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Home My WebLink About1555 MACARTHUR BLVD - Building Permits • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MEyA CONSTRUCTION PERMIT 41 A.P.# I zone _ Project Address /S til if.4T.V ds(� r ` f , S Main Building: Accessory Building: 4plicant's Mailing Address TYPE OF CONSTRUCTION 0 NEW U ADD U ALTERATION U REPAIR E Z ElCONVERSION 0 DEMOLISH 0 OTHER I T Front 0 Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. A Rear N Address TYPE OF PERMIT U GRADING 0 FOUNDATION ❑ STRUCTURAL C Right N Arch/Eng. License No. K G Address ❑ TENANT_2 ELECTRICAL 0 PLUMBING 0 MECHANICAL $ • Left R Contractor's Name/I "2.44 TJ A/1„Se5.4vC /?'VPhoneO 7 X04 0 OTHER I Ping. Ref. # Parking Req./Provided E Address(mailing) 3 a F Oyl/Q SxPROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M CONSTRUCTION TYPE VALUATION$ City License No. n J/ 7.i3 ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code,and my license is In full f rce and effect. / ELECTRICAL FEES License Class '� d icen_ N 54P6/5` Automatic Washer Transformer 0 15-50 KW Date/`L-•/(4--25 ignature /,/ PLUMBING I FEES W RKERS'COMPENSATION DEC LA RATI / 6 Construction Pole Sub. 0 50+ KW 9ireby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Norkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit 4• Meter ❑up to 100 amps ,JO, Lab. C.) �^ - Policy No(OO 0766/ pC/ Of 0 p y Company C44/C &Wiry. Backflow Irrigation Sewer Cap Dishwasher / Meter River 100 amp4 N .2)1 BCertified copy is hereby;(ur niched. Dryers ❑Gas ❑Electric Sub Panel Certified copy is Wed with the city Bui d Div" i • Bathtubs Sewer Connection ' Date/7-/E. - Applicant ('7 Fan Motors 00-1 HP❑1%-8 EXEMPTION FROM WORKERS'COMPENSATIO ECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit Is for one hundred ($100) or F.A.U. Inc.Solar 09-15 HP ❑16-15+ • less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued I Fixtures Microwave• not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Workers' Compensation Laws of California. Device Boxes Date ' Signature Floor Drains Swimming Pool w/Spa - Pole Light NOTICE:If,after making this declaration,you should become subject to the Outlets Range Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal an 9e comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - Generator ❑0-5 KW ❑5-15 KW Trash Compactor Lender's Address • Kitchen Sink Water Service OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 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 Treys 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 ' 1 ' the Contractor's License Law (Chapter 9(commencing with Section 7000)of ision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee efrom and the basis her the alleged exemption. Any violation of Section 1.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS: U i, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee p y e $ Zoning Approved By Date .'compensation, will do the work,and the structure is not intended or offered MECHANICAL FEES Building Approved By Date � for sale (Section 7044, Business and Professional Code: The Contractor's 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 Boiler Hood or Type I ❑ Application Issued By Date 1 ►6-Weemployees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove far the purpose of sate). BUILDING PERMIT $ SMIP $ LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT 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 00.100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $ tractor(st license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ F52 CV GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG dk Fire Dampers PLAN CHECK 50% $ MICROFILM $ II Date owner Heating System& Ducting Registers MECHANICAL $ �, ° TOTAL FEE $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,00013TL information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city toY-een/ntte-Irl u n to the above-mentioned property for ' (Signature purpo a C./fDate/2-46"%` Drivers' License or SS* Reinspection Fee $15 Issue Fee $ 3 01 00022779-00022779 TOT 52.50 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 12/16/88 TINE: 15:20 CONSTRUCTION AND PLANNING _ POC SPA •.APPROVALS Permit# Date - Inspector APPROVALS Permit# Date Inspector 1: Temporary Electrical Service or Pole :_1 52. Pool & Equipment Location • c. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3.•Electrical Conduit Ufility-Undr4rn4 /07+66-1• '/$ r • / 4: Forms g ' • • % .( g 4. Electrical Conduit-Undr rnd. • / 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test I 6..Electrical UFER-Grnd, 57. APPROVAL TO COVER-GUNITE .,"• , 7.'Footings 58. Electrical Conduit-Undrgrnd. &:.Foundation ' • 59. Gas Pipe, 0 Undrgrnd.,Test 9:-Water Pipe-Undrgincl, t,i• _ 60. Backwash Lines,P-Trap, O Undrgrnd. X10, Structural Floor'System , ; 61. APPROVAL TO DECK 11:-Property Sewer Line & House Cogn$ction � 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 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# 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 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 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final Z 80. FOOD CERTIFICATE ISSUED 'Cr 33. Final Electric i - 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 t ti• 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING 49. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY •� No. Date