HomeMy WebLinkAbout878 DARRELL ST - Building Permits� �
w�
� Apv�icant to fi11 in all soarez exceDt tnase witnin neavY eoraer lines anC sign all appropriate aeelarations.
CITYOFj;,CQg7�,g�ESA CONSTRUGIIONPtHMIT�'- '""''""' "'"""""' ""'"'"' : "'""'°"
Project Address � R% � �AC2�(2E.CC 14(/E� �o$%�QnIN�%i ' � � �� � �� �
ApplicanYsMailin Address iSSZ �AiTUAvV OQIVE� H IJ 9�� TYPEOFCONSTRUCTION ' NEW ADD _ ALTERATION REPAIR
Owner'S Name �qTT� � H U�T1 FQ .' � �-� � CONVERSION ❑ DEMOLISH ❑ OTHER ` ' A P # '
Phone � DESCRIP ION OF WORK SE OF BIDG. �( �Y F/9'� �
' $�$ �i4(2(iFCL Q��'^ Cp''j7�✓VlfS ��'- � '� . E ��� �S MainBuildin
Address , � . � / PYr fi Pir� ' 9' '
Arch/Eng. License No. " � TYPE OF PERMIT GRAOING FOUrvDATION ❑$TRUCTURAL ' ' T Frant '
Address � 'y� / .' � �. ❑ TENANT, ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g ,
�F�N yqAN-e� ❑ OTHER,� � A Rear'
Contracror's Nama Phone�7�(f-`16o�45j C Ri ht, �"
8952 CA�GIi4ni OQ((/F PROJECTDESCRIPTION 5�.{FT. � oCCUaarvcv 9
Address (mailing) � E"� Q ����% ' �S Left
��3� ,;„. 'CONSTRUCTIONTVPE ` VALUATION$�oeU��
Ciry License No. Zorve Gaaol�vG CU. VDS. ACRES� p�ng. Ref. #
LICENSED CONTRACTOR OECLARATION •
1 hereby affirm that I am licensetl untler provisions oi charter 9(commencing Remarks: ' 1/� � . Planning Notes: '
witb section ]000)' of pivlsion 3 of thelBusiness antl Profeszions Cotle, antl '
my li<ense is in tull rce antl effect. � � - � � , � - ' '
License �lass��� �� License� (vo O 4Z "
�ate9�_I_4./_i � Si9nature �Y� �-✓�/� • �PLUMeING ' � � . FEES - �
WOBKERS'tOMPENSATIONDECLAR� TION BarSink � � �� - . 4'� Showers - � � "
I hereby aHirm that I have a cerlificate of consent to self-insure or a Certificate '
of Workers' Compensatibn Insurance, or"�a certi(ied 'copy thereot (Section . gackflow Preventer � �'Service Sink - • ' �-
3800, l.ao. CJ � � ' P.utomatic Washer'
Policy No. Company � Backflow Irrigation . • � Sewer Cap - � ' - � Cons[ruction Pole S
8 Certitietl copy is hereby furnishetl. , . -
Certifietl copy is filetl with [he city Builtlinq Division. � � Bathtubs Sewer Connection Cooking Unit
Oate ' � Applicant - - .
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � Cld�ifi¢�5 SOIdI COIIQCLO�S ' DISI1W25I1Qf
(This section neetl nol be completetl if tM1e permit is for one huntlretl ($100) or , . '
less). � Dishwasher - Solar Pipin9 , - Dryers ❑Gas ❑E
I certify that in the performance of Ine wo�k to� which this p¢rm�t is i55uetl, I _ . -
shall no[ employ any pe�son in any manne� so� q to become bject to the ' Drinking.Fountains Solar Tank Fd� �
Workero' Co pe tion Laws of Californy. /1/� ,�q� � �
Date �/%Si9nawre ���—�� L�i"/ PloorDrains ' ' SwimmingPool'w/Spa ' ' F.A.U. -
NOTICE: If, after makin9 this tleclaration, yo shoultl become subject.to the. — .
Workers' Compensation provivons of the Labor Cotle, you must forthwith FIOO�SinkS U�inal FixtU�¢5 ,
tomOry with such provisions o� tnis Oermi[ shall be tleemetl revoketl. • -
CONSTRUCTION LENDING AGENCV ' yrl � GasService � Out�ets Wdt2fC105¢t
1 nereby affirm that there is a construction lentling agency for tM1e performance Device Boxes
of the work for whith thi5 permit i5 issuetl (Section 309�, Civ. C.) ', Interceptors � � Water Heater Outl¢t5
Lentler's Name '
�entler's Atltlress � Kitchen Sink -- - . .� WatervService� � _ . ,
OWNER BUILDER DECLARATION ' � � ' SwitchCs �
I hereby aftirm that I am exempt from the Contractor'S License Law for the �'Ldvdto�ies AutO-WdSh � .. Gdfbdg2 DiSp I
following reason (Section 7031.5 Business antl Professional Cotle: Any city or , .
�-� -
� 32E4 9/!�/,7 12aF 7�_
0
Accessory Building: �
�
�
e
ELECTfiICA6 , � -
Transformer ❑ 15-50 KW
. , �' ❑ 50+KW, ,
� ' Meter ❑up to 100 amps
, � Meter ❑over 100 a
Sub;Panel
Motor 0-t.HP �1'/:-8
` � .Solar �9-15 HP �i6-1
Microwave' '
• Pole Light
.county wn�ch reqwrez a permrt m construct, alter, improve, demolisn or repalr • P-Trap i � Laundry Trays � Generator 0-5 KW �5-15 KW
i�,•ny structure, prio� to its Issuance, also requires the applicant for.such pevmit
",`:%> tile a signetl Statement that he/she I5 licensetl pursudn[ to the provisions ot RoOi D�3in5 �
�lti:Te Contractor'S License Law (Chapter 9(mmmencing with Section 9000) oi
"Division 3 oPthe Business antl Professions Cotl2) o�'that he/she is exempt - -� - - � - -- -- --
therefrom anG the basi5 (or the allegetl exemption. Any violation of�5ection � ; � ' �
]031.5 by any applican[ for a permit subjects the applicant to' a civil
penalty of not more than five huntlretl tlollars ($500). , 3 ' ' '
❑ I, as owner of the property or my employee5 with wa9e5 as their sole R¢in5p¢ction F¢e $15 Isue Fee ' $
Sign '
Standing Sections
Trash Compacmr
compensation will tlo tne work, antl the structure is not intentletl Or offeretl ReipS ecti00 Fee
for sale (Section �044, eusiness'an0 Professional Cotle: The Contractor's � ' MECHANICAL � FEES P $�5 Issue Fee
LicenSe Law tloes not apply to an owner ot a property who builtlz or improves �
thereon, and who does such work himself/herseli or thraugh his or her own , � DEVELOPMENT SERVICES REQUIREMENTS:
em0loyee5, Provitletl that 5uth improvements are not intentletl or olferetl tor BOiI¢� HOOd o� � Type I ❑ �
sale. It, however, the builtling or improvement is sold within one year of com- . � � Canopy Type II �❑ Zo�ing Approved By
pletion, the owner will have Ihe burtlen ot proving he/sM1e tlltl no[ builtl or im- DUct - IJnd¢� GrouOd � @Uilding Approv¢d,By �
' p/Ove for tM1e purpose of sale). . ' ' ,
❑ I as owne� of the property, am exclusivery conVacting with'licensetl con- �Uct -$t�uctul2l Refrigeration System ' � Appliwtion Issued By
2
O
N
I
' N
G
R
E
Q
M
• T
S
' FEES .
3
Vactors to con5fruct the project (Section ]044, Business antl Professions Cotle: -' ' '
The.CanVatto�'s License LSw.tloes not apply to an owne� of�Oroperty who ' ❑0-100,000 BTU'�100,000 BTU _ . - � � - - '
builtls or improves thereon, antl who contracts for such projects with a con- Duct - Ventilating � � SUMMARV OF .EESG ,
tractor(s) i¢ense pursuant to the Cantractor's License Law). I.am aware that - BUILDING PERMIT ' -
ExhaustSystem O Multiple� �System-Repair/Alteration $ 'SMIP - .$.
proof ot tneir Worker's Compensation Insurance shoultl be provitletl to me. _ " _ P�AN CHECK $- �•PERMIT ' •
❑ I am enempt untler Section , e. &-P. C. tor this reason. ' Firepl/Fact.6lt. ICBO # Fire Dampers � PWMBING .. $ s-O� - ISSUANCE .$ ' ,
Date owner Heating ystem & Ducting Registers ' " p�qN CHECK 25% $ - ENERGY P.C. $
I hereby �<eitiiy Ihat I have read this�application antl state that the above O,OOOBTU 0100,OOOBT ' GRADING - $
intormation is correcL I'agree to wmpry,with au <ity antl county ortlinances a ELECTRICAL $
antl state.laws relating to builtling wnstruction, antl hereby authorize repre- _ . , ' PLAN CHECK 50% ' MICROFI LM ��$
sentatives of thi5 city �o en[er aPo� the abov¢-mentionetl p�Ppersy fo� - � . , � � ' � - $
� ��Y��a�u�e. _ �
Drivers' License ar
` CM 0865-46, rev. 10/
l
White - Builtling; Canary
� / � I ' I Reinspection Fee
liczn4"Pink.- Accounting; Goltlenrotl - Assessor
y' , . I �
MECHANICAL � $ �� TOTAL FEE �$ � ����
`$15 . laue Fee . � $ 3� 7LAN CHECK 25% $ , ' ,
J
CONSTRUCTION AND PLANNING � _ _ , POOL & SPA � . . � , ' I
APPROVALS Perm�it# Date � Inspector AppROVALS Permit# � Date Inspector
' 7: �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 Reinforcemenf� � ' � . ' 56. Rough Plumbing;& Pressure Test
6. ElectricalUFERGrnd'r� .. � ; 57: APPROVALTO�COVER-GUNITE � .
7.�Footings ' • ' � 58. Electrical Conduit-Undrgrnd.
�
8. ,Foundation , � ,' � � ' � �'59. Gas Pipe, O -Undrgmd., Test
9. Water Pipe-Undrgrnd. 1% � 60. Backwash Lines; P;Trap, O Undrgmd.�
;�
10. Structural Floor System . ' /� 61. APPROVAL TO DECK
i t. Proper[y Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap ' 63. �Heater & Vent-Final . '
�
13. Roof Drains '' ' •' 64. Plumbing Systein - Final
' .
� 14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit , 66. Solar System-Final '.
i 6. 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 `
j,
l
20. Rough Factory Fireplace � . � APPROVALS Permit # _ y
21. Ducts, in Structure , 70. Underground Hydro �
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil �
23. Gas Pipe-Rough & Test 72. Underground Flush ' +
i
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 PREV. FINAL � `{ '��
30. Drywall Nailing . � HEALTH DEPT. REQUIREMENT ,i�
' 31. Plaster Brown Coat � 79. FINAL INSPECTION _ ,
32. Electriral,Power Meter-Final 80. FOOD CERTIFICATE ISSUED � ��
33. Final Electric Notes: � - . � �
.
34. Final•Heating & Air Conditioning !_8. � � . ' � � ..`�
35. Fin`al Gas Pipe-Test ' � - - . "''
36. Hood or Canopy . '. __ ' -
37. Final Factory Fireplace . � � . � . � '-
�38: Final Plumbing. - ,�_� £ ' . . � . _
39. Water Service-Final � " ? � "
. ��
40. Gas Service-Final , � ' . - ,,,
41. Solar pomestic-Final � �
42. Backflow Preventer . - - � ' �
. ,43. Backflow Irrigation � � � .. ' � - ' `
44: Landscape Irrigation Syitem � � � . . � . • �� • � � �
45. Sound Attenuation � � � " '
46. Handicap Regulations .
47.;FINALSTRUCTURE&BUILDING . � -� ��" '�, '
7
48. Special Requirements Completed � ,_ �
ti
49. Electric Release to Edison ' � '
50. Gas Release to Southern Califomia Gas Co � � � . �
51. CERTIFICATE OF OCCUPANCY
No. Date - � � � �