HomeMy WebLinkAbout3503 HARBOR BLVD - Building PermitsOWNER - NIAR %+ 1959
I{TP�`�'$ S�i''�'� S0 � . DATE cL�1t�H —
JOB ADDRESS 'yC,(1� Harhnr Rlt.rl BUILDING PERMIT NO. � '�'.�']
GENERAL CONTRACTOR r,entu�r,y S7.�II �O VALUE $ �fy� nn
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OP WORK c.,_..
r UP TYPE ZONE PLAN NO.
INSPECTIONS I DATE $UBCONTRACTOR _ __ PERMITB
mat
I �
CITV OF COST
Project Address
Applicant's Mailfi
Owner's N�me C
`f7
Address' P �%
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Aop�icant to flll in all spaces exeepl lhose within��eavy boraer lines antl sign all approo��ate eeclaraHons.
PEPf�61T NO. TRACT NO. LOT NO. UNIT NO.
Arch/Eng., Licenu No.
Address .i. c ��2?
Contracto'sNa /Jl/C �INC�IA h� p o�e 0
Addresslmailingl�r/i/tIh %�c;�t.'+Lp'�1c� �I�Y1oNt�Qh3/
Ciry License No. –� 7-3 9�
LICENSED CONTRAC70R DECL.qRAT10N
I hereby affirm that I' am licensetl untler provisions oi Charter 9(commencing
with sectlon 7000) oi Divislon 3 of the Business antl Protessions Cotle, antl .
my Ilcense is in tul or�.e a�tl eifec{, ,�c c��
License C � e se NOA ��
Date � � Signature � [L �–�Jf�
WORKERS C 7 ENSATION DFCLARATION
• e�reDy aftirm that I have a certifi�yte of consent to seli-insure or a certificate
Worke�s' Comp¢nsallon InSu�dnce„ o� d Ce�tltietl coOY thereoi (�ection
i0, L b. C.1 (�� ��,�,,�j�
P IicY N�I�N'/�.2 ii�i ComPanY, i.s�"�•"""�' �,/j�.
N
Certifie y is hereby fumisqetl.
� C ''e i tiletl witn lhe �ity �uildl4i D vi �.
atee����_ APPlicantlJ W J T t%itJ�.l6 �I?'M_ �.
EMPTIO��FROM WORKERS' COMPENSATION DECLARATION
issection neetl not be completetl if the permit Is for one huntlretl ($300) or '
less).
' 1 certify that in the performance bf the work for which this permk is Issuetl, I
snall not employ any person in dny manner so as to become subject to the
Workers', Compensation Laws of California.
�ate Signaty�e
. NOTICE: If, after making this tleqaration, you shoultl become subject to the
� Workers' Compensation provisioqs of the Labor Cotle, you must tor[hwith
comply with such provisions or this permit shall be tleemetl revoketl.
CONSTRUCTIONfL"ENDING A6ENCY - - - ' �
I hereby aiffrm that there is a construction lentlin9 agency for the pertormance
of tne work tor which this permit is issuetl (Se<tion 3097 Civ. CJ
Lentler's Name "
Lende�'S Atltlress
OWNER BUILDER DECLARATION
I hereby atiirm ihat I am exempt from the Contractor's License Law tor the �
following reason (Section 7031.5 gusiness antl Professional Cotle: Any cicy or
cOunty which requires a Oermit [O con5t�uct, alt¢�, imp/ove, tlemDlish Or �epai�
any structure, prior to its issuance, also requires the applicant tor suth permit
to (ile a signetl stat¢menl Ihat_he/She Is licensetl pu�suant t0 the p�ovisioh2 ot
tM1e Gonlractor's License Law (Chapter 9(commencing with Section 700Q) �f"
^'vision 3 of the Business antl professions Cotle) or that he/she is exempt
refrom antl the basis for the allegetl exemption. Any violatlon'ot,-Section
II.5 by. any applicant tor a permit subjects the-applicant to a civil
ndlty ot not more than five huntlretl tlollar5 (5500). '
b 1, as owner of the property or my emD�oyees with wages as their sole "
Compensation, will tlo lhe wo�k, antl the s(ructure i5 not intentletl o��ofteretl
for sale (Section 7044, Busines; anC Professional Cotle: The Contractor's
License Law tloes not apply [o an owner of a pro0er[y who builtls or improves
tM1e�eon, antl who tlo25 such wovk hirnself/he�self o� th�ough his o� hC� Own
employee5, provitletl that SUCh imp�Ovemen[5 a�e nOt intentled o� Offe�etl fo/
sale. It, however, the builtling or improvement Is soltl within one Yea� ot Com-
pletion, the owner wlll have the burtlen of proving he/she tlitl not builtl or im-
��Ove for the;purpose o( sale). �
❑ I, a5 owne� ot the prOpe�ty, dm extluslvely cohtractin9 with Iic¢n5etl Con-
tractorsto construct the project (5¢ction 7044, Business antl Professions Cotle:
The ConVactor•s License Law does not apply to an owner of property who
builtls o� imptoves thereon. antl �who cont�act5 for such oroiects wltM1' a con-
tractor(s1 hcense pursuam to me Conttactor•5 License L.aw). I am aware that
proof o( thei� Worke�'s Compe�5ation in5utanc¢ shoultl be provitletl to me.
❑ I am exempt untler Section— B. & P. C. for this reason '
Date Owner
I hereby certi(y chat I have reatl this"application antl state that
Information is correct. I agree to comply with all city antl county
dntl state laws r¢lating �� �+��Iltlin� �nna�ni�Hnn_ antl herebv authi
Sentatives Ot this,Ci[y
inspection purp
Signature
Orlvers' License or55 9
0865-46,rev.5/88
TVPE OF CONSTRUCTION �VJ NEW LJ ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
. DESCRIPTIONOFWORK/US BLDG. � }---
�"�� _ A ] CIr 6') 1 �P
TVPE OF PERMIT GRAOING FOUNDATION STRUCTURAL
, ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER "
PROJECT DESCRIPTION 5(i. FT. oCCUPANCY
CONSTRUCTION TVPE VALUATION $
20NE GRADINGCU.YDS. ACRES
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
king Fountains
�r Drains
�r Sinks .
Service Outlets
Kitchen Sink
Lavatories
P–Trap
Roof Drains -
Reinspection Fee
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Sw'mming Pool w/Spa
Urinal �
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Tra'ys
$15 Isue Fee
Duct �- Under Ground
Duct - Structural
Duct - Ventilating
Ezhaust System ❑ Multiple ❑
Firepl/Fact. Blt. iCBO #
Heating System & Ducting
❑ o-i oo,000 eru O i oo,000 er
Reinspection Fee I $is
White - Quiltling; Cana�y - APPlicant; Pink - Accounting; Goltl<n�otl - ASSe55o�
Hood or Typel ❑
CanopY. Type I I ❑
Refrigeration System
❑0.700,OOOBTU ❑100,000
�System Repair/Alteration
Fire Dampers
Registers
Is�e Fee
A.P. #
S Main Bu
E
T Fiant
B Rear
A
C Right
K Left
S
Ping. Ref. #
0
FEES Automatic Washer
' ConstructionPoleSub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
. ' Device Boxes
O utlets
Switches
Garbage Dispoul
Generator 065 KW �5-1
$ 3
FEES
$ 3
zone
Accessory Building:
Parking Req./Provided
ELECTRICAL -
Transformer ❑ 15�50 KW
❑ 50+KW
Meter Llup [0 100 amps
Meter ❑over100amps
Sub Panel
Motors �P7 HP � 1'f, - 8
Ina Solar �9-75 HP 01615+
Microwave �
Pole Light
Range ,
Standing Sections
KW Trash Compactor
� Reinspection Fee !$15 I I luue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved By
Application Issued By n
FEES
$
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Q
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SUMMARV OP FEES - ,
BUILDINGPERMIT $ SMIP $
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ O �GRADING. ..
PLANCHECK 50% $ ��"'� ��+MICROFILM���$lv�.r�
MECHANICAL � $ TOTALFEE $ �
PLAN CHECK 25% $
#r��c��ac��a�-� �Ec�b��-#
ot aoozaszt-ooaasa?� -rs��' o;.a�'
�aTE: eaii¢is� rFnE; ie:aa
, _\ `Q\ . . . �
� CONSTRUCTION AND PLANNING 1� - ' P00 '>PA
' '� � Date Inspector - Date Inspector
APPROVALS , Permit �r` b�'S �� APPROVALS Permit #
1. Temporary Electrical Service or Pole„ �.'• .,' 2. Pool & Equipment Location .-
� 2. Soil:Pipe-Undrgrnd. �� - L� -r.�, 53. Steel Reinforcement
; i�^
3.)Elect"rical Conduit Utility-Undrg[}d. ,. ~ 54. Forms � (•�,
�� Electr�cal Conduit-Und4r�rnd. `� tr 55. Electrical Bonding � `
�51$teel�Reinforcement� L� :, 56. Rough Plumbing & Pressure Test �'
6��Electrical UFER�Grnd'r� - S. �; ._� �. 57. APPROVALTO COVER-G�UNITE �^�
«Footings � � �' ��� ' � � 58. Electrical Conduit-Undrgrnd. •'t'
� �'I
�8�Foundation �.; `-ti' : � 59. Gas Pipe, O Undrgrnd., Test `' �L�
.
9;,Water Pipe-Undrgrnd, � i �+ �^ 60. Backwash.L`ines, P-Trap, C] Undrgmd. '��
�' L' ~�� 11
10,hSt�uctural Floor System �.� ` ,�:• ' ' 61. �qPPROVAL�TO DECK
`71'�P�operty Sewer Line & House Connection 4 :S 62. Backwash'&�Receptor-Final
., �.
� r72.,Se"we[ Cap .'; � , • � 63. Heater &-Ven`tFinal �
I. -, - , �"'-
�.;.-
: 13�Roof,�Drains ;y � -;' � �� 'C 64. Plumbing Systejn �- Final � , i•
14.�Rougti Plumbing 1 f � `S 65. Electrical-Final -�
15. Rough Electrical-Conduit - - 66. Solar System-Final .
16. Rough Electric Wiring 67. Fencing & Access Approval
il1
�17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
�
18., Rough Electrical-T BaF Ceiling 69. POOL/SPA SYSTEMS FINAL
1�9, Rough Heating & Air Conditioning �FIRE DE�T. REQUIREMENT
� i
20t Rough F�2sSory Fireplace APPROVALS� Permit #
21; Ducts, in•Structure 70. Underground Hydro
22. Ducts, Ventilating 71'. Product Piping O Gas ❑ Oil �
23 �Gas Pipe-�Rough & Test ;72. Underground Flush r
24. Roof Framing � 73. Undergrnd. Storage Tank C7 Gas ❑ Oil �
25. Roof Sheathing � 74. Oyerhead 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 9. 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 Faaory Fireplace �
' 38. Final Plumhing ,� _
39. Water Service-Final
! 1'
' 40. Gas Service-Final 'G
41. Solar pomestic-Final '
1-
42. Backflow Preventer �i�
� ^q
43. Backflow Irrigation �=^'� � �
fl
44. .Landscape Irrigation System ,
45. Sound Attenuation -
46. Handicap Regulations
47. FINALSTRUCTURE&�BUILDING �--
n
48. Special Requirements ComPleted
49. Electric Release to Edison ,� 1.
50. Gas Release to'Southern Galifornia Gas Co . %� � �
�.��
� 51. CERTIFICATE OF OCCUPANCY itil n.i r r) r�
� ?
No. � Date �� � "�`� -
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