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Home My WebLink About3190 RED HILL AVE - Building PermitsI. � AOPlicant to fill in all soaces except those within heavy boraer lines anE sign all aporopriate tleclarations. ciTv oF COSTA MES ONSTRUCTION PERMIJT, Project Address � / �O � �..Q.( �'a'�!J Applicant's Mailing,Address Owner's Name y Phone Address Arch/Eng. License No. Address Contractor'sNam Phone '� Address (mailing) � City License No. LICENSEO CONTRACTOR DECLARATIpN I hlreby afti�m that I am licensea untler prOvisions ot Cna�te� 9(commencin9 wit� seclion ]000) ot Divizion 3 ot the pusinezs an0 P�otessions Cotle, antl my Ilcense is in full Porce ana eifect. Licenze Class License No. � — Oate ' ' Signature -F'� WORKERS' COMPENSATION DECLARA710N hereby affirm that I nave a tertlflcate o( consent to seli-Insure or a certificate f Workers' Compensatlon Insurance, or a certifietl copy thereot (Sec[ion 800, LaD. C.) Policy No. - Company eCertifietl copy is hereby turnishetl. � Certifletl copY is filetl wiih the cily Builtling �ivisian. Date � APPllcant_%-' EXEMVTION FROM WORKERS' COMPENSATION DECLARATION (ThissecliOn neetl not b¢ complata0 if the p¢�mit i5 fOr One huntlretl ($100) or iesz). I cerlify that in the performanca of tne work for which this perm�t is issuetl, I shall not employ any person in any manh¢r so as to become subject to the Workers' Compensation Laws of Califomid. Date Siqnature �NOTICE: 1f, atter making this tleclaratlon, you shoultl become subject to the Workers' Compenwtion provisions of the �bor Cotle, you must forthwith comply wlth such orovisions or this'p¢rmit shall be tleametl revokea. CONSTRUCTION LENDING AGENCV 1 hereby afflrm that tnere is a constructlan lentling agency for the performance of the work tor whlch this permit iS Issuetl (Sectlon 3097 Civ. CJ Len�er's Name Lenaer'z atltlress OWNER BUILDER �ECIARATION 1 hereby dfflrm that I am exempt irOm t�e Contracto�'s LI<¢nse Law t0� the following reason (Seclion 7031.5 Business antl Professional Cotle: Any citY or rounty wnlcn requires a permit to construct, alter, improvo, Cemolish or repair any 5[ructure, prior to its iszuance, also rgquires the applicant for such permlt to flle a sign¢tl statement that he/She I5 IicenS¢tl pu�suanl t0 the p�oviSiOns of the Contractor'S Lic¢nse Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of the Buziness antl Profe55ions Code) or that ne/she is exempt 'herelroT antl thE basis (or the alle9¢tl exemption. Any violdtlon of Settion /031.5 by any applicant for a permit subjects tne applicant to a civil - enalty of not more than five huntlretl tlollars ($500). � I, as owner ot the prop¢rty o� my�@mploye¢5 with wa9e5 as thelr Sole compensation, will tlo the work, antl the structure is not intontletl or offeretl for sale (Section ]044, Business antl Prof¢szional Cotle: TM1e Contraclor's LicenSe I,.aw tloes not apply lo an owner o} a property who builtls or improves [he�eon, antl who OoeS Such wo�k himseli/h¢rz¢If o� thrOugh nls or he� own employces, P/ovitletl Ihat such imp/Ovem@nts ate nOt inte�tlatl Or olteretl 10r sale. If, hOwever, the builtlin9 or improveMent i5 soltl within one year 01 com- pletlon, the owner wi11 have the burtlen o{ proving he/zhe Eltl not bullA or Im- p�ove to�the purpos¢ Of sale). ❑ I, as owner of the property, am extlusively contracting wlth licensed con- ��, tractors t0 construct the p�oject ($eCtiOn 7044, Busine55 antl Profe55ion5 Cotle: The Contractor•5 License Law tloes no[ epply to an owner of proper[y who builtli or improves thereon, ana who contracts for such orojects wltn a con- trattor(;1 license pursuant�[O Ihe Contractor'S License Law). I dm awar¢ [hat p�oo( of thei� V;orke�'s Compen5atlon insurance shoultl bo p�ovitled to me. ❑ 1 am exempt untler Sectlon B. & P. C. for this reason Date Owner I hereby certity that I have reaE this app��ation antl state that the above information is correct. I agree to comply �yj{h all city antl county ordinances antl state laws relatin9 to builtling construction, antl nereby aulhorize repre- Sentativei of thi5 cily to ente� up00 the above-mentlonetl ptoperty for IlISp¢CflOp pUfp05¢5. • Signa[ur¢ - Date � �'� �rivers' Licenze or 55 � � • ' > >- � TVPE OF CONSTRUCTION LI NEW U ADD U ALTERATION LJ REPAIR ❑ CONVERSION ❑ �EMOLISH ❑ OTHER q.p.# DESCRIPTION OF WORK/USE OF BLDG. S Main Buildi TYPEOFPERMIT GRADING •FOUNDATION STRUGTURAL T Front ❑ TENANT O ELECTRICAL ❑ PLVMBING ❑ MECHANICAL A qeal ❑ �OTHER C Rlght PR0.IECT DESCRIPTION 54. FT. oCCUPANCv K CONSTRVCTION TVPE VALUATION $ S Left ZONE GRADING CU. VDS. AGRES P�ng. Ref. # Remarks: � �� (r Planning Notes: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P-7rap Roof Drains Reinspection Fee � $15 Boiler Duct- Under Ground Duct - Strutturel Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. BIt. ICBO # Heating System & Ducting ❑ P7 00,000 BTU � 100,000 BT Rainspection Fee � $15 GMF 0865�46, rev. 10/84 White - Builtling; Canary - APPlicant; Pink - Accounting; Goltlenrotl - qssessor BING Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Leundry Trays Issue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑at00,0008TU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES $ 3 FEES 5 3 Automatic Washer Construction Pole Sub. Cooking Uni[ D ishwasher Dryers ❑Gas �Electric Fan F.A.U. F i xtures Device Boxes Outlets Switches - � Garbage Disposal Generator C7Q5 KW �5-t5 Ir . �� '. 2one Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel Motors OO-1 HP O1 %- B Inc.Solar 09-75 HP �16-15+ Microwave . Pole Light Range Sign ; Standing Sections � 7rash Compactor � Reinspaetion Fee I$15 ' I Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By BUilding Appraved By APPIICdtiOfl ISGUBd BV • �' 1_0�: �I�. FEES I• $ 3 SUMMARV OF FEES � BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ I . V� GRADING $ PLANCHECK 50% $ � ' MICROFILM $ MECHANICAL 5 TOTAL FEE $ � � � -< < PIAN CHECK 25% $ Z O N I N G H E Q M T S ' r CONSTRUGTION AND PLANNING ` � � PO(._ s 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. APPROVA� TO COVER�GUNITE 7. Footings . 58. Electrical Conduif-Undrgrnd. 8' Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Heater & VenPFinal 13. Roof Drains � � 64. Plumbing System - Final 14. Rough Plumbing _ 65. Electrical-Final 15. Rough Electrica6Conduit � 66. Solar System-Final . � 76. 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 # 27. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro _' ' 26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical . � 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding � 77. FIXED SYSTEM fINAL 29. Insulation . 78. FIRE PREV. FINAL 30. Drywall Nailing � _ HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat � � 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD.CERTIFICATE ISSUED 33. Final Electric ' Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy � 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. .Landscape Irrigation System � 45. Sound Attenuation 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ' 49. Electric Release to Edison " 5�. Gas Release to Southern California Gas Co � 57. CERTIFICATE OF OCCUPANCY No. Date ��