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Home My WebLink About734 17TH ST - Building Permits_RU l��N P STT i-� Aoplicant to fill in all spaces except tnose witnin heavY borGer lines antl sign aIl approo��ata Oeclarotians. PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address ' 4�� - • u Applicant's Maili� `ddre�' ��d�'� � b �"��"�� ll.� Owner's Name � �� Z Phone Address �� W�� Arch/Eng. License No. Address / Contractor's Nama-, � � ��-Q- � �"� �'' Phone `'} b �/�.Z Addresslmailing) «�� d��S V`�'"� C�STW"KG City License No. � �� LICENSED CONTRACTOR DECLARATION 1 hereby at(irm thal I am IlCensetl untler provislon50( Charter 9(Commencing wlth Sec[ion J000) of DlviRiOn 3 ot the Business antl Prota55ion5 Gotle, anC my license is In full fo e antl�5 ffe �� ( Q�� Ucens f� � `-' �� L' No. � Date�u%� �S aana� .. _ •�• — _ _ W00.KER ' GOMPENSATION DECLA TION ' hereby a(firm that 1 nave a cerHflcate of mnsent to 5816insure or a certiticale �Workers' Compensation Insurance, o� a<ertilietl copy thereot ($ection .00, Lab. ) n PolicY No. l, `�R� anY �- S��' BCerti tl co is nereby umishetl. Cer letl i le� M�e city I�' 9 iv lon. Date_�_ Pllcant EXEMPTION'FROM WORKERS' COMFEN A ION DEGLARATION (Thissection neetl not be completetl if [he pFrmit is for One huntlretl ($300) or less). I certify that in the pertorrt�ance of thC wo�k fo� whlCh this Oe�pt�t is i55uetl I shall not employ any person in any manne� So a5 to become Subject to t�e Workers' Compensation laWs ot Calitomia. Oate Signature ' NOTICE: If, al[er making t4i5 Uecla�ation, you snoultl beCOme Subject t0 the Workets' ComPensation prOvi5lon5 0/ the 12bor Cotle, you must forthwitn cOm01y with such Otovl5ion5 or this Oe�mit Shall Ge tleeht¢tl �evoketl. CONSTRUCTION LENDING AGENCV 1 nereby attirm that there Is b construction lentlin9 agency tor the pertormance of the wark for which this permit is issuetl (Section 3097 Civ. C.) lcnCer's Name Le�tler'S Atltlress � - OWNER BUILDER �ECLARATION 1 hereby altirm thaf 1 am exempt from the Contractor's License Law for the following reason (Section �031.5 Business antl Protessional COEe: Any city or county wnich requires a permit to construct, alter, improve, tlemolish or repair any sVuclure, prior to its issuance, also requlres the applicant for such permlt to file a si9netl Statemenl that he/She is licentetl pursuanf to the provisions oi the Conlractor's License Law (Cbapter 9(commencin9 with Se<tion 7000) of Division 3 of the Busin¢55 antl Profes5ion5 Cotle) or that he/Sh¢ is exempt •ef�om antl the ba5i5 for the alleg¢tl ezemplion. Any viold[ion o( SectiOn 1.5 Dy any applicant for a permit subjects lne applicant [o a civll elty ot nol more tM1an fiVe huntlre� tlolla�5 (S500j. -' LJ I, as owner of the property or my employees witn wages as their sole • compen5ation, will tlo ihe Work, antl the siruclure Is not intentletl or ofteretl lor sale (Section 7044, Business an0 Protessional Cotla: Th¢ �ontrac[or'S License Law tloes oot apply {p an owne� of a properry who builtls or improve5 thereon, antl who tloes sutn work himself/herself or throu9h his or her own employees, provitletl thdt such Improv¢ments are m[ Intentletl o� otferetl fo� Sale. If, howeve�, the bulltl�pg nr improvement Is soltl wlthin ona year oi com- pletion, Iha owner wi11 have the burtlen of proving he/she tl1A not builtl or im- p/Ove �or the purpose ot sale). ❑ 1, as owner of the property, am exclusively contractin9 witn Iicens¢tl con- t�acto�5 t0 Construct the prOject (SCCt1011 JOR4. BUSI0055 dOtl PIOiC5510O5 COGB: The ConVactor's License �w does not apply to an owner of property who builtls or imOroveS thereo0, antl who mnt�acts for such OrojeCts with a con- tractor�51 lirense pu�suant to Ihe ConVac[or'S License Law�. I am aware fhat proof of t�eir Worker'S Com0en5ation inm�ance Shoultl be prOvitletl to me. ❑ 1 am exempt un0er Section B. & P. C. tor this reason Date Owner I hereby certify that I haye rea� into�mation is correct. I agree to antl state laws relati to builtlir sentatives of Ihis to (¢r Inspection purpose /' SI9naWre �� Drivers' license or55 � 1 state tnat the above antl county artlinances iereby authy rize repre- ,^lionetl .Rraperty for _ Date_��I � P 3 0 4- 27 TYPE OF CONSTRUCTION NEW P.DD ALTERATION REPAIR ❑ GONVERSION ❑ OEMOLISH ❑ OTHER � DESCRIPTION OF WORK/USE OF BLDG.��S SG.61l� GC �j`O—�c� TYPE OF PERMIT GRADwc ❑ TENANT ❑ ELECTRICAL , ❑ OTHER JFOUNDATION LJ STRUCTURAL PLVMBING ❑ MECHANICAL PROJECT DESCRIPTION 5c�. F7. oCCUPANCv CON STRUCTION TVPE VALUATION 5_ ZONE GRADINGCU.V�S. ACRES_ Remarks: Bar Sink Preventer Irrigation Dishwasher Drinking FoUntains Floor Drains Floor Sinks Gas Service Outlets Lavatories P—Trap Roof Drains � Reinspection Fee � $75 Boiler Duct - Under Ground Duc[ - Sttuctural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fatt. Blt, ICBO # Heating System & Ductin ❑0.100,OOOBTU ,OOOBT' Fee � $15 CMF OB65-46, rev. 10/84 Wh�te - Builtling: Canary - Applicant: Pink - AccounUn9: Goitlenroe - Assessor $IIOWEfS Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Wacer Hearer Water Service Auto�Wash Isue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration Syste ❑0�100,00 ❑100,OOOBTU S m Repair/Alreration Fire Dampers Registers laue Fee Z $ 3 $ 3 A.P. 5W S Main Building: E T Front e Rear A C Right S Left Ping. Ref. # Planning Notes: Automatic Washer Construc[ion Pole Su Cooking Unit Dishwasher Dryers ❑Gas- ❑Eli Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispo Generator -5 KW 6039 9/25/87 Zone Accessory Building: Req./Provided ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter ❑up to 100 amp Meter ❑over 700 os Motor 0-1 HP O1 ;- 8 .Solar �9-15 HP �16-15+ Microwave Pole Light Range Sign Standing Sections 5 KW Trash Compactor ( � Reinspection Fee �$15 � � Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning ApProvad By Building Approved By ' APOliotion laued By 7.00 TL FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERM17 PLUMBING $ J-e� ��UANCE $ PLAN CHECK 25% $ ENERGV P.C. $ EIECTRICAL $ � GRADING $ - PLANCHECK 50°b $ MICROFILM $ MECHANICAL $ TOTAL FEE $ %• O D PLAN CHECK 25% $ Z O N I N G R E Q M T S CONSTRUCTION AND�PLANNING � _ . POOL & SPA � APPROVALS Permit,# Date Inspector qPPROVALS Permit# Date Inspector 1�Temporary Electric8l Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. �53. Steel Rein�forcement 3. Electrical Conduit Utility-Undrgrnd. 54. Formsi 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding , 5. Steel Reinforcement -i_ 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd.� ` 57' APPROVAL TO COVER-GUNITE � 7. Footingsc ,58. Electrical Conduit-Undrgrnd. 8. Foundati,o�n � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � ' ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. � 10. Structural•Floor System ' ' 61. APPROVALTO DECK �' 11. PropertY Sewer Line & House Connection � 62. Backwash & Receptor-Final 12• Sewer CaP ' � 63. Heater & Vent-Final 13. Roof Dreins - . 64. Plumbing System - Final 14. Rougli Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit � � 66. Solar System-Final � 76. Rou h Electric Wirin �� 9 9 1 67. Fencing & Access Approval 17. Rough Wiring Sign � � 68. APPROVED FOR PLASTERING - 18. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL _ 1': 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �� 20. Rough Factory Fireplace APPROVALS Permit # . 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating � V 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�jS[ructural) & Monocoat � 75. Dry Chemical . 27. Frame and Flashing 76. DrY Standpipe � �. 28. Lathing & Siding � 77. FIXED SYSTEM FINAL ' 29. InsulaYion 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT '. 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power MeterFinal ' 80. FOOD CERTIFICATE ISSUED . -� 33. Final Electric Notes: � �34.; Final Heating & Air Conditioning . . 1 JJ 35., Final Gas Pipe-Test a _ _ _ .�. � 36. Hood or Canopy " . . � 37 � Final Factory Fireplace '1 � � ' ; � ji 38. Final Plumbing ' ' � • � . � - � 39. Water Service-Final . • '� ' i�r - ' . :i, j'-40.� Gas Service-Final � � " � " , ! 41. Solar pomestic-Final „ � r , �' , .g2. Backflow Preventer ' ,' • . ' ' ' .:43. Backtlow Irrigation - � � � _ _ �' , 44. Landscape Irrigation SYstem � `- -• . ^ I � � ` r : � . 45. Sound Attenuation -=, ' � - � � 46. Handicap Regulations --- ..i � ' . , , . 47. FINAL STRUCTURE & BUILDING � �� • " ' . � 48. Special Requirements Completed _.k, _ , .^ - 49. Electric Release to Edison "' ' i=' 7� � 50. Gas Release to Southern California Gas Co �•• +t' • . 57. CERTIFICATE OF OCCUPANCY �i +�. No. Date . �� ' �� /'� o . ' '