HomeMy WebLinkAbout980 SOUTH COAST DR - Building Permits'
ADpllcant to flll in all
CiTY OF COS7A�QMESa—GONS17RUCTION/� P.ERMIT - �
Prqject Address � y�� ���u �'�' 'y� ��a {
p �q3ao,
Applitnnt's Mailing Address p d P�K (0386 �AA��eP !A
Owner'sName kA2.uKa SF(IYtt[_�!1(Ct/�� Phone474 �O
Address
Arch/Eng. License No. '
Address
Contracror's Name7bYoTA LA,t/nYA�I� �, vhoneg�'�
Address (mailin9) _
Ciry LicenSe No. � Q� ��
LICENSEO CONTRACTOR DECIARATIOIJ
I hlreby. alfi�m thdt 1 am lit¢�Setl untlBf provislons o� ChartG/ 9(COTmtnting
�witn 5e<tion 7000) of Divislon 3 of tne Businesi antl Profe55ions Cotlo, antl
my license is fn tull fo ce ana eifect. � �j
Llcense Class ' Liceny� No. �7�7�7 �
Dale /,Z/ (s_ 5'g t e e�'iaA'2u0�
WORKERS' COMPENSATION DECLA ATION •
' hereby aflirm that I have a ter0titata o� consent to 5eH-insure or a certlfica[e
' Wofkels' CompenShciOn InSurance, o! a cettl(Ietl cOPy tlt¢rGOf ($ettlOn
l00, l.ab. C.)
�icv rvo. �dA"d[E[��`10�-&6'�$comoany L�Y'��O CMSi/ALT4 Co.
Certifietl copy i5 h¢reby fUmishetl.
CerU ietl{ �5 filetl wilh th¢ City �Itling (d/v yai ' yi�
Oate '/3'/�Appliwntr J /SLCI le.e_.
E%EM TIOf�/ FROM WORKERS' COMVENSATION OE ARATION
(Thi55ectiOn ne¢tl not De comple[ed I7 tbe permll Is tor, On¢ huntlretl (5100) or
less):
I certify that in the performance ot the work for which this perm�t is issuetl I
shall not employ any person in any manner so as to becoma subjatt to t�e
Workers'. Compantation l.dws ot Califor��a.
Dato ' � S�gnaturo
'NOTICE: 11, atter makinq this tluclaratio�. You shoul0 become sub7ect to the
Workers' Compensation provisions of'the LaDor Cotle, you must torthwiih
com0ly wllh' sUch p�Ovlsions o� this Pe�mlt ihall be tleametl �evokotl.
CONSTRUCTION LENDING AGENC'�
I nereby affirm lhat there is a con5lructitl� lantling agoncy for lne per(ormance �
of Ihe work for which [his pOrmlt is IiSuetl (SeCUon 3097 Civ. 'C.�-
Lentler's Name
LenCer's Atltlress
OWNER BUILDEH �ECIARATION
I hereby af/irm that I am exempt Irom ��o Contractor's Ucensu'Law tor tna
followin9 reason (SecUon ]031.5 Businoss antl Professlonal Cotle: �Any city or
tounty whlcn requires a permit to canst�uct, alter, improvo, Eemolish or rapair
any s[rutlure, pdor to its issuance, alio reqWres the ap0���ant fOr such parmit
'to flle a' S19nOtl stalemenl thdt he/Snc Is Iiconmtl pursuant lo Ihe prOvlSions ol .
the Contractor's License Law (Chapter 9(�ommencin9 wlth Saction 7000) of
DiviSiOn 3 ot IhC Bu5ina55 antl �rofa55��n5 Cotlo) or thdt h0/She Is exampl '
'ewtrom antl the basls tor the allegotl axamptlon. Any vlolatlon.ot Soctlon �
31.5 �by any applitant Por a parm�� SUDjocts tho ap0�����< <O a clvil
.nalty ot not mOre Ihan live huntlre� tlollars (5500). " �
� I, ds own¢r ot the p�op¢�ty o� my empl0y005 with wdgas as �h¢Ir SolO
ComponSatloO, will tlo lho work, anG tBo StruCtura is not In[ontlotl or offoretl
for 5ale (Section 7044, Buslnass antl Profassional Cotle: The Con[ractor's ,
Llcense'Law tlocs not apply to an ownel 01 a property who bulltl5 or ITprOVCs
lhereon; antl who tloas suU work himself/horsall or through his or hor own •
employces, provitlatl that such Imp.ovements ure not Intentlotl or o/taretl for
sale. If, M1owever, tne builtling m impro�amont is soltl wilhln one year of tom-
ulntlon, tnc awner wlll have the burtlen ol proving hc/she Oltl nol bulltl or Im-
�rOv! �ot lhe purpaSe ol Sa10). '
I, as owner ol the property, am uxcluslvely contracting with Iicensotl con-
lractor5 to conStruCt th¢ prolC<t ($eclloP �044, Busine55 antl ProIB55iOns Code:
The ConttaCtor's License Law does n0� apply l0 an ownt/ o/ p�operty wh0
builtls or imo�o�es lneraon, antl who co�bacts for such projects with a con-
lratlor(5 Ilcenso pursuant�to the Contractor's License Law). I am aware lhal �
proo( o� lheir Worker's Compensation ��suranco snoultl be provitletl to me.'
❑ I�am exempt untler Section B. 6 P. C. for [his reason '
Date Owner
I hereby certlty tnat I hava reaa thls apo���atlon ana ztate that the above
informabon is mrrect. 1 agree to complY wilh all city antl county ortlinances
antl ztate law5 relatlng.to builtling con4irucUon, antl hereby aulhorize reD�e-
Senta[ives ot IIiS City t <nler upOn th0 abOve�mentiOnetl ptop¢ ty �Or
inspectlon pur S¢5. � 3� oG
$i9nature . i /�-�
except tnosa wlt�in �eavy pa�tlei Iines antl fign all approoNate tleciarations.
r A TRACT NO�Ad LOT NO. UNIT Nb.
�o« a � "� us;n.�rss B�'.Id�n
TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p �y
DESCRIPTION OF WORK/USE OF BLDG. -
S Main Bi
TVPE OF PERMIT GRADING FOUNDATION STRVCTURAL T FrO�t
� TENANT ❑ ELECTRICAL � PLUMBING ❑ MECHANICAL B RCef
� OTHER %�
PROJECT DESCRIPTION 5Q. FT. OCCuvANCv C Right
K
CONSTRUCTION TVPE VALUATION 5 g Left
ZOrvE GRADING CU. VDS. ACRES . P�ng. Ref.'1�
Remarks: _ -/ p.��np-dOL ?/?D.idri.._/ PlanningNo
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers ,
Drinking Fountain5 '
Floor Drains
Floor Sinks � � �
Gas Service Outlets
Interceptors •
Kitchen Sink -•
Lavamries - '
P—Trap
Roof Droins�
� ' ' ..
Reinspectian Fee � $15
Boiler
Duct- UnderGround
�uct - SVucturel
Duct-Ventilating �
EzhaustSystem ❑ MWtiple
Firepl/Fact.elt.ICBO� '
Heating System & Ducting
Q0.100,000 BTU O 100,000
FEES
Showers
Service Sink
Sewer Cap
Sewer Connxtion
Solar Cotlecmrs
Solar Piping
Solar Tank
Swimming Pool w/Spa'
Urinal �
Wacer Closet �
Water Heater
Water Service '
Auto-Wezh
lauo Fea � $.3
Hood or Typel ❑
Canopy Typell ❑
Refrigeration System
�aioo,000eru Oioo,000
❑ System Repair/Alteration
Fire Dampers
a
Reinspection Fee I $15 I I Issue Fea
CMF 0865-46, rev. 30/84 White � Builtling: Canary - Applicant; Pink - Actountin9: Goldenrotl - Assessor
Automatic Washei•
Construction Pole:
Cooking Unit .'
Dishwasher • �
o��e�: oces ❑i
Fan
F.A.U.
Fix[ures
Device Boxes
Outlets
2596 I/31/86
Zone
Parking Req.IProvided
ELEC7RICAL
% Transformer ❑ 75-50 KW
: �50+KW
7 Meter �up to 100 amps
� . Meter��over 700 amps � -
Garbaga Disposal '
Generator �0-5 KW �5-15 KW
Sub Panel
Motors � 41 HP � 1 Yh - 8
Inc. Solar �9�15 HP �i6�
Microwave ' .
Pole Light �
Range
Sign
Standing Sections
Trash Compactor
Reinspection Fee $15 luue Fee
FEES
DEVELOPMENTSERVICESREQUIREMENTS: �
2aning Approved By
8uilding Approvad By
Aoolication Issued Bv � t __ _
S 3
i o:i
Z
O
N
I
N
G
R
E
Q
M
T
S
FEES
$ 3
SUMMAqV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ PE(iMiT . �
PLUMBING ,$ � ISSUANCE 5
PLAN CHECK 25%, $ ENERGY P.C. 5�
ELECTRICAL g � GRADING 5
PLAN CHECK 50% $ MICROFILM 5�(��] /'�
MECHANICA� $ � TOTAL FEE $ ___J S'�_,
PLAN CHECK 25% $
TL
�CONSTRUCTIONANDPLANNING � ` POOL �A
't,
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
" 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. � 53. St=el Reinforcement �
3t61ectrical Conduit U[ility-Undrgmd. ' 54. Forms �-
4�. �ectrical Condui[-Undrgrnd. 55. Electrical Bonding -
5.�gel Reinforcement 56. Rough Plumbing & Pressure Test
6.�'Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE •
7.�F ;otings 58. Electrical Conduit-Undrgmd. �
8. �oundation ' 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. �Structural Floor System 61. APPROVAL TO DECK
i t�. ,roperty Sewer Line & House Connection � 62. Backwash & ReceptorFinal
12. Sewer Cap 63. Heater & Vent-Final
134Roof 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
1�7. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. 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 OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathin� 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. L'athing & Siding 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 � 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 . (�-p..�
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer �j-[I166 (./r/> �'i
43. Backflow Irrigation , ��
44. Landscape Irrigation System y�-(%'� �
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
A