HomeMy WebLinkAbout2811 LORETO AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines 5nd sign a a all appropriate declarations.
CIT"�F COSTAMESACO�N{$TR(�J�C,,TIO//N PERMIT T PERfj61T NO. TRACT NO. - LOT NO. 1 UNIT NO.
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.R oject Arddress 22I( 1-4) . . / u-e l.• 1/J( 3
,/ TYPE OF CONSTRUCTION U NEW H ADD H ALTERATION XREPAIR l
Aipliant's Maili 'vet
❑ CONVERSION El DEMOLISH ❑ OTHER A.P.# I Zone
Owner's
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's Name "I et er-o / . /,161�//�-(e Phone 479n'/1Vc7 Z1 DESCRIPTION OF WORK/USE OF BLDG.
Address kif// a-ole / e • P . Co. 7 a -t-o S Main Building: Accessory Building:
Arch/Eng. License No. T 3u-tIJOUS'v,avO'
TYPE OF PERMIT UGRADING ❑ FOUNDATION USTRVCTU RAL E Front Ui "11�� + TOT 'Lli-„-
Address ❑ TENANT ❑ ELECT CAL ❑ PLUMBING ❑ MECHANICAL BRear N
Contractor's Name o C OTHER A Phone 111 C Right N
PROJECT DESCRIPTION O. FT. d333� OCCUPANCY_ K G
Address(mailing) C m i Left
C ON ST RUCTION TYPE 1/r(z7J O VALUATION$ 2tr00, s R
CityC LiNSense No. ZONE RDI VG C1J.V D OR E9 E
LICENSED CONTRACTOR DECLARATION /T}•(_}7(/-R/. tem_ g. Ref.# Parking Req./ProvidedCI
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ��$+� Fa 1k S �{'/_ Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and r T
my license is in full force and effect. 13/V1/11—al
_ �}f�� J, ��
License Class License No. Aeratell L.b.S/qs/ 7 Q - S
Date Signature PLUMBIN FEES
WORKERS'COMPENSATION DECLARATION L Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate
• '.Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
)0, Lab. C.) Automatic Washer Transformer 0 15-50 KW -
olicy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW
8 Certified copy is hereby furnished.
Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter alp to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
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(Thissection need not be completed if the permit is for one hundred ($100) or
less). ` Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the wor for which this permit is issued I
shall not employ any person in any m as ecome sub' ct to the Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1''A-B
Workers' omgppyi9scatl"on-yaws of Calif° i _
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Date !N` 2{Y Signature 0A ��lLr �i 'zr Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑g-15 HP 016-15+
NOTICE: If,after making this declaratio , you should become su hct the —
Workers' Compensation provisions of a Labor Code, you mu gL fo hwith 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
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 e Ran
Lender's Name g
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 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—Traps
any structure, prior to its issuance, also requires the applicant for such permit Laundry Trays Generator ❑0.5 KW ❑5.15 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 -
t`-•efrom and the basis for the alleged exemption. Any violation of Section
.5 by any applicant for a permit subjects the applicant to a civil
lty of not more than five hundred dollars($500).
4•k I, as owner of the property or y p y n es t ai•'s&le Reinspection Fee I $15 Issue Fee $ 3
eernpeasatfen-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's MECHANICAL 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 Boiler Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not Intended or offered forZoning Approved By Date
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0
pe the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date _
prove for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application 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 je property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU / QORKE SUMMA Y FEES
builds or improves thereon,and who contracts for such projects with aeon- —
tractor(s) license pursuant to the Contras or's License Law). I am abvare that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERM! SMTP S (�.
proof of their Worker's Compensation i surance should be provided to me. $ `O PERMIT
0 I am exempt under Section B P.C.for this reason u Firepl/Fact.Bit. ICBG# Fire Dampers
�• PLUMBING S ISSUANCE $
Date �2— �T� r17 owner /4 U� Heating System& Ducting Registers PLAN CHECK 25% $
ENERGY P.C. $
I hereby certify that I have read ' application and state th bove ❑4100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $
Information is cor •ct. I agree to co ply with all city and county or ' antes
and state laws r- . ing to buil.' g construc-on, and hereby authorize repre-
sentatives
MICROFILM $
sentatives o i to -A r u•-n ' above-mentioned property for PLAN CHECK 50% $
Inspection p rp 'u( � � MECHANICAL S TOTAL FEE $
Signature /pi
14 .te.
Reinspection Fee I $15 Issue Fee 5 3 a PLAN CHECK 25% $ 1D9' • So
CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION ANP PLANNING POOL &SPA
'APPROVALS 'Permit* APPROVALS Inspector APPROVALS Permit Date Inspector
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`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 Grrid: 57. APPROVAL TO COVER-GUNITE
v -
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation,..":1; 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-ondrgrnd. 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
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13. Roof Drains I 64. Plumbing System S 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 Lt
20. Rough Factory Fireplace APPROVALS Permit#
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21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas El Oil
23. Gas Pipe-Rough &Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank OGas.p Oil
25. Roof Sheathing 74. Overhead Hydro - ••
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical •
27. Frame and Flashing 76. Dry Standpipe '
I'
28. Lathing & Siding 77. FIXED SYSTEM FINAL'
29. Insulation 78. FIRE PREY. 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:
. 7f15I88 Sfrv1,a!<.� oeam- F7".. CSN
34. Final Heating & Air Conditioning l)
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 Doinestic-Final
42. Backflow Preventer
.43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING /1941d U°
48. Special Requirements Completed { +
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date r •;/