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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 �% �i 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 $ O N 1' N G R E Q M T S. 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 �� � "�`� - .� o