HomeMy WebLinkAbout518 BERNARD ST - Building PermitsApplicant to fil� in all sDaces except those within heavy Oortler lines an0 si9n all apprOpriale Geelara[ioni.
CITY OF,' STA ME�S-A� �C STRUCTION �P+E��RMIT
Project �ess � 'CL �� � �7' %�'i .
' � O .v /A ..5 . �
ApplEant's Mailing Address
Owner's Name/ �
Address a b��� ST ��e� �; �
Arch/Eng. License No.
Address �y
Contractor•s Nam ���� Ny� ��/�on S� `�'(�
Address�mailin91-L2— NSL//%/�, s , �� ,
Ciry License No. f�� �O 3�'�
IICENSED CONTRACTOR OECLARATION
I �ereby affirm that I am licensetl untler provisions o( Charter 9(commencinq
with section 7000) Of OiviSiOn 3 Of th¢ Bu5ine5S antl Profes5ions Cotle, antl
m�ensensl is in full for<e an�e e �cenyqfJo.
��s # /�/
Jale��/ cm�ar��... f...C�C..
WORKERS' OMPENSATION DECLARATION
I hereby atflrm tnat I nave a certlflcate o/ consent to setl-insure or a certH te
Of WOrkers' Compensation Insurancu, or a cer�� copy he[eSo,Gf ($ection
3800, Lab. .����
PoIICY NO. WG ��'�-�7 CompanY /�U�QANCc /N
� Certifi¢tl Copy i5 herGby furni5h¢tl.
C�i/ t� tl o is rilea witn tne city Builaigp oiv 'on. ��j� _�
Da APPlicant �// �-�"'�%`�
E MP ON FROM WORKERS' COMPENSATION DECLARATION /
(Thiz S¢Clion n¢¢tl nOt b¢ COmple[¢tl if (he permit i5 for One huntlmtl (5300) or(/
less).
I certity that in the performanc¢ ol the work for which this perm�t is Issuea, I
zhall not employ any person In any manner so as to become subject to the
Workers' Compensation Laws of California.
Oate Signalure
NOTICE: It, afler mdking thi5 tl¢<laratlon, you shoultl becoma subject to the
workers' Compensation provisions of the Labor Cotle, you musl fortnwitn
comply wiln sucb p�ovlsions o� [M1Is permlt shall b0 tlGemetl r¢voketl.
CONSTRUCTION LENDING AGENCV
I nereby a111rm that tnere is a constructlon lentling agency for Ne Derformance
of the work tor which this p¢rmil i5 i55u¢tl (SeCtion 309] Civ. C.)
LBnaer's Name
L.entler's Ntltlrezs � �
OWNER BUIL�ER OECLARATION
I nereby af(irm that t am exempt lrom the Contractor's Llcense Law for the
following reazon (Section 7031.5 Buslness antl Professional Cotle: Any ci[y or
-ountv which reauires a oermit to construct. alter. improve. tlemolisn or repair
'DiviSiOn 3 ot tbe BuSinesS antl Profe55ion5 Cotl¢) of [hat ha/sM1e is exemp[
therefrom antl th¢ basis tor the allegetl ex¢mp[ion. Any vlolatlon of Sectlon
7031.5 Dy any applicant for a permit subjects the applicant [o a civil
�nalty�o( not more than fiva huntlretl tlollars ($500�.
LJ I, as owner of tha proparly or my ¢mDloyees witb wages rs Iheir sole
tompensatlon, will tlo the work, antl the structure Is nol Intentletl or offeretl
tor zale (Section 7044, Business antl Professional Cotle: The Contractor's
License Law tloe5 nOt apply to an Own¢r O� a p�ope�ty who builtlz o� Imp�ove5
th¢reOn, dnG who daes SUCh wOrk himself/her5¢If or through his o� her own
employees, prOvitletl that such Imp�ovement5 dte not Intentlad or off¢retl fo�
sa1B. If, howev¢q [he bulltling or imprOvement I5 soltl wlthin onB yea� ot com-
pletiOn, ihe owner will hav¢ the bu�0en of provin9 h¢/sne tlld not builtl Or im-
prova Por the purpOse of sale�.
❑ I, as owner ot the property, am ¢xclusively contractin9 with Ilcensetl con-
tractors to conslruct the projec[ (Sectlon 7044, Business antl Pro(essionz Cotle:
TM1e Coniractor's License Law does no[ aPpIY to an owner ot property who
builtls or Improves thereon, antl who contracts for such oro�ects with a con-
tractor(s1 iicense pursuant to the Contractor's Licenze Law). I am aware that
proot o( lheir, Worker's Compensatlon Insurance shoultl. bo providetl [o me.
❑ I am exempt untler Settlon B. & P. C. /or this reason
Date Owner _
I hereby certi(y that I have reatl t
infOrmatiOn is <orBCL I agr¢e l0 co
antl state law5 relating to builtling �
sentaUves oi this city to enter u
inSpeCtion purpos;s,i • / �
Si9na[ure ��
Orivers' License ar SS � _(
OFCONSTRU[
CONVERSION
C
V U NEW LJ ADD LJ ALTERATION lJ REPAIR
DEMOLISH ❑ OTHER
I1C/115.EDFBLDG. N � B-S/ QN�
TVPE OF PERMIT LJ GRADING LJ FOUNOATION Ll STRUCTURAL
^❑ TENANT' O ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
� �I OTHER - �
�PROJECT DESCRIPTION 50. F7. oCCUVArvCv—
CON ST0.UCTION TVPE VALUATION 5_��..�
20NE GRAOINGCV.VDS. ACRES_
Remarks:
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwdsher �
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service
1 nterceprors
Kitchen Sink
Lavatories �
P—Trap
Roof Drains
Reinspection Fee
0
Outlets
$75
Boiler
Duct- UnderGround
DUct � $LNCNfdI
Duct � Ventilating
ExhaustSystem ❑ MWtiple
Firepl/Fact Blt. ICBO #
Heating System & Ducting
❑0-100,000 BTU 0100,000
Reinspection Fee � $15
Showers
Service Sink
Sewer'Cap
Sewer Connection
Solar Collectore
Solar Pipin9 �
Solar Tank
Swimming Pool w/Spa
Urinal
Water Cbset
Water Heater
Water Service _ .
Auto-Wash
Laundry Trays
Issue Fae
Hood or Type I ❑
Canopy Type I I ,❑
Refrigeration System
❑0.100,OOOBTU ❑100,000
System Repair/Alteretion
Fire Dampers
Registers �
"'""'"'—""'—"""---^'-"•'—^^^u��nr:-Pink •.Accouniina:.GOltlanlotl_A55e55or �
Issue Fee
A.P. y1�
S Main Buildi
E
T Front
e Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notez:
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwaslier �
Fan
F,A.U.
Fiztures
Device Boxes .
Outlets
Swirches- � --
Garbage Disposal ;.
Generator �65 KW
5
�u�i' .�. .� , . .
� � ,
Zone
Accessory Building:
— 2
O
N
I
N
G
R
Parking Req./Provided E
�
M
T
5
ELECTRICAL �
Transformer ❑ 15-50 KW
❑ 50+KW
Meter �up to 100 amps
Meter pover 100 amps
Sub Panel
Motors �0-7 HP O1'r5 - 8
InaSolar �9�15 HP �16�15+
Microwave
Pole Li9ht ,
Range
Standing Sections
Trash CompactOr
$� �
Reinspection Fee $15 Issue Fae
FEES
�-DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approved By
BuildinB APProved By �
Aooliption Issued Bv
$ 3
SUM R _F FEES
BUILDINGPERMIT $ � �J SMIP
PLAN CHECK $ � PERMIT
PLUMBING $ ISSUANCE
PLAN CHECK 25% $ ' ENERGV P.C.
ELECTRICAL $ GRADING
PLANCHECK 50% $ MICROFILM
MECHANICAI $ � TOTAL FEE
PLAN CHECK - 25% $ -
FEES
$ 3
$ •�•
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 .
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 Grnd. � � 57. APPROVAL TO COVER-GUNITE
7. Footings ' S8. Electrical Conduit-Undrgrnd.
8. Foundation � . • 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. -
10. Structurel Floor System 61. APPROVAL TO DECK � •
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
� 72. Sewer Cap (i u,� L� 63. Heater & Vent-Final �
13. Roof Drains 64. Plumbing System - Final �
74. Rough Plumbing 65. Electrical-Final �
15. Rough Electriral-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign ' ' 68. APPROVED FOR PLASTERING �
� 18. Rough Elec[riral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Condi[ioning . 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 72. Underground Flush �
24. Roof Framing . 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro � --
26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical
27. �Frame and Flashing 76. DrY Standpip2'� �
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:
34. Final Heating & Air Conditioning . •
35. Final Gas�Pipe-Test - �
36. Hood or Canopy �
��,
37. _Final Factory Fireplace � - , ' . , r � �
�, .
38. Final Plumbing . � � .� ' �r. �
39. Water Service-Final � � � ` . -
•:
;�p0. Gas Service-Final � '��� Ii � s ' �'' �, .� : g �
{;41. Solar pomesticFinal - � . , � � �
.�
�42. Backflow Preventer . - � ��' �'
: a •� r
'�,43. Backflow Irrigation . � . /;' i :� `�''
,.
`�44. Landscape Irrigation System - �i r� � • ,'F:
' r*35. Sound Attenuation � , �� y
46: Handicap Regulations ' � �' j` •� I i� r��
47. FINALSTRUCTURE&BUILDING � 88 D� ' • ,;y?� �
48. Special Requirements Completed � ?� ` ?
49. Electric Release to Edison �� �i ,�
50. Gas Release to Southem Califomia Gas Co ' J`;
51. CERTIFICATE OF OCCUPANCY � -
No. Date
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