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Home My WebLink About100 FAIR DR - Building Permits Applicant t II in all spaces except those within heavyborder lines and sign all appropriateCb71 5/09/85 .7s G0 p p g declarations. CITY OF COSTA/,I��r�.E�SA^ CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UN "• _ Protect Address /s•�`� /" l C)2_ - y-( 7,.s �8C05 - - I i Applicant's Mailing'Address (Mies -Aattl•at-•� t 9 TYPE OF CONSTRUCTION U NEW ❑ ADD U ALTERATION U-REPAIR • pAC C 4'Vx.t `♦_tip¢neqg ❑ CONVERSION ❑ DEMOLISH ❑ OTHEFt - - A.P.# - • Zone Owner's Name TY!'• ^ DESCRIPT ION OFWOR K/USE OFBLOG, Address J�Sl..a^ i--4Ii , D'e - - S Main Building: . Accessory Building: , E - - 2 Arch/Eng. - . License No. TYPE OF PERMIT U GRADING U FOUNDATION ❑ STRUCTURAL T Front' r G' Address ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear - . - - - -• N 1 Contractor's Name • E,pl�/ 4...8, one 9>s-�t�43 ❑ -OTHER A - - • C Right L N Address(mailing) tit -/-(tru-e(AlL - et- t^J PROJECT DESCRIPTION SQ. F7.- - OCCUPANCY K - - - G CONSTRUCTION TYPE ,VALUATION$ S Left • R City License No. 3331ZONE GRADING CU.Y S. - ACRES _ � LICENSED CONTRACTOR DECLARATION ) / / _ Ping. Ref.# Parking Req./Provided - E: - I.hereby affirm Mali am licensed under provisions of,Charter 9 (comMencing Remarks: �/�/tUN n�/, Planning Notes: -- Q with section 7000) of Division 3 of the Business and Professions Code, and Q h/hllRtY'��f rd M my license is in full force and effect. [, T License Class • ' Licen .9G Z.LC( S Date e--9-...or Signatur PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar$ink Showers ELECTRICAL I FEES I hereby affirm that I have a certificate of consent to self-Insure or a certificate of Workers' Comp@hsation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink l 3600, Lab. CJ �.,.Is ��2 / ��))� 1 _ Automatic Washer - Transformer ❑-15-50 KW Policy No. 'C•�+•G1(-s�'7eYomp�anyGK4i1LT*4 i'1'lU�t..Id�L Backflow Irrigation Sewer Ca 0 SO+KW ,�• J P Construction Pole Sub. • �I Certified copy is hereby furnished. • _ 'LJ Certifin7n�dopy is filed with the city B iI�J dil}g•DiviliprV Bathtubs ! Sewer Connection Cooking Unit Meter ❑up to 100 amps Date T/ _' Applicant PENS OD i�/� , EXEMPT ON FROM WORKERS'COMhENSATIbN DECLARATION Clarifiers Solar Collectors Dishwasher 'Meter Dover 100 dmp5 (This section 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 work for which this permit is issued, I a. - shall not employ any person in any manner so as to become subject to te Drinking Fountains Solar Tank • . Fan Motors 00-1 HP 01%-8 I l l Workers' Compensation Laws of California. . Date Signature _ _ _ ' • Floor Drains Swimming Pool w/Spa F.A.U. • Inc.Solan❑9-J5 HP 016-15+ '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. ,. -- - 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 Clv. C.) Interceptors Water Heater Outlets Lender's Name - Range 2C Lender's Address . Kitchen Sink Water Service -1 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 I 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—Trap Laundry Trays Generator ❑05 KW❑5-15 KW any structure, prior to its issuance,also requires the applicant for such permit • - Trash Compactor I 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 i 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 - penalty of not more than five hundred dollars($500). - - , '❑ 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 _ Reinspection Fee $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 DEVELOPMENT SERVICES REQUIREMENTS:' employees, provided that such improvements are not intended or offered for T Boiler Hood or Type I 0 ' I sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundBuilding Approved By DatO prove for the purpose of sale). - , ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 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- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMTP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ _- PERMIT ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG# . Fire Dampers ISSUANCE $ ' PLUMBING, $ - Date Owner Heating,System& Ducting Registers ,• PLAN CHECK 25% $ ENERGY P.C. 1$ I hereby certify that I have read this application and state that the above 00100,000 BTU ❑100,000BTU - %- ELECTRICAL �,?A GRADING $ information is correct- I agree to c. ply with all city and county ordinances $ - and state laws relating to build'- nstructio and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM $ sentatives of this ci - on t•e .•ave-mentioned property for inspection p!• , iiMECHANICAL w Signature •-off Drivers' License or SS# � ...� $ TOTAL FEE $ �•Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ l ..t 1 CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor - . - - --- CONSTRUCTION AND PLANNINGPOOL & SPA 'APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector n; 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. -Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms I': 4; Electrical Conduit-Undrgrnd. . 55. Electrical Bonding 5: Steel Reinforcement - , 56. Rough Plumbing & Pressure Test ` r' 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7; Footings - - - 58. Electrical Conduit-Undrgrnd. �" / 8: Foundation 59. Gas Pipe, 0 Undrgrnd., Test ' i. 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 • cl - 12. Sewer Cap : I 1 63: Heater & Vent-Final ,i+ - 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 ' - 1L'• 17. Rough Wiring Sign - - 68. APPROVED FOR PLASTERING • r18. 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 Oil 23. Gas•Pipe-Rough & Test - - 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas ❑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 ISSUE - 33. Final Electric .11 Notes: !� di ' err �'v en/ 8 sfhgee 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 Domestic-Final - 42. Backflow Preventer _ 1A 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations . - • 471 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