HomeMy WebLinkAbout1066 TOWNHOUSE DR - Building Permits . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
• PERMIT O. _ TRACT NO. LOT NO. UNIT NO. - -I
CITY Project
OF ry1 jSA/ CO STR(j��CTION PER IT 51 p^_ 3/I l/3
Project Address r CiO6 / OWEinolicS e_. eir • a 3�t� g � ,y/ I
Applicant's Mailing,/A{�d d/fres /y����� TYPE OF CONSTRUCTION U NEW U ADD U-ALTERATION ILI REPAIR' ^/
Owner's Name _i,/`^-'r/O Phone"2/7IC/' 23r ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - A.P. # I Zone
DESCRIPTION OF WORK/USE OF BLDG.
Address S Main Building: Accessory Building:
E Z
Arch/Eng. - License No. TYPE OF PERMIT ❑ GRADING yI FOUNDATION ❑ STRUCTURAL T Front • O
❑ TENANT ❑ ELECTRICAL I!J PLUMBING ❑ MECHANICAL B N
Address A Rear
1�� ��•, 1�'hone ntt ❑ OTHER' C Right N
Contractor's Nam' ,.,y_ •irt� �( K
Address(mailing) 11. ./ I PROJECT DESCRIPTION Sq. FT. OCCUPANCY G
'& CONSTRUCTION TYPE VALUATION $ - S Left R
City License No. ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and - T
my license is in f tl •rce and effect. • '
License as /A e 0 RECEIVED APR 3 u Iogb S
-� ` •
Date /' Mi7, Signature drtart,_.�_si//arr< PLUMBING FEES A
WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES `
I hereby affirm that 1 have a certificate of consent to self-insure or a certificate •
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. ��f',!I. p,/ 2 /, Automatic Washer Transformer 0 15-50 KW
Policy No.�s�QOY 7[/ Company -IN/Ll 41 Backflow Irrigation Sewer ❑ 50+ KW
•
.` Cap Construction Pole Sub.
ertifietl copy is hereby furnished.
• cern d f y Iled with the city/�yy'tl'ps�nyy�i Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date -/� Applicant SL[� s[L(��
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers _ . Solar Collectors Dishwasher Meter Clover,100 amps
(This section need not be completed if the permit is for one hundred ($100)or
less). / DishwasherSolar Piping Dryers ❑Gas ❑Electric Sub Panel
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 Drinking Fountains Solar Tank • - Fan Motors 170-1 HP 0 X-8
Workers' Compensation Laws of California. _ • - -
Date Signature Floor Drains •
. Swimming Pool w/Spa• . F.A.U. • Inc.Solar ❑9-15 HP ❑16-15+
'NOTICE: If,after making this declaration, you should become subject to the - • _ _
Workers' Compensation provisions of the Labor Code, you must forthwith ' Floor Sinks - Urinal Fixtures Micfdwave
comply with such provisions or this permit shall be deemed revoked. .
CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Device Boxes -
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which' this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater . Outlets
Lender's Name Range
l Lender's Address - - Kitchen Sink • Water Service - Switches - -
OWNER BUILDER DECLARATION Sign
1 I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash _
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap - - Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor
any structure, prior to Its issuance, also requires the applicant for such permit p
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains � - ,
the Contractor's License Law(Chapter 9(commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt -
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil i . .
penalty of not more than five hundred dollars($500).
O I, as owner of the property.or my employees with wages as their sole Reinspection.Fee I - $15 Issue Fee $ 3
compensation, will do the work, and the structure is-not intended or offered - - Fee Reins ection
for sale (Section 7044, Business.and Professional Code: The Contractor's 'MECHANICAL FEES p I $15 Issue Fee $ 3
License Law does not apply to an owner of a property who builds or improves - .
thereon, and who does such work himself/herself or:through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler - Hood or Type I 0
•
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ • • Zoning Approved By Date
pletion, the owner wilt have the burden of proving he/she did not build or im- Duct-Under GroundBuilding Approved By. Date
prove for the purpose of sale). i - p
D I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • Application Issued ByGi) Date J t-/7'/-Se
tractors to construct the project (Section 7044,Business and Professions Code: '
The.Contractor's License Law does not apply to an-owner of property who Duct-Ventilating'-- . ❑0-100,000 BTU 0100,000 BTU ' SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with aeon-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP , $ '
proof of their Worker's Compensation insurance should be provided to me.• _ • PLAN CHECK $ �/nJ{ PERMIT
•
❑ 1 am exempt under Section B. & P.C.for this reason Firepl/Fact:Blt. ICBG# Fire Dampers PLUMBING $ (J ISSUANCE $
Date ' Owner' Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have lead this application and state that the above 00-100,000 BTU ❑100,000BTL •
ELECTRICAL $ GRADING $
information is correct. agree to co mply with all city and county ordinances - .
and state laws relating to building construction,and-hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this city to enter, upon the above-mentioned property•for !�
inspection p s /JJ
-
Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
k,-.) CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
•
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 0il
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing - 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing 6/z2/ 7 t-
39. Water Service-Final
r,-
40. Gas Service-Final i
41. Solar Domestic-Final I
42. Backflow Preventer Fi-
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date