HomeMy WebLinkAbout422 GLOUCESTER DR - Building Permits. r . _
'�„� �;: Appllcant to flll In all spacei Bxcept those wit�in heavy Go�Ee� lines anG 519� all ap0�o0/�ata tleclaratiDnf. -
,�.� P MI NO. TRACT NO. LOT NO.
� CiTv oF cOSTq nnes,4 CONSTRUCTION PERMIT ' -�%1 UNIT NO. A P# Ze�a
' Pro'ecT Address 4ZZ GIOUCeS�I' �AStd �'Sa '
; . I . ' . - . E Main Building: Accessory Building: Z
TYPE OFCONSTflUCT10N NEW ADD ALTERATION EPAIR
AppliCant'S Mailing Address ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � , 7 Front ' Q
Owner's Name �}1P��fIt1YiJS CD - Phone - DESCRIP.TION OF WORK/USE OF BLDG. B Rear N
Address P-� R�x 8064 Lag m�.a Hi s. Ca �z(� � A �
Afch/Eng. ' License No. TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL I K Right G
AddtCis. ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g� Left R
ContractOr's Nam ��-]�_Phone]_'�.Q'�'�.��' � - . �'OTHER � • '�' � ' _ Ping. Ref. # Parking Req./Provided � E
� PROJECT. DESCRIPTION• .Sa. FT.� ��,7(�'/��`[� �OCCUVA ��Yy-rw�-rv�� n
Addresslmailing) C9$�-�� r� Q��77 - , -CONSTRUCTIONTVPE =��� VALUATION$ �T'�UN•W PlanningNo[es: M
' T
City License No. . „��'� ., ' .'„ .• �; ;-ZONE�- � GRADING CU. VDS. ACRES -
OLICENSEDCONTRACTO CLARATION t�st�:. ' "� � "' � - � S'
I hereby af(irm that I am lic 5etl untler provisions of Chaiter}9;(commencln9 ��Y pemarks: TEaP OPP $YIaICES d(ld YL�IaCe IWCfI ClaSS ��8�� ��1 �[�Ce$
with section 7000) of DI ' 3 of the Business antl �BiofessiOns Cotla, antl
my license is in full yprqp,antl tect. ""y ,��9�' • /• ` ELECTRICAL FEES
�� License Class �• J7 ense Nb�'' � � -
� Date �30� Si9n ��4 (t� FEES %�utomatic Washer Transformer ❑ 15-50 KW
w �v+�1jtKERS'C PENSATIO ECI.ARATION ConStructionPolCSub. ❑SO+KW
�— � BarSink Showers
'eby a(tirm khat I have a cer tiwte ot consent to selM1insure or a certificate
� Jorkerz' Compensation rance, or a certl(letl <opy ihereoi (Secllon Backtlow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
�cJO, Lab.
Poiicy No. - comca�v Lit�ty Mttual Insurance Backflow Irrigation Sewer Cap Dishwasher Merer ❑over 100 amps
8 Ce ' ietl copy is here hetl Dryers �Gas ❑Electric Sub Panel
ce�iefl_¢pqy is fll witn tne '� BLOtl{{W BWLSiA� Bathtubs Sewer Connection
Oate LJ 07 qpp�ican VtiIII,C KW� 1
EXEMPTION FROM WOR 5' ENSATION DECLARATION ClarifiCrS $plar CAllectOrS Fa� Moiors �0.1 HP �1'h-8
(Thissec[ion neetl not be comp On0 huntlretl (5100) or F.A.U.
less). Dishwasher Solar Piping Inc.Solar �9-75 HP �16-15+
1 certi(y Nat in the perlo�mance of the or w ich this oerm�t is issuetl I Fixtures
shall not employ any person in any ma r so a9 to become suDject to t�e Orinking FOuntains Solar Tank MitroWdve
Workers' Compensatlon Law of California.
Device Boxes Pole Li ht
oate 5ig Floor Drains Swimming Pool w/Spa ' 9
NOTICE: If, after making this Geclaratlon. You shoultl become subject to tne
Workers' Compensation provisions ot t�e Lah r Gatle, you must forthwith Floor Sinks Urina) Outlets � pynge <�
comply wi[h suth p�ovi5ion5 or thi5 p¢r t 511a11 be tleematl ravoketl.
CONSTRUCTION LENDING AGENCV Ges$erVice Out12t5 SwitCh25 Si n '�
1 hereby af(irm thdt r¢ i5 a con5tructi0� I tling a9enty fo� the Oe�fo�mdnce ' Wdt¢� CIOSCt 9 J
ot tne work ror wn� n tnis permit is 'ssuetl (se<tion 309� Civ. C.) Incerceptors Water Heater Garba e Dis osal �-
9 P Standing Sections
Irnaer•s Name GeneratOr 00.5 KW �5-15 KW Trash Compactor
Lenaer's Atlaress Kitthen Sink Water Service -
OWNER BUILDER D L ATION . .
I hereby atfirm Lhat I a ezempt from t e ConVa«o�'S LlcenSa LAw to� Ine L2vetOfi¢5 AutO-WBSh ' �
following red50n (Sectlon 31.5 Bu51n0 antl P�o}esslonal Cotle: Any city o� � {
county whith requi�es a perm cons ct, alt¢r, �mprovl, demoliih o� repair P—Tfep Laundry Tra'ys . }_ �S #
any s(ructure, prior to its issuance, o requires the applicant for such permit '
lo file a si9neE statement that he/she is Iicensetl pUrsuant to the provislons o( Roof DrainS �
�`^ Gontraclor'S License Law (Chapler 9(commend�9 �+��h Sectlon 7000) of � � °
�tion 3 ot the BuSiness antl Profe55ions Cotle) of [hdt h¢/She Is exemOt RBi115 C[IOfI FBB
�trom antl the basis tor the alleqeU exemption. Any violatlon o( Sactlon Pa $15 Issue F00 � $ 3
�1.5 by any applicant for a permil subjects tne aoo��canl to a civil -:_
pena�ty of not more man �ive nundrea aollars (E500). •DEVEIOPMENT SERVICES REQUIREMENTS: �
LJ I, as owner ot the Oroperly' or my emplOy¢¢5 with wages as Ihalr sOle RBinSpectiOn Fee $15 IsSUe FBe $ 3 *'
compensation, wi11 ao the work, antl the structure Is not Intentletl or.ofleretl Zoning Approved By `�' ����Tp at�
tor ssle (Section �04a, Business antl Professianal Cotle: Th¢ Contractor's MECHANICAL FEES Building Approved By _ n �v� �'- nate
Licens¢ Law tloes not apply to an owner of a properry who builtls or Improves -
[hereOn, antl who tloe5 Such work him5elf/herseH ot through hI5 or h!r Own • ApPlimtion IAUed By t' •� �1dt
em0�oyee5, plovitletl that such impfovements afe not intentl¢tl Of otfefetl foI BOII¢f HOOd Of TypQ I ❑
saie. If, however, tne builtlin9 or improvement is sa�tl within one year of com- CEnopy Type II ❑ SUM MARV�p FEES '�
pletiOq the owner will have the burtl¢n 01 prOvin9 he/she tlltl nOt builtl Or Im- DUCt - U�d¢� i�i�OUnd H_�.. �Tf F O�
rove for tne purpose of sale). BUILDING PERMIT $ rr ��'2_• SMIP, $
� I, as owner of ihe p�o0erty, am excluslvely coh«acting with Ilcensetl con- DUCt -$LfuCtu�dl Refrigeration System —��
tractorsto construct the project (Section 7044, Buv�ess antl Protessions Cotle: PLAN CHECK $ PERMIT
The Contractor'S License Law does not appry to an owner ot property who Duct- Ventilating ❑0.100,OOO,BTU ❑100,000 BTU � PLUMBWG S ��
builtls or imProves th¢reon. and who conlracts fo( su<h owiects wlth a con- I$$UANC j- $
tractor(s hcenze pursuane m me Convactors License Law). I am aware that � Exhaust System ❑ MWtiple ❑ Sys[em Repair/Alteration ' FL+4N CHECK 25% $ ENERG P.C. $
proot o� their worker's Compensation insurance shoWa be orovitletl to me. r ELECTRICAL $ GRADI�G '$
❑ I am ezemp[ untler Seciion B. & P. C. for [his reason Firepl/Pact. BIL ICBO � Fire Dampers
PLAN CHECK 50% $ MICROFILM $ �
Date owner Heating System & Ducting Registers MECHANICAL
I hereby certify Ihat I nave reaa thit applicalion antl state that the above ❑U100,000BTU 0100,000B $ TOTALFEE $ �
information is correct. I agree to comply with all tlty antl county ortlinan<es PLAN CHECK 25% $
antl state IawS relating to builAing con5t�uction, aP h¢�lDy duthOrize rapre-
sentatives Ot NI5 ci�t¢r��� ov¢ tionetl property !Or '
inspectionpurposes. OI OOOJJI�%"0�03!�%8 ��'[r tI� .��
Signature � t ti !q—� ' C
Drivers' License or 55 � � � - Reinspeetion Pee $15 laue Fee $ 3 � �-� 1� DATE: 07/Qb/89 TIIlE% I1:?i
0865-46, rev. 5/B8 Wbrte - Bulltlin9; Canary -/�PP���ane; wnR -.uccounimg; GO�a¢nr00 - A559isoi
`,`,� ��} . ;. .. . . . _. . � ..
. ' �`CONSTRUCTION AND PLANNING . . . , POC' '• SPA . - .
� �Date � ' Inspector Date Ihspector
„i�PPROVALS Permit#. APPROVALS Permit#
ii
1. Temporary Electrical Service or Pole ' S2. Pool & Equipment Location
., 2. Soil Pipe-Undrgrnd. `" 53. Steel Reinforcement �
V
3.,Elec`trical Conduit Utility-Undrgcnd.� 54. Forms �
,4. Electrical Conduit-bndrgrnd. �� �' \` 55. Electrical Bonding �
5. Steel Reinforcement ,. '�' '��.��� , , � 56. Rough Plumbing & Pressure Test �` �
6., Electnical,UFER'Grnd. v ! 57. APPROVALTO COVER-GUNITE �
� f�',
�`-7. Footings " � �'�' j 58. Electr.ical.Conduit-Undrgrnd. . ,,r
"8.� Foundation ' �� f 59. Gas Pipe, O Undrgrnd., Test ���•
9. Water Pipe-Undrgrnd. �� t � 60. Backwash Lines, P-Trap, 0 Undrgmd. . -�
70. Structural Floor SYstem �� � 61. APPROVAL TO DECK
.1�1...Property Sewer Line & House Connection �r 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
u6.� Rough Electric Wiring . y�'. 67. Fencing & Access Approval -
17,�Rough Wiring Sign '� :� 68. APPROVED FOR PLASTERING
.� _
18� Rougfi Electrical-T Bar Ceiling � � 69. POOL/SPA SYSTEMS FINAL �
19: Rough Heating & Air ConditioniAg 't' FIRE DEPT. REQUIREMENT
20: Rough Factory Fireplace ''�� c APPROVALS Permit #
.
21. Ducts, in Structure� � � :1 70. Underground Hydro �
22. Ducts, Ventilating � � � 71. Product Piping � Gas ❑ Oil •
23. Gas Pipe-Rough & Test ',�� 72. Underground Flush � --
• ;24. Roof Framing �, ��' ''F 73. Undergrnd.StorageTank OGas ❑Oil
25; Roof Sheathing `� �: �� ' 74. Overhead Hydro • ,, ., .�
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing � 76. Dry Standpipe �
28. Lathin9 & Siding ` 77. FIXED SYSTEM FINAL �
,29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing • HEALTH DEPT. REQUIREMENT
31. �Plaster Brown Coab 79. FINAL INSPECTION
.
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning / l� � �
35. Final Gas Pipe-Tes[
36. Hood or Canopy "`
.�
. 37. Final Faaory Fireplace -�'-
"n
5'. /
' 38. Final Plumhing '
' 39. Water Service-Final , '
.
40: Gas Service-Final ' ' y
,. 41. Solar pomestic-Final � '
42. Backflow Preventer , �
43. Backflow Irrigation
44. .Landscape Irrigation System E X P�
.45. Sound Attenuation
46. Handicap Regulations Vat@ � • , .
47. FINAL STRUCTURE & BUILDING , '
�
48. Special Requirements Completed ,
49. Electric Release to Edison __ _
. n
50. Gas Release to Southern California Gas Co '" • --
51. CERTIFICATEOFOCCUPANCY � - � �`
No. Date �-•• ' _'�