HomeMy WebLinkAbout397 BAY VIEW TERR - Building PermitsAOP���ant to fill In all ipaces except those wit�in heavy Gortler Ilnes anE sign all apProDriate tleclarations.
CITV�F COSTA S� ON RUCTI.,OsN�PERMIT PERM/{-L�DlO.� ��// TRACT NO. LOT NO: .UNIT NO. r
`Project Address �� V f- v .
; � TYPE OFCONSTRUCTION �NEW ADD ALTERATION REPAIR �
'' ApplicanYs Mai � g Address � 8 ' p � .
! / ❑ CONVERSION ❑ D�MOLISH ❑ OTHER A p,�y •
, Owner's Na e /� �-r�"\� r � Phone '��' DESCRIPTION OF WORK/USE OF BLDG.
� Address � �6� `!Q^ j�l� �iwc� G,J�'U�+' �!{C'1��' �z%(pD � • . � ' � S Main Building:
Arch/Eng. Licen52 No. ' TVPE OF PERMIT�p( � �GRADIrvG � FOUNOA71Orv STRVCTV RAl T Front
AddrC55 ❑ O'fHERT ^�LECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear
% �
Contractor's Nam � Phone pROJECT DESCRIPTION Scl.�FT. ' OCCUaarvCv C Righ( �
Addiess (mailingl � ' � � � K
, - , ' CONSTRVCTIONTVPE � VALUATION$ � S Left
City LiCenSe No. , � 20NE ' GRA�ING CU. VDS. ACRES p�n Ref #
LICENSED CONTRA�TOR DECLARATION ' �
I nereby aftirm that I am licensetl un0ei provisions o� Charter 9(commencing
witn section 7000) o� Division 3 ot tne Business antl� Professions Cotle, antl �
my license is in full torce antl eftect. �
Licensc Class Licensu No.
Datc Si9nature .
WORKERS• COMPENSATION DECLARATION
' hereby affirm that I �ave a certificale o( mrisen[ to self-Insure or a certlflcate
d Workers' CompanSation Insurance, or a certifi¢tl copY thereof (Sectlon
3800, lab. C.) .
Polity No. ' ' Company -
8 Certifietl copY Is h6reby tu�nish¢a. '
Certifietl copy li flletl with the city Builtling Division.
Date � � ' Applicant '
E%EMPTION FROM WORKERS' COMPEN ION E L RATIO
(Thi55ection neetl not be Wmpletetl If tM1¢ p mi is i � B untlred ) or
less). '
1 certity that in the p2rtormance o( Ihe w0 k t w ic Ih perm' ' i uetl I
snaii not e pio ny oerson in any man er o a to e m to the
Worker n Laws of Californi
Date Si9na[ure
NOTICE:, f, a te mak��9 this tleclaratio you shoultl bec me subject [o the -
workers' Compensatitln •provisions of th bor Coae, you must torthwltn
comply with such provlsions or this ermit shall be tleemetl revoketl.
CONSTRUCTION LENOING AGENCV � ' �
I hcreby affirm 1haYthere is a consiruction lentlin9�a9ency tor ihe performance
of the work tor � w6�t� tnis �permit i5 issuetl (Section 3097 Civ. C.) �
Lentler'z Name � �� �� �� �
Lentl¢r's Atltlress�— .
OWNER BUILOEH DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law tor tne
toilowing� reason (Sect�on 7031.5 Buslness antl Prote551onal Cotle: Any cily or
COunty which r¢quire5 a permit to const�uct, alte�, imp/ove, tlemoli5h or r¢pair �
any structure, prlor [c� Its issuance, also requires the applicant for sucn permit �
to flle a signetl Statement that he/sM1e is Iicensetl pur5uan[ to the provlsions o/
the Contractor'S LICenSe�Law (Chapter 9(commencing with Settion ]000) of
DlviSiOn 3 of th¢ Busine55 antl Prolessions COU¢) Or that he/she i5 axGmpt-
theref�om ana IhG baii5 for the allagetl exemption. Any violation Of $ecllon �
7037.5 by any appli�ant for a permtt subjects Ne applicant to a civil
�enalty of not more tPan five nunUretl tlollars (5500).
I, a5 owner of Ihe property o� my employees with wa9¢s as IhBir Sole
Compensation will tl0 the�wOrk, antl Ihe Structure is no[ Intentletl o� ofterctl
for sale (Section 7044. Business antl Protessional Cotle: The Contractor'S ,
License Law tloes not apply to an owner of a property who builtls or improves
the�eon, antl who tlo2s such wo�k himselt/he�521f Or throug� his or he� own
employees, provitletl that such improvements are not Intentletl or ottaretl for
sale. If, however, the builtlin9 or Improvement is soltl wlthin one year ot com-
oletion,-the owner wll� have the burtlen af O�oving be/she tlitl mt builtl or Im-
� va (or the pu�pOSc Of sale). . � � .
I az owne� OI the P�operty, am exCluSivety cont/actinq with Iicensetl con-
tr tors to construct tPe O�oiect (SecUon 7044, Business antl Prp� essi ns Cotle:
Th 'ConVactorY Lic6nse law tlOes nQ[ doolv.to a0 owner o/ID/o�ertY who
ounas or improves mn�eon, ana �
tractor(s1 iicense purivant to the
pvOof of tnei� Worker'S Compens
❑ I am ¢xe pt untle� Settion—
Date Owner
1 hereby certity at 1 h ve reaa
�lI�OITdt Ofl �5 I! CQ ��fC�IO f
antl state lawr e tidll t b�%.\�linc
sentatives of. civ � 9'T��
/
�iltn a con-
awaro tnaf
tletl to me.
[hi5 r¢a5on
Remarks: �.`/�p/�� /��
!b /f /
� i
8ar Sink ' � _
� Back(low Preventer '
� Backflow Irrigation �
� Bath[ubs - � �
Clarifiers ' . ' � i.� ��
rinking Fountains
loor Drains
loor Sinks
as Service ' .
Roof Orains
Rainspec[ion Fee
$75
Ducl � Under Ground
Duct � Structural
Duct � Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. BIL ICBO #
Heating System & Ducting
L7b100,000 BTU 0100,000
I. "" ""' – --"�%J – I. I heinspaction Fea
D i e'� s o SS�t
CMF 0865-46, rev. 10/84 White - Builtling; Canary - AppliWnt; Pink - Attounting; Goltlanrotl - Assessor
$15
ShOwers
Service Sink
Sewer Cap �� ' • • �
SewerConnection' �
Solar Collectors 1
Solar Pipin9 �
Solar Tank
Swimming Pool w/Spa
Urinal
Water Goset
Water Heater •
Water Service
Auto-Wash . -
Issue Fee
Hood or Typel ,❑ '
Canopy Typell�❑
Refrigeration System -
❑o-ioo,000eru �ioo,000
System Repair/Alteration
Fire Dampers
laua Fee
9.
_ Planning Notes:
FEES •
� � Automatic Wa
—�.-�FFF��-�,-T-G7��—
; . �-7 2z5 j l-1 �=8(0 �
� � i
' � �_ �. . Zone ,
Accessory Buildingi �
. Z
O
N
1
. _ N
, G
p
Parking Req./Provided � ' E
U
� M
S
Construction Pole Sub. '
Cooking Unit �
Dishwasher � �
Dryers �Gas ❑Electric
Fan , �
F.A.U. - . . '
Fixtures �
Device Bozes
Outlets
Switches ' �
Garbage Disposal
� Generator �0�5 KW �5:15
$ 3
FEES
�
ELECTRICAL ' , ' ,
� Tranzformer ❑ 15-5U KW "
❑ 50+KW
' Meter ❑up to 100 amps
� � Meter �over100amps
Sub Panel , , ' , '
Motors�0.1 HP�1:4�8 ..
Inc.Solar �9-15 HP �16-75+
I Rainspection Fee � . �' $15 '
DEVELOPMENTSERVICESRE�UIR
Zoning Appraved By�
euilding Approved By �6LQ
Pole Lighti .
Range � '
Sign'
Standing $ections
Trash Compacror �
Issue.
�
NTS: I
FEES
�
Appliretion Issued By ���, �Date I �(f 41 �In
, . SUMMARV OF FEES' � � . ' � -, '
� - BUILDING PEfiMIT $ ' SMIP $
PLAN CHECK ` $ 'PERMIT - ,
PLUMBING � ' $ �SSUANCE ;$ .
� PLAN CHECK 25% $ ENERGY P.C. �$ `
ELECTRICAL $ � GRAD�NG $' �
' PLAN CHECK 50% .$� - ' MICROFILM $ '
� MECHANICAL $ � TOTALFEE $ 3,2�
$ 3 PLAN CHECK - ZS% $ � , � �
CONSTRUCTION AND PLANNING ' POOL & SPA
APPROVALS Permit# Date Inspector qppROVALS 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. Electiical 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, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK
71. 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 Elec[ric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ,
20. Rough Factory Fireplace APPROVALS Permit # _ �
21. Ducts, in Struaure 70. Underground Hydro �
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush �• ,
24. Roof Framing 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. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 76, 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 Fac[ory Fireplace ' -
38. FinalPlumbiyg__.�' � '
39. Water Service-Final ' � -
40. Gas Service-Pinal -
41. Solar pomestio-Final - � �
�
42. Backflow PreJenter , ,
� 43. Backflow Irrigation . � �
44. Landscape'Irrigation System . � �
45. Sound Attenuation � � � .
46. Handicap Regulations � �-
47. FINALSTRUCTURE&BUILDING - �
48. Special�Requirements Completed •
49. Electrie Release to Edison
50. Gas Release to Southern California Gas Co
51. CEflTIFICATEOF'OCCUPANCY . '
No. � Date �.. �
'4 '