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Home My WebLink About1133 BAKER ST - Building PermitsI l i Cr a _Applicant to CITY OF COSTA MEffg CO )l�TjjUCTION-PERMIT Project Address III fy�°x�IGG�E�jLL Applicant's Mails g Adis It �'j Owner's Name s"I�u� N&65 Phone -7 ^' Address 115kHs Arch/Eng. License No. Address /��,, �'�.-�--I Contractor's Nam p��7 /. �� VL1I--./��Phone _Ag 1 .Address (mailinnl 2q116 O "wE mfe if •11 City License No. d1"112-03 LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division '3 of the Business and Professions Code, and my license Is In full force and effect. _-�iJ License Clj�s C� 1L7 ¢lite No Date I SI9 t WORKERS' COMPENSATION DECLA 10 I hereby affirm that I have a certificate f cons¢ t to self -insure or a certificate of Workers' Compensation Insurance• or a certified copy thereof (Section 3800, Lab. C.) Policy No. Company Certified copy is hereby furnished. . Certified copy is filed with the city Building Division. . date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection need not be completed if the permit is for one hundred ($100) or ess). -(,certify that in the performance of the work for which this permit is issued, I shall not employ any person In any mann r o as "¢come subject to the Workers'&pmaens%%n Laws of California ✓,_ Date I'"''"Tf tltl77 Signature 'NOTICE: If, after making this declaration,dItShodhisfIeconne subject t0 the Workers' Compensation provisions of the Dor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 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.) Lender's Name Lender's AddreSS OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Anycity or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior t0 Its issuance, also requires the applicant for such permit to file a Signed statement that he/She is licensed pursuant to the provisions Of e Contractor's Licence Law (Chapter 9 (Commencing with Section 7000) of dsion 3 of the Business and ProteS1IOnS Code) or that he/she is exempt prefrom and the basis for the alleged exemption. Any violation of Section ,031.5 by any applicantfor a permit Subjects the applicant to a Civil enalty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered 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 wM10 tloes tush work him set IF rS¢If or to rough hit or he'ow n em ployyeet, provided that such Im prove men tS are not intended Or offered for 581¢. Il, however, the buito Ing or improv0 ant Is sold within one year of com- pletion, the owner will have the burden Of proving he/she did not build or im- prove for the purpose of Sa 1e). ❑ 1, as Owner Ot the orpporly,'am exclusively c0 nt raft i ng with licensed can to construct the project (Sect ton 7044, Business antl Professions Cotle: Tho Contractor's License Law does not apply to an owner of property who bol Ids or Improves ,her.on and who co n t ra Cts for such projects with a con- tract or(SI Ii ce n se purSua nt to the Contractor's License Law). I am aware that proof o/, the lr Worker's Co ansa t ton Insurance should be pro vi dod to me. ❑ I am exempt under Section B. & P. C. for this reason Date Owner I hereby certify that I have real information is correct. I agree to and stale laws relating to bus tlir sentatives of this l to a ter inspection purpose Signature ,---' Drivers' License or 1 this application and state that the above comply with all city and county Ordinances g construction, and hereby authorize repre. upon the above-mentionetlp op y for_ Date�_�_ ' all spaces exp. of those within heavy border lines and sign all appropriate declarations. 1. 1 TRACT NO. I LOT NO. I UNIT NQ. PEOF_CONSTRUCTION LI NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TYPE OF PERMIT IJ GRADING LJ FOUNDATION Ll STRUCTURAL ❑ TENANT' ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SO. FT. OCCUPANCY— CONSTRUCTION CCUPANCY— CONSTRUCTION TYPE VALUATIONS— ZONE— ALUATIONSZONE GRADINGCU.YDS. ACRES_ Remarks: FEES A.P. # S Main Building: E T Front ARear C Right K S Left Ping. Ref. # -Planning Notes: 9549 9/04/85 Parking Req./Provided Zone 4e-' TL Z O N I N G R E O M T S Bar Sink Showers Reinspection Fee ELECTRICAL FEES Backflow Preventer Service Sink Automatic Washer- - Transformer ❑ 15-50 KW Pole Sub. ❑50+KW Backflow Irrigation Sewer CapConstruction Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors f Dishwasher Meter ❑over 100 amps _ Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors 001 HP 0 h- 8 Floor Drains Swimming Pool w/Spa $ 3 F.A.U. Inc. Solar 09-15 HP 016-15+ Floor Sinks Urinal Fixtures Microwave ' oc Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range Kitchen Sink Water Service Switches 4ESign 6.2 Lavatories Auto -Wash Garbage Disposal ! Standing Sections P—Trap ,Laundry Trays Generator 00.5 KW 05-15 KW I Trash Compactor I I Roof Drains I I I I I Reinspection Fee I . $151 I Issue Fee I $ 3 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBO # Heating System & Ducting ❑0100;000 BTU 0 100,000 Reinspection Fee $15 IF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type ❑ Canopy Type II ❑ Refrigeration System 00100,000 BTU 0 100,000 BT System Repair/Alteration Fire Dampers Registers Issue Fee FEES Reinspection Fee IssuLMLe Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By-- Data-,7707-- 9SUMMARY SUMMARYOF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ � GRADING $ PLAN CHECK 50% $ MICROFILM $ 7 MECHANICAL $ TOTALFEE $ PLAN CHECK 25% $ $ 3 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PO .& SPA 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. E1Rctrical Conduit-Undrgrnd. 55. Electrical Bonding ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. 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 ❑Gas 0Oil 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 PREY. 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 ElectricNotes: 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 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY No Date '