT0R
-i;
TOTAL FEES
SURETY BOND $
BONO NO.
SURETY COMPANY
ADDRESS
CITY
-19
DATE FILED 5KTE
SPECIAL CONDITIONS:
■ignATune ar owner
V" PLAN CHECK VALIDATION/ ex. M.O. CASH THIS IS YOUR PERMIT
2 9,0 0*
INSPECTOR COPY
DISTRICT NO
THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TFE
AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING
IK WILL DE COMPLIED WITH WHETFER SPECIFIED tEHEIN OR HOT. NO
KU-OWED TO PERFORM WORK UNDER THIS PERMIT IN VIOLATION OF THE
FtfTATE CF CALIFORNIA. I FURTHER.STATE THAT t AM PRCPERLY Ll-
3W0Y SeBrraN7p3K5J0FTHE-STATw’0USINESS 6 PROFES5ICWS CODE
now wtoEmSEtoo>r-»44.1 M—*7 —
- J ■
(?-Z/-77.
2?#<2-7C>
.______ ____________ phonf^ S'
INSPECTION RECORD
.(Nearest Cross Street)
-JZ ADDRESS .
■ -J
a A s *73 «•!•••■
25of
,^74-^
R.E. O'BANNON
f (J COUNTY OF VENTURA , DIRECTOR z
GRADING PERMIT APPLICATION•''
DEPARTMENT OF ECHOING & SAFETY ftw.Zyf 4
Y“ •: •
SUPERVISING GRADING ENGINEER ■ ~
COMPACTION REPORT REQUIRED - " ' - , SOILS ANALYSIS
' CU. YARDS CUT-3 CU.YARDS FILL dAMt'CT"
MAX. DEPTH CUT - MAX. DEPTH FILL
IF PLANS SUBMITTED
PLAN CHECK FEE.
PERMIT FEE
CASn DEPOSIT _
040-0131
MO°RpARK_ DIST. .2
529*-L1171ANGE//AVE’
O
JOB ADDRESS
ERA MEMO,
Legibility of writing,, typing a
printing UNSATISFACTORY
in portions of the documaot
Mthen cncoivoct
WHEN PROPERLY VALIDATED (IN THIS SPACE)
CX. M.O. CASH
7 5 3 7-7? lUtf I 9 ’4 7
INITIAL (
DRAINAGE STRUCTURES ___ J-
ROUGH GRADING (Completed)
FINAL (IftUudlng-PIgrtiBR)-.
CERTIFICATION.OF COMPLETION: r •• ~
i J certify thaton the datoof' 19 ' ... I made final inspection
of all work under the excavation permit and on thisJnspection found that all work
was'Completed In'accordanco with the.plans and specifications.
l"l JI LII1ITF" uTti0R|2ED MUST BE COMPLETED
---------------
3 fro
MAX. HEIGHT
GARAGE ,
SIDE
1. ••• ■ ■? I: "■
Canary - Building and Safely Goldenrod — Auditor Controller
DISTRIBUTION:
PLAN.-16 (7/80)
H7
o
s
>
§
s
II
1 °
□J
>
S
m
OT
m
m
5 1
SPECIAL CONDITIONS OR REQUIREMENTS:
//w tfa/ty.
DATE
applicant
White — Planning
©
PinK - Applicant
MIN. FRONT YD.
MIN.SIDE YD.
LOT WIDTH
//___________ Z1 fi
APPROVAL SIGNATURE? ///,'
I
ftp *Wt; Oi-
CODE SECT. NO. OPEN SPACE PLAN
7Z//2- <?■ IP
LOT DEPTH L
’ <9/ .
REQUIRED PARKING (9-x 20' per »p«co)
V* OPEN;________CARPORT;______
ENVIRONMENTAL DOCUMENT
E EXEMPT ND/CND EIR
SHOW LOCATION OF EXISTING ANO PROPOSED BUILDINGS ANO ACTUAL DISTANCES TO PROPERTY LINES AND BETWEEN BUILDINGS.
(*S COUNTY OF VENTURA
ZCmiNG CLEARANCE
Cj -y RESOURCE MANAGEMENT AGENCY
ZONE CLEARANCE NO -?rA-=5p.? ,CASE REFERENCE NO.J
PROJECT ADDRESS LOCALITY
3 5~OI /f’O_________
ASSESSOR PARCEL NO. '-xTLL. NEAREST CROSS ST.
0^5'-O- ?, 7x0 -ZV^rz/
PROPOSED USE(S) ----------------- ------
fforfjz farm tf/J/W *____
OWNER x PHONE
Z? eo rf*z<r. }-]e^e-sT'____ 7To5~- /?ycT-26//
MAIL ADORESS
£oaos ms xbn
APPLICANT ' ' PHONE
jonjs. gbt fe y-r
MAIL ADDRESS
zzj -j nniusan/ -rts? >
_______
MIN. REAR YD.________ Z*z'
MIN. SIDE^YD- (REAR 1/3)
MIN. DIST. BETWEEN BLDGS.
•NOTICE: Befora foundation inspection, lot lines xhall be identified by owner
• or authorized agent.
■NOT,CE:
for a period of. 180 deyr.
with oil cnwliiow °< lh° e°“nly 1°nin° F°ii»-
irs signature '• 0ATE
r--//-^____ _ .
“ '
WHEN PROPERLY VALIDATED THIS IS YOUR ZONING CLEARANCE
33O£
fire department requirements for construction
LOT NO..
TRACT OR PLANNING NO..
/
Construction Type.
PHONE NO..
^3'7
ADDRESS.
(TO BE FILLED OUTBY FIDE DEPARTMENT)
Access width shall be.
Pirc flow shall be not less than.
. hydrant(s) at locallon(s) as Indicated on Fire Department approved plans dated.
Install
Submit 3 copies of engineered water plans to Fire Department for approval.
Fire hydrants shall be installed and In service prior to construction.
<
Static head acF.H.. . g.p.m.
WATER PURVEYOR SIGNATURE AND TITLE
DATE
PETURN TO BUILDINGAND SAFETY OFFICE
By:
Date:.
White and Canary — Applicant Goldenrod — Fire Prevention
VCFD-1250, C a D <R®V’ 7/B3>
t
Ventura
Camarillo
SimI Valley
Other:.-------
Square Feet.
>
z
g
LU
V)
§
§
U1
w
No. of Stories.
|
s
co
Z
8
w
CERTIFY THAT WATER AND ACCESS FOR^F/RE PROTECTION WILL BE
NOTE: Submit a plotplan with precasting fogand this form'to~the FinrDepartment.
S.E. MASSON. Fire Chief
County of Venture
' : aUREAU OF FIRE PREVENTION
t~7. I 7 <
(TO BE FILLED OUT BYAPPLICANT)
I. LOCALITY.
(FOR OFFICE USE ONLY)
Ci
Amount-------
Hate —--------
By (Initial). £. _‘L------------
Receipt No.——
Check No. * —1—!
E3 High fire hazard area.
All weather access that will support fire equipment shall be provided. Certification required: O Yes
feeL Turn-around shall be provided: Yes or No
a
□
Expires at time of Bulldino Permit expiration but shall not excood
B months from date of approval If^fr^Buildlnq Permit is Issued.
DISTRIBUTION:
Project Located Within Sector of Fire Station U *
Pink —^S^dlng and Safety
A-U, In f,A ClL f~lC~
C C eSra CLcA«l**^ ^Tfensl
Automatic fire sprinkler system shall be Installed In accordance with NFPA standards with plans submitted to Ventura County Fire
Department prior to installation.
Individual water system that meets the requirements of the Fire Department with fittings and location to be approved by the Fire
Department prior to installation, and Installed prior to construction.
£CJ' fllhrr- F. O •*.-! 'AcT. .. t~
__
JOB ADDRESS
ASSESSOR'S PARCEL NO. O_ * (“ (Q - ♦
DESCRIPTION OF BUILDING: Square Feet /5 ?z * 6
Use of Bulldfrw ^ATTf 1*= -r» ,u */
APPLICANT'S NAME I~/(.'  7 ■
Form to be Returned tn; J’S <4 2. N PA A < T<•
NAME x, />■ rfatCx; u re .-.I___________
----
• SIGNATURE OF OWNER/AGENT
PROVIDED AS SPECIFIED BELOW.
.WATER SUPPLY (TOBE FILLED'OUTBY WATER PURVEYOR)
Size and location of main------- -------- - —
Approximate distance from parcel t •
Size, type and location ofnearest fire hydrant.
System is designed for normal flow of.
Cjfly
LOCALITY.
LOT NO..
■? •
PHONE NO..
■4 3 7 />>■
ADDRESS.
I CERTIFY THAT WATER AND ACCESS FOR FIRE PROTECTION WILL BE
.NOTE: Submit a plotplan with processing fee and this form to the Fire. Department. ,
(TO BEFILLED OUTDY FIRE DEPARTMENT)
i
or
Fire flow shall be not less than.
Insult.
£3.
[ 7.’ iVa-T6
.p
Static head at F.H.. g.p.m.
WATER PURVEYOR SIGNATURE ANO TITLE
DATE
Date:.
White and Canary — Applicant Goldenrod — Fire Prevention
i VCFD-12G <7/821
Bats,
-6cA-<3u #.
8. E. MASSON. Fira Chief
County of Venture
2
&
111
CO
I
I
&
z
8
CZl
s
I
I
8
U3
S
<j) G "7aA>tr
.hydranc(s) at location(s) as Indicated on Fire Department approved plans dated :______1____________
O ■ Submit 3 copies of engineered waterfplans to Fire Department for approval.
Fire hydrants shall be installed and In service prior to construction.
Automatic fire sprinkler system shall be insulted in accordance with NFPA standards with plans submitted to Ventura County Fire
Department prior to Installation.
Individual water system that meets the requirements of the Fire Department with fittings and location to be approved by the Fire
Department prior to installation, and installed prior to.constructlon.
qtpcr; -Zo L-& ftr/FlC. -7____
/ X?fA / ~Ao t-L</
■. ■ -J
PM.No :
/V ’
RETURN TO BUILDING ANO SAFETY OFFICE mo
Ventura Amount $
51ml Valley ~ c*
0^—————GosH-Gl %/.
Expires at time of Building Permit expiration but shell not exceed N aUHE U F|«^’’^YJNTION
6 months from date of approval if Plirm>t '* lMUtd- Date:
DISTRIWhite and Canary - Applicant Pink - Building and Safety
35^-0^^P^ARl^ENT RETIREMENTS FOR CONSTRUCTION
"if (TO BE FILLED OUT BYAPPLICANT)
JOB ADDRESS
ASSESSOR’S PARCEL NO. Z-7 C-&  TRACT OR PLANNING NO
DESCRIPTION OF BUILDING: SWm F... Zfr/gof /
u».fBuiijto._U.-pv'--, -J- r...1..r.i.l.T..;? 5^gL
APPLICANT’S NAME Vt *>•> ft S
Form to be Returned tn: <Al I jtf/t 
NAME^a _ , _________
i._ m •• /r~.
SIGNATURE OF OWNER/AGENT
PROVIDED ^5 SPECIFIED BELOW.
WATER SUPPLY (TOBE FILLED OUTBY WATER PURVEYOR) .
S. High fire hazard area: (W Yes or No
E3. All weather access that will support fire equipment shall be provided. Certification required: I I Yes
03 Access width shall be —feer Turn-around shall he nravkied: O Yes or No
Approximate distance from parcel----------------
Size, type and location of nearest fire hydrant.
System is designed for normal flow of.
I
PERMITS
OiCn'A'U-rcc.
L
i
i
1
BLDG & SAFETY |
i?
b
3501 CfttOActa cbnuja Qd-
I
TOIL FACETELEPHONE h
COUNTY OF VENTURA
s
date
r i
T~**
“*'l AOOII
28270
£
IRED
YES
HO.
DEPTH
X
cc
• . OTHER PERMITS
GRADING »
5 PUBLIC WORKS APPROVAL
PLANNING
>.1 WJ-ej
Bond $_
TOTAL FEES <107.29 Subdivision Approval..
No. -wiij----------
(by)
Private Well
OTHER AGENCY APPROVAL
4 0.95a
. •: .-. INSPECTOR 'J
L
Grading Pcrmll No-------------- Grading Certificate (j
Flood Control Approval
ENVIRO
Bi
■i
6 3..; Ja
3.34"
• PLUMBING I
MECHANICAL f_
> ELECTRICAL/
I
I
owiuiKauMiia
Nal Lol Are
num
INIERPniSE I
i uu •
ZENHH
zzcoo
QUICKIE
FORAPPLICANI to ruin
PC#482-g
PLAN check fee_____ ? 40x95_____
energy fee $
BUILDING PERMIT $63.00
STATE SURCHARGE $ 3.34
SOUND
6 _________ ENVIRONMENTAL HEALTH
Domestic Water Source:
NOTICE
s VOID iF WORK OH CONS
rs.on ir cONSrnucria.u <
{»oAjrs al<* w •
tn
•xoTifT row co.«rctio-.t
Ventura
2_____________BUIlOINa a SAFETY_________
J use or suhdimo 0ttc»iF»i0H
1 singlo Family Dwelling (Modualr)
(SiZE:D’x20T —2^- covered
110 YES (Jj
(a.
V
-1)
&
I
<N-
.1
Dial
5J9XZO .
FRA AtEAIOi
Lag:b;i7fz of wrihng, typing or
pooling UNSATISFACTORY
In ponloni of Iho
.wli»n <«torrad.---------—------------
PLANNING
3______________APPROVAL SIGNATURES
Planning''/??. **
Public Works (see Hem 5, below)
Environmental Health
Air Pollution Control
(^Juddingi Safely-)
4
ZONE CLEARANCE
£, /
MAXIMUM HEIGHTZ.C. EXPIRES /rPz? A4
2 Approved pursuant to Ordinance Code SecUon^/X?/
snow locilioa of Aproposed budding} * actualdittenck*topropsrty fine*. «
■ Majestic Mobil Homes 292746 ~
I “an »ociin " ' ' fhokc
‘ -28270 Roadside Drive, Aqoura
• . oiiiixU"' stAtc tictxac »o
. udORPAAX-NIWBURTPAPK
SlMI VALIEV. THOUSAND OAKS
BUILDING-EEBMIT APPLICATION— SrMnxr *rvpnrjincut
:mycoM«>.
! 20 'X 24 '= 480 SQ.FT»@ <5.00-< 2f400.00
‘ $9-00- 5 2,304,00
1 ' total VALUATION 510,348.00
FEES
■ ""ISniUClIOS AUTHORIZED
reaction oh work u susoei.dcd
feAnehwork is qouvehceo.
’ ’wSgSsSSSaSS
, »crt oil t* coTp,,?J * fLmil In .toUlion U IM labor Cods of lhe Stats ol
i| Sscl/On I0W. . _ ___________________________________________________________
■ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
7aow®cKTWN 4 0.95a 7
7 y w? ••»»> 1
Lol Width-------- I nt Depth '
USMd "J) f
MINIMUM SETBACKS REQUIRED REQUIRED PARKING_£srSPACES
FRONT YARD (S
SIDE YARD
SIDE YARD Rear 1/3 . ZONING REFERENCE
REAR YARD ^?oy ('-ft-5/yL*m ---
LtifeTR YARD Bear 1/3
BETWEEN BimniHGS 1
— Public
ccff’av.J "r-i;
Molhod ol Sewage Disposal------------ PercolationApproval By:
prlvaio public __
i Tierra Tech y I___________________
i 4",'°- | instalT‘r^6o“gai. water 1—^- - *
; ’xotti a~2J3"-WSM outlet prxor ’ to framing.
1 Pipe-f-rom—tank—to-^rD.-rGonneGtion-shall-b s
• *1 understand* thafT'if' zone clearence "for
• carport-is-not-forthcoming, r»VteaPAiin.-.Phec
: fee will be forfeited. | PF
. * caous l'—‘ IYIII0M " •-" "■ I —...
! I-J 1
BldP;?fcat»iyonic8s
VENTURA1 "
SS?Wo*>*»-
SIMIVALLEY
■^cockmhs^
CAMARILLO
3501 Canada Largo
| |r«*cr—54
j ^r-0-220-Q7~r
j George R, Hearat
Broadways Loa Angeles
1
r’:V
2
project address j__
Notes:
f.V '•
•) .• ••
I
i- ■
?
1
L.
I
J
i
•J .
!
&&2j_/;
b-(JTi T
r-
• ZONING
foundation
’ • . SLAB.
AREPLACE
•■.•.•.‘•GRbUT2’"-
.SHEATHING .
. • PREWRAP
‘ FRAMING *
INSULATION
. ROOF COVERING
EkT. LATH/SID.-
^X. ~
INSPECTION record ■
LOT------- TRACT—...............■ .
I
ASSESSOR PARCEL HO.
I.
f •
•• , FINISH GRADING ; (
' H0Use NUMBER.___
ZONINGCOND.
• ‘ final-
• ^Ot5s:
z / - 7T 7^;^
.1
< BLVD.
81010
JO*
CCHT**CT*H
ntuARKS
*l*HATU»t
"‘UK CLOUT
OIIMWAIMCKIF)
«*rt« pitta*
?:aw. e»» etetw*
4i
OTHtR <«TAW
rixtuftc rixiiH »u*j* wtro-«uT
Ges Piping l*5 0utlats
Additional Outlets
System S°*’0’ D1*’’”*1 secret* FIT
Sewer Connection
Water System rsuU.MtM.'l.OU.
) Jy.
Petcolatlon Tait PLUMBING PERMIT HE
Other (StsteJ MECHANICAL PERMIT FEE
SUB TOTAL
y.
PERMIT ISSUING Til
PLUMBING PLAN CHECK FEE
MECHANICAL PLAN CHECK FEE
tOO.OOl VP to 600.000 B.T.U. TOTALFEE
• • Other ISHtel ’
2.001 to 10.000 C.F.M.
or ovraie nr ewnta euiLctai
Other (State)
«<0H<rua< or w»c<xcio«
WHEN PROPERLY VALIDATED (IN THIS SPACEl THIS IS YOUR PERMIT
PLAN CHECK VALIDATION PERMIT VALIDATION
2 5.00*
7 2 5 ?”? ->SI
4.00*
4 11
7 2.iO-> Ml
TFMP. FILE
L L
UP to & Inc. 100.000 6.T.U.
CLOTHS* HMHt* FLO., OW
Describe work to be don#;
__ _
SW.’J.
H0TKI
Dm jwlr b^eamroXI end^roid tl wi wuiminxi^ojiHmird H r-« cenvwnced wiiK^UO dm. or If camtructcrl I
OTMIA I1TATC)
Iran st.
nou
REHAB.
l/j
z?z,rG^,c7
SIMI VALLEY -
3200 F. COCllRA
B22<3012 ’
CAMARILLO
24»0 VENTURA
A82-SB41 (
AfHPAVtT OF OWWn-lVILMR
Air HindiIna Eat. up IP
2.000 C.FAt.
to oei.—o
OCCP. GROUP I
-
r
r
_
I
ftjf /'■'i
orutCtceitCCAi
ERA MEMO:
Lcgibiftly or writing, typing ar
grlnlinr] UNSATISFACTORY
In portion* of the document
whcrt racelvod.
^5o/ (M
Gf^,, f . 7
ENVIRONMENTAL RESOURCE AGENCY W
M.L. Koester, Director jH
3
Plumbing/Mechanical Permit Application Building and Satety
DIVISION of BUILDING and SAFETY fL.<»>»».n.ol«cW
COUNTY OF VENTURA ■
I I
Eillcn Piece*j« Oy
DEPARTMENT OF BUILDING & SAFETY
.TR .size Ut- LOT------------------------------------- -
LOT.
locality
OWNER
.STATE LIC. f.
ADDRESS CITY PHONE
Yes No ‘
STATE LIC. Si PHONE
.SOILS ANALYSIS
CU.YARDS CUT CU- YARDS FILL TOTAL YARDS
MAX. DEPTH CUT MAX. DEPTH FILL
RECORD
SET OF PLANS SUBMITTED
INITIAL
PLAN CHECK FEE.
PERMIT FEE DRAINAGE STRUCTURES
CASH DEPOSIT
4^00 FINAL (lwMt*rPtoHnr>
TOTAL FEES
SURETY BOND $
BOND NO.
SURETY COMPANY
ADDRESS
CITY
19--------
DATE FILED
SPECIAL CONDITIONS;
PLAN CHECK VALIDATION) CK. U.O. CASH
2 9.00a
INSPECTOR COPY
O A
L
L
COMPACTION REPORT REQUIRED
_ DISTRICT NO
• SUPERVISED GRADING
■ SUPERVISING GRADING ENGINEER
CERTIFICATION OF COMPLETION:
I certify that on the date of 19 , I made final Inspecllon
of all work under the excavation permit and on this Inspection found thatall work
y/as completed In accordance with the plans and specifications.
WHEN PROPERLY VALIDATED
CK.
’ ) COUNTY OF VENTURA
GRADING PERMIT APPLICATION- ’
(IN THIS SPACE) THIS IS YOUR PERMIT
U.O. CASH
7 5 3 7-J7 1 9 U 7
R.E. O'BANNON <f
DIRECTOR I |
ERA MEMO,
tCQibilily of welling, Typing or
printing UNSATISFACTORY
in poHiont of lha document
When (raivetk
; )
: JOBaddress _3gc>/
, <7 ________
■Z7/ JHeatesl Clots Street)
X"? address .
G?GD rWfffi-
TTir 1*1 Jl UlillTCr ~r,"F pERI.UT7ALrBDRK UTHORIZED MUST BE COMPLETED
BY
I jEflEtr? CERTIFY THAT t KAvE READ ANO EXAMINED THIS APPLICATION AJO KNOW TIE
---------------------------------------- SAME TO BE TRUE AJO COftHECT. ALL PROVISIONS OF LAWS AND CfiOIKAJCTS GO7ERNIH3
THI5 TYPE OF WORK WILL BE COMPLIED WITH WHETIER SPECIFIED IEREIH OR NOT. NO
PERSON SHALLBF ‘'-LOWED TO °ERFOfi_M WORX UNDER THIS PERMIT IN VIOLATION CF TIE
------- -------------------------------- LADWl COOE^rTTTCW’TATE OF CAUFOfWA- I FLKTHER.STATE THAT I AM PROPERLY LI­
CENSED AS eEQUI&MBY Sessrrau703K5JOFTh-fL5TATy0USlNESS & PROFESSIONS CCOE
(on cfcMr*ewn7w»i upaX5Tiar« yL.) 0-^7 —
-------------- ___ _ j
iaisvATuac or cmtmactor ok authomiico AttM
INSPECTION
ROUGH GRADING (Completed) ______________ Z>, , •>
I 1
>0 VEH
t-W4»
< BLVD.
MOW
COUNTY OF VENTURA
C0H1«*C
■jrHA8. ♦
I REMARKS
KMCCTM »15CZ3
IxMKSXW »ov
OllHWA3HtRtF>
Sffll as
SKI
rouarattl
OTHCR tSIATtl
OTHCR (srATCi
r<X1V*C FINISH
Gas Piping 1-5 Outlets tUILDIMC sent*
Additional Outlets riMALFLuusiaa
Private Sewage Disposal
L
Sewer Connection
7
Water System
/rZ.erE
Percolation Tast
MECHANICAL PERMIT FEE
Other (State!
SUB TOTAL
PERMIT ISSUING HE
EZZZ PLUUBINO PLAN CHECK FEE
MECHANICAL PLAN CHECK FEE
UP to & Inc. tOO.000 B.T.U.
TOTAL FEE
Other
/
j«C or cSmxacwI xurnaaiiio ACtrnriM—
WHEN PROPERLY VALIDATED (IN THIS SPACE} THIS IS YOUR PERMIT
. PERMIT VALIDATION
PLAN CHECK VALIDATION
7 7 t> 3V J“-> 1 6.0 0A
3 '4 0
or
L
L
L
g
■E
PLUU5INO PERMIT FEE^
■uitoiae msmit «o.
cioiMti waiNt*
G-7,^ a
Cry*,
_________________■
Deectlba work to ^4 de
. p
ERA MEMOi
legibility of writing, typing or
printing UNSATISFACTORY
In portion* of ths document
when received. INSPECTOR
Nonet |
FLOOR DAAItt
MAIL ADOpCie “ IIP
■u-Z - ///^
1 ---------------------- MTC
KM rreco ictprit rtr
/
I VENTURA
SIMI VALLEY
3200 €. COCHrlAN ST.
622-3012 Moss
CAMARILLO
2490 VENTURA
MZ-S541 s
I
100.001 VP to 600.000 B.T.U.
Ollttf tStarel / J —
OCCP. GROUP I
'yy'CAHOM reetceito »»
ENVIRONMENTAL RESOURCE AGENC)
M.L. Xoeslsr, Dirat •
Plumbing/Mechanical Permit Application BUiMin,.Kls.r.J5,
DIVISION of BUILDING and SAFE^7^ . ’ l«<
AfHDAVTT Of OWNLB-tVllMt |
TNj pumil b«wrw» rxA
cr work h or ol
—.....
||*QU«HUtOMWM.
HF MLUtCMnCAL
<A A Profrukin. CfJr I
•I
I
-S, ,?. S~C^Z 
V
6
UNDER SLAB
iiuunt r~
coNOuir
3,&Z
Z?9<-^-r<3 CO WRiKG
FIXTURES
£ </<rv
.of
TEMP. POWER
<FQ
I
FINAL
REMARKS:
OUTLETS
LIGHTING FIXTURES
J
i OwER 1 AK3 HOT MORE THEM TO
OVER IO ANO HOT MORE THAN 50
■
OVER 500
TEMPORAR ' POWER POLE IHiCL. StnviCEl
7nPa
SUB TOTAL
PLAN CHECK FEE
PERMIT ISSUING FEE
PERMIT VALIDATION
9 6 3 577 1 3.80“
7 '4 4
INSPECTOR
O4S*9HEV.»75
L
L
ITPt QI OCCUPANCT SO IT
ALHPATIOM AND ADDITION*
I C01T »*.}•
'EOTH!ATEO IN HP^ K.W. ORX.V.A.
ENVIRONMENTAL RESOURCE AGENCY
MX. Koester. Dirpcir»
i/
3
SWIMMING POOL QPRIVATE Q COMMERCIAL
WISE. IT EMS NOT CQIPH3 ABOVE ~~
HI
cnrinutt-i
ELECTRICAL PERMIT APPLICATION
DIVISION of BUILDING and SAFETY- u»ic
COUNTY OF VENTURA
_______________________________ l‘"O>a——^>J>o
' ' ' — LflCAUfir ~ «U«Hf rests »T.
p3rJJ>
OCCP. GROUP I
Cv£A 50 AhO HOT MORE TKAH 100
OVER 103 AHO HOT MCRE THAN 50^
iSSlHSHSi
o^^owo^ |l|nnnnlhis prcpeny, - I
I luithci understand that no r.oik is lo be cnerQired. covered or
Xoittlbo wotk to be don«!
______ SERVICE fa
HOTCCE
'.in sstssx-sxi-'isiii-xri;
IS AuArc-ixled or Abinh-.ncd toi a ponoa ol 120 days at any time
Aller wvik ts comniencvil.
ai.d wd.nancas ojvcintna this typo ol vrotk will tw> Ccmalied with
v.h-:«r»cr enrolled herein m .-At. Ho oerson rhall be allowed to
Onlldinn and Sal.t,
^«o Lolslunan, Oirecttx
•
. ' ' i
CAMARILLO
RIAN CHECK VAUOA.IOK EM MFMOl
legibility of writing, typing „
ptinling UNSATISFACTORY
in ponion, Of the document
when rsteiyod.
TOTAL TEC
WHEN PnOPERLT VAlfoATEO UN UtiSSTA^O THIS IS TOUR PERMIT
.OT^1
y n£HAo
DS-150
MEMORANDUM
Date: September 27, 2006
TO:
FROM: Jim Myei
GRADING - □CLEARANCE □HOLD
SUBJECT:
GP 9908
PROJECT:
LOCATION: 5505 Canada Larga Road, Ventura
PERMITEE: Mark Mooring
035-0-160-045
A.P. No.:
CLEARANCE
□.Final
□Rough Grading
Lot Nos.
Remarks:
HOLD
□ Issuance ofa building permit except as noted above.
□ Inspection and approval ofconstruction.
□ Final inspection.
□ Connection ofutilities.
Remarks: NONE
RMA - Building & Safety Division
(□East County, □Ventura Office)
COUNTY OF VENTURA
PUBLIC WORKS AGENCY
ENGINEERING SERVICES DEPARTMENT
800 SOUTH VICTORIA AVENUE
VENTURA, CA 93009
Owner/Developer Sulphur MT Land-Live
Property Address 5055 Canada Larga Rd. Ventura
Assessor's Parcel # Tract#
035-Q-160-045
Building Permit # "€05-1/0J
Zone Clearance #
Description of Project New Premanufactured Home
Date
Issued By: WEST COUNTY OFFICE
Date
Signature of Representative
Agency/Dept. '
<5/°
Z-ZP-6 7
TL
®HCD
□ Other
B & S FINAL
authorization
RESOURCE MANAGEMENT AGENCY
COUNTY OF VENTURA
division of building and safety
COMPLIANCE REVIEW
PRIOR TO A FINAL INSPECTION BY BUILDING & SAFETY A REPRESENTATIVE FROM
THE AGENCIES/DEPARTMENTS CHECKED BELOW MUST SIGN OFF THE PROJECT
Lot#
□ PWA Encroachment
654-2055
□ PWA Flood Control
654-2906
C3 PWA Grading
654-2030
□ PWA Waterworks Dist
584-4829
□ Planning/Zoning
654-2488
gj Fire Prevention
389-9710
Environmental Health
□ Cross Connection
654-2436
□ Food Sanitation
654-2813
fgj ISDS (Septic)
654-5008
□ Public Swimming Pool
654-2813
□ Air Pollution Control
645-1400
/
RESOURCE MANAGEMENT AGENCY
county
GRADING AND CONSTRUCTION PERMIT AGREEMENT
TO: RMA - BUILDING AND SAFETY (0East County, 0 Ventura)
1.
MO WORK ALLOWED
□ Houcc foundation clab (coo tho-attqchod exhibit^
2.
3.
N/A and no further inspections will be performed by the Division of Building
4.
Pl BUc Works
Bi
□ Rotatfwg-wall(c) and itc’-foundatiaRG-(Goe the attached.exhibit),
□ Eloor-dtaphragm(c) to support the-retaining-wail^
8 -3i~ 0&
Date
(Iding arid‘Safety
Property Owner
Rough grading shall be completed to the satisfaction of the Public Works Development Services Division, and
must be approved by that agency priorto work other than specified below.
The building permit for the project referred to above has been issued prior to completion of rough earth grading on the
site. This constitutes a deviation from normal procedure and was requested by the property owner in order to facilitate
completion of rough grading.
GRADING PERMIT # 9908
OWNER: Mike Mooring
JOB ADDRESS: 5505 Canada Larga Road, Ventura
ASSESSOR'S PARCEL NO. 035-0-160-045
In consideration of the foregoing action by Building and Safety, the undersigned property owner hereby agrees to the
following conditions and stipulations relating to earth grading, construction work, and inspection of this project
DIVISION OF BUILDING AND SAFETY
Jack Phillips
Building Official
The Division of Building and Safety will not perform inspections of any other construction work prior to the
approval of rough grading by the Public Works Development Services Division.
Commencement of construction other than that specified in item #1 prior to approval of rough grading by the
Public Works Agency shall constitute a STOP WORK order and suspension of building permits by the Division of
Building and Safety.
This agreement expires on
and Safety after this date.
' ‘Date
DatrT
COUNTY OF VENTURA
DIVISION OF BUILDING & SAFETY
Project Address:
Locality:
0 Tract No.:
State Uc. No.:
BUILDING
o
serve?: [
Factor Sq Feet
100>: 0
SEE REVERSE FOR LEGAL DECLARATIONS
>5
Contractor:
Phone No.:
Designer;
Phone No.:
OWNER
State Uc. No: XOXOXO
Issued by:
Dale Issued:
BALLS
09/20/2006
) or 101k-
ip or 1001
0
0
0
0
0
0
0
0
0
0
0
Itus In Horse Power
l; 0 51-100: 0
0
0
0
0
0
0
0
0
0
0
0
Type
Totals...
jl/Spa:
jnduit:
<-500k BTU/h:
)1k-1750k BTU/h:
Misc Equipment
3-15 hp
30-50 hf
Owner:
ROBOT..
Phone No.:
Hoatt
Vent
Alter
Boile-
Cor
Air Hand/Vnt:
Res Vent fan:
Wood Stove:
Comm Incin:
Haz proc pip:
Total Permit Foes: $46.30
; PERMIT C05-1763WITH CARPORT SET BACK FROM RESIDENCE ANO CONVERTED TO
DOWNSIZED TO 1695 FROM 2068 SQ.FT. NEW FIRE. ZONING. &
■d.
COMPANY OF CALIF
CA. 90054
No. Stories: 0
Sprinklers?: Y
Compliance Review? Y
Soil Bearing Pressure: 1500
Valuation
SO.00*
UNION OIL
>X 7600 LOS ANGELES '
0
0
0
Apparatu
11-50:
tierVent:
.at Sys Gan
‘ar duct sys:
jler Flue:
amfort Cooling: 0
0
0
Work Description: REPLACES
GARAGE PLUS RESIDENCE t
E.H. DOCS REUD APPROVE!
0
rater 0
/ent: 0
O
O
iper 0
e Vent:0
0
System (Sq.ft): 0
ilt/add Htg Appf: 0
~ “ }isters:[O
0
0
0
0
Issuing Office: WCO
Date Applied: 09/20/2006
Occupancy.
Square Foot:
PT Slab?:
Struc obser.-
Private Sewer
COMBINATION PERMIT NO: C06-001307 n_n
nmaNM.
Zoning clearance Na: 61203
09/20/2006
Sys Feo? (y/n)
Srvc Restore:
Testing Power.
Photovott:
Multi-outlet ft
A/C Perlon:
Busway/IOOft
Misc equip:
x Ventura Office Inspection Line (805) 654-2791
East County Office Inspection Line (805) 582-8063
MECHANICAL
Fireplace Flue:
Incidental connection:
Duct System (Sq.ft)-
Rep/alt/add Htg Apj
Supply/Retum Regi
Evap Cooling Unit
Environ Air Vent:
Comm hood/fan/vent:
Com Incin Chimney:
Non-Haz proc pip:
Constr. Type: VN
No. of Bdrm.: 0
High Fire Area?:
Shell Building?:
Soil Exp. Index: 01
Valuation Items:
Occupancy
Low gas
Medical 
Fuel/oil pipe:
Sewer Line:
Backwater Valvr
Rep/alt DWV:
Circ Pump:
Waler System:
Comm Sprinkle;
Solar Wlr Htr
Res Pool/Spa:
ELECTRICAL
Service Over 600 Volts:0
Over 1000A:
Temp Pwr Dist (amps)
Pole/Platform fixt:
Rec/sw/outlet:
Illuminated Sign:
Commercial Pool
Underground Con
Svc 0-600 VoltsiO
0-1000 A:
Temp Power
Theater Fixt:
Sub Panels:
Fixed App:
Res Pool/Spa:
Ovrhd In/pole:
No of Power/
1-10: 0
PLUMBING
Med/High Pressure gas:
EQ Shut-off:
Fixtures:
Chem waste:
Rcp/alt Water piping:
Vac/Backflow:
Water Healers:
Grease Traps:
Nonres Greywatersys:
Solar Htg:
Reconnect Gas service:
i outlets: 0
Vacuum: 0
0
0
0
0
rinkler 0
0
Medical gas sys: 0
Combo waste: 0
Rain Piping: 0
Aband Septic: (0
WaterTreat: 0
Res. Sprinkler
Intorcepter
Res Greywatrr
Sample well:
Com Pool/Spa:
Misc Equip:
Healing Appl:
Pool heater
Dryer Ver»L
A/C System:
Combo Unit:
Cool Tower
VAV Box:
Fire Damp
Appliance »»••-
Systems that are rated In HP and/or BTU/h:
0-3 hp or 0-100k BTU/h: 0
15-30 hp or 501k-1000k BTU/h: 0
50+ ho or 1750k+ BTU/h: 0
SITE INFORMATION:
5055 CANADA LARGA RD VECO APN: 0350160044 Lot No.:
VENTURA
Date:
Signature of Applicant: Date:
iployees
Id within
Signature of1
Print Name
Date:
Signature of Owner
Final Inspection Approval:
FOR OFFICE USE ONLY
Print Natae>_VZ,
Signature ot
□ala: 3/ //
Data:
Data:
LEGAL DECLARATIONS
tCon'inienCnntrat|^,ora Declaration: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapters
Contractor:
/-Z
application and state that the above information is correct I agree to comply with ail city and
j laws relating to building construction, and hererby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. Additionally, I understand that Section 106.4.4 of the Ventura
County Building Code (VCBC) states thab "Everypermit issued by the Building Official underthe provisions of this Code shall
expire by limitation and become null and void ifthe work authorized by such permit is not commenced within 180 days after
the date ofissuance ofsuch permit orifthe buildingorworkauthorized by such pennit Is suspended orabandoned at any time
after the work is commenced fora periodof 180 days, orIfthe work authorized by such permit does not receive final inspection
approval within 3 years from the date ofissuance ofthe permit". For permit expiration purposes, "SUSPENDED OR
ABANDONED" shall be measured as elapsed time between "APPROVED REQUIRED INSPECTIONS" as delineated in UBC
Sections 108.5 through 108.7. I further understand that I will not be notified by the County ofVentura prior to expiration of
permit number C06-001307.
/h>l </
jplicant. /✓?aA/M
I certify that I nave lUacHhis ;
county ordinances and state
or the Labor Code, for the performance of the work for which this permit is issued.
—-z— 1 have and will maintain workers' compensation Insurance, as required by Sec. 3700 of the Labor Code, for the
Carrier3"00 °f the WOrk for whictl Ulis Pemiit is issued. My workers' compensation carrier and policy number are:
Policy No.:
------- . 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 provisions of Sec. 3700 of the Labor Code, and I shall forthwith comply
with these provisions.
WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal
penalties and civil flnoa of up to one hundred thousand dollars ($100,000), In addition to the coat of compensation,
damages as provided for In Section 3706 of the Labor Code, Interest, and attorney's fees.
Construction Lending Agency
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for which
this permit is issued (Sec. 3097, Civ. C.). Lender's Name:
Lender's Address: ____________________________________ ______
Owncr-BuildecDoclaration; I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for
the following reason (Sec. 7031.6 of the Business and Professions Code states 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 Sec, 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 Sec. 7031.6 by any applicant for a permit subjects the applicant to a crril
pen^ltypfnot 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 for sale. (Sec. 7044 Business and Professions Code, the Contractors License Law does not apply to
the owner of a 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-builderwill have the burden of proving that he or she did not build or improve for
U^erbiirpp^e of sale.)
^|, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044,
Business and Professions Code, states that the Contractors License Law does not apply to an owner of property who builds or
improves thereon, and who contracts for such projects with a contractor(s) licensed pursuantto (he Contractors License Law).
I am exempt under Sec. __________________ _8. & P- C. for this reason:
Bv: 6>.
DIVISION OF BUILDING & SAFETY
COMBINATION PERMIT NO: C05-001763
Slate Lie. No.:
0
0
2^644
I
e
100>: 0
SEE REVERSE FOR LEGAL DECLARATIONS
COUNTY OF VENTURA
Ventura OfficeJnspection Line (805) 654-2791
East County Office Inspection Line (805) 582-8063
Designer.
Phone No.:
Issued by:
Date Issued:
ROSENGF
09/01/2006
0
0
0
0
0
0
0
4
0
0
ul
0
0
0
0
0
Work Description: NEW PREI
SF) USING CTY STD PLAN B-16.
Project Address:
Locality;
OWNER/BUILDER
State Lie. No: XOXOXOXO
Owner:
PO BO) __
Phone No.:
Contractor
Phono No.:
Svc I
0-1<
Tem|
Thea—
Sub Panels:
Fixed App:
Ros Poot/Spa:
Ovrhd In/pole:
MECHANICAL
o
0
jrs:[O
0.
0
0
0
0
0
0
looting: 0
0
0
0
0
Heater Vent:
Vent Sys Gar
Alter duct sys:
Boiler Flue:
Comfort Coc—
Air Hand/Vnt:
Res Vent fan:
Wood Stove:
Comm Incin:
Haz proc pip:
PLUMBING
o
o
0
0
0
0
No. Stories:
Sprinklers?:
Compliance Review?
Soil Bearing Pressure:
SULPHUR MT LAND-LIVE
>X 25070 VENTURA CA, 93002
310-567-9710
valuation
$10,022.40
2,068 $16,337.20
2,068 $7,651.60
--------1 $34,011.20*
Issuing Office: WCO
Date Applied: 10/31/2005
Zoning Clearance No.: 0
09/01/2006
3-15 hp or101k-500k BTU/h:
30-50 hp or 1001k-1750k BTU/h:
Misc Equipment
Sys Fee? (y/n)
Srvc Restore:
Testing Power.
Photovolt
Multi-outlet ft:
A/C Per ton:
Busway/1001t
Misc equip:
Pool header'” 0 ISSXcBon:
Xven“ 0 Duct System (Sq.ft):
X/C System- 1 Rop/nll/add Htg Appl:
ComboS 0 SuppWRetum Register
Firn Dampen 0 Comm hoodrtanAmnl:
AppimncaVent:O Com Incln Chimney:
PP 0 Non-Haz proc pip:
Systems that are rated In HP and/or BTU/h:
0-3 hp or 0-100k BTU/h: °
15-30 hp or 501k-1000k BTU/h: 0
50+ ho or 1760k+ BTU/h: 0
0-600 Volts:250
1000 A: o
np Power. 0
jater Fixt: 0
0
0
0
NO Apparaws In Horse Power. °
Constr. Type: VN
No. of Bdrm.: 0
High Fire Area?:Y
Shell Building?;
Soil Exp. Index:
Valuation Items:
Occupancy Type Factor
Garages: .sfd & Carpo Open Carport 17.40
Mobile HomeFoundati Mole home fdn(sq.ft) 7.90
Equipment a/c Residential 3.70
Totals...
Total Permit Foes: $1,845.96
•MANUFACTURED HOME (2068 SF) FOR EXISTING SFD AND DETACHED CARPORT (576
Sq Feet
Low gas outlets:
Medical Vacuum:
Fuel/oil pipe:
Sewer Line:
Backwater Valve: 0
Rep/alt DWV; 0
Circ Pump: 0
Water System:
Comm Sprinkler
SolarWtr Htr
Res Poot/Spa;
SITE INFORMATION:
5055 CANADA LARGA RD VECO APN: 0350160045 Lot No.: 0 Tract No.:
VENTURA
ELECTRICAL
Sorvlco Over 600 Volts:0
Over 1000 A: 0
Temp Pwr Dist (amps) 0
Pole/Platform fixt: 0
Roc/sw/outlat: 0
Illuminated Sign: 0
Commercial Pool/Spa:. 0
Underground Conduit 0
Medical gas sys:0
Combo waste: 0
Rain Piping: 0
Aband Septic: [0
Water Treat: 0
Res. Sprinkler
Intercepter
Res Greywatrr
Sample well:
Com Poot/Spa:
Misc Equip:
Med/High Pressure gas:
EQ Shut-off:
Fixtures:
Chem waste:
Rep/alt Water piping:
Vac/Backflow.
Water Heaters:
Grease Traps:
Nonrcs Greywater sys:
Solar Htg:
Reconnect Gas service:
BUILDING
Occupancy: R3.U1
Square Foot 2644
PT Slab?:
Struc observe?: (
Private Sewer Y
Date:
Signature of Applicant: Date:
Date:
Signature of Owner
/
Print Name:
Date:
Signature of Owner
Print Name:
7- /- <4,
Date:
EEORTOEEICEWSEtoNLY'pL V-U'W J
QjjZ'W-
J
Signature ofApplicant or Agent
>ply to
r own
j .a? aL^.j6tyy,-kp
Date:Jj///oT'
[
Final Inspection Approval:
penalty of not more than five hundred dollars ($500).
py 1. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the
structure is not intended for sale. (Sec. 7044 Business and Professions Code, the Contractors License Law does not app
property who builds or improves thereon, and who does such work himself or herself or through his or her
?s, provided that such improvements are not intended or offered for sale. If however, the building or improvement is
in one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for
sale.)
I certify that I have read this application and state that the above information is correct. I agree to comply with all city and
county ordinances and state laws relating to building construction, and hererby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. Additionally. I understand that Section 106.4.4 of the Ventura
County Building Code (VCBC) states that: "Every permit issued by the Building Official underthe provisions ofthis Code shall
expire by limitation and become null and void ifthe work authorized by such permit is not commenced within 180 days after
the date ofissuance ofsuch permit oriftho buildingorwork authorized by such permit is suspended orabandoned at any time
after the work is commencedfor a period of 180 days, orifthe work authorized by such permit does notreceive final inspection
approval within 3 years from the date ofIssuance ofthe permit". For permit expiration purposes, "SUSPENDED OR
ABANDONED" shall be measured as elapsed time between “APPROVED REQUIRED INSPECTlONS’tas delineated in UBC
Sections 108.5 through 108.7. 1 further understand that I will not be notified by the County ofVentura prior to expiration of
permit number C05-001763. ^j/t***' * * **
—^Gra Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
■y.. 7 ,hav® and wi]| maintian a certificate of consent to self-insure for workers' compensation, as provided for by Sec. 3700
01 tne Labor Code, for the performance of tho work for which this permit is issued.
— — have and will maintain workers' compensation Insurance, as required by Sec. 3700 of the Labor Code, for the
Carrier;3006 wor^ ^or Ms permit Is issued. My workers' compensation carrier and policy number are:
Policy No.: -------------------------------------------------------------------------------------
------- 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 provisions of Sec. 3700 of the Labor Code, and I shall forthwith comply
with these provisions.
LEGAL DECLARATIONS
rr?.Bn3Cd Contractors Declaration: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
' mmenang with Sec. 700Q) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
Contractor:.
By: ‘
WARNING: Failure to secure workers* compensation coverage Is unlawful, and shall subject an employer to criminal
penalties and civil fines of up to one hundred thousand dollars ($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.
Construction Lending Agency
I hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which
this permit is issued (Sec. 3097, Civ. C.). Lender's Name: .
Lender's Address: _
Owner-Builder Declaration: I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lav/ for
the following reason (Sec. 7031.6 of the Business and Professions Code states Any dty 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 Lavr (Chapter 9
commencing with Sec. 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 Sec. 7031.6 by any applicant for a permit subjects the applicant to a civil
penalty of m------------ ‘ ‘ * ----- ——«
W' ’•*
the ov/ner of a
employees
sold within
thejurpose of ,
C lA I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044.
Business and Professions Code, states that the Contractors License Lav/ does not apply to an owner of property who builds or
improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License Law).
____1 am exempt under Sec. B. & P. C. for this reason:
COUNTY OF VENTURA £^-^7
'Date lssued:09/19/2006
Construction
EXISTING ACCESSORY USE/STRUCTURES
Lot Area: 345.42 ac
Maximum Building Coverage for accessory non-habitable structures and decks in rear setback - 40%
General Plan Max. Bldg. Coverage:
Area Plan Max. Bldg. Coverage:
2nd - Principal
2nd - Accessory Garage/carport
3rd - Principal
3rd - Accessory
1st - Principal
1st - Accessory
5%
0%
General Plan:
Area Plan Designation:
General Plan: Open Space(10 Ac. Min.)'
Area Plan Designation:
0 sf
sf
Ojai Clean Air Ord No.: . '
Parent Case No.:
Number: YES PER LLD WITH OTHERS
Split-Zoning:
Zoning:
Area Plan:
Applicable Zoning:
Zoning: AE
Area Plan: NA
EXISTING PRINCIPAL USE/STRUCTURES
Other UNDEVELOPED
PROPOSED USE/STRUCTURES
Principal Dwelling
ZONING CLEARANCE TYPE
Construction
PROJECT DESCRIPTION:
PRE MANUFATURED HOME AND 2 CAR GARAGE DETTACHED.
ZONSNG CLEARANCE (NON-COASTAL) ZC06-1203
Assessor’s Parcel No.: 0350160045 ’
Site Address: 5055 CANADA LARGA RD VEGO
Cross Sts.: &
Legal Lot Status:
Violation No: , ,
Lot Area: 15046500 sf
Resource Management Agency
Planning Division
800 South Victoria Avenue
L#1740
Ventura, CA 93009
(805) 654-2488
Maximum Gross Floor Area (GFA) Allowed with Zoning Clearance for Accessory Structures to PrincIparUse:
Dwelling: 2,000 sf Agriculture: 0 sf Other: 0 sf
V
Principal Dwelling, 1-4 Bedrooms -2 covered
0
Standard - 9ft x 20ft
Standard - Side by Side
2
0
of required parking space
DEVELOPMENT STANDARDS PROPOSED USE/STRUCTURE #1
Height: Dwelling w/standard setbacks - 25 ft
Building Coverage
Prin. Structure(s) sf
Accessory Structure(s) sf
Total sf
% of Bldg. Coverage
DEVELOPMENT STANDARDS'PROPOSED USE/STRUCTURE #2
Height: Acc Struct, w/standard setbacks - 15ft
Proposed
1695 sf
. 576 Sf
2271 sf
0%
Combined Total
1695 Sf
576 sf
2271 sf ./ .
0'%
Parking Requirements
Principal Dwelling:
Second Dwelling:
Farmworker/Animal Caretaker:’
Other: 0
Parking Space Size: 9ft x 20ft
Parking Configuration: Standard •
Parking Space Surface: Paved
Driveway Surface: Paved
Driveway Width: Equal to width
ZONING CLEARANCE NO. ZC06-1203
Existing
Osf
0 sf
Osf
0%
Parking Requirements
Principal Dwelling; 0
Second Dwelling: 0
. Farmworker/Animal Caretaker: , . 0 .
Other: 0
Parking Space Size:
Parking Configuration:
Parking Space Surface:
Driveway Surface:
Driveway Width:
SETBACKS FROM LOT LINE OR ROAD EASEMENT
Front Lot line/Road Easement: Standard - 20ft
Rear Lot Line/Road Easement: Non-habitable Accessory Structure- 3ft
Side Lot Line/Road Easement: Non-habitable Acc Structure - 3ft
Side Lot Line/Easement (Adjacent to a street or Reserve Comer Lot):
Irregular Lot: .
Misc.: ' •
SETBACKS FROM LOT LINE OR ROAD EASEMENT
Front Lot line/Road Easement: Standard - 20ft
Rear Lot Line/Road Easement: Standard'- 5ft
Side Lot Line/Road Easement: Standard, OS & AE -10 ft
Side Lot Line/Easement (Adjacent to a street or Reserve Corner Lot):
Irregular Lot:
Misc.: • •
0
310-567-9710
Phone. Nos.
■'A '
Phone Nos. 310-567-9710
Calculated Fees: $230.00 [Total Fees: $230.0Q
FEES: |
Applicant’s Name
Mailing Address/Zip
Owner’s Name
Mailing Address/Zip
MARK MOORING
60 CHERRY LN.
VENTURA CA
SAN JOSE CA.
95136
( N ) Floor Plans
( N ) Permit Conditions
(?) Elevations
( N ) Removal and Caveats
ZONING CLEARANCE NO. ZC06-1203
DEVELOPMENT STANDARDS PROPOSED USE/STRUCTURE #3
Height:
0
0
■/
Parking Requirements
Principal Dwelling:
Second Dwelling:
Farmworker/Animal Caretaker:
Other; 0
Parking Space Size:
Parking Configuration:
Parking Space Surface:
Driveway Surface:
Driveway Width:
MARK MOORING
60 CHERRY LN.
SAN JOSE CA.
MARK MOORING
95136
ATTACHMENT(S): (Y) Plot/Site Plan
(N) Ordinance Standards
( N ) Compliance Agreement
( N ) Other -
SETBACKS FROM LOT LINE OR ROAD EASEMENT
Front Lot line/Road Easement:
Rear Lot Line/Road Easement:
Side Lot Line/Road Easement:
Side Lot Line/Easement (Adjacent to a street or Reserve Comer Lot):
Irregular Lot:
Misc.:
ADDITIONAL STANDARDS
Setbacks Between: Habitable Structures 10’; Habitable & Non-habitable Structures 6’; Non-habitable Structures 6’
Other - 0
Allowed Intrusions into Setbacks: ’ •
Stairways & balconies, open & unenclosed, - 2.5’ front, 4’ rear
Porches & Landings, uncovered/unenclosed, at or below 1st floor - 6’ front, _3’ rear & side
Chimneys/fireplaces, masonry - 2’ into all setbacks, but keep min. 3’ side setback
Architectural Features (e.g. eaves, cornices, canopies;etc.) -2.5' front, 2’ side, 4’ rear; min. 2’ slde/rear setback
Other-0
CONDITIONS:
4.
■« F.0Rr0HEICAgUSE0Ng?r
[
■i.
• DISTRIBUTION: Applicant Plannlns, Building & Safety, Environmental Heallfi. Auditor-Controller
DATE ISSUED:.09/19/2006
D£te
ISSUED BY: Mendoza, Carlos
Signature
ZONING CLEARANCE NO. ZC06-1203
NOTES:
1. This Zoning Clearance becomes valid once the fees are paid.
2. This Zoning Clearance will be nullified pursuant to the Zoning Ordinance if the Information provided by the applicant was
not full, true and correct; it was issued erroneously; or it does not comply with the terms and conditions of the permit
originally granting the use.
3. This Zoning Clearance expires within 180 days of its issuance date unless a Building Permit is issued. Once a building
permit is issued, construction must commence within 180 days. This Zoning Clearance expires if construction does not
commence within 180 days of issuance of a building perniit . .,
4. The property owner is responsible for identifying all property lines and ensuring that all the'requirements of this permit
are complied with.
5. That authorizations by other County Departments that exceed the allowable limits noted herein do not excuse the
property owner from complying with the provisions of this permit. (The stricter provisions apply).
6. The proposed project will not result in the removal of more than 50% of the roof or floor area of a non-conforming
structure.
I CERTIFY BY INITIALING THE FOLLOWING THAT:
1. I am the owner of the subject property.
2. fl'll I am the authorized agent of the property owner and have his/her permission to obtain this permit
3. Ct! I have noted on the attached plot plan all of the following attributes: existing and proposed structures, Protected
Trees (Oaks, Sycamores, and any 30+" diameter trees), marshes, wetlands, streams, rivers, landslides, edges and-toes of
slopes, abandoned or active oil wells, septic systems and leach fields.
The information provided in this Zoning Clearance and attached plot/site plans, floor-plans and elevations are full,-
true and correct . ' " -
5. Otf | have reviewed, read and understand the terms, notes and conditions of this permit and as depicted in related
attachments, and agree to abide by them and ail other provisions ofthe Ventura County Zoning Ordinance. I further
understand that the permit can be nullified for cause as noted above.
Owner / Appllcantj^nature
't<5
GALLON
WATER
TANK
-;-»L1,200 GAllOM
SEPTIC T*HK
('7^3
Date Issued:!1/08/2005
ZC05-1624
EXISTING ACCESSORY USE/STRUCTURES
Number: LLD AD05-0262
345.42 ac
Lot Area:
Lot Area: 15046500 sf
General Plan: Open Space(10 Ac. Min.)
General Plan:
Maximum Building Coverage for accessory non-habitable structures and decks in rear setback - 40%
o
2 ■ Principal
2 - Accessory
Split Zoning:
Zoning:
Area Plan:
Site Address: 5055 CANADA LARGA RD VECO
Cross Sts.: &
Violation No.:
Legal Lot Status:
3 - Principal
3 - Accessory
1 - Principal
1 - Accessory
5%
0%
Ojai Clean Air Ord No.: n/a
Parent Case No.:
Osf
sf
ZONING CLEARANCE (NON-COASTAL)
Assessor’s Parcel No.: 0350160045
COUNTY OF VENTURA
Resource Management Agency
Planning Division
600 South Victoria Avenue
L#1740
Ventura, CA 93009
(805) 654-2488
Applicable:
Zoning: AE
Area Plan: NA
PROPOSED USE/STRUCTURES
Principal Dwelling w/attached parking
EXISTING PRINCIPAL USE/STRUCTURES
Other agriculture
ZONING CLEARANCE TYPE
Construction
General Plan Max. Bldg. Coverage:
Area Plan Max. Bldg. Coverage:
Maximum Gross Floor Area (GFA) Allowed with Zoning Clearance for Accessory Structures to Principal Use:
Dwelling: 2,000 sf Agriculture: 0sf Other: Osf
Gaggero/Mooring/Walters/Praske/Chatfield/Sulphur County Records/Cases 2
Gaggero/Mooring/Walters/Praske/Chatfield/Sulphur County Records/Cases 2
Gaggero/Mooring/Walters/Praske/Chatfield/Sulphur County Records/Cases 2
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Gaggero/Mooring/Walters/Praske/Chatfield/Sulphur County Records/Cases 2

  • 1. . W;7773-,7737/ z 7 County of Ventura Building and Safety Division Scan Control Sheet 3501 CANADA LARGA RD.V^nto^ ' GIGANIN TR 0350220075. 1-220^^^- 757?; . «'., __ /,_._ 71_ j, . y ' ' /L~~ □ Other____________ Address: Owner: Parcel Number: Permit Number(s): Street Files □ Energy Calculations □ Soil Reports □ Struct Calculations □ Truss Plans □ Approved Plans
  • 2. Q D &2 ’X »"Cmit«ct ■NciNssn oaaiQNKiT TOTAL VALUATION $ LEGAL DECLARATIONS EA. = $ EA. = $ 0 $ , B. & P. C. for this reason EA. = $ Date. $ Policy No., 5 EA. = $ Heated Area Heating/Coollng Applicancc □ate. Flue EA. = $ EA. = $ 2-1^ $ FEE AMPS NO. SERVICE 36-^- /o-Q j_ FEE SQ. FT. 21&2Z FEE NO. RATING 3 "77^ S $ -X-7^ 22a Bluo - Auditor Groon - Owner Canary - Filo Whlto - Inspector Goldenrod — Office 'DISTRIBUTION: ias-11 <R«V' 7/oo) ) Pink - Assessor ■=» __ / /Q /o- LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of Division 3 af the Business and Professions Code, and my license Is In full force and effect. Lie. Number----------------- ----------------------------- Ucen„ ctos_____________ Contractor Date ELEC. PLAN REVIEW FEE VOLTS' EA. = $ use/occupancy" Ducts Fan/Air Handling Equipment Gas Piping Outlets Private Sewage Disposal System Building Sewer Water System LAVAJ^WV aiMWMHU EA.-t^y.a, EA. = $ 3 Trd I ELEC. | PERMIT FEE NOTICE P:-— 7j | PLMBG. V | PERMIT FEE MECHANICAL I f<rUto8i~ COST I^ER SQ. FT. . *5C> /when properly validated this is your permit issued av ruAN Review validation permit valuation. MECH. PLAN i MEfcH. REVIEW FEE S r->/ | PERMIT FEE 6 ELECTRICAL 4 . Domestic Water Source: Private Well_____ _Public. Method of Sewage Disposal: Private Public ~2 I certify that I have mation is correct. I agree; u state laws relating to bulldir lives of this county to t inspection purposes.______ TT .’.ZrM ^/so.FT.e; • so. rr.es 3____ U««P^ ■ UILOIWO yr COST EACH Fire Protection DistrictConditions r? V___ ft EQUIP. OR MISC. : of the work for which this permit is in any manner so as to become subject LCah-fornia. *f Exemption, visions of the BUILDING cfirx^yTucTioM dwil^if OKMOMCM ‘ ”“l’ TOTAL Pl«ru»«l “7 BUILDING PLAN REVIEW FEE $ ■EHMIT ISSUANCE FEES ------ I | PERMIT FEES S 3 - *4 - . /^nn. i Yes No s.________________ TOTAL PLAN REVIEW FEES $ OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason y^-J^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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project Lam exempt under Sec. ----------- DaU^SZ WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec, 3800, Lab. C.). Company-------------------------------------- —------- Certified copy is hereby furnished. Certified copy is filed with the Ventura County Division of Building □nd Safety or the Ventura County------------------------------------------- dcpartmenL Applicant. e above Infor— irdlnances and _.-e representa- sed property for 1'~~' COUNTY OF VENTURA A APPLICATION & PERMIT —4' I RESOURCE management agency- division of building and safety 1 SITE INFORMATION »««■■,nrVf/ f I y, . f f ) ITATK "O.^ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not ba completed If the permit if for ana hundred dollars ($100) arless.) I certify-lhat Io the performance issued, 1 sWlrtpt cfnploy/any person i ES^SSiS shall be deemed revoked. CONSTRUCTION LENDING AGENCY Lender's Name —--------------------------- - Lender's Address----------------- -------------------------- - - — read this application and state that the '■ to comply with all city and county ordl Ing construction, and hereby authorize enter upon the above-mentlonc ENERGY FEE S 4 : 27 piyj»ioH ADD/ALTM 32^ SQ. FT. @i
  • 3. 9 INSPECTION RECORD INSPECTOR DATE 1 PLUMBING INSPECTOR DATE I 7- 2.1 -c INSPECTOR MECHANICAL ROUGH I INSPECTOR DATE INSPECTOR DATE i INSPECTOR ■ .© 0 _____ building __________ ZONING F°UNDATioN~u7^'ROUND „ ___________ SLAB BOND BEAMS ________ BOND BEAMS ________ BOND BEAMS tilt UP PANELS TILT UP PANELS _______FIRE DISTRICT FLOOR FRAMING ROOF SHEATHING _ _______ PRE-WRAP _______ frame INSULATION exterior LATH/SIDING INTERIOR LATH/DRYWALL UNDERGROUND SOIL UNDERGROUND WATER ROUGH/TOP OUT GAS TEST SEWER/SEWAGE SYSTEM FINAL INSPECTIONS FINAL GRADING CERT. REC'D. BUILDING ADDRESS INSULATION CERTIFICATE ■PLUMBING FINAL MECHANICAL FINAL ELECTRICAL FINAL BUILDING FINAL UTILITY CLEARANCES ’ GAS___________ _ ELECTRICAL DATE ELECTRICAL_________ TEMPORARY POWER ROUGH CORRECTIONS -'NOTES 1^4 7 DATE
  • 4. 1 -- ."r“ "■ J niKRirriOH DwKVLina unit* IITRUCT1OK SQ. FT. 0$ I Fire Protection District Conditions Heated building Non LEGAL DECLARATIONS BUILDING PLAN REVIEW FEE S 286.00 185.90 EA. = $ ® $ EA. = $ <3$ EA. = 1 ,, B. & P- C. for this reason EA. = $ Water Sy; @$ :m Date. Owner. S Policy No.. the i Heated Area EA. = $ Heatlng/Cooling Appliance <3$ Flue EA.= $ ® $ EA.= $ ®l EA.= $ any manr Itfornla. $ f Exemption, visions of the VOLTS AMPS FEE NO. SERVICE USE/OCCUPANCY FEE COST EACH EQUIP. OR MISCL, RATING FEE NO- eVeC-PLAN REVIEW FEE $ 10.00 $299.57 nKVlKW VALIDATION ‘S185.9aUCl.VTAC 9-26-6511013 S299.57VC t Bluo — Auditor Groan — Owner Canary - File Pink - Assessor White - Inspector^ ■UILOINO x 100 am exclusively contracting with licensed • PLAN XUVnC B-20-S5H002 department. .9.-J.(-ZT2 Ducts Fah/Air HapdHffg Eqyiprfient TOTAL VALUATION $50 T000 «00 Yes(O No O MECH.PLAN REVIEW FEE 6 "m 11 ' ' v»>.u*rion L0,00QSQ,.Fr-(gi5,0O = $ 5Q.OOO‘.OQ- • - SQ. FT. ® $ ' = * Yes VN COST PER SO. FT. Jbar^a Road Gas Piping Outlets Private Sewage Disposal System Building Sewer > Domestic Water Source; Private Well ,Y Public. Method of Sewage Disposal; Private Public 2 NOTICE. PERMIT ISSUANCE FEES 1 TOTAL | PERMIT FEES ISSUED BV------ “ PERMIT VALIDATION I PLMBG. _________| PERMIT FEE MECHANICAL 'SsTFUBUTION: _________________________ 185.90 . WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 01ai •TATR UC«HI« HO, U,17^ 397456 987-8845 /' •TATB CICBMIB NO. I i>k or >u< 100'x ENERGY FEE $ 4 Goldenrod — Office ? . T WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.J. Company--------------------------------------------— CSf Certified copy Is hereby furnished. ll' Certified copy is filed with the Ventura County Division of Building and Safetyar the AppIicytrTT^Q^tA^^^xr?- L/ CERTIFICATE OF '35-22-11"“' Geo Hearst mail Aoowcaa ’ : Same as above CONTRACTOR------------------- _ Bannmaster urn nnniiBn ...... .DjWgon^Br. ^.Camarl 11 n ____ 'X COUrft^FVteNTURA 0 APPLICATION & PERMIT RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDING AND SAFETY 3 BUILDING OF AUILOIHO Covered Pen AOO/XLTtl "23'35...........1 J_____________SITE INFORMATION ■ROJKCT AOORK*. ' x ----------------------- 3501 Canada PLMOG. PLAN REVIEW FEE $ 5 LICENSED CONTRACTOR DECLARATION J hereby affirm chat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in MLforcc and effect. Me. Number.-^^ License Class J5 ____ Contra ^Date OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason 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 I, as owner of the property, contractors to construct the project I am exempt under Sec-------- [ "a"-s BUILDING PERMIT FEE $ STATE SEISMIC FEE S PLUMBING ■ft™ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed-if the permit is for one hundred dollars ($100) orless.) 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. Applicant---------------------- --------—:—■—------------------ Dat0----------------------- KSSS5SB Shall be deemed revoked. CONSTRUCTION LENDING AGENCY Lender's Name----:—----------- t--------------------: Lender's Address----------------------- - " “ “ Inspection purposes. I ELEC. " | PERMIT FEE S [ MECK I PERMIT FEE S ELECTRICAL TRACT I CHOU STRRKT
  • 5. CORRECTIONS - NOTES DATE -t INSPECTOR DATE INSPECTOR DATE INSPECTOR DATE INSPECTOR DATE INSPECTION RECORD INSPECTOR » > < • »-> 1W Ax ■ PLUMBING UNDERGROUND SOIL UNDERGROUND WATER ROUGH/TOP OUT GAS TEST SEWER/SEWAGE SYSTEM ELECTRICAL TEMPORARY POWER IROUGHI MECHANICAL ROUGH FINAL INSPECTIONS FINAL GRADING CERT. REC'D. BUILDING ADDRESS INSULATION CERTIFICATE PLUMBING FINAL MECHANICAL FINAL ELECTRICAL FINAL BUIL'BiNG FINAL UTILITY CLEARANCES _________ GAS____________ ELECTRICAL ________ BUILDING __________ ZONING FOUNDATioNTuFERGROUND SLAB J-"'" BOND BEAMS ': ________ BOND BEAMS . , ________ BOND BEAMS _______TILT UP PANELS _______TILT UP PANELS _______ FIRE DISTRICT FLOOR FRAMING ROOF SHEATHING _________ PRE-WRAP ___________FRAME INSULATION EXTERIOR LATH/S1DING INTERIOR LATH/DRYWALL DATE INSPECTOR
  • 6. 1 I r BUILDING tyh or corrroMCnoH © ■ = $ SQ. FT. @ $ 3974561 5Q. FT. @ $ Fire Protection District Conditions 215.5(1 140,08 2,45. n/a X »LOO» O.Aim CLOTH KA DIIHWAIHIA the EA. 3 J EA. = $ am exclusively contracting with licensed EA.-5 ,, 0. & P. C. for this reason . EA. = J Water Sj tern Owner. 3 Heated Area EA. = $ Heatlng/Coollng Appllcance * EA. = $ Flue 9$ EA. = $ EA. = $ $ S VOLTS SERVICE AMPS/ FEE NO. USE/OCCUPANCY FEE RATING COST EACH NO. FEE ELEC. PLAN REVIEW FEE S 5140.08UC 111VTAC 6/05/8511001 ' ’ $227.9SVC 1HVTAC 7/15/8511006 t Bluo - Auditor White - Inspector Groon - Owner Canary — Flic Pink — Assessor DISTRIBUTION: fyjtjrlii, . . .1 A-ILl L L! /ei-tpif-f a»'<i BXTar VALUATION sq.rr,@:10,oa' = s 34,560.00. | '17*330-8 O«ICRI^TU3N - ■ *- "rformancc hall not employ any person I.. rkers' Compensation Laws of Cal COST PER SO. FT. 4640 Portion-Rd. Domestic Water Source: M£CH.PLAN REVIEW FEE 6 jd&SSL 227.95 I MEcH. “ | PERMIT FEE ELECTRICAL BUILDING PERMIT FEE S STATE■ SEISMIC PLUMBING | ELEC. I PERMIT FEE M°U> X____ PERMIT ISSUANCE FEES “ | TOTAL | PERMIT FEES 1 ISSUED BY PERMIT VALIDATION, Gas Piping Outlets Private Sewage Disposal System Building Sewer Ducts Fan/AIr HamJWrfg Equip^prtnt Somis____________ Private Well Public. Method of Sewage Disposal: Private Public. 2 legal declarations ENERGY FEE $ 4 EQUIP. OR MJ^C. Goldonrod — Office^: RESOURCE MANAGEMENT AGENCY - DIVISION _ ________SITE INFORMATION ^^g^rgaRd. ■■ ■ | LOT Mo. | YA ACT I HKARKAT CHOfl tTWKBT A______ | PLMBG. | PERMIT FEE MECHANICAL tl®« TOTAL PLAN REVIEW FEES S 140.08 ■ WHEN PROPERLY VALIDATED TH)S IS YOUR PERMIT PLAN REVIEW VALIDATION 035-0-220-011* G. Hearst MAIL AODAtZAA — 3501 Canada Larga Rd. CONTRACTOR-----------------------— 2 Bammaster TOTAL VALUATION 5^560,00 Building not heated <3/2- .^•aoLg.o__________ LICENSED CONTRACTOR DECLARATION rc,a^ Code, and my license is ip full force and effect. ' ' ' ' Lie. Numberj 3^745S^>^ , R ■ FEE » "ojai WORKERS'COMPENSATION DECLARATION X------------------ I hereby affirm that I have a certificate of consent to self-insure, or /_____________ a certificate of Workers' Compensation Insurance, or a certified copy thereof pLMBG PLAN Certified copy Is hereby furnished. - ----------------------------- Certified copy is filed with the Ventura County Division of Building .l CERTIFICATE OF EXEMPTION FROM V WORKERS' COMPENSATION INSURANCE (This soction need not ba completed if the permit is for one hundred dollars ($100) ar less.) I certify that In the perfo issued, I shall not employ any to the Workers' Compensation I Applicant—— -----—--------------------------------------- —- Da“----------------------- NOTICE TO APPLICANT: If, after making this Certificate of Exemption, vou should become subject to the Workers’ Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY / Lender's Name---------------------- ------------------------------------------------------------------ Lender’s Address —---------4 ’ I certify that I have read ttiis. application and state that the above infor- rarrect. I agree to comply with all city and county ordinances and inspection purposes. ■ UILOIHO 36 ^96 ______' X - rO"eH 'X BUILDING PLAN REVIEW FEE S OWNER-BUILDER DECLARATION I hereby affirm that | am exempt from the Contractor's License Law for re following reason 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 I, as owner of the property, contractors to construct the project O I am exempt under Sec. _ : of the work for which this permit Is In any manner so as to become subject ' "jlifornia. ___B 987-8845 • < ATATA LICSH.A "O./ C 31777 (I 1 rttane KZr 482-9841 f J I? COUNTY OF VE APPLICATION & PERMIT O(F BUILDING AND SAFETY 3/J, ' ’ Bam piVIAION NOTICE. PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ‘VORK,sCOMMNC£D- , allA-ur.,. b~r nwHMH MUILOAHl ’ ”3501' 437 Dawson Drive ■ Camarillo Hiroshi Hoshi7’"*''
  • 7. CORRECTIONS-NOTES it 77 f INSPECTOR DATE- DATE DATE INSPECTOR -.-••’I ?.•' ■ INSPECTOR ' DATE-' A / INSPECTOR H , 0 -- 'ft INSPECTION RECORD is&CTOR A J MECHANICAL ROUGH '^PLUMBING UljlDERGgOUND SOIL " ■'UNDERGROUND WATER ROUGUZTOPOUT , „ ~ GAS TEST" SEWER/SEWAGE SYSTEM 7 5- ELECTRICAL ' temporary power ROUGH DATE FINAL-INSPECTIONS FINAL GRADING CERT. REC'P~ BUILDING ADDRESS • ■iNSULATION CERTIFICATE- : •• PLUMBING FINAL ' ~ • ■ MECHANICAL FINAL ~~ ELECTRICAL FINAL " BUILDING-FINAL ' UTILITY CLEARANCES -t?:yz-gas ELECTRICAL INSPECTOR DATE BUILDING _______ zoning FOUNDATION: / ^SLAB bond'beams'- bond beams tilt up PANELS tilt up panels FIRE DISTRICT FLOOR FRAMING ROOF SHEATHING PRE-WRAP ~ FRAME INSULATION ' EXTERIOR LATH/SIDING INTERIOR LATH/DRYWALL
  • 8. BUILDING KMOLI1H 643-2611 SQ. FT. © $ MAIL ADORBBB Fire Protection District Conditions 89.05 $ FEE n/a the EA. = $ EA.= $ EA.M @5 , 0. & P. C. for this reason © * Owner. Date, insure, or py thereof S EA. = $ Heated Area EA, = $ EA. - $ @5 Flue EA. = $ EA. = $ $ S FEE AMPS SERVICE VOLTS NO. FEE USE/OCCUPANCY SO. FT. w. COST EACH EQUIP. OR MISC. . RATING FEE ELEC. PLAN REVIEW FEE $ $ 7 Bluo — Auditor Whlta — Inspector I I iI I ■ ■ 3 ■ , S DISTRIBUTION: YES NOT FOR HUMAN HABITATION. ■ 8 9.05*. ..00*.. Goldenrod — Office Heating/Coollng Appliance PLMDG. PLAN REVIEW FEE. S 5 MECH.PLAN REVIEW FEE 6 same as above contractor "DRA. Contractors 437 Dawson ARCMrTKCT CNOIHI, coSTeHf' ^QfFT. Ventura NON-HEATED QR COOLED BUILDING. — BUILDING.PLAN REVIEW FEE $ BARN DIVISION 3 Ducts Fan/Air Handling Equipment' Gas Piping Outlets Private Sewage Disposal System Building Sewer Water System Domestic Water Source: Private Well'____ Public Method of Sewage Disposal: Private PublicJ 2 LEGAL DECLARATIONS | NBARABT C«O|I BT»««T I Hwy 33 OWAUTHO^IieO ACKNT &P^ENS s 89.05 ■ WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT PLAN RKVIEW VALIDATION PERMIT FEE Uy—T STATE SEISMIC PLUMBING I MecM. | PERMIT FEE ELECTRICAL I NOTICE I PLAN HUI I 380-N _3_____ uaa or ouiloikg ' LIVESTOCK 1U< Or OARAOB ■x rorCHAB, ratio, ri •x (’S COUNTY OF VENTURA *"»NCINUmImrT ^APPLICATION & PERMIT r 1 ' I RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDING ANO SAFETY j 2 SITE INFORMATION TTFB ar eONBTHUCriON VN ---- - VALUATION I •° jaee-sQ-H-.a; i2.otf~>-a5.aror^»_ ~ I PLMflG^ | PERMIT FEE MECHANICAL lS©$ I ELEC. | PERMIT FEE PERMIT ISSUANCE FEt- T----- 3 «'OTT I TOTAL | PERMIT FEI I5SUEO DX PERMIT VALIDATION 4 1 3 503 HH 3 1 '« 0 • >v4 6 3 703. JUL1 3 '2 5 Groan - Owner” Canary — File Pink — Assessor SQ. FT. e s______ TOTAL VALUATION JDFUP Yes^ NaP x "ANC< V~ ’loner ADonit, _jSOI_Cgnadg Larga R „ “»••• 'AUCKL NUUM,------------------ 1—------------- _J5-0-220-^S 2J | George Hearst 397456 "j*’ Cainaxillo, E 93010 484-2689 ENERGY FEE S 4___ LICENSED CONTRACTOR DECLARATION (ceL^X ffiX Joo'S? Code, and my license is in full force and effccL xi Llc.Nun,b.aj^3<?7^6 _ Cantractor^^A^^Z/^^^CS DurX- OWNER-HUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for ie following reason O 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 forsale I, as.owner of the property, am exclusively contracting with licensed contractors to construct the project O I am exempt under Sec. WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-ip a certificate of Workers' Compensation Insuranccujr a certified cop (Sec. 3800, Lab. C.). tr „ Company^_.//Z^5/Z>-Zt/ Policy NnfX Certified copy Is heretfr furnished. [5?~ Certified copy is fpZdwtfhtHe Ventura County Division of Building and Safety or theAWtfi^CgVnp^Z ------------------------------- department. ApplicanL^_^d44^------------------ - Date^T6#^ / CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not bo completed if the permit is for one hundred dollars ($100) orless.) 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. icant--------------------------------------------------------------- D1“---------1--------------- NOTICE TO APPLICANT: If, after making this Certificate of Exemption, vou should become subject to lhe Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Lender's Name----------- -——~ Lender’s Address------------------------------------------------------------------- I r-rrlfv that I have read this application and state that the above Infor- Inspection purposes. ■ - . ... ■ .
  • 9. 1 INSPECTOR DATE INSPECTOR DATE INSPECTOR DATE DATE '• INSPECTOR I z iya»,.atUsf DATE MECHANICAL ROUGH ■ECECTRICAL^X? TEMPORARY'POWER-' ROUGH FINAL INSPECTIONS FINAL GRADING CERT. REC'D. BUILDING ADDRESS INSULATION CERTIFICATE PLUMBING FINAL mechanical final ELECTRICAL FINAL BUILDING FINAL ■ UTILITY CLEARANCES , GAS T ' electrical ■_______ ------------ -------------- . ; INSPECTOR rrr 7~7 __________PLUMBING UNDERGROUND-SOIL _, ( • UNDER'GR<jUND'WATER ■ • ROUGH/TOP&UT ■ A -GAS TEST. SEWER/SEWAGE SYSTEM DATE ~T ' e;. INSPECTION RECORD ' CORRECTIONS - NOTeF~ ________ BUILDING _______ zoning __________SLAB BONO beams _ C V^oNd'bFams 1 , • Konq'T^ams'. 1 W~ TILT UP PANELS ; , tilt UP PANELS ' • FlREDTirfticr------------ FLOOR FRAMING ' ROOF SHEATHING _________ PRE-WRAP ___________FRAME INSULATION EXTERIOR LATH/SIDING INTERIOR LATH/DRYWALL
  • 10. ) 380-N BUILDING onicxirrioH OWKIUUMS UHIT« •x. SQ. FT. @ $ X SQ. FT. @ $ TOTAL VALUATION $ Aooaaat Fire Protection District Conditions 73.45 ■e s n/a LAVATORY OtlHWAAHKR EA. = $ EA.= $ @ $ EA. = $ 0$ ,0. i P.C. for this reason Owner. s Heated Area $ SERVICE VOLTS NO. AMPS FEE USE/OCCUPANCY SQ. FT. FEE RATING COST EACH FEE ELEC. PLAN REVIEW FEE $ S ,0 0 a 7 3.45a . Bluo — Auditor White - Inspector Groon — Owner Canary — File Pink - Assessor Goldenrod — Office DISTRIBUTION: Private Public___ LEGAL DECLARATIONS ■I I ' 7 - NON-HEATED OR COOLED BUILDING. BUILDING.PLAN REVIEW FEE S 20,160.00 Yes No BARN -0UECH. PLAN REVIEW FEE $ 6 hp'h ~ YES NOT FOR HUMAN HABITATION. TYFB ar CONSTRUCTION _________ VN ■ UlLtWy-y / ‘ ‘ VALUATION '= SQ-FT-QSa.OO '=* 20,160.00 EA-’ K?— V^CtA^S Gas Piping Outlets Private Sewage Disposal System Building Sewer Water Systenjx^ PLAN HEVISW VALIDATION I ELEC. “ | PERMIT FEE z-*^ Ducts Fan/Air Handling^-" Equipment^ I PLMBG7 | PERMIT FE1 MECHANICAL n®s NOTICE, PERMIT ISSUANCE EEE S I TOTAL 7 | PERMITFEES v u ) MEcH. • I PERMITTEE ELECTRICAL J___ uac or auiLoiHa LIVESTOCK M ___ X "20" | #* V 1 "ToVc^ Ventura, CA CSOil «TRBKT I Hwy 33 V BUILDING i PERMIT FBI STATE ______ SEISMIC FEE PLUMBING Domestic Water Source: PrlvateW.li______Public - Method of Sewage Dltposal: 2 f COUNTY OF VENTURA (7 ^APPLICATION & PERMIT W RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDING AND SAFETY SITE INFORMATION ____________ £Prga Road 35--O-2z'o:ra?a£n]~aT“’- [ ' 643-2611 ■ same as ahnvQ tllimWLILw DRA Contractors ‘ _437 Dawson_Drii "CHITCCT CHoiNaaw psii CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE (This section need not ba completed If the permit Is for one hundred dollars ($1001 orless.) 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. Applicant--------------------------------------------------------------- Date — ■ NOTICE TO APPLICANT: /If, after making this Certificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the per­ formance of the work for which this permit Is issued (Sec. 3097, Civ. a). Lender's Name---------------- -------------------------------------------------------------------- — Lender's Address —------------------------—------------------------------------------------------ I certify that I have read this application and state that the above Infor­ mation is correct. I agree to comply with all city and county ordinancesand state laws relating to building constrpction, and hereby authorize representa­ tives'of this county to enter upon the’above-mentioned property for Inspection purposes. WHEN PROPERLY VALIDATED THIS IS .YOUR.PERMIT .IDATION ** - . J , ’PERMIT VALIDATION • : 44 3 683 MY 3 1 'SO 7 345a’’ 4 5 7 983 JUL 7 '2 5' 397456__________ ■y^CarnariUo 93010 484-2689 PLMBG. PLAN REVIEW FEE $ 5 COSTPER ,SQ. FT. Date WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lah. C.). , u./u UT'ftt a Company _ A?/.5,S/-4 V ^1 <S Certified copy Is hereby furnished. Certified epp^ 1$ filed with ihc^Ventura County Division of Building and Safety or th^Vwpra Count/Q—/Z_________ ___________department, [7 . .. AppItronf^^^^V/ 11 ~~ LICENSED CONTRACTOR DECLARATION nd'm’y tanfc'S" Jil^lee'P^”"’ Lie. Numb.r^_xgg.-7 Lle.no. A5 Contractor. (Tu - fit- fy-tztl nare^-v < - OWNER-BUILDER DECLARATION the rollowVmwn"”' ' im ““npt rr°,n Contrietor's Uee'nse Law for 0W V1® Pr°PerIy. °r my employees with wages as their sole fornfc"531 °n’ * d° thC W°rk' ind the 5truclurc Is 001 intended or offered O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the.project O I am exempt under Sec.
  • 11. ■ T E&VTe - CORRECTIONS - NOTES - ■ INSPECTOR • DATE INSPECTOR DATE INSPECTOR DATE ' INSPECTOR DATE INSPECTOR . DATE, - ■ ELECTRICAL ' ■ . TEMPORARY POWER . .ROUGH , MECHANICAL ROUGH INSPECTION RECORD |u 2 INSPECTOR,; ■ |~ ■■r-n ±2 ________ PLUMBING._______ UNDERGROUND SOIL UNDERGROUND WATER . ROUGH/TOPOUT , GAS TEST-. ~ .SEWER/SEWAGE SYSTEM . FINAL INSPECTIONS FINAL GRADING CERTTREC’O. BUILDING ADDRESS ■ INSULATION CERTIFICATE "PLUMBING FINAL .MECHANICAL FINAL electrical final , BUILDING FINAL / UTILITY CLEARANCES 'GAS Z ■ '<*•» '^lectricai/ ■?v ( V ,y>-g* V —*= - BUILDING - VI ZONING , . - X FOUNDATION: UFER GROUND ___________ SLAB ‘ ________ BOND BEAMS . . BOND BEAMS ■ - • "BOND BEAMS-■ ■ ■ " .TiLT UP PANELS _______ TILT UP PANELS ' fire DISTRICT FLOOR framing ROOF SHEATHING _________ PRE-WRAP _________. FRAME ‘ _________INSULATION ■ ■ EXTERIOR LATH/SIOING INTERIOR LATH/DRYWAlL ■
  • 12. •4=. t 1 BUILDING 3 6_43-2611 20'160.00- 397-456 I TOTAL VALUATION $ Fire Protection District Conditions an harttatton. iln.nn" n/a Date. S.AUHDRV TUB TOTAL. riXTUL EA. = $ ©I EA. = 5 EA. =•$ @ $ ,, B. & P. C. for this reason EA. = $ Water System Owner. Date. S EA^Z- Heated Area EA. = $ Hcatlng/Coollng Appllcance Flue’ EA. = J EA. = $ EA. = $ S $ VOLTS AMPS FEE SERVICE NO. USE/OCCUPANCY SO. FT. FEE no:^ rating' FEE COST EACH EQUIP. OR’MISC. ELEC. PLAN REVIEW FEE S 4 5 3 083 JUL ,00a 7 '2 5 Bluo — Auditor Whlto - Inspector Green - Owner, Pink - Assessor Goldenrod — Office Canary - Filo distributions YP.fi NQT POP MECH. PLAN REVIEW FEE 6 ©I I MECri. J PERMIT FEE ELECTRICAL COSTPER SQ.JFT. LIVESTOCK BARN oiviciort 3 M X Gas Piping Outlets Private Sewage Disposal System Building Sewer Ducts Fan/Air Handling"'' Equipm^pr^ f i "i inn no V« No Ventura, CA I c«ai« rrwK«r I Hwy 33 ^07- ~F~ PERMIT ISSUANCE FEES 5.00 | PERMITTEES 380-N same as ahnw> ccHTnAcran — -&&££2!-xastaxs.__ -S37.,Datrt;nn un-xm PLM0GT" _________| PERMIT FEE MECHANICAL ■TATS LICOHXX KO. I _______ . . ’* I*"** BUILDING PERMIT FEE S _____ SEISWC FEE $ PLUMBING rvre or conitmuction o« VN__ ....• I ’ X_ ' ’ = SQ. FT. (9? ’■$ rOAGMB*. TATIO, rinSTLACS, STC. ■ ♦ ,'X••SQ. FT. & $3 I TOTAL PLAN REVIEW FEES S 73,45 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT issued dy FUAN REVIEW VALIDATION PERMIT VALIDATION 4 ! 3 483 IUV 3 1 •« 0 7 345a" Q) COUNTY OF VENTURA Q APPLICATION & PERMIT RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDING AND SAFETY siteTnformation 35-0-220-BXs 11 | U°T _ George Hearst_____ | ELEC. | PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-insure, or a certificate of Workers’ Compensation Insurance, or a certified copy thereof I I Certified copy Is hereby furnished. Certified copy is filed with the Ventura County Division of Building and Safety or theA/tfAtiira County<^L—------------------------------ department Applicant/ j2Zt//Ar=====- Date^ ? CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not bo completed if the permit is for one hundred dollars ($100) or less.) I certify that In the performance of the work for which this permit Is issued, I shall not employ any person In any manner so as to become subject to the’Workcrs' Compensation Laws of California. Applicant—------------------------------------------------ ------------ Oale NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers’ Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. , CONSTRUCTION LENDING AGENCY Lender's Name ——--------------------------------------------------------------------- - Linder's Address------------------ ------------------------------------------------------------------- 11 Inspection purposes. . ■ - . ‘ . Domestic Water Source: Private Well_____ _Public. Method Of Sewage Disposal: Private . pubI|c. 2' LEGAL DECLARATIONS LICENSED CONTRACTOR DECLARATION |eoL'X wffiX olf'<DTvSdo„,,3nS;'th?^ilS aiS P»^ Code, and my license |$ |n full force and effect. r) Lie. Number License Class Contractor OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor’s License Law for the following reason 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 I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project I atn exempt under Sec. PLMBG. Kan REVIEW FEE S 5 NON-HEAT'P.T) OP rnOLED RTTTT.DTNfl. BUILDING.PLAN /3.4b REVIEW FEE $ 21X2 ENERGY FEE S 4 ir^j ^uoTst" i.«t NOTICE
  • 13. INSPECTION RECORD , ^CORRECTIONS - NOTES INSPECTOR DATE, INSPECTOR ' DATE INSPECTOR DATE DATE . INSPECTOR DATE-,. INSPECTOR DATE INSPECTOR MECHANICAL ROUGH ELECTRICAL TEMPORARY POWER ROUGH PLUMBING ■ ■ . UNDERGROUND SOIL UNDERGROUND WATER ROUGH/TOP OUT ' .. .GAS TEST SEWER/SEWAGE SYSTEM „ BUILDING , ■ - ________ ZONING FOUNDATION: UFERGROUND ___________ SLAB ■ .BOND BEAMS • bond BEAMS BOND BEAMS ' ’■ ■ TILT UP PANELS . _______TILT UP PANELS ' FIRE DISTRICT1---------- . FLOOR FRAMING ROOF SHEATHING ' PRE-WRAP __________FRAME. ________ INSULATION-’ • EXTERIOR LATH/SIDING INTERIOR LATH/DRYWALL FINAL INSPECTIONS FINAL GRADING CERT. REC'D, BUILDING ADDRESS INSULATION CERTIFICATE' PLUMBING FINAL MECHANICAL FINAL ELECTRICAL FINAL BUILDING FINAL UTILITY CLEARANCES GAS ' " ELECTRICAL y/7 ■ ... ..
  • 14. & I 3&P7u BUILDING o««c«imoH OWILUXO UHIT» rrrt or cox«r»ucrioH OIVlUOH SQ. FT. O $ 'X HFH Fire Protection District Conditions BUILDING PLAN REVIEW FEE 5 S uvAToxy coir BACH WTIt. H«ATH» LAUXORI TUB EA. - $ @1 EA. = $ @1 & f , 0. i P. C. for this reason Water System Owner. Date. $ EA. = $ Heated Area L = $ Heating/Coollng Appllcance EA. = $ Flue EA. = | EA. = $ $ VOLTS AMPS FEE NO. SERVICE USE/OCCUPANCY SQ. FT. FEE Np. ■''RATING EQUIP. OR MISC. COST EACH FEE ELEC. PLAN REVIEW FEE $ .00*. Bluu — Auditor Goldenrod — Office m DISTRIBUTION: White - Inspector •f I 7^ PJ.-f.lBG. PLAN hEVIEW FEE S 5 EA. = $ EA. = $ I mech. — I PERMIT FEE ELECTRICAL __________ E ■■/a^Q.FT.et • IXK O' a««AO« •x •=> SQ. FT. @$ . - Ducts Fan/Air Handling Equipment COST PEH , SQ.FT-; Gas Piping Outlets Private Sewage Disposal System Building Sewer ENERGY FEE S 4 , _3________ U1B or BUIUOINO TOTAL PLAN REVIEW FEES $ ~ 7 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT issucd dv FLAN REVIEW VALIDATION PERMIT VALIDATION CONTRACTOR MAIL AOOADia CONSTRUCTION “ OR IF CON­ OR A PERIOD above infor- sunty ordinances and tuihorize representa- Joned property for TOTAL VALUATION * Yes No O I PLMBGT" | PERMIT FEE MECHANICAL ch & $ PERMIT ISSUANCE FEE $_____________ __ | PERMVr FEES ’ 4 6 3 883 JUL 1 3 ’2 5 ” • ■. Groan - Owner Canary - File' Pink - Assessor MECH. PLAJik' REVIE^LFEE S Date----------------------- tlficate of Exemption, ition provisions of the slons or this permit 1 '35o7'cz -ABCBU MAIL AODMBaa Domestic Water Source: Private Well______public ■ ’ Method of Sewage Disposal: Private Public 2 LEGAL DECLARATIONS LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing wtth Section 7000) of Division 3 of the Business and Professions Code, and my licenseJs in full force apd effect. . rrp Lic- Ucen$e ciasvX Contractor^ .l/fTffV OWNER-BUILDER DECLARATION . L h.freb.v affirm th* 1 Jm exempt from the Contractor's License Law for the following reason LJ 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 I, aS owner of the property, am exclusively contracting with licensed contractors to construct the project • O. I am exempt under Sec. BUILDING PERMIT FEE _____ SEISMIC FEE S PLUMBING zr • .. 6^t I eLec. I PERMIT FEE S lot no. j thact I ntA««rrcross arnccr J. I HuJ^ 33 -• f ,HOH« T~ WORKERS'COMPENSATION DECLARATION I hereby affirm, that I have a certificate of consent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.). • ‘ * Z- Company ---------- .Policy No-------- ---------------- Certified copy Is heyby furnished. Certified copy the Ventura County Division of Building and Safety or thejierrtljraZounnZ------7---------------------------------- department. Applicant^^^-^^f^Zr? 0at^^&5z£5 7 CERTIFICATE Ow/xEMPTION FROM WORKERS* COMPENSATION INSURANCE -• (This section need nor bo completed if tha permit is for 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. Applicant-------------------------------- ■ • 1 NOTICE TO APPLICANT: If, after making this Ccrti you should become subject to the Workers Compensat Labor Code, you must forthwith comply with such provisl shall be deemed revoked. ■ CONSTRUCTION LENDING AGENCY Lender's Name------------ - --------------------- ------------------------------------- Lender's Address ----------------------———- inspection purposes. . ■ , • ■ NOTICE °w°miN°so SaysT'c Cf (7777^^.------- A COUNTY OF VENTURA ' Q APPLICATION & PERMIT^ Zife. RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDINGAND SAFETY . SITE INFORMATION
  • 15. CORRECTIONS-NOTES •' DATE INSPECTOR DATE INSPECTOR DATE DATE- . ■, INSPECTOR INSPECTOR'. DATE 7 5F 0 MECHANICAL ROUGH INSPECTION RECORD INSPECTOR 3 ■'ELECTRICAL TEMPORARY POWER ■ ROUGH Wre; j FINAL INSPECTIONS FINAL GRADING CERT. REC’R-- BUILDING ADDRESS v■■insulation'certificate 77 'plUmbing'fInal'^ ■ - "mechanical final •ELECTRICACFIFIAL ' ~ ■ ■■■■ Z-x-BuitoiNG FINAL -■ -UTILITY CLEARANCES' ~ GAS______________ ^■■■.yL-/-ELECTRICAL PLUMBING. UNDERgROIJNp SOIL' ~ X UNDERGgOUNb WATEh ~ ROUgA/TOP OUT-' v-.GAST.csr . - SEWER/SEWAGE SYSTEM _____ building ___________ZONING FOUNDATION: UFER GROUND ____________ SLAB , BOND BEAMS ' toND'BEAMs'<C '/.C VBOND'BEAMS ■ . _______ TILT UP PANELS TJLT UP PANELS ' ________ FIRE DISTRICT • floor framing ROOF SHEATHING PRE-WRAP ___________ FRAME ' _________ INSULATION EXTERIOR LATH/SIDING INTERIOR LATH/DRYWALL
  • 16. 5ir - / BUILDING TRACT 643-2611 70 ■ = $ SQ. FT. @ $ 'X SQ. FT. © $ 'X TOTAL VALUATION $ MAIL ADDRIii Fire Protection District Conditions (company HAMS) NON-HEATED OR CQOZD BUILDING, BUILDING.PLAN REVIEW FEE $ 338.00. 219.70 s LAVATORY CUOTMH WASH*. .LOOK OAAIH COAT RACK ©$ EA. =• $ EA. = $ @ $ EA. = $ ©S ., B. & P. C. for this reason Owner. Date. AM. Heated Area Centura Heating/Coollng Applicance EA. = $ Flue EA.-J Ducts EA. = $ Fan/Air Handling Equipment EA. = $ ? s $ SERVICE NO. VOLTS AMPS FEE USE/OCCUPANCY SQ. FT. FEE- RAJJNG^ EQUIP. OR MISC., NO. COST EACH ELEC. PLAN REVIEW FEE $ 5.00 3 4 8.88a Canary — File Pink — Assessor Goldenrod — Office » VALUATION 7000 SQ. FT, @ S 12. Of)=$ 84(000.00- Private Public____ legaldeclarations I 4 t Is iect 2 1 9.70' " 3 5.00V" Grbon — Owner h/a PLUMBING Building Sewer, WatepSfsum MECH.PLAN REVlEyrfEE 6 PLMBG. PLAN REVIEW FEE $ 5 FTTh" Yes NOT FOR HUMAN HABITATION, 348.88 -21^1 - TYRA or CONSTRUCTION PERMIT ISSUANCE FEES I TOTAL I PERMIT FEES $ BUILDING PERMIT FEE $ STATE SEISMIC FEE Gas Piping Outlets Private Sewage Disposal System _3______________________ LIIK or BUIUUHO OOCRIRTIOH LIVESTOCK BARN ATTACHED TO EXISTING ARENA OIV1IIOH 3 this permit tcomesubje COST PER SO. FT. bo completed if the permit it for one hundred rPLMBGT ________ ( PERMIT FEE MECHANICAL [tl@$ ■I J a DISTRIBUTION: | MECH. I PERMIT FEE ELECTRICAL :e HUMacnl '^380-N WU’ ENERGY FEE S 4 , (commer Code, Lie. Number^^f?/7 Q> Contractor W IQHIt CLCARAhci 39707 ' 1 '<£L________ an >IJTHO«II«0 AORNT LICENSED CONTRACTOR DECLARATION and myjlgng gd effect --------— - - - •> —- Date • NOTICE ** .liioUM or COHTHACTOR TOTAL PLAN ________ __________REVIEW FEES S 219.7Q- WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT issued dy PLAN REVIEW VALIDATION PERMIT VALIDATION 4 i 3 733 MY 3 1 ’« 0 21970a" 4 7 4 383 JUL 2 2 '2 5 4 1 3 883 MAY 3 1 'fl 3 White - Inspector Blua -Auditor WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent Io self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (s«.3soo,ub.c.| -z6 Z-2ZZJ -rt Company------------------- Policy No. Certified copy is hereby furnished. Certified cofSyfcXiIed with the Vepwma County Division of Building and Safety or ra Count/1—------------------------- dgp^rtmyfit. ApplicanLx(,^/tzi<4ir4Z^t^(^^3^^^f— Date-j^*^?^/^3 / CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thit section need not dollars ($100} or less.} I certify that in the performance of the work for which tf issued, 1 shall not employ any person in any manner so as to bet to the Workers' Compensation Laws of California. Applicant---------------------------------------------------------------- Da'e----- NOTICE TO APPLICANT: if, after making this Certificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the per­ formance of the work for which this permit is Issued (Sec. 3097, Civ. C.), Lender's Name----------------------------------------------------------------------------------------- Lender's Address---------------:— ----------------------------------------------------------------- 1 certify that I have read this application and state that the above Infor­ mation is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representa­ tives of this county to enter upon the above-mentioned property for Inspection purposes. ... .. Ventura________ | HCARCir CXOH «T«««T | Hwy 33 M X_______ ’“'loo Domestic Water Source: Private Well______Public. Method of Sewage Disposal: ~2 84fQ0Q.00 Yesj^ No I ELEC. | PERMIT FEE $ OWNER-BUILDER DECLARATION rhnreb-y afnrm tt**11 a,n cxenipt from the Contractor's License Law for the following reason 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 LJ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project I am exempt under Sec. r-,7,?axgr,a Roftd ..35-°-220-xm’"ii __Geoxge Hearst- MAIL AOOMltl j -^BS^nfiagtsrg 3g7456 . 93010 404-2689 ....“I ' 0 COUNTY OF VENTURA Q APPLICATION & PERMIT ' r RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDING AND SAFETY | SITE INFORMATION 3501 Canada S.
  • 17. 9 CORRECTIONS —NOTES DATE INSPECTOR □ATE DATE INSPECTOR . INSPECTOR DATE INSPECTOR FINAL INSPECTIONS HECTOR ~ DATE J"., ■„ K x .building f __________ ZONING FOUNDATION: UFERGRQQND ~SLAB ~ bond beams BQNDBEAMS V - • ’• . BOND beams . ______ TILT UP PANELS . _______tilt UP PANELS _______ FIRE biSTR~|CT FLOOR FRAMING ROOF SHEATHING _________ PRE-WRAP ___________FRAME ________ INSULATION EXTERIOR LATH/SIDING INTERIOR LATH/DRYWALL BUILDING ADDRESS______ INSULATION CERTIFICATE ' PLUMBING FINAL_______ , MECHANICAL FINAL ELECTRICAL FINAL BUILDING FINAL UTILITY CLEARANCES . GAS. . ■_______ _ “.ELECTRICAL ELECTRICAL T TEMPORARY POWER ROUGHI MECHANICAL ROUGH ' INSPECTION RECORD A .INSPECTOR DATE FINAL GRADING CERT. REC'D^ "X ~t 1 4. ? • SI . _________ PLUMBING_________ UNDERGROUND SOIL .. underground water; / ROUGH/TOP OUT ~ GAS TEST, SEWER/SEWAGE SYSTEM
  • 18. Q O BUILDING SQ. FT. <S ! ' =1500 ' X HPH — Fire Protection District Conditions BUILDING PLAN REVIEW FEE $ 23.00 n/a 50 LAVATORY EA. a ! @1 EA. 3 J EA.3! Qt EA. = 5 Water System @! Date. $ Policy No. Heated Area Heatlng/Cooling Applicancc Date. EA. = $ Flue EA. = $ @! EA. = $ S 6 FEE VOLTS AMPS SERVICE NO. USE/OCCUPANCY SQ. FE/ FEE EQUIP, on MlSC., RATING COST EACH FEE NO. ELEC. PLAN REVIEW FEE 3 5.00 (L 28.50 1 2 0 2 3*2 GuT 1 q *3 0 2 ®.5 3A Blue — Auditor Groon - Owner White - Inspector Canary — File Pink - Assessor Goldenrod — Office DISTRIBUTION: oas-11 (ROV. 7/30) LOCALITY Suite 2623, Los Angeles «IX< or DVIUOIHO Re Robf above Infor- rdlnances and srepresenta- iropcrty for R__ 750.00 ■— •IoJaT U-“orOWNUM (ir^TN.IH MUIk<l>Rj property, or my employees with wages as their sole work, and the structure is not intended or offered self-insure, or I copy thereof EA..- $ EA. 3 ! Ducts Fan/Air Handling Equipment Gas Piping Outlets Private Sewage Disposal System Building Sewer Domestic Water Source: Private Well_ _____ Public Method of Sewage Disposal; p,|„,e Pub,|c 2 LEGAL DECLARATIONS OCMOMBM ENERGY FEE S 4 _3_________________ use or builoino FOREHAN'S RESIDENCE (REPAIRS) OIVIBION Aoo/Auraw Puke says no z.c j '“ppi' I ELEC. | PERMIT FEE :ostper SO. FT. I MECH. “ ________I PERMIT FEE ELECTRICAL SQ.FT.©! 5.00 ,= i 2,000.00 g^4.TQTAL VALUATIONS 2/750.Q0~ Yes O No O NOTICE -ruicPERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION PERMIT ISSUANCE FEE $ I TOTAL I PERMIT FEES S TOTAL PLAN . REVIEW FEES $ D/a ’ WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT issued oy PLAN REVIEW VALIDATION PERMIT VALIDATION I plmbgT ________ I PERMIT FEE MECHANICAL ttl9» rvre or COM*T"UCTI0H V performance of the work for which tl ,Kioy any person fn any manner so as to bet sensation Laws of California. 3ANT; If, after making this Cer. -ibjecl to the Workers' Compensation pre . comply with such provisions BUILDING PERMIT FEt STATE SEISMIC FEE * PLUMBING i£$ COUNTY OF VENTURA necessary. APPLICATION & PERM IT RESOURCE MANAGEMENT AGENCY - DIVISION OF BUILDING AND SAFETY SITE INFORMATION | LOT HoTj~ LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lie. Number License Class Contractor Date — x,Ventura, 'CA' 4 , T"»CT IHBARBiTe*O««»TRB«T this permit Is become subtart _ ReviewFEik^; rrtificate of Exemption, isatlon provisions of the s or this permit PLM0G. PLAN REVIEW FEE $ 5 J____ .bouct Aooni-ia 3501 Canada Larera OWNER-BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor’s License Law for the following reason ■jSLj, as owner of the compensation, will do the ■ for sale I, as owner of the property, am exclusively contracting with licensed contractors to construct the project I am exempt under Sec B. & P. C. for this reason Oat* & WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to s« a certificate of Workers’ Compensation Insurance, or a certified (Sec. 3800, Lab. C.). Company-------------------------- ----------- ------— O Certified copy is hereby furnished. Certified copy Is Filed with the Ventura County Division of Building and Safety or the Ventura County... — department. Applicant. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE f77i/r section need not ba completed if the permit is for one hundred dollars IS100) or less.) I certify that in the perform, issued, I shall not employ any "*• to the Workers’ Compcnr'1'”’ 1 Appl NOTICE TO APPLICANT. ", * you should become subject to th Labor Code, you must forthwith shall be deemed revoked. CONSTRUCTION LENDING AGENCY . •. Lender's Name----------------------------------------------------------------------------------------- Lender's Address--------- - -------------- - s I c.rliFv that I have appH«at'°n and.Hau that the nation is torrent. I agree to comply with all city and county ordl.-------------- Hate laws relating to building construction, and hereby authorize r - live' of this county to enter upon the above-mentioned pr-r..„ ... Inspection purposes. George Hearst 1150 S. Olive, owner SQ.FT.©! ' PORCMREPALA400
  • 19. INSPECTION RECORD CORRECTIONS - NOTES INSPECTOR DATE PLUMBING INSPECTOR DATE UNDERGROUND SOIL SEWER/SEWAGE SYSTEM INSPECTOR DATE MECHANICAL ROUGH INSPECTOR DATE DATE INSPECTOR UNDERGROUND WATER ROUGH/TOP OUT GAS TEST FINAL INSPECTIONS FINAL GRADING CERT.’ REC'D. BUILDING address INSULATION CERTIFICATE PLUMBING FINAL MECHANICAL FINAL ELECTRICAL FINAL BUILDING FINAL______ UTILITY CLEARANCES GAS___________ ELECTRICAL ELECTRICAL TEMPORARY POWER ROUGH DATE INSPECTOR • __________ BUILDING ________ ZONING FOUNDATION: UFER GROUND —2217^7^^7 BOND beams bond BEAMS ' _______BOND BEAMS ________ tilt UP PANELS TILT UP PANELS FIRE DISTRICT ________ FLOOR FRAMING ROOF SHEATHING ___________ PP-E-WRAP ___________ FRAME __________ INSULATION EXTERIOR LATH/SIDING INTERIOR LATH/DRYWALL
  • 20. t V 647-0500 JENEME i il date Environmental Health I Air Pollution Control rTTJwnsr PLANNING Lot Width. Lot Depth £ Use oaoLOar report ar hl ZONE CLEARANCE NO. DIVISIOM DEPTH AOO'ALTZR tr *10,848.00 FEES OTHER PERMITS PLAN CHECK FEE *40.95 GRADING# ENERGY FEE $ PLUMBING « BUILDING PERMIT *63.00 MECHANICAL # 5 STATE SURCHARGE * 3.34 ELECTRICAL # Grading Permit No Grading Certificate SOUND CONTROL FEE S PLANNING Flood Control Approval S Bond S- PYl (aae) *107.29 TOTAL FEES Subdivision Approval. No.. toy) <oata> Private Well Public tijiZcrunz o# cbuTMAcr I AUYHORIZtO AGENT : or owhm ur owner builoeri OTHER AGENCY APPROVAL 4 0.95a 7 2 , ■■ '-'INSPECTOR. UBA, CTION OR WOHIj tFTERWOHKlSt .6 3.0 0& 3.3 4a " (company ninw) Percolation Approval By: I i ^TOUNTY OF VENTURA-- O.-: . MOORPARK, NEWBURY PARK. SIMI VALLEY, THOUSAND OAKS Rl III DING PERMIT APPLICATION—■ I .I j1 HUE ENVIROMMfT ' Btildii POR PLAN CO.WICTIt Ventura________ iHCARCtr CRO1> .T.CCT MAIL ADDHCIS 1111 s. cohtnactor Majestij MAIL AOORI 28270 2 ------------------------ _____—_____________ BUILDING & SAFETY use or BUILDINGOSSCHIFTIOM Single Family Dwelling (Modualr) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT 5W®CKTWN 4 0.9 5a 1 7 5 3 977 1 ■ Julldlng & Safety 4 ‘ - a ’ __ ' O ENVIRONMENTAL-HEALTH Domestic Water Source: OWKLUNC UNITS OCUOURH ; <V COXIT. n sq.ft, a s4.00= s 6,1*44.00 (tract ri*. PLAN ZONING REFERENCE >5^^ 524-2292 648-6131 enterprise 1-9524 ZENITH 2-2000 Quickie FOR APPLICANT TO FILL IN —_________ __________•not — -‘v.frx-—x-^nt—p^.aajx- ■ ov—a—s-a/st rbytiiitbetLAL»ii- - Biiet-x-db—utf BETWEEN BUILDINGS. minimum 3" .i.pr-p'lacenient'.gf F.D. Connect -O§bILDINGw,nTH - Not Lot Arc SoCIlOA 7044). MAXIMUM HEIGHT Approved pursuant to Ordinance Code Section^ /O 7 "-P, / Show location of suiting & prcpoMd buHdlnga & aetuM dliUncaa Io property linos, » I* ** subject to approvai7±-rom..thi3 office. *1 understand that "'it zone-clearence for OX ★ NOTICE: fa. Bafore foundation Inipectlon, Indicitloni of lot lines thill bo eatabl lined by owner. —J PUBLIC WORKS APPROVAL ,______ TT rut nerr. conoitiow -* *• xo | Install a 2,000 gal. NOTICE THIS'PenVIl'BECOMES HULL ANU VUIU IF WORK OR CONSTRUCTION AUTHORIZED IS NdTCOMMWCm WITHIN tMAAYS. OR IE CONSTOtlCTION OR WORK IS SUSPENDED . n47n,wLWKTNp aTEPIOO DAYS A£OrrjU&*HER WORK IS COMMENCED. u>' lA- -!> 9j c. I -Ss Z.C. EXPIRES /tS>a 4^4 - -* 4 / ERA MEMO, Ugibility of writing, Typing or printing UNSATISFACTORY In portion, of fho documanT -rosBivod. - VENTURA* — 825 E. SANTA CLAIWSt MMI31 -ijOQ, SIMI VALLEY 1200 E. COCHRAN ST. 522-3012 B3oes CAMARILLO 2400 VENTURA BLVD. 462-8641 8J0J5. Method of Sewage Disposal private public —7 SIDE YARD Rear 1/3 REAR YARD cp?O * y Lt^AR YARD Rear 1/3 SOIL TtJT BY: Tierra Tech fire zone I ~ 4 I Install a 2,000 gal, water tank t. a outlet.prior to framing , Pipe—from—i»nk^.oiipTQ,i . .CQnn'e&fe7rQn_sha-1-1—b i xtlptUin f~f^> REQUIRED PARKING ^-GRACES | FRONT YARD (SIZE 9'X 2t>T COVERED ' A / - / /y eHviaoHMZMTAL sceosr neout.co SIDE YARD /h NO YES c -'i i TOLL FREETELEPHONE 1 1^-=, DIAL _ 529-2080 . 3 • APPROVAL SIGNATURES Planning*^^?. Public Works (see Item 5, below) fee will be forfeited. x HCW 24“".x'“64 ■ . 536 jut okmCmQC carfqrt- 20 'X 24 ’ - 480 SQ.FT. OS 5.00= $ 2,400.00 PORCHCI • FATIQ • nnCPLACt. ETC. 4 'X 64 ‘= 256 SQ.FT-@5 9.00= s 2,304.00 TOTAL VALUATION MIMINUM SETBACKS REQUIRED PC4482-G 1 3'501 Canada Lay™ LOT NO. |BLOCK~ TtRAGT-------- 24------------------- ----------------------------------------------------------- rrc—- 035 -JJ- 220-075 | G.!.?..5S.R- Heatst -Broadway, Los-Angeles .c Mobil Homes_____ 292746 n _ RHOMt Roadside Drive, Aaoura H< "■— -4YAff lic£n4£ n6.
  • 21. I 9 Q I- Noles: ZZ I I- I, ..Is ~o7 • w*** ■ w “* •••• • —v -.•■■• . r r •••••• • r ’ ; • r.z.'. x • t - ‘ . ZONING. FOUNDATION • ■ . -SLAB- „ . FIREPLACE GROUT 2,'' ' ' . SHEATHING ' PREWRAP '■ FRAMING ________ ~ ■ INSULATION . . ' -? ■ ROOF COVERING . EXT. LATH/SIO.' - I NT.LATH/ DRY WALL • - 7 priming ■: . • — -in port*01** y -- : ’ - ----------- ~~~~ FINISH GRADING' ■ / ' ■ HOUSE NUMBER. / ZONING COND.___________ ' - • • ' ^AL- <?- p'-Z. i ; ’ Nolqs: '_______ '• . '' :: j£ oxi . . •• ’ ;■ ■■ ■■■ . PROJECT ADDRESS ’ ' - lot------- TRACT-------------------------- - ----------------------------------------- ■ ASSESSOR parcel NO.' 7 - '!.<•; I 7> : • -- " _____ 11 ■ ■ ■ INSPECTION RECORD-1 „l >-AVn,
  • 22. 4 COUNTY OF VENTURA HCARC »T CHOU STATE LICEHSC HQ, £ OCCP.GROUP UNDER SLAB NUMBCB- CONDUIT 3<&> ) CO WIRING FIXTURES TEMP. POWER 77 FINAL REMARKS; TYPE OF UNITS OUTLETS LIGHTING FIXTURES OTHt« (STATE) ■ . .'j.4 . OVER 10 AND HOT MORE THAN 50 OVER 500 TEMPORARY POWER POLE (INCL. SERVICE! sicxATunc ar owner tir owxcx builder) SUB TOTAL PERMIT ISSUING FEE TOTAL FEE PEflMIT VALIDATION 965377 atl' 1 3.80a 7 ’4 4 BLS'VneV.S-rt INSPECTOR dy^gO.POCCUPANCYt “"ZE ’ i!ig»ptg5% 0 TO I ,O f Buifdir tee Leisl »■ ELECTRICAL PERMIT APPLICMI w’O^Lj/'iiTioi. xnoetsaco by LOCALITY REHAB approved nr~ _______ SERVICE FEE VOLTS ing and Safer..* shman, DirectO SWIMMING POOL OPRIVATE Q COMMERCIAL MISC. ITEMS NOT covcnco above ~ <) _ 73'^. ___________ . WHEN PROPERLY VALIDATED (IN THIS SPa£e) THIS IS YOUR PERMIT OVER 50 AND NOT MORE THAN 100 OVER 100 ANO NOT MORE THAN SoA OVER 1 AHO NOT MORE THAN 10 VENTURA -tli3S1ANTA9C3LQA0-^ SIMI VALLEY CAMARILLO 24D0 VENTURA 482-0641 g PLAN CHECK VALIDATION ERA MEMO( ■ of wriHnt;, W„g pnnlmg UNSATISFACTORY In portion. of th,, d<xum„t »non rocolvad. NOTICE IO.‘XA ^TsXtfMATURC OF COHTRACTOA OR AUTHOAIZKO AC CWT < ENVIRONMENTAL RESOURCE AGENCY^ M.L. Koester, Dir?ctr.»x DIVISION of BUILDING and SAFETY1' • tee Leishman, Director PLAN CHECK FEE ; AS..c.lb. wo.l lf) b0 aon0. r ' ‘ .....' ' - <^~77
  • 23. AGENCY ST. JOB ADDRESS V NEAREST CROSS SIP CONTRACT state license ho. REMARKS SICHATURt ixjmctcii nrcroo LAVATORY • DIBHWASHCRtF! LAUNDRY TUB 1 OTHER tBTATCl ISKf. OTHtR (STATE! LIL Gas Piping 1-5 Outtoto Additional Outlets Sewage Oieoosal Sewer Connection w Water System Percolation Tost Other (State) SUB Up to & Inc. 100.000 O.T.U. 100.001 up to 600.000 O.T.U. Other (State] WHEN PROPERLY VALIDATED (IN THIS SPACEJ THIS 18 YOUR PERMIT PERMIT VALIDATION PLAN CHECK VALIDATION ’ 7 7 8 377 1 6.0 OA 3 ’4 0 'WT oiti UKDtnenouxo: CLOTHES WASNER J? • ■ -- • <2—L. ■< u. ■ /ill. BUILD I MS RCRMIY HO. • Ptm'lT IjEUIHOFK ______ J 1 PLUUBIHO PLAN CHECK FEE * MECHANICAL PlLAN CHECK*FEE ’ 771 TOTAL FEE rER^MN0 ry# ii,~ LL f. ■t su_iugiNG scwca 'a,', '< SCFTIE TARR LJACll Fl ; ■' > ■A.-v ; fr-g; y»«U4<y. /.-jAv-T Rgfrsy’y1-_________ PLUmiNp^PeniilTFEE^''' • UECFfKFljCAL PEE11IT Fre;.;.- ' ; t 'l-pjrrcTi * a^x. I! " ventura' 025 E. SANTA 848-4131 SIMI VALLEY 3200 E. COCtfhAN st. 522-3012 03066 CAMARILLO 2400 VENTURA BLVD 482-6341 03010 □•■crlba work to Qde Air Handling i 2.000 C.QM. I 2.001 to 10.o Other (StaioJ— — (NTA CLARA 03001 1EHAB. ■■: ERA MEMOi tegibilify of writing, typing or printing UNSATJSMCTORY in portions of tha document when received. INSPECTOR .MAIL AO^yrts ~~ - ‘i . _ ”1! jAmoAvir of owwnLiuttna TTriihrrawip ci Hm'«M| to (ruiull plEitfjlAo/mwhe^CK.) Ilwtum. I hrwby cwtlfy that I cm the «xm. "dm >riyi! llaief Jifx- ra b« SHaraizad, eowiKi or 'toxaalti. until it has bean Inspactsd and paxud by rfcSjEfr <M/.4uro DMdon ei BuILfing.ond Sa/rty. .BtaxsTuu or owner <ir owner auiuocai OCCP. CROUP SATH/SHDWER 1'2.U. e ■<.,<7 WETIR CLOSET ' ' ENVIRONTAENTAL RESOURCE AGENCY z—M‘L’Ko08tor' PlumbingyMechanical Permit >^>plicqfi6h’BUiiding«nd&»<5? DIVISION of BUILDING and SAFE^^^^T'’' COUNTY OF VENTURA
  • 24. 1 .SIZE OF LOT .TR LOT LOCALITY OWNER I CITY PHONE GRADING CONTRACTOR Address STATE CONT. LIC. # -CLASS 5 ARCHITECT/DESIGNER .STATE LIC.#. ADDRESS PHONE _ CITY - — Na, SUPERVISED GRADING STATE LIC. # PHONE .TOTALYARDS . SET OF ■H3PCCT0R -i; TOTAL FEES SURETY BOND $ BONO NO. SURETY COMPANY ADDRESS CITY -19 DATE FILED 5KTE SPECIAL CONDITIONS: ■ignATune ar owner V" PLAN CHECK VALIDATION/ ex. M.O. CASH THIS IS YOUR PERMIT 2 9,0 0* INSPECTOR COPY DISTRICT NO THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TFE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING IK WILL DE COMPLIED WITH WHETFER SPECIFIED tEHEIN OR HOT. NO KU-OWED TO PERFORM WORK UNDER THIS PERMIT IN VIOLATION OF THE FtfTATE CF CALIFORNIA. I FURTHER.STATE THAT t AM PRCPERLY Ll- 3W0Y SeBrraN7p3K5J0FTHE-STATw’0USINESS 6 PROFES5ICWS CODE now wtoEmSEtoo>r-»44.1 M—*7 — - J ■ (?-Z/-77. 2?#<2-7C> .______ ____________ phonf^ S' INSPECTION RECORD .(Nearest Cross Street) -JZ ADDRESS . ■ -J a A s *73 «•!•••■ 25of ,^74-^ R.E. O'BANNON f (J COUNTY OF VENTURA , DIRECTOR z GRADING PERMIT APPLICATION•'' DEPARTMENT OF ECHOING & SAFETY ftw.Zyf 4 Y“ •: • SUPERVISING GRADING ENGINEER ■ ~ COMPACTION REPORT REQUIRED - " ' - , SOILS ANALYSIS ' CU. YARDS CUT-3 CU.YARDS FILL dAMt'CT" MAX. DEPTH CUT - MAX. DEPTH FILL IF PLANS SUBMITTED PLAN CHECK FEE. PERMIT FEE CASn DEPOSIT _ 040-0131 MO°RpARK_ DIST. .2 529*-L1171ANGE//AVE’ O JOB ADDRESS ERA MEMO, Legibility of writing,, typing a printing UNSATISFACTORY in portions of the documaot Mthen cncoivoct WHEN PROPERLY VALIDATED (IN THIS SPACE) CX. M.O. CASH 7 5 3 7-7? lUtf I 9 ’4 7 INITIAL ( DRAINAGE STRUCTURES ___ J- ROUGH GRADING (Completed) FINAL (IftUudlng-PIgrtiBR)-. CERTIFICATION.OF COMPLETION: r •• ~ i J certify thaton the datoof' 19 ' ... I made final inspection of all work under the excavation permit and on thisJnspection found that all work was'Completed In'accordanco with the.plans and specifications. l"l JI LII1ITF" uTti0R|2ED MUST BE COMPLETED ---------------
  • 25. 3 fro MAX. HEIGHT GARAGE , SIDE 1. ••• ■ ■? I: "■ Canary - Building and Safely Goldenrod — Auditor Controller DISTRIBUTION: PLAN.-16 (7/80) H7 o s > § s II 1 ° □J > S m OT m m 5 1 SPECIAL CONDITIONS OR REQUIREMENTS: //w tfa/ty. DATE applicant White — Planning © PinK - Applicant MIN. FRONT YD. MIN.SIDE YD. LOT WIDTH //___________ Z1 fi APPROVAL SIGNATURE? ///,' I ftp *Wt; Oi- CODE SECT. NO. OPEN SPACE PLAN 7Z//2- <?■ IP LOT DEPTH L ’ <9/ . REQUIRED PARKING (9-x 20' per »p«co) V* OPEN;________CARPORT;______ ENVIRONMENTAL DOCUMENT E EXEMPT ND/CND EIR SHOW LOCATION OF EXISTING ANO PROPOSED BUILDINGS ANO ACTUAL DISTANCES TO PROPERTY LINES AND BETWEEN BUILDINGS. (*S COUNTY OF VENTURA ZCmiNG CLEARANCE Cj -y RESOURCE MANAGEMENT AGENCY ZONE CLEARANCE NO -?rA-=5p.? ,CASE REFERENCE NO.J PROJECT ADDRESS LOCALITY 3 5~OI /f’O_________ ASSESSOR PARCEL NO. '-xTLL. NEAREST CROSS ST. 0^5'-O- ?, 7x0 -ZV^rz/ PROPOSED USE(S) ----------------- ------ fforfjz farm tf/J/W *____ OWNER x PHONE Z? eo rf*z<r. }-]e^e-sT'____ 7To5~- /?ycT-26// MAIL ADORESS £oaos ms xbn APPLICANT ' ' PHONE jonjs. gbt fe y-r MAIL ADDRESS zzj -j nniusan/ -rts? > _______ MIN. REAR YD.________ Z*z' MIN. SIDE^YD- (REAR 1/3) MIN. DIST. BETWEEN BLDGS. •NOTICE: Befora foundation inspection, lot lines xhall be identified by owner • or authorized agent. ■NOT,CE: for a period of. 180 deyr. with oil cnwliiow °< lh° e°“nly 1°nin° F°ii»- irs signature '• 0ATE r--//-^____ _ . “ ' WHEN PROPERLY VALIDATED THIS IS YOUR ZONING CLEARANCE
  • 26. 33O£ fire department requirements for construction LOT NO.. TRACT OR PLANNING NO.. / Construction Type. PHONE NO.. ^3'7 ADDRESS. (TO BE FILLED OUTBY FIDE DEPARTMENT) Access width shall be. Pirc flow shall be not less than. . hydrant(s) at locallon(s) as Indicated on Fire Department approved plans dated. Install Submit 3 copies of engineered water plans to Fire Department for approval. Fire hydrants shall be installed and In service prior to construction. < Static head acF.H.. . g.p.m. WATER PURVEYOR SIGNATURE AND TITLE DATE PETURN TO BUILDINGAND SAFETY OFFICE By: Date:. White and Canary — Applicant Goldenrod — Fire Prevention VCFD-1250, C a D <R®V’ 7/B3> t Ventura Camarillo SimI Valley Other:.------- Square Feet. > z g LU V) § § U1 w No. of Stories. | s co Z 8 w CERTIFY THAT WATER AND ACCESS FOR^F/RE PROTECTION WILL BE NOTE: Submit a plotplan with precasting fogand this form'to~the FinrDepartment. S.E. MASSON. Fire Chief County of Venture ' : aUREAU OF FIRE PREVENTION t~7. I 7 < (TO BE FILLED OUT BYAPPLICANT) I. LOCALITY. (FOR OFFICE USE ONLY) Ci Amount------- Hate —-------- By (Initial). £. _‘L------------ Receipt No.—— Check No. * —1—! E3 High fire hazard area. All weather access that will support fire equipment shall be provided. Certification required: O Yes feeL Turn-around shall be provided: Yes or No a □ Expires at time of Bulldino Permit expiration but shall not excood B months from date of approval If^fr^Buildlnq Permit is Issued. DISTRIBUTION: Project Located Within Sector of Fire Station U * Pink —^S^dlng and Safety A-U, In f,A ClL f~lC~ C C eSra CLcA«l**^ ^Tfensl Automatic fire sprinkler system shall be Installed In accordance with NFPA standards with plans submitted to Ventura County Fire Department prior to installation. Individual water system that meets the requirements of the Fire Department with fittings and location to be approved by the Fire Department prior to installation, and Installed prior to construction. £CJ' fllhrr- F. O •*.-! 'AcT. .. t~ __ JOB ADDRESS ASSESSOR'S PARCEL NO. O_ * (“ (Q - ♦ DESCRIPTION OF BUILDING: Square Feet /5 ?z * 6 Use of Bulldfrw ^ATTf 1*= -r» ,u */ APPLICANT'S NAME I~/(.' 7 ■ Form to be Returned tn; J’S <4 2. N PA A < T<• NAME x, />■ rfatCx; u re .-.I___________ ---- • SIGNATURE OF OWNER/AGENT PROVIDED AS SPECIFIED BELOW. .WATER SUPPLY (TOBE FILLED'OUTBY WATER PURVEYOR) Size and location of main------- -------- - — Approximate distance from parcel t • Size, type and location ofnearest fire hydrant. System is designed for normal flow of.
  • 27. Cjfly LOCALITY. LOT NO.. ■? • PHONE NO.. ■4 3 7 />>■ ADDRESS. I CERTIFY THAT WATER AND ACCESS FOR FIRE PROTECTION WILL BE .NOTE: Submit a plotplan with processing fee and this form to the Fire. Department. , (TO BEFILLED OUTDY FIRE DEPARTMENT) i or Fire flow shall be not less than. Insult. £3. [ 7.’ iVa-T6 .p Static head at F.H.. g.p.m. WATER PURVEYOR SIGNATURE ANO TITLE DATE Date:. White and Canary — Applicant Goldenrod — Fire Prevention i VCFD-12G <7/821 Bats, -6cA-<3u #. 8. E. MASSON. Fira Chief County of Venture 2 & 111 CO I I & z 8 CZl s I I 8 U3 S <j) G "7aA>tr .hydranc(s) at location(s) as Indicated on Fire Department approved plans dated :______1____________ O ■ Submit 3 copies of engineered waterfplans to Fire Department for approval. Fire hydrants shall be installed and In service prior to construction. Automatic fire sprinkler system shall be insulted in accordance with NFPA standards with plans submitted to Ventura County Fire Department prior to Installation. Individual water system that meets the requirements of the Fire Department with fittings and location to be approved by the Fire Department prior to installation, and installed prior to.constructlon. qtpcr; -Zo L-& ftr/FlC. -7____ / X?fA / ~Ao t-L</ ■. ■ -J PM.No : /V ’ RETURN TO BUILDING ANO SAFETY OFFICE mo Ventura Amount $ 51ml Valley ~ c* 0^—————GosH-Gl %/. Expires at time of Building Permit expiration but shell not exceed N aUHE U F|«^’’^YJNTION 6 months from date of approval if Plirm>t '* lMUtd- Date: DISTRIWhite and Canary - Applicant Pink - Building and Safety 35^-0^^P^ARl^ENT RETIREMENTS FOR CONSTRUCTION "if (TO BE FILLED OUT BYAPPLICANT) JOB ADDRESS ASSESSOR’S PARCEL NO. Z-7 C-& TRACT OR PLANNING NO DESCRIPTION OF BUILDING: SWm F... Zfr/gof / u».fBuiijto._U.-pv'--, -J- r...1..r.i.l.T..;? 5^gL APPLICANT’S NAME Vt *>•> ft S Form to be Returned tn: <Al I jtf/t NAME^a _ , _________ i._ m •• /r~. SIGNATURE OF OWNER/AGENT PROVIDED ^5 SPECIFIED BELOW. WATER SUPPLY (TOBE FILLED OUTBY WATER PURVEYOR) . S. High fire hazard area: (W Yes or No E3. All weather access that will support fire equipment shall be provided. Certification required: I I Yes 03 Access width shall be —feer Turn-around shall he nravkied: O Yes or No Approximate distance from parcel---------------- Size, type and location of nearest fire hydrant. System is designed for normal flow of.
  • 28. I PERMITS OiCn'A'U-rcc. L i i 1 BLDG & SAFETY | i? b 3501 CfttOActa cbnuja Qd-
  • 29. I TOIL FACETELEPHONE h COUNTY OF VENTURA s date r i T~** “*'l AOOII 28270 £ IRED YES HO. DEPTH X cc • . OTHER PERMITS GRADING » 5 PUBLIC WORKS APPROVAL PLANNING >.1 WJ-ej Bond $_ TOTAL FEES <107.29 Subdivision Approval.. No. -wiij---------- (by) Private Well OTHER AGENCY APPROVAL 4 0.95a . •: .-. INSPECTOR 'J L Grading Pcrmll No-------------- Grading Certificate (j Flood Control Approval ENVIRO Bi ■i 6 3..; Ja 3.34" • PLUMBING I MECHANICAL f_ > ELECTRICAL/ I I owiuiKauMiia Nal Lol Are num INIERPniSE I i uu • ZENHH zzcoo QUICKIE FORAPPLICANI to ruin PC#482-g PLAN check fee_____ ? 40x95_____ energy fee $ BUILDING PERMIT $63.00 STATE SURCHARGE $ 3.34 SOUND 6 _________ ENVIRONMENTAL HEALTH Domestic Water Source: NOTICE s VOID iF WORK OH CONS rs.on ir cONSrnucria.u < {»oAjrs al<* w • tn •xoTifT row co.«rctio-.t Ventura 2_____________BUIlOINa a SAFETY_________ J use or suhdimo 0ttc»iF»i0H 1 singlo Family Dwelling (Modualr) (SiZE:D’x20T —2^- covered 110 YES (Jj (a. V -1) & I <N- .1 Dial 5J9XZO . FRA AtEAIOi Lag:b;i7fz of wrihng, typing or pooling UNSATISFACTORY In ponloni of Iho .wli»n <«torrad.---------—------------ PLANNING 3______________APPROVAL SIGNATURES Planning''/??. ** Public Works (see Hem 5, below) Environmental Health Air Pollution Control (^Juddingi Safely-) 4 ZONE CLEARANCE £, / MAXIMUM HEIGHTZ.C. EXPIRES /rPz? A4 2 Approved pursuant to Ordinance Code SecUon^/X?/ snow locilioa of Aproposed budding} * actualdittenck*topropsrty fine*. « ■ Majestic Mobil Homes 292746 ~ I “an »ociin " ' ' fhokc ‘ -28270 Roadside Drive, Aqoura • . oiiiixU"' stAtc tictxac »o . udORPAAX-NIWBURTPAPK SlMI VALIEV. THOUSAND OAKS BUILDING-EEBMIT APPLICATION— SrMnxr *rvpnrjincut :mycoM«>. ! 20 'X 24 '= 480 SQ.FT»@ <5.00-< 2f400.00 ‘ $9-00- 5 2,304,00 1 ' total VALUATION 510,348.00 FEES ■ ""ISniUClIOS AUTHORIZED reaction oh work u susoei.dcd feAnehwork is qouvehceo. ’ ’wSgSsSSSaSS , »crt oil t* coTp,,?J * fLmil In .toUlion U IM labor Cods of lhe Stats ol i| Sscl/On I0W. . _ ___________________________________________________________ ■ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT 7aow®cKTWN 4 0.95a 7 7 y w? ••»»> 1 Lol Width-------- I nt Depth ' USMd "J) f MINIMUM SETBACKS REQUIRED REQUIRED PARKING_£srSPACES FRONT YARD (S SIDE YARD SIDE YARD Rear 1/3 . ZONING REFERENCE REAR YARD ^?oy ('-ft-5/yL*m --- LtifeTR YARD Bear 1/3 BETWEEN BimniHGS 1 — Public ccff’av.J "r-i; Molhod ol Sewage Disposal------------ PercolationApproval By: prlvaio public __ i Tierra Tech y I___________________ i 4",'°- | instalT‘r^6o“gai. water 1—^- - * ; ’xotti a~2J3"-WSM outlet prxor ’ to framing. 1 Pipe-f-rom—tank—to-^rD.-rGonneGtion-shall-b s • *1 understand* thafT'if' zone clearence "for • carport-is-not-forthcoming, r»VteaPAiin.-.Phec : fee will be forfeited. | PF . * caous l'—‘ IYIII0M " •-" "■ I —... ! I-J 1 BldP;?fcat»iyonic8s VENTURA1 " SS?Wo*>*»- SIMIVALLEY ■^cockmhs^ CAMARILLO 3501 Canada Largo | |r«*cr—54 j ^r-0-220-Q7~r j George R, Hearat Broadways Loa Angeles
  • 30. 1 r’:V 2 project address j__ Notes: f.V '• •) .• •• I i- ■ ? 1 L. I J i •J . ! &&2j_/; b-(JTi T r- • ZONING foundation ’ • . SLAB. AREPLACE •■.•.•.‘•GRbUT2’"- .SHEATHING . . • PREWRAP ‘ FRAMING * INSULATION . ROOF COVERING EkT. LATH/SID.- ^X. ~ INSPECTION record ■ LOT------- TRACT—...............■ . I ASSESSOR PARCEL HO. I. f • •• , FINISH GRADING ; ( ' H0Use NUMBER.___ ZONINGCOND. • ‘ final- • ^Ot5s: z / - 7T 7^;^
  • 31. .1 < BLVD. 81010 JO* CCHT**CT*H ntuARKS *l*HATU»t "‘UK CLOUT OIIMWAIMCKIF) «*rt« pitta* ?:aw. e»» etetw* 4i OTHtR <«TAW rixtuftc rixiiH »u*j* wtro-«uT Ges Piping l*5 0utlats Additional Outlets System S°*’0’ D1*’’”*1 secret* FIT Sewer Connection Water System rsuU.MtM.'l.OU. ) Jy. Petcolatlon Tait PLUMBING PERMIT HE Other (StsteJ MECHANICAL PERMIT FEE SUB TOTAL y. PERMIT ISSUING Til PLUMBING PLAN CHECK FEE MECHANICAL PLAN CHECK FEE tOO.OOl VP to 600.000 B.T.U. TOTALFEE • • Other ISHtel ’ 2.001 to 10.000 C.F.M. or ovraie nr ewnta euiLctai Other (State) «<0H<rua< or w»c<xcio« WHEN PROPERLY VALIDATED (IN THIS SPACEl THIS IS YOUR PERMIT PLAN CHECK VALIDATION PERMIT VALIDATION 2 5.00* 7 2 5 ?”? ->SI 4.00* 4 11 7 2.iO-> Ml TFMP. FILE L L UP to & Inc. 100.000 6.T.U. CLOTHS* HMHt* FLO., OW Describe work to be don#; __ _ SW.’J. H0TKI Dm jwlr b^eamroXI end^roid tl wi wuiminxi^ojiHmird H r-« cenvwnced wiiK^UO dm. or If camtructcrl I OTMIA I1TATC) Iran st. nou REHAB. l/j z?z,rG^,c7 SIMI VALLEY - 3200 F. COCllRA B22<3012 ’ CAMARILLO 24»0 VENTURA A82-SB41 ( AfHPAVtT OF OWWn-lVILMR Air HindiIna Eat. up IP 2.000 C.FAt. to oei.—o OCCP. GROUP I - r r _ I ftjf /'■'i orutCtceitCCAi ERA MEMO: Lcgibiftly or writing, typing ar grlnlinr] UNSATISFACTORY In portion* of the document whcrt racelvod. ^5o/ (M Gf^,, f . 7 ENVIRONMENTAL RESOURCE AGENCY W M.L. Koester, Director jH 3 Plumbing/Mechanical Permit Application Building and Satety DIVISION of BUILDING and SAFETY fL.<»>»».n.ol«cW COUNTY OF VENTURA ■
  • 32. I I Eillcn Piece*j« Oy DEPARTMENT OF BUILDING & SAFETY .TR .size Ut- LOT------------------------------------- - LOT. locality OWNER .STATE LIC. f. ADDRESS CITY PHONE Yes No ‘ STATE LIC. Si PHONE .SOILS ANALYSIS CU.YARDS CUT CU- YARDS FILL TOTAL YARDS MAX. DEPTH CUT MAX. DEPTH FILL RECORD SET OF PLANS SUBMITTED INITIAL PLAN CHECK FEE. PERMIT FEE DRAINAGE STRUCTURES CASH DEPOSIT 4^00 FINAL (lwMt*rPtoHnr> TOTAL FEES SURETY BOND $ BOND NO. SURETY COMPANY ADDRESS CITY 19-------- DATE FILED SPECIAL CONDITIONS; PLAN CHECK VALIDATION) CK. U.O. CASH 2 9.00a INSPECTOR COPY O A L L COMPACTION REPORT REQUIRED _ DISTRICT NO • SUPERVISED GRADING ■ SUPERVISING GRADING ENGINEER CERTIFICATION OF COMPLETION: I certify that on the date of 19 , I made final Inspecllon of all work under the excavation permit and on this Inspection found thatall work y/as completed In accordance with the plans and specifications. WHEN PROPERLY VALIDATED CK. ’ ) COUNTY OF VENTURA GRADING PERMIT APPLICATION- ’ (IN THIS SPACE) THIS IS YOUR PERMIT U.O. CASH 7 5 3 7-J7 1 9 U 7 R.E. O'BANNON <f DIRECTOR I | ERA MEMO, tCQibilily of welling, Typing or printing UNSATISFACTORY in poHiont of lha document When (raivetk ; ) : JOBaddress _3gc>/ , <7 ________ ■Z7/ JHeatesl Clots Street) X"? address . G?GD rWfffi- TTir 1*1 Jl UlillTCr ~r,"F pERI.UT7ALrBDRK UTHORIZED MUST BE COMPLETED BY I jEflEtr? CERTIFY THAT t KAvE READ ANO EXAMINED THIS APPLICATION AJO KNOW TIE ---------------------------------------- SAME TO BE TRUE AJO COftHECT. ALL PROVISIONS OF LAWS AND CfiOIKAJCTS GO7ERNIH3 THI5 TYPE OF WORK WILL BE COMPLIED WITH WHETIER SPECIFIED IEREIH OR NOT. NO PERSON SHALLBF ‘'-LOWED TO °ERFOfi_M WORX UNDER THIS PERMIT IN VIOLATION CF TIE ------- -------------------------------- LADWl COOE^rTTTCW’TATE OF CAUFOfWA- I FLKTHER.STATE THAT I AM PROPERLY LI­ CENSED AS eEQUI&MBY Sessrrau703K5JOFTh-fL5TATy0USlNESS & PROFESSIONS CCOE (on cfcMr*ewn7w»i upaX5Tiar« yL.) 0-^7 — -------------- ___ _ j iaisvATuac or cmtmactor ok authomiico AttM INSPECTION ROUGH GRADING (Completed) ______________ Z>, , •>
  • 33. I 1 >0 VEH t-W4» < BLVD. MOW COUNTY OF VENTURA C0H1«*C ■jrHA8. ♦ I REMARKS KMCCTM »15CZ3 IxMKSXW »ov OllHWA3HtRtF> Sffll as SKI rouarattl OTHCR tSIATtl OTHCR (srATCi r<X1V*C FINISH Gas Piping 1-5 Outlets tUILDIMC sent* Additional Outlets riMALFLuusiaa Private Sewage Disposal L Sewer Connection 7 Water System /rZ.erE Percolation Tast MECHANICAL PERMIT FEE Other (State! SUB TOTAL PERMIT ISSUING HE EZZZ PLUUBINO PLAN CHECK FEE MECHANICAL PLAN CHECK FEE UP to & Inc. tOO.000 B.T.U. TOTAL FEE Other / j«C or cSmxacwI xurnaaiiio ACtrnriM— WHEN PROPERLY VALIDATED (IN THIS SPACE} THIS IS YOUR PERMIT . PERMIT VALIDATION PLAN CHECK VALIDATION 7 7 t> 3V J“-> 1 6.0 0A 3 '4 0 or L L L g ■E PLUU5INO PERMIT FEE^ ■uitoiae msmit «o. cioiMti waiNt* G-7,^ a Cry*, _________________■ Deectlba work to ^4 de . p ERA MEMOi legibility of writing, typing or printing UNSATISFACTORY In portion* of ths document when received. INSPECTOR Nonet | FLOOR DAAItt MAIL ADOpCie “ IIP ■u-Z - ///^ 1 ---------------------- MTC KM rreco ictprit rtr / I VENTURA SIMI VALLEY 3200 €. COCHrlAN ST. 622-3012 Moss CAMARILLO 2490 VENTURA MZ-S541 s I 100.001 VP to 600.000 B.T.U. Ollttf tStarel / J — OCCP. GROUP I 'yy'CAHOM reetceito »» ENVIRONMENTAL RESOURCE AGENC) M.L. Xoeslsr, Dirat • Plumbing/Mechanical Permit Application BUiMin,.Kls.r.J5, DIVISION of BUILDING and SAFE^7^ . ’ l«< AfHDAVTT Of OWNLB-tVllMt | TNj pumil b«wrw» rxA cr work h or ol —..... ||*QU«HUtOMWM. HF MLUtCMnCAL <A A Profrukin. CfJr I
  • 34. •I I -S, ,?. S~C^Z V 6 UNDER SLAB iiuunt r~ coNOuir 3,&Z Z?9<-^-r<3 CO WRiKG FIXTURES £ </<rv .of TEMP. POWER <FQ I FINAL REMARKS: OUTLETS LIGHTING FIXTURES J i OwER 1 AK3 HOT MORE THEM TO OVER IO ANO HOT MORE THAN 50 ■ OVER 500 TEMPORAR ' POWER POLE IHiCL. StnviCEl 7nPa SUB TOTAL PLAN CHECK FEE PERMIT ISSUING FEE PERMIT VALIDATION 9 6 3 577 1 3.80“ 7 '4 4 INSPECTOR O4S*9HEV.»75 L L ITPt QI OCCUPANCT SO IT ALHPATIOM AND ADDITION* I C01T »*.}• 'EOTH!ATEO IN HP^ K.W. ORX.V.A. ENVIRONMENTAL RESOURCE AGENCY MX. Koester. Dirpcir» i/ 3 SWIMMING POOL QPRIVATE Q COMMERCIAL WISE. IT EMS NOT CQIPH3 ABOVE ~~ HI cnrinutt-i ELECTRICAL PERMIT APPLICATION DIVISION of BUILDING and SAFETY- u»ic COUNTY OF VENTURA _______________________________ l‘"O>a——^>J>o ' ' ' — LflCAUfir ~ «U«Hf rests »T. p3rJJ> OCCP. GROUP I Cv£A 50 AhO HOT MORE TKAH 100 OVER 103 AHO HOT MCRE THAN 50^ iSSlHSHSi o^^owo^ |l|nnnnlhis prcpeny, - I I luithci understand that no r.oik is lo be cnerQired. covered or Xoittlbo wotk to be don«! ______ SERVICE fa HOTCCE '.in sstssx-sxi-'isiii-xri; IS AuArc-ixled or Abinh-.ncd toi a ponoa ol 120 days at any time Aller wvik ts comniencvil. ai.d wd.nancas ojvcintna this typo ol vrotk will tw> Ccmalied with v.h-:«r»cr enrolled herein m .-At. Ho oerson rhall be allowed to Onlldinn and Sal.t, ^«o Lolslunan, Oirecttx • . ' ' i CAMARILLO RIAN CHECK VAUOA.IOK EM MFMOl legibility of writing, typing „ ptinling UNSATISFACTORY in ponion, Of the document when rsteiyod. TOTAL TEC WHEN PnOPERLT VAlfoATEO UN UtiSSTA^O THIS IS TOUR PERMIT .OT^1 y n£HAo
  • 35. DS-150 MEMORANDUM Date: September 27, 2006 TO: FROM: Jim Myei GRADING - □CLEARANCE □HOLD SUBJECT: GP 9908 PROJECT: LOCATION: 5505 Canada Larga Road, Ventura PERMITEE: Mark Mooring 035-0-160-045 A.P. No.: CLEARANCE □.Final □Rough Grading Lot Nos. Remarks: HOLD □ Issuance ofa building permit except as noted above. □ Inspection and approval ofconstruction. □ Final inspection. □ Connection ofutilities. Remarks: NONE RMA - Building & Safety Division (□East County, □Ventura Office) COUNTY OF VENTURA PUBLIC WORKS AGENCY ENGINEERING SERVICES DEPARTMENT 800 SOUTH VICTORIA AVENUE VENTURA, CA 93009
  • 36. Owner/Developer Sulphur MT Land-Live Property Address 5055 Canada Larga Rd. Ventura Assessor's Parcel # Tract# 035-Q-160-045 Building Permit # "€05-1/0J Zone Clearance # Description of Project New Premanufactured Home Date Issued By: WEST COUNTY OFFICE Date Signature of Representative Agency/Dept. ' <5/° Z-ZP-6 7 TL ®HCD □ Other B & S FINAL authorization RESOURCE MANAGEMENT AGENCY COUNTY OF VENTURA division of building and safety COMPLIANCE REVIEW PRIOR TO A FINAL INSPECTION BY BUILDING & SAFETY A REPRESENTATIVE FROM THE AGENCIES/DEPARTMENTS CHECKED BELOW MUST SIGN OFF THE PROJECT Lot# □ PWA Encroachment 654-2055 □ PWA Flood Control 654-2906 C3 PWA Grading 654-2030 □ PWA Waterworks Dist 584-4829 □ Planning/Zoning 654-2488 gj Fire Prevention 389-9710 Environmental Health □ Cross Connection 654-2436 □ Food Sanitation 654-2813 fgj ISDS (Septic) 654-5008 □ Public Swimming Pool 654-2813 □ Air Pollution Control 645-1400
  • 37. / RESOURCE MANAGEMENT AGENCY county GRADING AND CONSTRUCTION PERMIT AGREEMENT TO: RMA - BUILDING AND SAFETY (0East County, 0 Ventura) 1. MO WORK ALLOWED □ Houcc foundation clab (coo tho-attqchod exhibit^ 2. 3. N/A and no further inspections will be performed by the Division of Building 4. Pl BUc Works Bi □ Rotatfwg-wall(c) and itc’-foundatiaRG-(Goe the attached.exhibit), □ Eloor-dtaphragm(c) to support the-retaining-wail^ 8 -3i~ 0& Date (Iding arid‘Safety Property Owner Rough grading shall be completed to the satisfaction of the Public Works Development Services Division, and must be approved by that agency priorto work other than specified below. The building permit for the project referred to above has been issued prior to completion of rough earth grading on the site. This constitutes a deviation from normal procedure and was requested by the property owner in order to facilitate completion of rough grading. GRADING PERMIT # 9908 OWNER: Mike Mooring JOB ADDRESS: 5505 Canada Larga Road, Ventura ASSESSOR'S PARCEL NO. 035-0-160-045 In consideration of the foregoing action by Building and Safety, the undersigned property owner hereby agrees to the following conditions and stipulations relating to earth grading, construction work, and inspection of this project DIVISION OF BUILDING AND SAFETY Jack Phillips Building Official The Division of Building and Safety will not perform inspections of any other construction work prior to the approval of rough grading by the Public Works Development Services Division. Commencement of construction other than that specified in item #1 prior to approval of rough grading by the Public Works Agency shall constitute a STOP WORK order and suspension of building permits by the Division of Building and Safety. This agreement expires on and Safety after this date. ' ‘Date DatrT
  • 38. COUNTY OF VENTURA DIVISION OF BUILDING & SAFETY Project Address: Locality: 0 Tract No.: State Uc. No.: BUILDING o serve?: [ Factor Sq Feet 100>: 0 SEE REVERSE FOR LEGAL DECLARATIONS >5 Contractor: Phone No.: Designer; Phone No.: OWNER State Uc. No: XOXOXO Issued by: Dale Issued: BALLS 09/20/2006 ) or 101k- ip or 1001 0 0 0 0 0 0 0 0 0 0 0 Itus In Horse Power l; 0 51-100: 0 0 0 0 0 0 0 0 0 0 0 0 Type Totals... jl/Spa: jnduit: <-500k BTU/h: )1k-1750k BTU/h: Misc Equipment 3-15 hp 30-50 hf Owner: ROBOT.. Phone No.: Hoatt Vent Alter Boile- Cor Air Hand/Vnt: Res Vent fan: Wood Stove: Comm Incin: Haz proc pip: Total Permit Foes: $46.30 ; PERMIT C05-1763WITH CARPORT SET BACK FROM RESIDENCE ANO CONVERTED TO DOWNSIZED TO 1695 FROM 2068 SQ.FT. NEW FIRE. ZONING. & ■d. COMPANY OF CALIF CA. 90054 No. Stories: 0 Sprinklers?: Y Compliance Review? Y Soil Bearing Pressure: 1500 Valuation SO.00* UNION OIL >X 7600 LOS ANGELES ' 0 0 0 Apparatu 11-50: tierVent: .at Sys Gan ‘ar duct sys: jler Flue: amfort Cooling: 0 0 0 Work Description: REPLACES GARAGE PLUS RESIDENCE t E.H. DOCS REUD APPROVE! 0 rater 0 /ent: 0 O O iper 0 e Vent:0 0 System (Sq.ft): 0 ilt/add Htg Appf: 0 ~ “ }isters:[O 0 0 0 0 Issuing Office: WCO Date Applied: 09/20/2006 Occupancy. Square Foot: PT Slab?: Struc obser.- Private Sewer COMBINATION PERMIT NO: C06-001307 n_n nmaNM. Zoning clearance Na: 61203 09/20/2006 Sys Feo? (y/n) Srvc Restore: Testing Power. Photovott: Multi-outlet ft A/C Perlon: Busway/IOOft Misc equip: x Ventura Office Inspection Line (805) 654-2791 East County Office Inspection Line (805) 582-8063 MECHANICAL Fireplace Flue: Incidental connection: Duct System (Sq.ft)- Rep/alt/add Htg Apj Supply/Retum Regi Evap Cooling Unit Environ Air Vent: Comm hood/fan/vent: Com Incin Chimney: Non-Haz proc pip: Constr. Type: VN No. of Bdrm.: 0 High Fire Area?: Shell Building?: Soil Exp. Index: 01 Valuation Items: Occupancy Low gas Medical Fuel/oil pipe: Sewer Line: Backwater Valvr Rep/alt DWV: Circ Pump: Waler System: Comm Sprinkle; Solar Wlr Htr Res Pool/Spa: ELECTRICAL Service Over 600 Volts:0 Over 1000A: Temp Pwr Dist (amps) Pole/Platform fixt: Rec/sw/outlet: Illuminated Sign: Commercial Pool Underground Con Svc 0-600 VoltsiO 0-1000 A: Temp Power Theater Fixt: Sub Panels: Fixed App: Res Pool/Spa: Ovrhd In/pole: No of Power/ 1-10: 0 PLUMBING Med/High Pressure gas: EQ Shut-off: Fixtures: Chem waste: Rcp/alt Water piping: Vac/Backflow: Water Healers: Grease Traps: Nonres Greywatersys: Solar Htg: Reconnect Gas service: i outlets: 0 Vacuum: 0 0 0 0 0 rinkler 0 0 Medical gas sys: 0 Combo waste: 0 Rain Piping: 0 Aband Septic: (0 WaterTreat: 0 Res. Sprinkler Intorcepter Res Greywatrr Sample well: Com Pool/Spa: Misc Equip: Healing Appl: Pool heater Dryer Ver»L A/C System: Combo Unit: Cool Tower VAV Box: Fire Damp Appliance »»••- Systems that are rated In HP and/or BTU/h: 0-3 hp or 0-100k BTU/h: 0 15-30 hp or 501k-1000k BTU/h: 0 50+ ho or 1750k+ BTU/h: 0 SITE INFORMATION: 5055 CANADA LARGA RD VECO APN: 0350160044 Lot No.: VENTURA
  • 39. Date: Signature of Applicant: Date: iployees Id within Signature of1 Print Name Date: Signature of Owner Final Inspection Approval: FOR OFFICE USE ONLY Print Natae>_VZ, Signature ot □ala: 3/ // Data: Data: LEGAL DECLARATIONS tCon'inienCnntrat|^,ora Declaration: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapters Contractor: /-Z application and state that the above information is correct I agree to comply with ail city and j laws relating to building construction, and hererby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. Additionally, I understand that Section 106.4.4 of the Ventura County Building Code (VCBC) states thab "Everypermit issued by the Building Official underthe provisions of this Code shall expire by limitation and become null and void ifthe work authorized by such permit is not commenced within 180 days after the date ofissuance ofsuch permit orifthe buildingorworkauthorized by such pennit Is suspended orabandoned at any time after the work is commenced fora periodof 180 days, orIfthe work authorized by such permit does not receive final inspection approval within 3 years from the date ofissuance ofthe permit". For permit expiration purposes, "SUSPENDED OR ABANDONED" shall be measured as elapsed time between "APPROVED REQUIRED INSPECTIONS" as delineated in UBC Sections 108.5 through 108.7. I further understand that I will not be notified by the County ofVentura prior to expiration of permit number C06-001307. /h>l </ jplicant. /✓?aA/M I certify that I nave lUacHhis ; county ordinances and state or the Labor Code, for the performance of the work for which this permit is issued. —-z— 1 have and will maintain workers' compensation Insurance, as required by Sec. 3700 of the Labor Code, for the Carrier3"00 °f the WOrk for whictl Ulis Pemiit is issued. My workers' compensation carrier and policy number are: Policy No.: ------- . 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 provisions of Sec. 3700 of the Labor Code, and I shall forthwith comply with these provisions. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil flnoa of up to one hundred thousand dollars ($100,000), In addition to the coat of compensation, damages as provided for In Section 3706 of the Labor Code, Interest, and attorney's fees. Construction Lending Agency I hereby affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: ____________________________________ ______ Owncr-BuildecDoclaration; I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.6 of the Business and Professions Code states 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 Sec, 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 Sec. 7031.6 by any applicant for a permit subjects the applicant to a crril pen^ltypfnot 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 for sale. (Sec. 7044 Business and Professions Code, the Contractors License Law does not apply to the owner of a 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-builderwill have the burden of proving that he or she did not build or improve for U^erbiirpp^e of sale.) ^|, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code, states that the Contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuantto (he Contractors License Law). I am exempt under Sec. __________________ _8. & P- C. for this reason: Bv: 6>.
  • 40. DIVISION OF BUILDING & SAFETY COMBINATION PERMIT NO: C05-001763 Slate Lie. No.: 0 0 2^644 I e 100>: 0 SEE REVERSE FOR LEGAL DECLARATIONS COUNTY OF VENTURA Ventura OfficeJnspection Line (805) 654-2791 East County Office Inspection Line (805) 582-8063 Designer. Phone No.: Issued by: Date Issued: ROSENGF 09/01/2006 0 0 0 0 0 0 0 4 0 0 ul 0 0 0 0 0 Work Description: NEW PREI SF) USING CTY STD PLAN B-16. Project Address: Locality; OWNER/BUILDER State Lie. No: XOXOXOXO Owner: PO BO) __ Phone No.: Contractor Phono No.: Svc I 0-1< Tem| Thea— Sub Panels: Fixed App: Ros Poot/Spa: Ovrhd In/pole: MECHANICAL o 0 jrs:[O 0. 0 0 0 0 0 0 looting: 0 0 0 0 0 Heater Vent: Vent Sys Gar Alter duct sys: Boiler Flue: Comfort Coc— Air Hand/Vnt: Res Vent fan: Wood Stove: Comm Incin: Haz proc pip: PLUMBING o o 0 0 0 0 No. Stories: Sprinklers?: Compliance Review? Soil Bearing Pressure: SULPHUR MT LAND-LIVE >X 25070 VENTURA CA, 93002 310-567-9710 valuation $10,022.40 2,068 $16,337.20 2,068 $7,651.60 --------1 $34,011.20* Issuing Office: WCO Date Applied: 10/31/2005 Zoning Clearance No.: 0 09/01/2006 3-15 hp or101k-500k BTU/h: 30-50 hp or 1001k-1750k BTU/h: Misc Equipment Sys Fee? (y/n) Srvc Restore: Testing Power. Photovolt Multi-outlet ft: A/C Per ton: Busway/1001t Misc equip: Pool header'” 0 ISSXcBon: Xven“ 0 Duct System (Sq.ft): X/C System- 1 Rop/nll/add Htg Appl: ComboS 0 SuppWRetum Register Firn Dampen 0 Comm hoodrtanAmnl: AppimncaVent:O Com Incln Chimney: PP 0 Non-Haz proc pip: Systems that are rated In HP and/or BTU/h: 0-3 hp or 0-100k BTU/h: ° 15-30 hp or 501k-1000k BTU/h: 0 50+ ho or 1760k+ BTU/h: 0 0-600 Volts:250 1000 A: o np Power. 0 jater Fixt: 0 0 0 0 NO Apparaws In Horse Power. ° Constr. Type: VN No. of Bdrm.: 0 High Fire Area?:Y Shell Building?; Soil Exp. Index: Valuation Items: Occupancy Type Factor Garages: .sfd & Carpo Open Carport 17.40 Mobile HomeFoundati Mole home fdn(sq.ft) 7.90 Equipment a/c Residential 3.70 Totals... Total Permit Foes: $1,845.96 •MANUFACTURED HOME (2068 SF) FOR EXISTING SFD AND DETACHED CARPORT (576 Sq Feet Low gas outlets: Medical Vacuum: Fuel/oil pipe: Sewer Line: Backwater Valve: 0 Rep/alt DWV; 0 Circ Pump: 0 Water System: Comm Sprinkler SolarWtr Htr Res Poot/Spa; SITE INFORMATION: 5055 CANADA LARGA RD VECO APN: 0350160045 Lot No.: 0 Tract No.: VENTURA ELECTRICAL Sorvlco Over 600 Volts:0 Over 1000 A: 0 Temp Pwr Dist (amps) 0 Pole/Platform fixt: 0 Roc/sw/outlat: 0 Illuminated Sign: 0 Commercial Pool/Spa:. 0 Underground Conduit 0 Medical gas sys:0 Combo waste: 0 Rain Piping: 0 Aband Septic: [0 Water Treat: 0 Res. Sprinkler Intercepter Res Greywatrr Sample well: Com Poot/Spa: Misc Equip: Med/High Pressure gas: EQ Shut-off: Fixtures: Chem waste: Rep/alt Water piping: Vac/Backflow. Water Heaters: Grease Traps: Nonrcs Greywater sys: Solar Htg: Reconnect Gas service: BUILDING Occupancy: R3.U1 Square Foot 2644 PT Slab?: Struc observe?: ( Private Sewer Y
  • 41. Date: Signature of Applicant: Date: Date: Signature of Owner / Print Name: Date: Signature of Owner Print Name: 7- /- <4, Date: EEORTOEEICEWSEtoNLY'pL V-U'W J QjjZ'W- J Signature ofApplicant or Agent >ply to r own j .a? aL^.j6tyy,-kp Date:Jj///oT' [ Final Inspection Approval: penalty of not more than five hundred dollars ($500). py 1. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended for sale. (Sec. 7044 Business and Professions Code, the Contractors License Law does not app property who builds or improves thereon, and who does such work himself or herself or through his or her ?s, provided that such improvements are not intended or offered for sale. If however, the building or improvement is in one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for sale.) I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hererby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. Additionally. I understand that Section 106.4.4 of the Ventura County Building Code (VCBC) states that: "Every permit issued by the Building Official underthe provisions ofthis Code shall expire by limitation and become null and void ifthe work authorized by such permit is not commenced within 180 days after the date ofissuance ofsuch permit oriftho buildingorwork authorized by such permit is suspended orabandoned at any time after the work is commencedfor a period of 180 days, orifthe work authorized by such permit does notreceive final inspection approval within 3 years from the date ofIssuance ofthe permit". For permit expiration purposes, "SUSPENDED OR ABANDONED" shall be measured as elapsed time between “APPROVED REQUIRED INSPECTlONS’tas delineated in UBC Sections 108.5 through 108.7. 1 further understand that I will not be notified by the County ofVentura prior to expiration of permit number C05-001763. ^j/t***' * * ** —^Gra Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ■y.. 7 ,hav® and wi]| maintian a certificate of consent to self-insure for workers' compensation, as provided for by Sec. 3700 01 tne Labor Code, for the performance of tho work for which this permit is issued. — — have and will maintain workers' compensation Insurance, as required by Sec. 3700 of the Labor Code, for the Carrier;3006 wor^ ^or Ms permit Is issued. My workers' compensation carrier and policy number are: Policy No.: ------------------------------------------------------------------------------------- ------- 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 provisions of Sec. 3700 of the Labor Code, and I shall forthwith comply with these provisions. LEGAL DECLARATIONS rr?.Bn3Cd Contractors Declaration: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 ' mmenang with Sec. 700Q) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Contractor:. By: ‘ WARNING: Failure to secure workers* compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines of up to one hundred thousand dollars ($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. Construction Lending Agency I hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: . Lender's Address: _ Owner-Builder Declaration: I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lav/ for the following reason (Sec. 7031.6 of the Business and Professions Code states Any dty 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 Lavr (Chapter 9 commencing with Sec. 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 Sec. 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of m------------ ‘ ‘ * ----- ——« W' ’•* the ov/ner of a employees sold within thejurpose of , C lA I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Business and Professions Code, states that the Contractors License Lav/ does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License Law). ____1 am exempt under Sec. B. & P. C. for this reason:
  • 42. COUNTY OF VENTURA £^-^7 'Date lssued:09/19/2006 Construction EXISTING ACCESSORY USE/STRUCTURES Lot Area: 345.42 ac Maximum Building Coverage for accessory non-habitable structures and decks in rear setback - 40% General Plan Max. Bldg. Coverage: Area Plan Max. Bldg. Coverage: 2nd - Principal 2nd - Accessory Garage/carport 3rd - Principal 3rd - Accessory 1st - Principal 1st - Accessory 5% 0% General Plan: Area Plan Designation: General Plan: Open Space(10 Ac. Min.)' Area Plan Designation: 0 sf sf Ojai Clean Air Ord No.: . ' Parent Case No.: Number: YES PER LLD WITH OTHERS Split-Zoning: Zoning: Area Plan: Applicable Zoning: Zoning: AE Area Plan: NA EXISTING PRINCIPAL USE/STRUCTURES Other UNDEVELOPED PROPOSED USE/STRUCTURES Principal Dwelling ZONING CLEARANCE TYPE Construction PROJECT DESCRIPTION: PRE MANUFATURED HOME AND 2 CAR GARAGE DETTACHED. ZONSNG CLEARANCE (NON-COASTAL) ZC06-1203 Assessor’s Parcel No.: 0350160045 ’ Site Address: 5055 CANADA LARGA RD VEGO Cross Sts.: & Legal Lot Status: Violation No: , , Lot Area: 15046500 sf Resource Management Agency Planning Division 800 South Victoria Avenue L#1740 Ventura, CA 93009 (805) 654-2488 Maximum Gross Floor Area (GFA) Allowed with Zoning Clearance for Accessory Structures to PrincIparUse: Dwelling: 2,000 sf Agriculture: 0 sf Other: 0 sf
  • 43. V Principal Dwelling, 1-4 Bedrooms -2 covered 0 Standard - 9ft x 20ft Standard - Side by Side 2 0 of required parking space DEVELOPMENT STANDARDS PROPOSED USE/STRUCTURE #1 Height: Dwelling w/standard setbacks - 25 ft Building Coverage Prin. Structure(s) sf Accessory Structure(s) sf Total sf % of Bldg. Coverage DEVELOPMENT STANDARDS'PROPOSED USE/STRUCTURE #2 Height: Acc Struct, w/standard setbacks - 15ft Proposed 1695 sf . 576 Sf 2271 sf 0% Combined Total 1695 Sf 576 sf 2271 sf ./ . 0'% Parking Requirements Principal Dwelling: Second Dwelling: Farmworker/Animal Caretaker:’ Other: 0 Parking Space Size: 9ft x 20ft Parking Configuration: Standard • Parking Space Surface: Paved Driveway Surface: Paved Driveway Width: Equal to width ZONING CLEARANCE NO. ZC06-1203 Existing Osf 0 sf Osf 0% Parking Requirements Principal Dwelling; 0 Second Dwelling: 0 . Farmworker/Animal Caretaker: , . 0 . Other: 0 Parking Space Size: Parking Configuration: Parking Space Surface: Driveway Surface: Driveway Width: SETBACKS FROM LOT LINE OR ROAD EASEMENT Front Lot line/Road Easement: Standard - 20ft Rear Lot Line/Road Easement: Non-habitable Accessory Structure- 3ft Side Lot Line/Road Easement: Non-habitable Acc Structure - 3ft Side Lot Line/Easement (Adjacent to a street or Reserve Comer Lot): Irregular Lot: . Misc.: ' • SETBACKS FROM LOT LINE OR ROAD EASEMENT Front Lot line/Road Easement: Standard - 20ft Rear Lot Line/Road Easement: Standard'- 5ft Side Lot Line/Road Easement: Standard, OS & AE -10 ft Side Lot Line/Easement (Adjacent to a street or Reserve Corner Lot): Irregular Lot: Misc.: • •
  • 44. 0 310-567-9710 Phone. Nos. ■'A ' Phone Nos. 310-567-9710 Calculated Fees: $230.00 [Total Fees: $230.0Q FEES: | Applicant’s Name Mailing Address/Zip Owner’s Name Mailing Address/Zip MARK MOORING 60 CHERRY LN. VENTURA CA SAN JOSE CA. 95136 ( N ) Floor Plans ( N ) Permit Conditions (?) Elevations ( N ) Removal and Caveats ZONING CLEARANCE NO. ZC06-1203 DEVELOPMENT STANDARDS PROPOSED USE/STRUCTURE #3 Height: 0 0 ■/ Parking Requirements Principal Dwelling: Second Dwelling: Farmworker/Animal Caretaker: Other; 0 Parking Space Size: Parking Configuration: Parking Space Surface: Driveway Surface: Driveway Width: MARK MOORING 60 CHERRY LN. SAN JOSE CA. MARK MOORING 95136 ATTACHMENT(S): (Y) Plot/Site Plan (N) Ordinance Standards ( N ) Compliance Agreement ( N ) Other - SETBACKS FROM LOT LINE OR ROAD EASEMENT Front Lot line/Road Easement: Rear Lot Line/Road Easement: Side Lot Line/Road Easement: Side Lot Line/Easement (Adjacent to a street or Reserve Comer Lot): Irregular Lot: Misc.: ADDITIONAL STANDARDS Setbacks Between: Habitable Structures 10’; Habitable & Non-habitable Structures 6’; Non-habitable Structures 6’ Other - 0 Allowed Intrusions into Setbacks: ’ • Stairways & balconies, open & unenclosed, - 2.5’ front, 4’ rear Porches & Landings, uncovered/unenclosed, at or below 1st floor - 6’ front, _3’ rear & side Chimneys/fireplaces, masonry - 2’ into all setbacks, but keep min. 3’ side setback Architectural Features (e.g. eaves, cornices, canopies;etc.) -2.5' front, 2’ side, 4’ rear; min. 2’ slde/rear setback Other-0
  • 45. CONDITIONS: 4. ■« F.0Rr0HEICAgUSE0Ng?r [ ■i. • DISTRIBUTION: Applicant Plannlns, Building & Safety, Environmental Heallfi. Auditor-Controller DATE ISSUED:.09/19/2006 D£te ISSUED BY: Mendoza, Carlos Signature ZONING CLEARANCE NO. ZC06-1203 NOTES: 1. This Zoning Clearance becomes valid once the fees are paid. 2. This Zoning Clearance will be nullified pursuant to the Zoning Ordinance if the Information provided by the applicant was not full, true and correct; it was issued erroneously; or it does not comply with the terms and conditions of the permit originally granting the use. 3. This Zoning Clearance expires within 180 days of its issuance date unless a Building Permit is issued. Once a building permit is issued, construction must commence within 180 days. This Zoning Clearance expires if construction does not commence within 180 days of issuance of a building perniit . ., 4. The property owner is responsible for identifying all property lines and ensuring that all the'requirements of this permit are complied with. 5. That authorizations by other County Departments that exceed the allowable limits noted herein do not excuse the property owner from complying with the provisions of this permit. (The stricter provisions apply). 6. The proposed project will not result in the removal of more than 50% of the roof or floor area of a non-conforming structure. I CERTIFY BY INITIALING THE FOLLOWING THAT: 1. I am the owner of the subject property. 2. fl'll I am the authorized agent of the property owner and have his/her permission to obtain this permit 3. Ct! I have noted on the attached plot plan all of the following attributes: existing and proposed structures, Protected Trees (Oaks, Sycamores, and any 30+" diameter trees), marshes, wetlands, streams, rivers, landslides, edges and-toes of slopes, abandoned or active oil wells, septic systems and leach fields. The information provided in this Zoning Clearance and attached plot/site plans, floor-plans and elevations are full,- true and correct . ' " - 5. Otf | have reviewed, read and understand the terms, notes and conditions of this permit and as depicted in related attachments, and agree to abide by them and ail other provisions ofthe Ventura County Zoning Ordinance. I further understand that the permit can be nullified for cause as noted above. Owner / Appllcantj^nature
  • 47. ('7^3 Date Issued:!1/08/2005 ZC05-1624 EXISTING ACCESSORY USE/STRUCTURES Number: LLD AD05-0262 345.42 ac Lot Area: Lot Area: 15046500 sf General Plan: Open Space(10 Ac. Min.) General Plan: Maximum Building Coverage for accessory non-habitable structures and decks in rear setback - 40% o 2 ■ Principal 2 - Accessory Split Zoning: Zoning: Area Plan: Site Address: 5055 CANADA LARGA RD VECO Cross Sts.: & Violation No.: Legal Lot Status: 3 - Principal 3 - Accessory 1 - Principal 1 - Accessory 5% 0% Ojai Clean Air Ord No.: n/a Parent Case No.: Osf sf ZONING CLEARANCE (NON-COASTAL) Assessor’s Parcel No.: 0350160045 COUNTY OF VENTURA Resource Management Agency Planning Division 600 South Victoria Avenue L#1740 Ventura, CA 93009 (805) 654-2488 Applicable: Zoning: AE Area Plan: NA PROPOSED USE/STRUCTURES Principal Dwelling w/attached parking EXISTING PRINCIPAL USE/STRUCTURES Other agriculture ZONING CLEARANCE TYPE Construction General Plan Max. Bldg. Coverage: Area Plan Max. Bldg. Coverage: Maximum Gross Floor Area (GFA) Allowed with Zoning Clearance for Accessory Structures to Principal Use: Dwelling: 2,000 sf Agriculture: 0sf Other: Osf