The URL can be used to link to this page

Home My WebLink About2364 SANTA ANA AVE - Building Permits /7/ a Applicant to fill in all spaces except those within-heavy border lines and sign all appropriate-declarations. - . It CITY OF-COSTA MSF 3 4 CON RU . 10 PERM 1 PERC NO f_ �y .TRACT NO. LOT NO. UNIT NO. • - Li —fly ,,,12 �` 9246 2/11 /86 FpC: TL Project Address a L:UFA Op -41�rsw - - • Applicant's Maili 'ddr � � er/ . ,44 TYPE OF CONSTRUCTION UNE U ADD U ALTERATION REPAIR sr - / 1 _ Fr r k f ❑ CONVERSION ❑ DEMOLISH•• OTHER A.P.# I Zone Owner's Name z - Phone - - `'/ �' ' L' r DESCRIPTION OF WORK/USE OF B D S Main Building: Accessory Building: Address �+�•i • qa - v TYPE OF PERMIT U GRADING ❑:FOUNDATION U STRUCTURAL E Front Z ABch/Eng. License No. T O Address El TENANT ELECTRICAL ❑ PLUMBING 0 MECHANICAL, B Rear N e ❑ -OTHER A - - • I Contractor's Name Phone - C Right - _ N Address(mailing) • • PROJECT DESCRIPTION SQ. FT. OCCUPANCY K Left - G CONSTRUCTION TYPE VALUATION$ S , City License No. • ZONE GRADING CU.YDS. ACRES - • LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided • E Q , I hereby affirm that.l am licensed under provisions of Charter (commencing9, Remarks: Planning Notes: - - • - M. with section 7000) of Division 3 of the Business and Professions Code, and - ' my license is in full force and effect. - 1 T License Class License No. - - - S Date • Signature - ! • PLUMBING FEES • WORKERS'COMPENSATION DECLARATION Bar Sink , Showers ELECTRICAL FEES hereby affirm that I have a certificate of consent to self-insure or a certificate f-Workers' Compensation Insurance, or a certified-copy thereof (Section Backflow Preventer Service Sink . • 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company �' Backflow Irrigation Sewer Cap ' . Construction Pole Sub. 0 50+KW • 8 Certified copy is hereby furnished. Certified copy Is filed with the city Building Division. - Bathtubs Sewer Connection _. Cooking Unit . Meter Zip to 100 amps ' Mr . Date Applicant 5 J i•i s, EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers - -Solar Collectors - Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred($100)or less). Dishwasher Solar Piping .fl. Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for whitis permit is ed, I - shall not employ p�ny person in any man er t, as t • - su•j�' o the 'Drinking Fountains _ Solar Tank ' f , L_ Fan , Motors❑0-1 HP ❑1%-8 - WorkersYCnl�penaett9n Laws of Calif•r i - I _ X Date, / U l Signature / �I s Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑16-15+ 'NOTICE:If,after making this declaration, you sh oul•�ecome subject to the .._ .- _ -. _ ' Workers' Compensation provisions of the Labor Co. you must forthwith , Floor Sinks Urinal Fixtures • comply with such. provisions or-this permit sha be deemed revoked. - Midowave CONSTRUCTION LENDING AGENCY Gas Service ^Outlets Water Closet - Device Boxes ' I hereby affirm that there is a construction lending agency for the performance Pole Light • Of the work for which this permit Is' issued (Section 3097 Clv. C.) Interceptors -Water Heater • Outlets • Range • • Lender's Name - - - , Lender's Address - Kitchen Sink ' ' • -Water Service Switches , OWNER BUILDER DECLARATION - Sign 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 - , 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 ' vision 3 of the Business and Professions Code) or that he/she is exempt • - - erefrom and the basis for the alleged exemption. Any violation of Section • - , J31.5 by any applicant for a permit subjects the applicant to a civil •• ally of not more than five hundred dollars ($500), - 1 •1 I, as owner of the property y�9y P—y' wag s •h ir. Reinspection Fee $15 - Issue Fee- $ 3 • will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee $ 3 for sale (Se tion 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: - employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I, 0 Zoning Approved By Date sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundBu• ilding Approved By Data prove for the purpose of sale). - ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date LI tractors to construct the project (Section 7044,Business and Professions Code: ' The Contractor's.License Law does not apply to an owner of property who Duct-Ventilating - ❑0-100,000 BTU 0100,000 BTU SU MARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP ' $ proof o// their Worker's Compensation insurance should be provided to me. _ PLAN CHECK ' $ PERMIT ❑ I am exempt under Section B.& P. or this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ X Date I.I �._ Owner f r'WV/1W4I,/. Heating System& Ducting Registers •PLAN CHECK 25% $ /� ENERGY P.C. $ I hereby certify that I have read thi ic.t : d state that the above ❑0100,000 BTU 0100,000 BTL ELECTRICAL $ g Ql)• GRADING S information is correct. I agr-• to comply with al city and county ordinances ,tet and state laws relating to •in9 ons to• and hereby authorize repre- sentatives of this ity t• e above-mentioned properl f r inspection purpo •- id , 't MECHANICAL $ TOTAL FEE $ Signature / / ./ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ e 4_1110 CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • CONSTRUCTIONtAND PLANNING POO SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector r 1.. Temporary 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 Plumbing & Pressure Test' 6. Electrical UFER Gond. 57. APPROVAL TO COVER-GUNITE 7. Footings • 58. Electrical Conduit-Undrgrnd. •• 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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 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 C',0 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 ❑Oil • 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roofframing 73. Undergrnd.Storage Tank 0 Gas 0 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 - T 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 I 80. FOOD CERTIFICATE ISSUED 33. Final Electric ! f Notes: 34. Final Heating & Air Conditioning 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 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. CERTIFICATE OF OCCUPANCY i • No. • Date