HomeMy WebLinkAbout2602 WILLO LN - Building Permits Applicant to till in all spaces except those within heavy border lines and sign all appropriate declarations. •
8236 12/0.4/86 - -5 00 TL
CITY OF COSTA ME A ONSTRUCTI•N PERMIT PERM jyNO. TRACT NO. LOT NO. t
rCJ UNIT NO. I
Project Address �—i � /� � � �e ��0 a
Applicant's Mailing Address
/ s1 1 /11 TYPE OF CONSTRUCTION ❑ NEW U ADD U ALTERATION PAIR '
Owner's Name ( (`A /? Phon �n�(na�/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' A p•# ' • Zone _
e' DESCRIPTION OF WORK/USE OFB LDC. •
Address l..l' J S Main Building: Accessory Building: , s Z
E
Arch/Eng. - - License No. TYPE OF'PERMIT U GRADING �ILyFOUNDATION 0 STRUCTURAL T Front • •• O
• Address /�/�,\,.i•• ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B - N
Contractor's Nam. L. .1 • e_ al ' Phone OO5 ❑ OTHER ' A Rear - N
I
PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G
Address(mailing) - "�� �• - 'K •
Or JO t ' CONSTRUCTION TYPE VALUATIONS 1 S Left '
C R
City License No. ZONE GRADING CU.YDS. ACRES Ping. Ref.# ParkingReq./Provided E
LICENSED CONTRACTOR DECLARATION - • - ' Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks Planning Notes: REC[� I M
with section 7000) of Division 3 of the Business and Professions Code, and - L T
my license is In lull .r - • d effect. t/j/q/(��/' ramal( V�♦� U��s !1 1986 S
Ucen - - -0 S L en • 0.. TV ! VX , It 2
Date -.err •Q/ Signature VeVfT 1' . I•. — PLUMBING FEES •
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1 WORKERS'COMPENSATION DECLAR•TI wO
I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink• _ Showers _ - ELECTRICAL FEES
'6 Workers' Compensation Insurance, or a certifie copy thereof (Section - -
'D0, Lab. CyOcya4,s,.l�/ . Backflow Preventer • Service Sink Automatic Washer Transformer 0 15.50 KW
•� �licy No. Company Pate�/ Backflow Irrigation - Sewer Cap Construction Pole Sub. 50+KW
,,,..-Certified copy Is hereby furnished. � � _
/— CCe t,fietl1.rppy R�f+tlshed with the city o - V✓ Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps •
Date "V st�' Applicant J�`ay^! co
- - '
EXE TION FROM WORKERS'COMPEN ATION DECLARATION' Clarifiers , . Solar Collectors I Dishwasher • Meter ❑over 100 amps '
(This section need not be completed if the permit is for one hundred ($100)or - 1
less). Dishwasher Solar Piping • _ Dryers OGas ❑Electric Sub Panel -
I certify that in the performance of the work for which this permit is issued I _ - -
shall not employ any person in any manner so as to become subject to the Drinking Fountains ' Solar Tank Fan
Workers' Compensation Laws of California. , , I
Motors 00-1 HP ❑1h-8
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
NOTICE:If,after making this declaration,you should_become subject to the _ - - -
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Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks •
comply with suchUrinal Fixtures Microwave
provisions or this permit shall be deemed revoked. I
CONSTRUCTION LENDING AGENCY Gas Service . Outlets Water Closet 1 Device Boxes I Pole Light '
I hereby affirm that there is a construction lending agency for the performance9
of the work .for which this permit is issued (Section 3097 Civ. C.) Interceptors / ' Water Heater • 4Outlets%' ' Range '
Lender's Name
Lender's Address Kitchen Sink ; - ' Water Service - - Switches -• - - Sign
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, OWNER BUILDER DECLARATION l -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash • ` Garbage Disposal 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 ❑0-5 KW❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit Pa l •
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
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 - ' - -
1.5 by any applicant for a permit subjects the applicant to a civil '
My of not more than five hundred dollars($500). • ,
I, as owner of the property or my employees with wages as their sole _ R_Binspecti• oO Fee $15 Issue Fee $ 3
' compensation, will do the work, and the structure Is not Intended or offered ' - -• - _ Reinspection Fee • I $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: t -
employees, provided that such Improvements are not Intended or of offered for ZoningApproved ByDate
sale. If, however, the building or improvement is sold within one year of tom- ,. ■ pP
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pletion, the owner will have the burden of proving he/she did not build or Im- • Ground BuildingApproved ByDate
prove for the purpose of sale). PP / �, � �
❑ I, as owner of the property, am exclusively contracting with licensed con- t Application Issued By �' Datetractors to construct the project (Section 7044,Business and Professions Code: •
The Contractor's License Law does not apply to an owner of property who Iii!IIiIi1f:iiriitlii*tui
, SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a-con- •
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tractor s ucens ■ ■ BUILDING PERMIT $ SMIP $'
( e-pursuant to the Contractor's ce.she Law). I am aware that
proof O� their Worker's Compensation insurance.should be provided to me. PLAN CHECK $ PERMIT
17 I am exempt under Section B.8, P.C.for this reason s t: PLUMBING $ 5 r OD ISSUANCE $
nate Owner = Ducting RegistersPLAN CHECK 25% $- ENERGY P.C: $ -
I hereby certify -that I have read this application and state that the above r Si ss Iss BTU 0100,000B7 ' ' ' GRADING $
Information Is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ -MICROFILM $
sentatives of this 't to • to upon the above-mentioned property,for
Inspection p s MECHANICAL, �$ TOTAL FEE $ O�
Signature 4�� �•._ . f
PLAN CHECK -25% $
CMF 0865.46,rev. 10/84 White -Building; Canary-Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL&SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
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3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding I12.,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OF ER Grnd. 57. APPROVAL TO COVE ReGUNITE
7. Footings 58. Electrical Conduit-Undrgrntd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,T st
9. Water Pipe-Undrgrnd. - - 60. Backwash Lines, P-Trap, 0-Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK tEl
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Finales
12. Sewer Cap 63. Heater & Vent-Final
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
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 ISSUED
33. Final Electric Notes:S- //-N7 LEFT fgep �,t-y
34. Final Heating& Air Conditioning
61-in Lghci... Rs Pat- JOS oft . tit
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
43. Backflow Irrigation - -
44. Landscape Irrigation System tc\ 1 N,
45. Sound Attenuation
46. Handicap Regulations \ 1
47. FINAL STRUCTURE & BUILDINGt '
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date