HomeMy WebLinkAbout298 BAKER ST - Building Permits z-(g �1.-w7 • -AVPlica nt todiil ii"a(I svaces except those within heavy border lines and sign all appropriate declarations. \-�f"
PERMIT NO, TRACT NO. LOT NO. UNIT NO.
CITU of cosTlI��MME�S{� ' QNSTRUCiION PERMIT4 R13Q7�0��0
..•Prcjec`Address Fe i��Iq�qJf d'f' .O&J eV J f •• e- tel 4'3 r ,�,� 4974 .6/17/85 .00 GA
• Applicant's Mail nfAddresP'6 0 Iff a ie• TYPE OF CONSTRUCTION ❑ NEW LI ADD L<ALTERATION U REPAIR '
Owners Name`-t � • �S d` hes Z Phone ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone
• "CA Y at dos/'d /-7-es-rt DESCRIPTION OF WORK/USE OF BLDG.
Address?? S Main Building: Accessory Building:
Arch/Eng.l�I aJ)J-e-P V /191-02./License No. ��0�� TYPE OF PERMIT GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front 0
Address r ,�II rr ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Nam,>gd�'•PJK/9,1' d .r11 C_ Phon 9 " Z5Y LI OTHER C Ri ht N
)223Ok Ord t Y.,Yo t i i/. -4 PROJECT DESCRIPTION SQ. FT. OCCUPANCY K. g
Address(mailing t. R
CO / / r l C ON ST RUCTION TYPE VALUATION $ $ Left R
"I City License No. . ZONE GRADING CU.YDS. ACRES
I LICENSED CONTRACTOR DECLARATION r-n r Ping. Ref.# Parking Req./Provided • E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �1--d y+/C CL� -� \ _ ii 'i , Planning Notes: i• M
with section 7000) of Division 3 of the Business and Professions Code, and - f r v J v 5-a
T
my license is in f I f.rce and effect. /
Ucensff Class - LI J e S
Date(I-PL-rS)� ' Signature S f r/lL, , ' _ _ _ PLUMBING FEES
'ORKERS' COMPENSATION DECLARA ION Bar Sink Showers ELECTRICAL FEES
iereby affirm that I have a certificate of consent to self-insure or a certificate
.,f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.) r).. • Automatic Washer Transformer 0 15-50 KW
Policy ot9S Q4 i697f73 Comp Company ('a-ve/4(er Backflow Irrigation -. .. - - ❑ 50+KW
K 9 Sewer Cap Construction Pole Sub.
Certified copy is hereby furnished. •
Certified cop i filed with the city B ildi g Divisiyyn. Bathtubs Sewer Connection - Cooking Unit Meter Cup to 100 amps
Date L-I3- `t; Applicant if- I' SC.0 Zi.C- '
EXEMPTION FROM WORKERS'COMPENSAR ION DECLARATION Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps
(This section need not be completed if the Permit is for one hundred ($100) or Dishwasher
less). Solar Piping ' Dryers ❑Gas DElectric Sub Panel ,
1 certify that in the performance of the work for which this permit is issued, I _ -
shall not employ any person in any manner so as to become subject to the ' Drinking Fountains Solar Tank i - Fan Motors❑0.1 HP ❑1'/z-8
Workers' Compensation Laws of California. _
. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar❑9-15 HP ❑16-15+
NOTICE: If,after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you.must forthwith Floor Sinks Urinal - - - Fixtures - - Microwave -
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY- Gas Service Outlets Water Closet Device Boxes Pole Light
I 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.) Interceptors - • Water Heater - - - Outlets Range ••
Lender's Name ,
,
Lender's Address _ Kitchen Sink . Water Service Switches Sign
•
OWNER BUILDER DECLARATION - '
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator❑O-5 KW 05-15 KW Trash Compactor
any-structure, prior to its issuance, also requires the applicant-for such permit
to file a signed Statement that he/she is licensed pursuant to the provisions of Roof Drains
'he Contractor's License Law (Chapter 9 (commencing with Section 7000) of
Ivision 3 of the Business and Professions Code) or that he/she is exempt •
.
-
aerefrom and the basis for the alleged exemption. Any violation of Section ,
/031.5 by any applicant for a permit subjects the applicant to .a civil • - - -
p natty of not more than five hundred dollars($500).
LI I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
Compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's -' MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves DEVELOPMENT SERVICES REQUIREMENTS:
thereon, and who does such work-himself/herself or through his or her own Boiler Hood or Type I 0
employees, provided that such improvements are not intended or offered foryp Zoning Approved By - Date
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ ��Iz �r ii •
pletion,the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By rf�::.Sl an . Date
prove for the purpose of sale). �� •
. 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural . Refrigeration System Application Issued By a%litr • Date
tractorstd construct the project (Section 7044,Business and Professions Code: 1 1= �
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU 'pT a
builds or improves thereon, and who contracts for such projects with a con-
tractors} license pursue cit to the contractor's License Law). Exhaust System
am aware thatBUILDING PERMIT $ v , MIP , $
proof of their Worker's Compensation insurance should be provided to me. 0 Multiple 0 System Repair/Alteration
PLAN CHECK 1PERMIT
❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers •
PLUMBING ISSUANCE $
Date Owner Heating System&Ducting Registers PLAN CHECK % t ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑0-700,000 BTU 0100,000 BT - - ' ELECTRICAL $ d' GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building onstruction, and hereby authorize repre- PLAN CHECK 500 $ MICROFILM $
sentatives o • this. y t enteggq on the above-mentioned property for • .
inspection u oses /- meq 1.-J MECHANICAL $ TOTAL FEE $
Signature, l/ GL Date(TJd J _
Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ _ '
I
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING PO, & SPA
gPPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
• 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe Undrgrnd._ • 53. Steel Reinforcement
:i
-3. Electrical.Cdnduit'Utility-Undrgrnd. 54. Forms -:
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
•
t. 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE = i
7. Footings •
58. Electrical Conduit-Undrgrnd.
r'.., 8. Foundation - 59. Gas Pipe, O 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
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro •
22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil
23. Gas Pipe-Rough &Test 72. Underground Flush
.24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 I 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 / e 80. FOOD CERTIFICATE ISSUED
33. Final Electric !10 Notes:
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. Backf low Preventer •
•I •f
43. Backflow Irrigation
44. ,Landscape Irrigation System ' _ • -
A.
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