HomeMy WebLinkAbout3455 SAKIOKA DR - Building PermitsADG�icant to flll in all spaces except those withi� heavy GorOer Iines anU sign all aDD/opriale Oeclaralions.
CITY oF COS7A MESn CONSTRUCTION PERMIT
Project Address �� �t -���� ���=�� �
Applicant'sMailin9Addfess �sy-�S �J,(� �SW�V`e.i
Owner's Nume %'�� �'�� ���� Phone
Address S�Zt% �MT��� �'
Arch/Eng. Licenu No.
Address
- Contractor'sName� �`���5 Phone4-5�7�'k�
Addresslmailingl' p /�7�� ��
City License No. L_r /
LICENSED CONTRACTOR�DECLARATION
I ber<by affi�m that 1 am licensetl untle� provisions of Clta�te� 9(commencing
wi[h se<[iOn ]000) of Division 3 0( the Business antl Profe55ion5 Cotle, antl
my license iz in fun force ana effect. �,3��OQ
License Class � � License No.�- ��
Date�T c�o�ar��. �»�
� WORKERS' COMPENSATION DECLARATION
hereby aifirm that I nave a certiiicate ot mnsent to selt-insure or a<ertiticate
r Workers' compensation Insurance, or a certifietl cooY tnereot (Section
d800, �ab. CJ
� Policy No. � Company
eCertifi¢tl Copy iz her¢by fumishe0.
CerHtietl copy is (iletl with the city Builaing Division.
Da[e AOP��cant
E%EMPTION FROM WORKERS' COMPENSATION DECLARAT�ON -
+( (TM1is section neetl no[ be completetl If the permit i5 for one huntlretl (5300) o�
less).
r I certity tM1at in tbe pe�tormante ot th wo�k for which thi5 perm�t is i55uetl, I
snall not empl y any persOn in any n¢r,5o az t0 becOme Subje<t to thG
Worke� o e dtion Laws of Calif
Date �� Signature ,
'NOTICE: 11, a ter making tM1is tleclaration, you shoultl become sub�ect to the
Wo�kers' Compensatlon provisions of th< labor Cotle, you mu5t forthwith
comply wlth such provizions o� this pe�mlt shall b¢ tleemetl revoketl.
CONSTRUCTION LENOING AGENCV
I h¢r¢by at9rm [ha[ there I5 a con5t�uction lentling agency fo� the pertormance
of the wark for which this permit is issuetl (Sectlon 309] Clv. CJ
Lontler's Name '
Lentler's Atlarest �
OWNER BUIIDEH OECLARATION �
I hereby afflrm that 1 am exempt from the Contractor's LI<ense-ldw for tha
followin9 reason (Sectlon 7031.5 Buslness antl Professional Cotle: Any clty or
county which requires a permit to construct, alter, Imorove, tlemolish or repair
any structure, prlor to its issuance, also requires the applicant for such permit
to fll¢ a signe� SldtemCnl thai he/she I5 Ilcenietl pur5udnl [o [h¢ Orovlsions ot
the Con[ractor'S License Law (Chapter 9(communcin9 w�ln seaion �000� of
Divi5lon 3 of the Business antl Protessioni COGe) or that he/sne is axempt '
'tnerafrom antl the basis tor the allegatl exemptlon. Any violaUon of Section �
7031.5 by any appliCant tor a pe�mit subject5 the appliCant to a<Ivil
`. enalty of not mor¢ than tive huntlretl tlollars (E500).
� I, as owner of tho property o� my ¢mPloyees with wdge5 a5 [heb Sole
compensation, will tlo tho work, antl th¢�structure is not Intontled or offeretl
lor sale (Seclion 7044, Businezs antl Professional Cotle: The Contractor's
LiGense Law tloes nOt apply [o an owner of a property wM10 Uulltls o� imp�oves
tbcrcon, and wno tlo¢5 sucM1 work him5¢If/M1e�self or thrOugn his or her own
em0�oyees, provitletl that such improvements are not Intentletl or offeretl tor
581e. 11, hOweve�, the bulitlin9 ar imp�ovement I5 soltl wlthln ono yea� of com-
pletloq the ownor will �ave tne burtlon o1 provin9,hC/She tlitl not bulltl or IT- ,
prove fot the purpose of tale). . '
❑ I,�aS owner Of �the OroOerty, am exclusively coM�actin9 wi[h licensetl con-
IfactOrs f0 constNct [he project ($ectiOn 7044, BuSinezz antl Protessions Cotle:
The Contraclor'S License law tloes not apply to an owner of'property.who
builtlz or Improves the�eon, antl who coni�acts for sUth Orojects wlth a con- �
tractor(s Ilcense pursuanl to the ContractoYs License Law). I am aware [hat'
prooi o� tM1eir Worker's CompensaHon Inmrance shoultl be provitletl to me.
❑ I am exemp[ untler Section B. & P. C. tor this reason
Dace Owner '�
I' hereby certity thai I have reatl this application antl state that -the above'
informatiOn � correct. I agree [o compty with all tlty an0 tounty ortlinanGei j
antl sta[e law relatin9,to builtling consiru[[ion, antl he�eby authoriie repre-.
sent rves of t crty to enter upon the above-mentione pr ert for
in ection p pos��� ��
ignat re I�
—
TYPE OFC�NSTRUCTION LJ NEW LIADD LJ ALTERATION IJ REPAIR
❑ CONVERSION ❑ DEMOLISH Q OT'HE.R,
DE$C TJDfy,QF,WO�/115�„Q�$1�DGA-���
��i�' t•-CK (\ � 7..0 ��
TVPEOFPERMIT GRAOING FOUNDATION STRUCTURAI.
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ �OTHER . - '
PROJECT DESCflIPTION Sq.FT. OCCUPANC�Y��
CONSTRVCTIONTYPE VAWATIONS r��00��
ZONE GRADINGCU.VDS. ACRES
Remarks: � , � r /� !,�'
i
Bar Sink '
Backflow Preventer
Backflow IrrigatiOn
Bathtu6s
Clarifiers ,
Drinking Foun[ains
Floor Drains '
Floor Sinks
Gas Service � OuUets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Foof Drains
Rainspec[ion Fea '
Boiler
Duct � Under Ground
Duct - Svuctural
PLUMBING
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Po w
�C! CIOSEt
Water Heater
Water Service
AutO-WeSh
$15 I I Issue Fee
MECHANICAL .
Hoodor Typel ❑ -
Canopy Typell
vuci-venmauny � -
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑0.100,000 B7U �1 ,0006T��
Reinspection Fee � $15
` CMF 0865-46, �ev. 30/04 Whi[e - Builtling; Canary - Applicanh Pink - Accoun[ing� Goltlenrotl - Assessor
�47 , OOBTU ❑100,000
stem Repair/Alteration
Fire Dampers
Registers
Issue Fee
A.P. �1+
S Main Buildl
E
T Front
B Rear
A
C Right
K Left
S
Ping. Ref. # "
Planning Notes:
PEES
Automatic Washer
Constructian Pole
Cooking Unit, �
.Dishwasher �
Dryers ❑Gas ❑
Fan
F.A.U.
Fixtures_
+rK54' 6%03/86
�; .-_ _ -
Zone
29. 37A�,TL
�\
� Z
O
N
1
N
G
R
Parking Req./Provided E
� Q
f M
0 T
- S
� � �- / '
' • ELECTRICAL � , f� FE---ES111---
1" Transforrrier�� 15-501CW I
„� , , ) ,.� ,� 50'+'KW �
uuuets� - r
. S'vyitches �i
',' Garbage Disposal
-! r .,o.d.;., f�l'. vu
�
t.
/ w
$ 3 �'
Rei
FEES •
Q
$ 3
Meter LJi
� ' - Meter �c
lectric Sub Panel
Motors
In olar
MiCrowave
<
� +^� ' Pole Light
� ", Range
amps
100
�HP 01'h - 8
9-15 HP �16�15+
! Standing Sections
'Trash Compactor
' .i
y, . .a .. . , �i . .
� • . � •'• •.. -
n,Fae;. � $15 ,. '�ssue Fee
DEVELOPMENT
Zoning APProved'
�
Building Apprave
ey"' '_
t. .
_ • �• �/". � '�' � ,�SU RViOf„
�,rBUILDING PERMIT $ � ��
'PLAN.CHECK.."' r $? +
— -• 'PLUMBING $�•� h �.
�� • PLAN�CHECK"25%' $ � ^`t
_ k. .ELECTRICAL^ '�$'= ��•
PLAN CHECK .^50%',�� $... •
— '�MECHANICAL '��$ ��
- PIAN CHECK 25% �$ '
c
$ 3
FEES . ,.�/�
SMIP ' $� i�%v
PERMIT '
ISSUANCE $ '
ENERGV P.C. $
:GRADING S' �
MICROFILM S �J
TOTA� FEE $ � � .7
/\
_� �
CONSTRUCTION AND PLANNING POOL � S�A
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector �
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. EI9Ctrical Conduit-Undrgrnd, 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �
,r .
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
, 7. Footings 58. Electrical Conduit-Undrgrnd. � �i
8. Foundation • 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
� 10. Structural Floor System 61..APPROVAL TO DECK
1 i. 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 Electricai-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 Cei�ing 69. POOUSPA 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 O Gas ❑ Oil
23. Gas Pipe-Rough & Test 1 72. Underground Flush
24�. Roof,Framing 73. Undergrnd.StorageTank �Gas ❑Oil
25. 'Roof Sheathing . � 74. Overhead Hydro
26. T-Bar Ceilin9 (Structural) & Monocoat 75. Dry Chemical
27. Erame and Flashing 76. Dry Standpipe
28.' Lathing & Siding 77. F�XED 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: (p ��j g�i K�� Co
34. Final Heating & Air Condi[ioning r L �.,
.
35. Final Gas Pipe-Test /�(0 Ubl�r �1 �PL✓ L C �t� �
36. Hood or Canopy Z � a . � ^
37. Final Factory Fireplace ; O!� �t,� i( M ' L V
38. Final Plumbing � � � �. �
39. Water Service�Final �
'� • !/ M1L
40. GasService-Final � � ow � � , '
41. Solar pomestic-Final •� �!{
42. Backflow Preventer � (� Q C� ►• Cm ,
,.�43. Backflow Irrigation � � U61� Q� �ij' a
':44. Landsca e Irri, ation S ste �J � ,/ l
P 9 Y �_-'�S �lo �.' �-r `w.: i�... ��/ c.
45. Sound Atttinuation �
rovr �c
� A6. Handicap Regu�ations s � /''
' -C- > BK G OLV
�47. FINAL STRUCTURE & BUILDING 0 '
G 5 h
48. Special Requirements Completed � � .
.�-' S ` ai- �
49. Electrfc Release to Edison ' �
50. Gas Release to Southern Celifomia Gas Co - .
51. CERTIFICATE OF OCCUPANCY
-'�� ,
No. Date '