HomeMy WebLinkAbout750 Whittier Ave - Building Permits1
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AVD��cant to fill in all spaces exceol lhose within �eavy GorCer Ilnes anE slgn all aDOropriate Ceclarations.
CITY OF COSTA MEcS^A CONSTRUCTION PERMjIT
ProjectAddress w ��1] �✓^ 1�
Applicant's Mailin9 Address �T � e -'S �Q�.�� �Qp
Owner's Name 0.'M one �.La'
Addreu �� r ' `e-� � ����
ArchlEng. License No.
Addreu -yc�-���
Contractor's Nam1 �/�� Phoyn�e �P2'.17� ��
Addreu (mailingl J�. • Y 1 6n-�/1 ��e S l'f-�' ��d�//�.°��1,
City�Licenw N6�� C�_�(cr'�C� � ��'� U
LICENSED CONTRACTOR DECLARATION
I bereby aHirm that I am Ilcensetl untler provisions oi Charter 9(commenUng
with seclion �000) of DlviSion 3 of tne Businezs antl Professlons Cotle, an.f
my license is i f c a ecL �
L.ice i Li4enso
Date� - 519 t � n o�_ Q.��'�
W00.K RS' OMVENSATION DEC RATION
I hereEy aftirm that 1 have a certiticate of consenl to seltinzuro or a certlflwte �
+( Workers' Compensali 1 suran�e,'gr a certifietl copy thareof (Section
800, Lab. � � 7
Policy No. �Compan
Cer ietl copy iz hereby fur " etl. i
D li �ilea wit edcitY ' i i on. •
J
EXEM ON ROM WOR ' OMPE ATION DECLARATION
(Thissection neetl ml be comp e[e0 If [he lrmit IS for On! huntlreC (§300) ot -
less). •
I rertify t�at in the performance ot the wo�k tor whlth thi5 p¢rTR I51isUetl 1
shalf not employ any person in any manner so az to Uecome subject to t�e
Workers' Compensatlon Laws ot Califomia. .
. Date Signature '
'NOTI[E: If, alter making thii tleclaraHon, you shoultl bacoma subJect [o the
Workers' Compensation orovizlons ot the Labor Cotle, you must forthwitn
comply with such provlslons or Inis permit sha11 be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I hereoy aHirm tnat there is a construction lentling a9ency tor tho parformance
Of the work fOr whi<h this permlt is issuetl (Section 3097 Civ. C.)
Lentler'z, Name
Lentler's Atltlress �
OWNER BUILOER DECLARATIOfi �
I hereDy aHirm tltat i am exOmpt Irom the Cont�actor'S Lit¢nse l.aw for the
tollowing reason (Sectlon 7031.5 Business antl Protessional Cotle: Any citY or
county whicn requiras a permit to Wnstruct, alter, improva, Gemolizn or repair
any structure, prior to its issuanco, also reqWres the apvlicant tor such pormit
to tile a signetl statement thdt ne/she IS licensetl pur5udnt to lhe provisions of
the Contractor's Li<ense law (Chapter 9(commenNn9 w�tn Section 7000) o(
Division 3 of the Business antl Professlons Cotle) or that he/she is exampt
`?retrom antl th¢ bazis tor the allegetl exemptlon. Any violation of Section
11.5 by any applicant tor a permi[ 5ubject5 Ihe applicant to a civil
ialty of not more than five huntlretl tlollars (5500).
U I, as owne� ot the property. o� my emploYees with wages as their sole
compensation, will tlo the wo.k, ana tne strucWre Is not Intentletl or offeretl
tor saie (Sect�on ]044, Business antl Protessional COGe: The Con(ractor'S
License Law tloes no[ apP�Y to an own¢r ot a p�op¢rty wlto bWltls Or Impmves
tnereon� antl who tloes su<h work hlmsel^/nerseli or through his or her own
..... .......inen �e.� a i�n i nvxme ts are nnt intentletl or oft<r¢tl f0�
sale. If, howeve�, the DUlltlin9 0� I
plelioq the owner will have lha b
�rove tor the pur0ose ot sale).
I, as owner ot the pro0erty, ai
[�actors [o conslruc[ [he project (5
The Conlratlor's Littnse Law dc
builtl5 of improve5 thefeOn, antl '
tractor�s1 Ocense pursuant to the�
prooi o( their Wotker'S Comp¢n�
❑ 1 am exemo� unticr Section—
Date Own¢r
I hereby cer[ity that I have reatl
InPormation is correcL I agree to �
is soltl witnln one year ol com-
�in9 he/she tlitl not Cuiltl or im-
contracting with Ilcensetl con-
BUSinC55 dntl PfOtOSSIOnS COtla:
to an owner of property wno
i Ior such profects wilh a con-
License Law). I am awaro tnat
ice shoultl De provltletl to me.
— B. L P. C. �or tnls reason
1 stale [hat the above
antl counlv ortlinan<es
TYPE OF CONSTRUCTION LJ NEW U ADD LJ ALTERATION Ll RE�AIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p �
DESCRIPTION OF WORK/USE OF BLDG.
S Main Building:
E
TVPEOFPERMIT GRADING FOUNDATION STRVCTVRAL T FrOnt
❑ TENANT ❑ ELECTRIGAL ❑ PLVMBING ❑ MECHANICAL A R¢et
❑ OTHER
PROJECT DESCRIPTION 5�. F7. oCCVPANGv C Right
K
� 'CONSTRUCTIONTVPE VALUATIONS g Left
ZONE GRADING CU. VDS. ACRES ping. Ref. �}
Remarks: Plenning NoteS:
Preventer
Irrigation
Drinking Fountains
Floor Drains�
Floor Sinks � �
Gas Service ' �Outlets
InterceptOrs
Kitchen Sink
P-Trap
Roof Drains
Reinspection Fee � $15
Boiler
Duct-UnderGround
Duct - Structurnl
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO 51`-
Heating System & Ducting
❑ P7 00,000 BTU 0 7 00,000
���`r— I I Reinspection Fea I $15
vers' Uten r 55 �
CMF 0865-46, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Actounting; Goltlenrotl - Azsessor
PLUMBING
Showers '
Service Sink
Sewer Cap
Sewer Connxtion
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto�Wash
Isue Fee $ 3
Automatic Washer "
Construction Pole Sub.
Cooking Unit � .
Dishwasher
Dryers OGas ❑Electric
Fan
F,A.U.
Fixtures
Device Boxes
Ouclecs
Switches
Garbage Dispowl
Generator O0.5 KW
7142 I/IO/86
Zone
Accessory Building:
Parking Req.IProvided� '
ELECTRICAL
- Transfarmer ❑ 15-50 KW ': -
❑ 50+KW
Merer ❑up ro 100 amps
Meter 'Dover 100 amps
Sub Panet
Motors O0.1 HP O1'h - 8 i
Inc.Solar �9�15 HP �16-15+
Micrbwave . ' "
Pole Light
I I; Standing Sections
15 KW Trash Compactor
Reinspeaion Fee $15 laue Fee
IANICAL FEES
Hood or Type I ❑
DEVELOPMENT SERVICES REQUIREMENTS:
Canopy Type I I ❑ Zoning Approved By
Buildine APProved By ��
Re(rigeration System
Oaioo,000sru ❑ioo,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
$ 3
SUMMARV OF FEES
BUILDING PERMIT 5 SMIP
PLAN CHECK �� PERMIT
PLUMBING �SSUANCE
PLAN CHECK 25% $ ENERGV P.C.
ELECTRICAL $ GRADING
P�AN CHECK 5096 $ MICROFILM
MECHANICAL $ TOTAL FEE
PLAN CHECK 25% $
Eo0' Tl
2
O
N
I
N
G
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M
T
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FEES
$ 3
CONSTRUCTION AND PLANNING � , POOI tPA
APPROVALS - Permit#� Date Inspector AppROVALS Permit# Date I'nspecT�r
1. iemporary 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 Plum6ing & Pressure Test � �
� 6� Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE �
7. Footings 58. Electrical Conduif-Undrgrnd. . _
� 8' Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trep, � Undrgrnd.
10. Structural FlOor System 61. APPROVAL TO DECK
i i. Property Sewer Line & House Connectiqn 62. Backwash & Receptor•Final '
�12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains � 64. Plumbing SYstem - Final .
14. Rough Plumb�ng � 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
22. Ducts, Ventil0ting 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
' 24. Roof Framing 73. Undergrnd. Storage Tank O 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 INSPEGTION
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 Factory Fireplace
38. FinalPlumbing i'� ,S(-1S� (,EJ
39. Water Service�Final - : " �
40. Gas Service-Final �
41. Solar pomesticFinal " �^^ ,
42. Backflow Preventer �"
T
43. Backflow Irrigation � • -
44. Landscape Irrigation Systerp , '"-' ,
45. Sound Attenuation ; . � -�� . . �
46. Handicap Regulations '-•' ' ,> - � �
47. FINAL STRUCTURE & BUILDING � . . �
48. Special Requirements Completed '
49. Electric Release to Edison , ', ' ' ,
50.. Gas Release to Southern California Gas Co � '
51. CERTIFICATEOFOCCUPANCY . �
Nn. Date