HomeMy WebLinkAbout2277 FOUNTAIN WAY - Building PermitsApP���ant to fill in all ipaces exce0< those within heavy Oortler lines antl Sign all aDDroDriate Eeclarations.
CITY OF COSTA M S�NSTR�T��RMI�T �� �.RMIT N. TRACT NO. k9�fi9^ UNIT NO. �
• Project Address 7 �'h K��
ApplicanYs Mailin9 Address �J�J� �,,,� O�/'/
Owner's Name � n-�^ Q"' ��'�"" "'�� Phnnc� �i %fG
��.�2a
OFCONS7RUCTION NEW aDD
CONVERSION ❑ DEMOLISH ❑ O$�EF
�,_ i.epSC IPTION OF WORYr41SE OF BLp�' «<<
Address L
Arch/Eng. � License No. TVPE OF PER
Add�ess ❑ TENANT ❑
��� � � � � _1753 ❑ �OTHER
Contrac�or's Nam � one PROJECT DESC IPTI
Address (mailing� �jr CONSTRUCTION
City License No. '^� � S93D
LICENSED CONTRACTOR DECLARATION
I hereby affirm that -I am licensetl untle� provislons ot Charte� 9(commencin9 �
witM1 section �000) of Divislon 3 of the Business antl Professions Cotle, anG,�
my license is in (ull force a�ntl�ftect. ' � �
Licens CI ss Lice�ns�j
Date �� g S'g t /� +�` � R yt�"�
WORKERS' COMPENSATION DECLARATION �
I hereby atfirm that I have a certificate of consent to self-insure or a certiticate
" Worke�s' Compensation Insurance, or d certitletl cOpy the�eof (Section
'�00, Lab. CJ ' '
�oncy No. �{_�� ' comoanv •
n,y �ertifietl copy is hereby (umishetl.
LWCertifietl copy I ��letl with the cit ing Divisi ���
Date�7'�.Z%^ 5 Applican
EXEMPTION FROM WORKERS' CO NSATION DECLARAT N
(This soction neetl not be completetl if the permit is (or one hun etl (5100) or
less). �
I certity [hat in the perfo�mance ot the work t0/ whlth thls permk is issuetl, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws o� California. .
Date � Si9nature
NOTICE: Ii, aiter making thiz tleclaratlon, you shoultl become subjett to the
Workers' Comp¢nsation provisions of the Labor Cotle, you mu5t for[Itwith
comply'with such provisions or this'permit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 hereby atfirm tha[ there is a consiruction lentlin9 aqency tor the per�ormance
oi Ihe work for whicn this oermit is issuetl (Section 3097 Civ. C.)
Lentler's Name ' � .
Lentler's Atltlress '
OWNER BUILDER DECLARATION '
1 hereby affirm ihat I am exempt from the Contractor'S License Law for the
following reason ($ection ]031.5 Businezs anC Protessional COGe: Any ciry or
county which �equire5 a pe�mit to construci, alter, imptove, tlemoli5h Or repai�
any StrUctu�e, p�IOr [o its issuance, al5o �equires the applicant for Such pe�mit
ta file a signetl Statement Ihat he/she is IicenSetl pu�suant to the provisions of
the Contractor's License Law (Chaptec9_(commencinq with Section ]000) oi
� Division 3 of fhe Busines5 antl Profe55ion5 Cotle) or that ne/she is exeTpt
'herefrom antl the basis for the allegetl ezemption. Any violation of Sectlon
�31.5 by Sny zp0���ant for a permit subjects tne apP��cant to a civil
malty of not more than five huntlretl aollars (5500�. �
� I, as awner of the property or my employees with wages as their�sole
compensation, will tlo the work, antl the st�ucture i5 not intentletl onoffe�etl
for sale (Secfion ]044, Business antl Grofessional Gotle: The Contractor'S
License Law'tloes nol apply [o an owner of a property wno builds or improves
Ihercon, antl wM10 tloes such wo�k M1imself/herself or fhrough his or her own
employCes, provitletl [hat such imp/vvements are not in[entletl o� ofteretl to�
Sale. If, however, the builtling or irtip�ovement I5 soltl within one year o( com-
pletion,�,the owner will have tne burtlen of proving he/she tlitl not builtl or im-
� prove for the purpose of sale). '
❑ I,'as�owner oi tne property, am exclusively contractin9 with Ilcensetl con-
Vactori to consV uct the project (Section 7044, Business antl Proiessions Cotle:
The Contractor's License Law tloes not apply ro an owner of property who
builtls or improves thereon. antl who cont�act5 �or such ovoiects wlth a ron-
tractor�il Lcense pursuan[ ro ine Contractor's License Law�. I am aware tM1at
proo/ o( tM1eir WorkeYs Compensation insurance shoultl be provitletl to me,
❑'I am exempt unCer Section B. & P. C. for this reason �
Date � Owner ' .
I hereby certify that.l-nave reaG this application antl siate that the above
iniormation is correcL I a9ree to wmply with all city antl county ortlinances
antl'state laws relatinq to builtlin9 con5truction, antl hereby authorize repre-
sentatives of� his city to ent upon Ihe above-mentionetl property��- ppptoyyyr
inspectlon p�'pases. 2��. -� ;�
$ignature �l sc��� Date
Drivers' License or 55 � .
LJ GRADfiV�
E�ECTRICAL
TERATION -�REPAIR
;r � — f`i _une�E
� STRUCTURAI. .
F�CHANICAL
1C` n _ 1`_
"7. ' OCCUPANCV
- VALUATION $ _
GRADINGCU.VOS. ACRES_
oarks: -��.9"w`'.� � � p e
Bar Sink
Backflow Preventer
Backflow Ircigation
Bathtubs
Clarifiers �
Dishwasher
Drinking Fountains � ' '
Floor Drains •
Floor Sinks
Gas Serviee ��� Outlets �
Interceptors
Kitchen Sink'
Lavatories � �
P-Trap
Roof Drains � �
peinspection,Fea , , ; $75
Boiler
Duct - Under Ground .
Duct - $tructurel
Duct � Ventilating �
Exhaust System ❑ Muitiple ❑
Firepl/Fact Bit. iC60 #
Heating System & Ducting' �
❑ 0� 100,000 BTU O t 00,000 8Tl
Reinspection Fee I $15
0865-46, r¢v. 5/BB Whi[e - Builtlin9: Canary - Applicant; Pink - Acwuntin9: Goltlenrotl - AsSassor
Showers
Service Sink . .
Sewer Cap �
Sewer Connection
Solac Collectors
Solar Piping ,
Solar Tank ',
Swimming Pool w/Spa
Urinal
Water Closet �
Water Heater
�WaterService � � '
Au[o-Wash
Laundry Tra'ys
Issue Fee
Hood or Type l �.
Canopy Type I I ❑
Refrigeration System
❑0-100,OOOBTU ❑t00,000.BTU
�ystem Repair/Alt¢ration
Fire Dampers �
Registers
laue Fee
$ 3
FEES
$ 3
A.P. #
S Main Buildi
E
T Front
B Rear
A
C Right
K Left
S
�Ping. Ref. #
Planning Notes:
Automatic Washer
Canstruction Pale
Cooking Unit
Dishwasher
Dryers ❑Gas ❑
F.A.U.
Fixtures
Device Boxes
Zone
Accessory Building: ��
Z
O
N
' N
G
R
. 'Parking Req./Provided E
M
S.
ELECTRICAL -
Transformer ❑ 15-50 KW '
b ❑ 50+ KW
Meter ❑up to 100 amps
. � � Meter ❑over 100 amps ',
�ctnc . Sub Panel '.
Motors �0.1 HP �1 h- 8
� � � Inc.Solar �9-75 HP �16-1�.
Microwave � �
� Pole Light . �
Switches Sign
Garbage Dispoul Standing Sections
Generator 00.5 KW �5-75 KW Trash Compactor
� Reinspection Fee �$75 � � Issue
DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approved.By
Building Approved By
Aoolication laued Bv �
F
BUILDING PERMIT. $ _,�
PLAN CHECK $ �
PLUMBING $. ., � 'w
PLAN CHECK 25% $
ELECTRICAL $
PLAN CHECK 50% $ �
MECHANICAL $' �
PLAN CHECK ' 25% $
���
FEES
$ 3
SMIP $
PERMIT
ISSUANCE $
ENERGV P.C. $.
GRADING $'
MICROFILM, $ ��
TOTAL FEE $ ✓ • �O
O1 QQOi0239-00010?39 T�p'T S,pp
CONSTRUCTION ANDPLANNING POOI PA
APPROVALS Permit # •�te Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location
�
� I
2. Soil Pipe-Undrgmd. /� � 53. Steel Reinforcement .
{3,� Elect�ical Conduit Utility-Undrgrnd. `� r�> 54. Forms
4.� Electrical Conduit-Und�grnd. �� 55. Electrical Bonding �
., i ,
5. Steel�Reinforcement 56. Rough Plumbing & Pressure Test
.6• Electrical UFER Grnd. �� �-,. 57. APPROVAL TO COVER-GUNITE
'7. Footin s ' '�'
g i � 58. Electrical Conduit-Undrgrnd. � I
�
fgti Foundation . � ' , � 59. Gas Pipe, � Undrgrnd., Test
9; Water Pipe-Undrgrnd. i �`� 60. Backwash Lines, P-Trap, O Undrgrnd. � �
:I
9�Or Structural Floor Sys'tem .� �' 61. APPROVAL TO DECK
1 iti Property Sewer Line & House Connection >' � 62. Backwash & Receptor-Final
1� Sewe� Cap ' I �; � � 63. Heater & Vent-Final ��
73:; Roof Drains ' � 64. Plumbing System - Final �', ,
14. Rough Plumbing �� �, ,� � 65. Electrical-Final .
15. RouglT Electrical-Conduit 66. Solar System-Final
'•16. Rough Flectric Wiring 67. Fencing & Access Approval
�17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
"1'8. Rougti Electrical-T Bar Celling 69. POOUSPA SYSTEMS FINAL
�
19. Rough Heating.&.Air Conditioning . FIRE DEPT. REQUIREMENT
20. Rough Factory.Fireplace �, API�ROVALS Permit #
n
21. Ducts,in Structure, z� 70. Underground Hydro �
�
22. Ducts;Ventilatiiig �, 71. ProductPipingOGas ❑Oil
23. Gas Pipe�Rough Fi Test •�� 72. Underground Flush �'
�� 24. Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ Oil i(
�
25. Roof„$h�athing�, �, 74. Overhead HYdro
26. T-Bat Ceiling (St[uctural) & Monocoat 75. Dry Chemical
27. Fraineai�d Flashing 76. DryStandpipe
28. Lathing�& Siding �" . � 77. FIXED SYSTEM FINAL
29. Insulatlon ' 78. FIRE PREV. FINAL
30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT
37,�Plastee�Brown Coat 79. FINAL INSPECTION
32. Electrical Power.�Meter-Final 80� FOOD CERTIFICATE ISSUED
33. Final �lectric % Notes:
34. Final Heating &'liir 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
.. t,
41. Solar pomestic-Final r
42. Backflow Preventer '/ ''-
�
'i �
43. Backflow Irrigation ` i � ��
44. Landscape Irripation System � i��:�
45. Sound Attenuation . � ` %
46. Handicap Regulations �t
47. FINALSTRUCTURE&BUILDING �
48. Sner.ial Requirements Completed
49. Electric Release to Edison ��
50. Gas Release to Southern California Gas Co �' �-
51. CERTIFICATE OF OCCUPANCY '
No. + Date `
�