HomeMy WebLinkAbout165 TULIP LN - Building Permitsf( I
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rAPpI¢anrm-orcin:an spaces,cn...�.....,,ae•w)ttii avy border lines and sign all appropriate declarations.
PER T.NO. TRACT NO. LOT NO. UNIT NO/
ICI cifeOF Address /C.S-- nd-/ZION A- E� bs3-2 TS-7 -Kw £ 4.40,-
‘4•1-
8419 4/p8/88 • 52e50 TL
yvleet G f NEW•
U ALTERATION U REPAIR
f Applicant's Mailin• •ddress 4 L - TYPE OF CONSTRUCTION U U ADD
111' JrTAY "7 ' .❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,P,# Zone '
Owner's Name ��r7•, �- 'hone 1 G DESCRIPTION OF WORK/USE OF BLDG. -
Address _ S Main Building: Accessory Building:
Arch/Eng,, - License No. ' TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL • T Front 0
Address' ❑
❑ TENANT Ill ELECTRICAL El PLUMBING El MECHANICAL BA Rear N
OTHER
C s ame r dr f Phone - - C Right N
PROJECT DESCRIPTION SQ. FT. OCCUPANCY
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•Address(mailing) 'CONSTRUCTION TYPE VALUATION $ s Left G _
City License No. `r - - - R
- ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION '- " Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:. AiarliJl ,J to A/s .-c Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and / - - �C/� / /T/�C" T
my license is in full force and effect. - - S
License Class License No.
Date Signature - P UMBI FEES
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL • FEES •
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 (Section ,. Backflow Preventer • Service Sink
3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation - Sewer Cap ❑ 50+KW
8 Certified copy is hereby furnished. Construction Sub.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit 7 Meter flue to 100 amps 37.•b
Date Applicant —ii - - - - -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • Clarifiers Solar Collectors Dishwasher Meter Cover 100 amps
(This section need not be Completed if the permit is for one hundred ($100) o
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel .
I certify that in the performance of the w for which thi permit is'ssue I ,
shall not e ploy any person in any r s as to be su t he ' Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1'/x-8
Worker ' t' Laws of Califo _
Date Signature /1 • Floor Drains Swimming Pool w/Spa -
F.A.U. Ino.Solar 09-15 HP 016-15+
NOTI If, ter making this declar tion,you should become subjec to t
Workers Co pensation provisions of the Labor Code, you must forthw' Floor.Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revok - ' - '
•
CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Device Boxes
I hereby affirm that thereisa construction lending agency for the performance Pole Light
of the work far which this permit is issued (Section 3097 Civ. C.) Interceptors - Water Heater Outlets Range
Lender's Name
Lender's Address - - Kitdhen'Sink Water Service Switches Sign '
OWNER BUILDER DECLARATION - -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatoriesrr Auto-Wash Garbage Disposal Standing Sections '
following reason (Section 7031.5 Business and Professional Code; Any city or • '
county which requires a permit to construct,alter,improve,demolish or repair P-Trapy r Laundry Trays Generator El 0-5 KW-05-15 KW Trash Compactor
any structure, prior to Its Issuance, also requires the applicant for such permit -
to the 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 -
Ne Ity of not more than five hundred dollars($500). 3 '
yI, as owner of the property.- -. - . :: - - • •- •-' - ; Reinspection Fee $15 Issue Fee $ I 4'i $4
-rmor-offered 'will do the work, and the structure is not intended ooffered ' Reinspection Fee $15 Issue Fee ✓
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves - • l
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
prove for the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Dat �
Prove the purpose of sale). '_--I4�/-0d//-�(ll•GL •
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
*Building
Issued By -- Dat
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 00-100,000 BTU 0100,000 BTU • SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractors license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ SMIP S'
proof of Exhaust System 0 Multiple 0 System Repair/Alteration their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT
0 I am exempt under Section _ e• /' •.C.fort r on Firepl/Fact.Bit. ICBG# Fire Dampers— PLUMBING $ SSUAN CE $ -
Date ,ft A Owner i //` / Heating System&Ducting Registers PLAN CHECK 25% $ r.� '-t ENERGY P.C. $
I heretly c tify that I have read this application and state that the a 00-100,000 BTU 0100,000 BTLS ELECTRICAL $ ✓oS•5r0 GRADING $ _
information is correct. I agree to comply with all city -d county ordi ces
and state laws rela ,•• to -wilding co• truction d ,reby authorize repre- MICROFILM $
�' • PLAN CHECK 50% $
inspection
of tit','ity miter u•- ;eke • tioned p •petty r
inspection pun 0-. �/^ i � MECHANICAL $ TOTAL FEE $
Signature au(' /L a✓-ate
Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; pink -Accounting; Goldenrod - Assessor
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CONSTRUCTION ANO rLANNING A(-I POOL&SPA '.
Date Inspector Date Inspector
AcleRROVALS Perrig4t APPROVALS Permit#
/14
1.?,-Temporary Electrical:Service or Pole 52. Pool & Equipment Location
ni .... .
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
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3. Electrical Conduit Utility-Undrgrrid.I
54. Forms .
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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. Foottinbs . 58. Electrical Conduit-Undrgrnd.
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8. Fouglation 59. Gas PipF,.0 Undrgrnd.,Test
9. WateriPipe-Undrgrnd. - 60. Backwash Lines,P-Trap, 0 Undrgrnd.
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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 Wirin..A.19 2 PAI----- 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL I,
19. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT • :- .
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro I • .
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil])
23. Gas Pipe-Rough& Test 72. Underground Flush ),2
24. Roof Framing 73. Undergrnd.Storage Tant40 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro ,...-.•,• ;
26. T-Bar Ceiling (Structural) & Monocoat . 75. Dry Chemical, ,t .
27. Frame and Flashing . . - 76. Dry Standpipe .7/1..
1
28. Lathing & Siding 77. FIXED SYSTEM FINAL -
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29. Insulation 78. FIRE PREV. FINAL IL,
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30. Drywall Nailing HEALTH DEPT. REQUIREMENT
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31. Plaster Brown Coat 79. FINAL INSPECTION ..C.,
32. Electrical Power Meter-Final 6-8-03 .9a 80. 'FOOD CERTIFIC E ISSUED . 12
33. Fidel Electric &la genich. Notes:04ii . aail 1_1744rAwytet c4 A
Prlfr14-
34.
35. Fa & Conditioning itafrfretir'.4-ehtear
t).-1
.536:LHood or canopy • ._,_.,-„% .. . f - ../:
,!
:37t Final/Factcrry Fireplace - ,)7/•-- 1--
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1138“Final Pluirn- bing - -.., ,l/f; .-4,
..._ ...
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V'3 A . ...
7..A it 4-
•9YWater Sprvice-Final '
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,
:49..Gas,Servipe-Final :
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1:41.:5.6lar CiOrnestic-Final ; I- ' ' •
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42.,gackflow Preventer
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1.4.31 .Backfla.vic Irrigation ::-. I;
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i44. L ,/ -' ..
andsc9P" Irrigation System •
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"45. Sound Attenuation . ,- • .
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46. Handicap Regulations • •,' 'i
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47_e F.LNAL STRUCTURE & BUILDING ' . . I
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48 Apecial,Fiepuirements Completed
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49. 'Electi•iC Release to Edison i - .. •., . . 7
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1•••••
50. Gas Release to Southern Californfa Gas Co - 01.• : i
I In'
51. CERTIFICATE OF OCCUPANCY.: ' : 'A
No. Date . • /4+
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