HomeMy WebLinkAbout1998 NEWPORT BLVD - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OFCOSTA' CONSTRUCTION PERMIT PERMI O. TRACT NO. LOT NO. UNIT NO:. .
r ? S ,v9„Po�- -cGD, ria 107,V
CITY
Address U t� -ocoo 1�1�
:Applicant's Mailing Address r e I x 1044 r6 C� TYPE OF CONSTRUCTION NEW H ADD LI ALTERATION U REPAIR 9901 I/d8/97 h_M T�,
AdinerName, 1-t-- � ' ' A a 1 ' Phone Z El CONVERSION ❑ DEMOLISH OTHER - A.P. # • Zone •
• ,� ,� /l DESCRIPTION OF WORK/USE OF BLDG: - - -
Addresss �7� NCw C. / r •
S Main Building: Accessory Building:
Arch/Eng. ' License No. , 57 TYPE OF PERMIT , El GRADING U FOUNDATION L I STRUCTURAL T Front 0
Address '` ��(� r �[W-y�- -�'�-s ❑ TENANT ❑ ELECTRICALPLV MBING CI MECHANICAL B Rear ' N
•
Contractor's Name Lath-Sit C.47 -]`-•- / JT��'t/� ❑ OTHER A 1
eo 109 er& C- el-2-6 PROJECT DESCRIPTION SQ. FT. OCCUPANCY ' C Right - G
Address(mailing) r I v M �� - K • '
• 7 c9 ' CONSTRUCTION TYPE VALUATION S •- '5 Left ,
City License No. _IO - ZONE GRADING CU.YDS. ACRES R
-LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided E
I hereb affirm that I am licensed underprovisions of Charter 9 (commencing I ' IO
I y ( g Remarks: • - ' - Planning Notes: M
/ wlth•sectfon 7000).of Division 3 of he Business and Professions Cotle, htl • - - T
my license IS in ull 0L7 and effect. "/�� O - - .• - - S
License I License No. C 000 PLUMBING .FEES
I Date (/F/Irs//• • Signature_ • •1 ' '
V %RKEIZS'COMPENSATION DECLARATION - - Bar Sink Showers ELECTRICAL FEES
;relay affirm that I have a certificate of consent to self-insure ora certificate - - - - -
-
• Workers' Compensation Insurance, or a certified copy thereof (Section ' Backflow Preventer Service Sink - -
3800, Lab. Automatic Washer Transformer 0 15-50 KW -
•
Pollcy No.s; •• pang • - �Aa Backflow Irrigation _ Sewer_ Ca - • a. - 0 50+KW -
t� P. Construction:Pole Sub.
Certifi•.t -•� is hereby furnished. s� - - . - '
Cer i i•.�y is filed with the city r .ing Division. _�w jClarifiers
Bathtubs; . _ Sewer Connection j Cooking Unit ' - Meter ❑up to 100 amps :Date - Applicant -EXEMT •Ny• Solar Collectors v Dishasher - Meter ❑over 100amps(Thisse ti-n need not be completed i ermit is for one hundred ($100) or Dishwasher=
less). - . Solar Piping - • ' Dryers OGas .❑Electric Sub Panel ' 1 -
- I certify h in the performance of th• ork for which this permit is Issued,I _
shall not e ploy any person in any nen so as to become subject to the Drinking Fountains Solar Tank Fan Motors ❑41 HP ❑1:4-B
Workers'S'o a71ation Laws of Califo sss���•••a. _ ' •
Date 1 T ( Signature ' _ _ Floor Drain s • - Swimming w/Spa - I F.A.U. - - Inc.Solar 09-15 HP 016-15+
NOTICE Tf, ter making this tleclarats o come subject to the .. .. -
Workers' Co npensation provisions of t ¢ Labor Code, you must forthwith Floor Sinks Urinal Fixtures '
comply with such; provisions or this permit shall be deemed revoked. - -
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet ,
I hereby affirm that there.is a construction lending agency for the performance • Device Boxes Pole Light
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 I Lavatories ' Auto-Wash , Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or P Standing Sections •
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW 05-15 KW Trash Compactor
I ally structure, prior to Its issuance, also requires the applicant for such permitP
1 to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
Contractor's License Law(Chapter 9(commencing with Section 7000)of
rision 3 of the Business and Professions.Code) or that he/she is exempt. . _ ._ . _ -
•rofrom and the basis for the alleged'exemption. Any violation of Section I
'-,631.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than;five hundred dollars($500).
• LJ I, as owner of ,the property or my employees with wages as their sole Reinspection.Fee ,
I $15 Issue Fee $ 3 I 1
r-compensation, will dotthe work, and the structure is not intended or offered - Reinspection Fee - $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 __
thereon, and who does such work himself/herself or through his or her own Hood or Type I 0 ' ,DEVELOPMENT SERVICES REQUIREMENTS: '
emplo Yees, provided that such improvements are not intended or offered for Boiler
.sbje. if, however, the building or improvement is sold within one year of com- Canopy Type II 0 - - Zoning Approved By Date •
-citation, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By ' 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 Date
tractors to construct the project (Section 7044,Business and Professions Code: •
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' The Contractor's License Law does not apply to an owner of property who Ventilating 00-100,000 BTU 0100,000 BTU .' - SUMMARY OF FEES
builds'or Improves thereon,and who contracts for such projects with a con- Duct-Ventilating
tractor(s)'ncense:pursuant to the Contractor's License Law). I am aware that - ' BUILDING PERMIT $ • 'SMIP
proof off-their Worker's Compensation Insurance should be provided to me. Exhaust System ❑ Multiple 0 Systemflepa it/Alteration _. : -
• PLAN.CHECK $ c_ • ,PERMIT
. ❑ I am ex' pt under.Section' - B.&,P.C.for this reason Firep;/Fact.BICICB0# Fire Dampers PLUMBING ',$ - :J �O- ISSUANCE ,$ •_
'' Date Owner • - • Heating System& Ducting' ' - Registers _ ' _ • •' PLAN'CHECK 25% $ • ' ENERGY P.C. $ • -
' r,hereby ify that-I have read this application and state that the above 00100,000 BTU ❑100,000 BTL, - - " I GRADING - $
informati• correct. I agree to comply with all city and county ordinances. ELECTRICAL $
•
•-Land-'state . relating to building construction, and hereby authorize repre- - _ • PLAN CHECK •50%� $ - MICROFILM $
•
sentatives this city to.enter •on the.above-mentioned proaerty for - - • _ ; '
Inspection .ores. �" MECHANICAL ; $ $
5 t • TOTAL FEE $ S• -0
• SignatLre • ��� Date I - _
• _Drivers' License or SS# -•> ! Reinspection Fee .; I '$15, - Issue Fee - $ 3- • ' PLAN'CHECK -,25%, V. -
c_ __ .__- _ .___ _ _. _ _ - - _ . - - _- _ _. _ _. .
CMF 0865-46,rev.10/84 - - Applicant; Pink -Accounting(Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector 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. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER 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, 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 O Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas ❑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 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 Electric 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 I
40. Gas Service-Final
41. Solar Domestic-Final I
42. Backflow Preventer •
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43. Backflow Irrigation /AO" 're-'
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-