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Home My WebLink About310 21ST ST - Building Permitsr • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY C • PER IT TRACT NO. ' LOT NO. UNIT NO. 0161i .• I f T� p1� OSZAJ(�ES/A, CO{ISTU TNP/ro�nnMlT /Q�/ ` 3/?7/b5 ya Project Address zl/C/�/ — 'i!X!/R� � / U ��(J U U. ' " Applicant's Mailin• 'dd ss d TYPE OF CONSTRUCTION U NEW ADD U ALTERATION REPAIRAr Owner's Narpe ✓_ •TI- IE CONVERSION III DEMOLISH ❑ OTHER n A.P.# Zone G.17 0 r DESCRIPTION OF WORK/USE OF BLDG. •/W-stye L9 �tA Mar� • — Address /�/ /� S Main Building: Accessory Building: Arch/Eng. - License ry00��i�/ • • TYPE OF PERMIT ❑ GRADING El FOUNDATION W/ ElSTRUCTURAL T Front o Address El TENANT ID ELECTRICAL ❑ PLUMBING ICJ MECHANICAL BB Rear • - - N • Contractor's N + ' / 0 K I n Address(maili ♦/ i i_ ,t PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N ") G Ot CONSTRUCTION TYPE VALUATION$ S Left R (( _ City License No: / ZONE GRADING CU.YDS. ACRESE W LICENSED CONTRACTOR •ECLARATION Ping. Ref.# Parking Req./Provided I hereby affirm lhatd am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: • , M . 0 with section 7000) of Division 3 of the Business and Professions C•q� 'nd T My license is in f for d effect. / I av • IJce e Cl.s a ar - A A License fl f $- ' \ Da -JD Sig . lirePLUMBING FEES — WORKE-S COMPENSATION DECLARATI; Bar Sink Showers ELECTRICAL FEES . • I hereby affirm that I have a certificate of con ent to self-insure or a certificate , (� of Workers' Compensation Insurance, or certified copy th eof (Section • Backflow Preventer -Service Sink V\ 3800, �/ // Automatic Washer 'Transformer 0-15-50 KW I'c o'�` .z��C.V Co • Backflow Irrigation Sewer Cap Construction Pole Sub. • 0 50+ KW Certified copy is hereby furnishe.. _ . R Cert(ifi oI 'is ' with t ty Buimis: antr,ir Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps ' EXEMPTION FROM WORKS 'COMPENSATION DECLAR•• ION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps . (This section need not be completed if the permit is for one hun•red ($100) or - - less). Dishwasher Solar 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❑Q1 HP ❑1'h-8 Workers' Compensation Laws of California. _� • Date Signature Floor Drains' Swimming Pool w/Spa 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 comply with such provisions or this permit shall be deemed revoked. - Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets _ Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance - 9 of the work for which this permit is issued (Section 3097 Civ. C.) interceptors Water Heater ' Lender's Name p Outlets Range Lender's Address Kitchen Sink Water Service Switches Sign • OWNER BUILDER DECLARATION - - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Disposal Garbage following reason (Section 7031.5 Business and Professional Code: Any city or 9 ;Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P—Trap •structure, prior to its issuance, also requires the applicant for such permit p • Laundry Trays Generator 00-5 KW 05.15 KW Trash Compactor 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 _ I 7031.5 by any applicant for a permit subjects the.applicant to a civil • penalty of not more than five hundred dollars($500). -J I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 • Issue Fee $'3 .ompensation, will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee . $ 3 for sale (Section 7044, Business and Professional Code: The Contractor'sMECHANICAL I FEES 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 • Hood or Type ❑ AIL DEVELOPMENT SERVICES REQUIREMENTS: I ' employees, provided that such,improvements are not Intended or offered for Boiler • sale. if, however, the building or improvement is sold within one year of cam- 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 • A) l� Date • prove ownerthe,pof the of sale). ry� ❑ I. as the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration SystemApplication Issued By /l r Date a 7 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 1 00-100,000 BTU ❑100SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) - -l icense pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑. System Repair/AlterationBUILDING PERMIT $ $MIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ) ,.-�r � ❑'lam exempt under Section B.& P.C.for this reason ' Firepl/Fact.BIt. ICBG' Fire Dampers PLUMBING $ ISSUANCE CE $ 4,Q — oate3''�- �3 Owner 'eating System& Ducting •• Registers ENERGY P.C. $ I hereby certify that I have read this application and state that the above / 0-100,000 BTU 0100,000 BTU— . /��( PLAN CHECK 25% $. c ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances y and.sta laws relating to buildin• construction, a • hereby authorize repre- • PLAN CHECK 50% $ MICROFILM $ ' sentati s of this • to n upon the abo -mentioned propert for,. 1 �0 , ins: on p rpo I .•� • _ f�/ 4.--....‘„,„„ Reinspection Fee $15 ' Issue Fee $ 3 PLAN CHECK 25% $ • CMF 0865.46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor CONSTRUCTION AND PLANNING - POOL & e APPROVALS Permit#' , Date. Inspector J. APPROVALS Permit# - Date Inspector "71. Temporary Electrical Service or Pole 'tom 52. Pool & Equipment Location 12. Soil Pipe-Undrgrnd; ,. 53. Steel Reinforcement 3:„,Elecyxicepl Conduit Utility-Undrgrnd. '•" � 54. Forms / • _4.)Electr.ical Conduit-Urdi'grnd. '.? / :' 55. Electrical Bonding 5t./Steel.Reinforcemenit' . a /! -. 56. Rough Plumbing & Pressure Test 1 ' .6' EIecfricaI UFER%Gcnd. / i 57. APPROVAL TO COVER-GUNITE r7. Footings` .- `!', •,"1 `< 58. Electrical Conduit-Undrgrnd. 8.: Foundation % .1 f r 59. Gas Pipe, 0 Undrgrnd., Test / . '9: ;Water Pipe-Undrgrnd. y ce 60. Backwash Lines, P-Trap, 0 Undrgrnd. ri,4 't 1( !Structural Floor,System ' ! 61. APPROVAL TO DECK , ',,t 11. Property-Sdwec Line,& House Connection , 62. Backwash & Receptor-Final ./ 12. Sewer i ---1;Cap' . y r 63. Heater & Vent-Final - 13. Roof,Drains h 64. Plumbing System - Final 14. Rough Plumbing,. 65. Electrical-Final - ' 15. Rough Electrical-Conduit 66. Solar System-Final • - i 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 Conditioriing FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace I' '• APPROVALS Permit# . 21. Ducts, in Structure / 70. Underground Hydro /: . 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test r2:• 72. Underground Flush 24. Roof Framing .y 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 i1X/r d?7 f° 35. Final Gas Pipe-Test 1 /�15 36. Hood or Canopy - 37. Final Factory Fireplace . 38. Final Plumbing • 39. Water Service-Final • 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer I . 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