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Home My WebLink About553 WAKE FOREST RD - Building PermitsAGolicant to fill in all svaces exceo< <hose within heavy bortler lines ana sign all aoo/ooriate tleclarations. , CITV OF COSTA Es C STRUCT ON P RMIT �. Project Address Applicant's Mailing Address ' B �. Owner's Name � P�j< ( - Phone � Addreu �� ' J�a�,Bea'T. Arch/Eng. License No. Address � �7��p %� Contractor's Nam I_, Phone� l—I_L� Address (mailing) �(!�, � ' �� % � City License No. �� LICENSED CONTRACTOR DECLARATION � 1 h¢reby affirm that 1 am licensetl untle� provizions ot Charte� 9(commendng with section �000) ot Divislon 3 of the Business antl Protezsions Cotle, anU my license is in full (orce antl effect. A� Licen Class � Lic -T � Dat � " ~ �9nature. �Q,�RKERS'COMPENSATION CLA ATIO O� z�^�-'eby attirm that 1 have a ce Hicate ot consent to selFinsure or a certiflcate `"�'Wo�ken' Compen5ation Insurance, ot a ce�tlfletl cOpy there07 (SecNOn �� BDO, Lab. CJ p ' � . omPanY � A . Certi(ietl <opy is �ereby furnishetl. Ge/rtHietl py " fi with Ihe city �j'�� Oate�,>�� HP011cant� � 1� �•��e � EXEMPTION FROM WORKERS' COMPENSATION OECLARATION (ThiS section neetl not be COmple[e0 i1 Ihe permit Is fo ne huntl�¢tl ($300) Or less). /� '/� A 1 rertify that in the performanG¢ of the v�nrk/Or ' h Ihis�rty� iyisJyetl,_I, Da[e atter nTakiRg t CONSTRUCTION LEN�ING �ENCV . I hereby aifirm that there is a colfstruction lentling agency tor the performance of Ihe work for whic� tnis permit Is issuetl (Settion 309] Civ. C.) lPntler's Name Lentler's AGOress OWNERBUIL�EItOECLARFTION 1 heieby affirm that 1 am ezempt f�om the Conttactor's License Law fo� th¢ tollowing reason (Section 7031.5 Business antl Pro(ezsional Cotle: Any city or county whicM1 requires a pe�mit [o cOnst�uct, alter improve, Oemolish o/ re0ai� any structure, prior lo its issuance, also reqWres t�e applicant for such permit to tile a signea statement that ne/she is licensea pursuant to tne provisions oi �he Contractor'S License Law (Chap[er 9(commencing with Sectlon 7000) of vision 3'of the Buslness antl Profes5lons Cotle) or that ne/she is exempt irefrom antl the basis for Ihe allegetl exemptiOn. Any violation Of Section J31.5 by any ap0licant to� a permit subjects the appliGan[ to a civll Qenaliy of not more than five huntlretl tlollars ($500). LJ I, as awner ot the property or my employces wlth wages as thelr sole mmpensation, will do the work, antl the Struc[u�e is not in[entletl or oflerCtl � for sale (Section ]044, Business antl Professional Cotle: Tha Contrac[or's License Law tloes nof appty to an ownEr Of a p�operty who builtls or Improve5 thereon, anE who tloes such work ttlmself/herself or tnrough his or her own employees, provitletl [hat such Improvement5 are not Intentl¢tl or offe�etl fo� sale. It, however, tM1e builtling o� imp�ovement is soltl wlthin ona year of com- pletion, ine owner will have tne burtlen of proving he/she Oltl not buila or Im- prOve for the purpose of sale). ❑ I, a5 owner of the pro0erty, am exclu5ivery contraGting wi[h IlcenSetl con- tractorsio constructthe project (Section 7044, BuSiness and Prote551onz Cotle: The Contractor's �icense Law tloes nol appry to an owner of property who builtls or,imD�ovez thereon, antl who conVactS for such p�ojecl5 wlth a ron- tractor(s) imense pursuant to the Contractor's �Icense Law�. I am aware that proof of th¢i� Worker's Compensation Insu�ance Shoultl be provlCetl to me. ❑ I am exempt untler Section 6. & P. C. tor this reason Date Owner . I hereby tertify that I have read thi5 appliwtion antl stale thdt th¢ abOve � information is mrrQp{/. I a9{ee to compty/QI[h all city antl county ortlinances inspection Signature =F 2 �i(o �' - TYPE OF CONSTRUCTION NEW DD ALTERATION REPAIR �0 CONVERSION ❑ DEMOLISH ❑ OTHER A P # -DESCRIPTION OF WORK/USE OF BLDG. s/ ' � ' S Main Building: 'TVPE OF. PERMIT GRADiNG FOUNDATIO�7'N�/ ❑ STRUc7uRA� T Froni . .❑ TENANT ❑ ELECTRICAL ❑ P�VMBING y��ntCHANICAL g Rear ❑ OTHER %r PROJECT DESCRIPTION 5�. FT. OCCVPANCV C Right ' 'CONSTRUCTIONTVPE VALUATIONS S Left � 20NE GqADING CU.YDS. ACRES P�ng. flCf. # Remarks: � , P�anning Notes: Bar Sirik � Backflbw Preventer Backflow Irrigation . Bathtubs Clarifiers � Distiv.asher . - Drinking Fountains Floor Drains � Floor Sinks GasService �t1t12L5 Interceptors Kitchen Sink - Lavatories . P—Trap Roof Drains Reinspection Fee $15 Duct � Under Ground Duct-Structural � Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/FacL Blt. ICBO # Heatin ystem & Ducting � - OO,OOOBTU Ot00,0006T 55 � I I Reinspection Fee I $15 rev. 30/84 White - Bulltling; Canary - Apo��cant: Pink - Accounting; Goitlenrotl - Assessor Showers Servite Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar �Tank Swimming Po w, Urinal }Nater Heater Water Service Auto-Wash Issue Fee Hood or Type I ❑ Canopy � Type I I ❑ Refriyeration Sys[em ' , - ❑o�ioo,000eru Oioo.000sTu System Repair/Alteration Fire Dampers - Registers . Issue Fee FEES $ 3 $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas OElec Fan , F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispo 9372 6/IC/:7 2one Accessory Building: Parking Req,/Provided ELECTRICAL Transfarmer ❑ 15-50 KW ❑ SO+KW KW �5-15KW Meter LJup to 100 amps Meter ❑over100amps Sub Panel HP O1'f, - 8 15 HP �16�15+ Microwave Pole Light. Range Sign Standing Sections Trash Compactor PaC TL FEES 1 Reinspection Fee �$15 � � luue Fee � $ 3' DEVELOPMENTSERVICESREQUIREMENTS: � � 2oning Approved By ' ' Date Buildin9 Approved By Date Application luuad By ' Dat �v� � � SUMMARV OF FEES - ' BUILDING PERMIT $ ' SMIP : $ - PLAN CHECK $ PERMIT ' ' PLUMeING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL g GRADING $- - .. PLANCHECK SOk $ MICROFILM $ � MECHANICAL $ %•�� TOTALFEE $ �.OD � PLANCHECK 25% $ 1.�sJ - Z O N I N G R E Q M T $ CONSTRUCTION AND PLANNING ' POOL & SPA � APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector i:� Temporary Electrical Service or Pole 52. Pool & Equipment Location i 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 Grnd. 57. APPROVALTO COVER-GUNITE � '� 7. Footings 58. Electrical Conduit-Undrgrnd. � 8. Foundation � 59. Gas Pipe, O Undrgmd., Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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 . ' 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 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 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro i - 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil - '9 23. Gas Pipe;Rough & Test 72. Underground Flush ' � 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil � i�. 25. Roof Sheathing 74. Overhead Hydro � � 26. T-Bar Ceiling (Structural) & Monocoat . 75. Dry Chemical • � "' 27. Freme and Flashing 76. Dry Standpipe � � 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation � 78, FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION � � 32. Electrical�Power Meter�Final 80. FOOD CERTIFICATE ISSUED - 33. Final Electric Notes: _ 34. Final!�Heating & Air Conditioning �.- Q o 35. Final Gas Pipe-Test - ` i � Y / !: 36. Hood or Canopy � �-� f � � 37'?Final Factory Fireplace �y j G Y �.. +i -� 38.�Final Plumbing �'��)- ,; ; � � �� ' � � r. 39' Water Service-Final ,;>� "r ' , • �� , 40. Gas Service-Final � �. % � ry�.' . � - . %, � .s_ � . ��41. Solar pomestio-Final F_, �� ,' y' �,- ��."',, <42. Backflow Preventer `;.' .` r' /` � ' ', �_,, i ., lµ t . ,43. Backflow Irrigation Y� � '' ,j • �,' `"`� ,�••.�+�'• 44.'�Landscape'IrrigationSystem � _ �� »,. ' 45.��Sound Attenuation ' - - ' • i �--;� • • . � �i � ., . 46. Handicap Regulations � � - � . � . 47. •.FINAL STRUCTURE & BUILDING • ' `' _/ . ' c' ., _! 48; Special Requirements Completed , "' ^ ` •� i: f.' %� 49. Electric Release to Edison � � y' "� fl' � ' 50. Gas Release to Southern California Gas Co �� ;v / ,;. 51. CERTIFICATE OF OCCUPANCY \ No. ' Date ' ' - I� .