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Home My WebLink About514 BERNARD ST - Building Permits (4)/ ' . . _ _ . . _ . _... . . _ _ _ _Applicant to fill In all spaces excepLthose within beavy OorCer , CITV OF COSTA MES/A C STRUC^T�.,I�O PERMIT P RMIT ZNO. ' Q TRACT NO. L Project Address S��i` ��/✓�'�/�/ � C: n �� y �� V � Applicant's Mailin Address 6� N�^' �/� _ p� � TVPE OF CONSTRUCT�ION� • rvEW aDD . Owner'S N/ame �` ' Phorny � CONVERSION LIA DEMOLISH ❑ OTHE� Address C'� `��`g �-�4 Arch/Eng. Licenu No. Address ��J� -7�� A-/ !!��'�,G Contractor'sNamPi '�,.�/��/� 4�"Phone�p'�U Address �mailing) 6� � ��5c�r�Y ' �� !�� ' City License No. 3'n3 7j LICENSED CONTRACTOR OECLARATION- � . 1 hereby affirm that I am licensetl untler provisions of Charte� 9(commencing with Section ]000) of Division 3 ot the Busine55 antl Protessions Code, antl my Ilcense i5 in fuJ fO�e� ntl eH¢cL yyf LJCCOSC CId55 C �L„icensQ.No. / /� Dale �-71.�•� Signature ��-C� a (/ � WORKERS'COMPENSATION DECLARATION ' ' � ereby aftirm that 1 have a certiticate ot consent ro self-Insure or a certificaie Wo�kers' Compensation Insu�ance, o� a ce�tifletl cOpy thereot (Section {,� _..00, Lab. ) �/ �✓. � "' Policy No. ��o� Company ��' ��¢ � tifietl copy is hereby (urnishetl. . , ' � Certifie o y is ' etl with the city Buil i g Di i ion. .' /ni / �ate Applicant cii6LdLV"�K I\ EXEMPTION FRO WORKERS' COMPENSATION DECLARATION ' � / (ThissectiOn neetl not be completetl if tM1e pe�mit is fo� one huntlretl ($300) Or less). I certify [hat in the pertormance oi the wo�k to� which this perm�t is issuetl, I snall not employ any person in any manner� so az to become subject to the Workers' Compensation Laws of Califomia. I Date Signature NOTICE: If; atter making this tleclaratlon,-you shoultl become subject to roe�' Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provl5ion5 or this permit shall be tleemed revoketl. CONSTRUCTION �ENDING AGENCV I hereby affirm that there I5 a consV uc[ion lentling agency (or the pertormanCe of the work for which tM1is Oermlt' is issued -(Section 3097 Civ. C.) I Lentler's Name �� ' ' Lentler's AOtlress ' - "��" ' OWNER BUILOER DECLARATION I hereby aftirm that I-am exempt from the Contractor's License Law�for the following reason (Section ]031.5 Business antl ProteSSional Cotl¢: Any aty or county wnich requires'a permit to construct, alter, improve, aemolish or repair any structure, prior:to: it5 is5uance, al5o requires the applicant for SUCh permit to tile a sianetl statement that he/sne Is licensetl pursuant to the provisions oi �erefrom antl the basis for the allegetl ezemptlon. Any violaLon ot Seclion ,031S�by any applican[ for a permit subjects the applicant to a civil �enaltyof not more'than five huntlred tlollars�($500). ' - ' I, as ownei of the p�operty or my employees with wage5 as their sole mmpensation, will Oo the work, antl the struc[ure is not intentletl or offeretl fo� sale (Section ]044, Busine55 antl Professional Cotle: The ConVacto�'S License Law tlOes not apply to an owner ot a properry who builtls or improves Ihe�eon, antl wno tloes suclt work himselt/M1e�selt o� th�ough his or her own employees, provitletl that such improvements are not intentletl o� otfe�etl for salc. If, howoveq the builtling'or improvemen[ is soltl within one year of mm- pletlon, lhe owne� will have the burtlen of p�ovin9 ne/she ditl not builtl o� im- p�ovG fOr the purpose of sale). ' ❑ I; as owner of tM1e property, am exUusively contractinq with licensetl con- tractorst6 constructthe project (Section 7044, eusiness antl Protessions Cotle: The Contractor's �icense Law does not apply to an owner of property who builtls or improves Jhereon, antl who contracts.for such proiects with a con-. tractor(51 bcense Oursuant to the Cont�actor'S �.icense Law). I am aware Ihat proof of their Worker's Compensation insurance shoultl be providetl to me. ❑ I am exempt untle� Section . 6. & P. 0.(or this'rea5on Date Owner I her¢by certify that I have reatl [his appliwtion antl s[ate that the above' information is correct. I agree.to comply wrth all city antl county ortlinances -� antl state laws relatin9 lo builtling construction, antl hereby authorize repre-_ sentatives of this city tp enter u he abov ientioneA property to� insOeGtfon Ourpose oai, � �� anE si9n all apOroOriate Ceclara[ions. �� . UNIT NO. � _ ._,`' ' ALTERATION REPAIR� TVPE OFPERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL . 0 TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL ❑ OTHER - . ' -' - - - - � PROJECT DESCRIPTION 5�. F7. � - oCCUaArvcY� CON STRUCTION TVPE V ni I_iqTION �$ � ZONE - GRADINGCU.VDS. ACRES Remarks: . . . 3ar Sink 3ackflow�Preventer 3`ackflow Irrigation � 3athtubs� , . . ' Clarifiers � ' Dishwasher � Drinking Fountains� Floor Drains� Floor Sinks ' .�i25 $EIVIC2 � �Iltl¢IS � Interceptors � Kitchen Sink' ' ' ' - Lavatories P-Trap Roof Drains Reinspection�Fee � I� $15 Boiler Duct-UnderGround Duct-Structural � Duct - Ventilating � Ezhaust System �. Multiple ❑ Firepl/Fact. elt. IC80 # ^ Heating System & Ducting � ❑ ai oo,000 sru � i oo,000 er ISignature � I I Reinspec[ion Fee I $15 �rivers' Lic¢nse orB$ � _ CMF OB65-46, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - AsSessor PLUMBING Showers . rvice Sink � Sewer Cap � Solar Collectors- Solar Piping. � . Solar Tank - 'Swimming Pool w/Spa Urinal �W2LCf C�OSQI � Water Heater Water Service - Auto-Wash Issue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteretion Fire Dampers � . Registers , Issue Fee FEES • A.P. # - - S Main B� E T Front B Rear A C Right K Left S Ping. Ref. # Planning No ��inirt�� Aummatic Washer Construction P.ole Sub. '� Cooki�ng Unit � _ .' �—�-� ��■� �_�� ■s� 1�■■� '�■�� ea�.�.m :1 � � " ��'j � , - j°' �1../ �� i � i f � � - -+ Zo - cessory euilding: :SA % i � .Parking Req./Provided ELECTRICAL . � � ' Srensformer ❑.15-50 KW ' .o so+Kw ; Meter ❑up m 100�amps , , �Meter ❑over100amps . ictric Sub Panel "� � � � Motors�0.lHP�iX-8 . Inc Solar �9-15 HP 07 -7 6. Microwave � � ' � Pole Light � ' Range Garbage Dispoul �i Generamr �0.5 KW �5-15 KW ;.y : � $ 3 . . , . . '. _ Reinspection Fee $15 � FEES . DEVELOPMENTSERVICESREQI Zoning Approved By Buildin A roved B � � 9 PP Y � $ 3 Sign . Standing Sections ' Trash Compactor . t : .. ; Issue Fee � SUMMARY OF FEES - - ' BUILDING PERMIT $ . �� SMIP - $ . .�7-r% PLAN CHECK � $� PERMIT ' ' . P�UMBING = $� Y-.bJ �SSUANCE, $ � PLAN CHECK 25% $ � � ENERGV P.C. $ . � � � ELECTRICAL $, � - 'GRADING � $ PLAN CHECK ,50% $ MICROFILM $ � - MECHANICAL $ TOTALFEE $ . 3'� PLAN CHECK 25% $ � � � POOL & SPA � -- CONSTRUCTION AND PLANNING ' - � APPROVALS Permit# ' -Date . Inspector AppROVALS Permit# �'Date Inspector L: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 Gr'nd. � 57. APPROVAL TO COVER-GUNITE , '� � � 7. Footings .' � 58. Electrical Conduit-Undrgmd. � ' . 8. Foundation � 59. Gas Pipe, � Undrgrnd., Test . 9. Water Pipe-Undrgmd.. , 60. -Backwash.Lines, P-Trap, � Undrgmd. � 10. Structural Floor System � 61. APPROVAL TO DECK i t. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal � � , 12. Sewer Cap � . . ��`�bJ � 63. �Heater & Vent-Final ' � , � 13. Roof Dreins ; ' 64. Plumbing Syftem - 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 APPROVAIS 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. RoofFraming 73. Undergrnd.StorageTank�Gas ❑Oil ' 25. Roof Sheathing � � 74. Overhead Fiydro � i 26. T-Bar Ceiling IStructural) & Monocoat 75. Dry�CFiemical , > 27. Frame and Flashing - 76.--Dry Standpipe � ; I 28.��Lathing & Siding ' • ' 77. FIXED SYSTEM FINAL • -� � 29. Insulation �' 7.8. 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 � � � � • � � _ i 36. Hood or Canopy - 37. Final Factory Fireplace , � 38-. Final Plumbing � � , 39. Water Service-Final . � �- 40. GasService-Final . , . �t 41. Solar pomesticFinal � . - � � • � ' • 42. Backflow Preventer � _ • � � � . f' i . 43. Backflow Irrigation ,� � � � � i � ; � - � � i 44. �Landscape Irriqation System� ' � ' 45. Sound Attenuation � - ' ' � � � ' '�<�,� V . 46. Handicap Regulations ' �. � . ' .' ' , � �, 47. FINALSTRUCTURE & BUILDING � M � . . , - � , � ' '�n � � 48: Special Requirements Completed � - � ;.� ' . ' , , . � '� ' 49. Electric Release to Edison � . , '. � . � ' 50. Gas Release to Southem California Gas Co - �• � � � . � 51. CERTIFICATE OF OCCUPANCY _ - � - � . - - " No. Date ? ' - - � ' ' " C •