HomeMy WebLinkAbout2231 CANYON DR - Building PermitsApplican�Mailin ddress '�iM�lGLY C/�AJG
.Owner's Name � �+ �' Phone �1_y_�S�f
Address �i� /� ,�/�/�.� � L � /�V_�_! �GK�,�-�
Arch/Eng. License No.
Address —
Contractor's Name Phone
Address ( mai I i ngl
Ciry License No.
LICENSED CONTRHCTOR DECLARATION
I hereby aHiim that I am licensetl untle� provi5ion5 of ChartGr 9(commencing
with seclion 7000) o( Oivi5lon 3 of the Business antl Grofe551on5 Cotle, antl
my license is in full force antl eftect. �
License Class � License No.
Date Si9nature '
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of mnsent to self-insure or a certlticate
of Workers' Compensation Insurance, or a certifi¢tl CODY �here0f (Se<tion
3800, Lab. C.)
Palicy No. Company �
[� Certifietl copy is hereby furnished.
Certitietl copy is filetl wiM the city Huiltling �ivision.
�te Applicant
cXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thissection neetl nat be completetl if the per iit is tor ne huntlretl ($100) or
Inss).
I certity that in tne pe�fo�mance of the w o� hi thl5 Oe�m�t i5 i55uetl, I
shall not employ any person in any m become subject to-the
Workers' C ipens ion Laws of Galifo .
Date __�yiz�5i9nature
NOTICE: f, afte making this tleclara 'on, yo shoul come�subject to the
Workers' Compensation provisions of the Labor Cotle, you must forthwitn
comply wi[h such p�ovisions o� thi5 pErmlt.5ha11 b¢ tleemetl �evoketl.
CONSTRUCTION LENDING AGENCV
I bereby aftirm Ihat there is a construction lentlin9 a9ency for the pertormance
of the work tOr which this Oermit i5 i55uetl (Section 3097 Civ. C.)
Lentler's Name
Lentler's Atltlress
OWNER BUILDER DECLARATION
1 hereby affirm Lhat I am ezempt from Ihe Contractor'S License Law tor the
following reason (Section 7031.5 Business antl Professional Cotle: Any city or
county whlcn �equire5 a pe�mit to const�uct, alt¢r, imp�ove, tlemolish o� �epair
any structure, prior to its issuance, also requires the applicant (or such permit
to file a signetl statement that he/she i5 licensetl pu�suant to the p�ovisions Ot
the Contractor's License Law (Chapter 9(commencing wit Section ]000) of
Division 3 ot the Business antl Protessions Cotle) or th he/she is exempt
therefrom antl tne basis for the allegetl exemption. Any lolatlon of Section
�031.5 by any apPlitant tor a permit subjects the pil%cant to a civil
neruitv oi not more than five hundretl tlollars ($500�. �A
y� 1, as owner oi tne properry
—w�eTJElIeA, will tlo th2 wo�k, an e s ruc ure is not intentletl o� otter¢tl
sale (Section 7044, Business antl Professional Cotle: The Contractor's
ense Law tloes not apply to an owner of a proparty who builtls or improves
.Lreon, antl who tloe5 Such work hirnself/herself or th�ough his or he� own
employees, provitletl that such improvements are not intentletl or offeretl for
sale. If, nowevEr, the bulltling or imp�ovement i5 Soltl wi[hln one y¢ar of com-
pletion, the owner will have the bu�tlen Of proving he/She tlitl not bulltl or im-
prove tor the purpose of 5ale).
❑ I, as owner of the property, am exclusively contracting with Iicensetl con-
tractors to construct the project (Section 7044, Buziness antl Professions Cotle:
The Contractor's License Law tloes not apply to an owner of Oroperty who
builtls or Improves thereon. antl who contr cts for such oroiects wrth a con-
tractor(sl license pursuant to me ConVa s License Law). I am aware that
proof o( lheir Worker'S Compen5ation ' �ance Sh ultl be providetl to me.
❑ I am exempt untler Section .& P. C. tor [his reason
Da[e r�'� �e• i
I hereby certity t
Intormation is con
dllfi S(dlE IdWS (21'
sentatives of th'
Inspaction purp
Signature �
OrivBrS' Licen or
08fi5-46, rev. 5/8B
Owner
[ion a� state that the above
a11 tlty antl county ortlinances
i, antl he�eby autho�iie r¢pre-
hnve-mentionetl orooertv for
ant to fill in all spaces exceDt tnaze within heavY �ortler linas an0 sign all aDoropriate tleclantions.
PERM NO. TRACT NO. LOT NO. UNIT NO.
p�� A P �f`-
O
S Main Building:
TYPE OFCONSTRUCTION NEW ADO ALTERATION REPAIR E
❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front
OEG�RIPTION OF WORK/USE OP BLDG. �• � I A Rear
y✓_�/� �J.U.f % /GL � A�e%J �� �'e/� C Ri9ht
TYPE OF PERMIT �GRADING FOUNDATION STRUCTV RAL I K
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' g� Left
❑ oTHeR p Ping. Ref. #
PROJECT DESCRIPTION SQ. FT. ` f ui s�r�l� OCCUaANCV Planning Notes:
CONSTRVCTIONTVPE VALUATION$ ��•
20NE GRADING CU.YDS. ACRES
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
eathtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Kitchen Sink
Lavatories
P—Trap
Fioof Orains
Reinspection Fee � $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. iCBO #
Heating System & Ducting
❑ a� oo,oao sTu O i oo,000 ar�
Reinspection Fae � $15
WM1ite - BOiltling: Canary - ApP�iwnt; Pink - Accounting; Goldenrotl - Assessor
PLUMBING
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank -
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Issue Fee
Hood or Type I• ❑
Canopy Typell ❑
Refrigeration $ystem
❑6100,OOOBTU ❑100,000
System Repair/Alteration
�Fire Dampers
Registers
FEES Automatic Washer
Construction Pole 5�
Cooking Unit
Dishwasher
Dryers OGas ❑EI
Fan
F.A.U.
Fixtures
Device Boxes
Outlei5
Switches
� Garbage Disposal
. Generator �0.5 KW
$
FEES
Accessory
Parking Req./Provided
2one
Z i
O _
N
1
� N
G
R
E
Q
i M
5.
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up ro 100 amps
Meter ❑over100amps
Sub Panel
Motors �0.1 HP � 1%- 8
Inc.Soiar �9-75 HP 016-15+
Microwave
Pole Light
Range
Standing Sections ��
5 KW Trash Compactor +�
- .�
Reinspection Fee $15 Issue Fee _•_;
DEVELOPMENTSERVICESREQUIREMENTS: _ ���
Zonin9 APProved BY �"Dx
� Building Approved By -'�Dx
� Aaolieation Issued Bv � ' " De
laue Fee I $ 3 I- �:
r,
0
$ 3
SUMMAR OF FEES '
BUILDING PERMIT $ SMIP ? $ �
- PLAN CHECK $ - PERMIT . �
PLUMBWG $ ,,,t ��UANCE $'„,-,;�:
PLAN CHECK 25% $ , ENERGV P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $ Q
MECHANICAL $ TOTALPEE $ J3`�
. PLAN CHECK 25% $
ACCu+JH7 :: 8117402CG:
Of J047 O�Ti OQ04C�iC-;,�!��G'i:
�!E!2?189 �ll GK TE;�� 3?.5�
. �
ONSTRUCTION AND PLANNING POOL & SPE
PPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
emporary Electrical Service or Pole 52. Pool & Equipment Location �
�
Soil Pipe-Undrgrnd. , 53. Steel Reinforcement • .%�
��Electrical Conduit Utility-Undrgrnd. 54. Forms ' �"'
4:�Electiical Conduit-Undrgmd. 55. Electrical Bonding .'��%
5. Steel:Reinforcement 56. Rough Plumbing & Pressure Test '
� . .�--.;...
6:lElecTricalUF.ERGmd. 57. APPROVALTOCOVER-GUNITE � ' .!�
i �., .> , :v -
7,.y Footing"s ✓ , .•'!� 58. Electrical Conduit-Undrgrnd. . : �)
8;!FoiuidaUion t�� f- 59. Gas Pipe, � Undrgrnd � Test �)�� � ~
i : , ,,
� 9( W�er Pipe-Undrgrnd. �}_L 60. Backwash Lines, P-Trap, O Undrgrnd. '�
r
� '
': 10..�Structural Floor System f y.i� 61. APPROVAL TO DE6�C � ;�
4.1AiPropertV Sewer Line & House Connection � 62. Backwash & Receptor�Final �
���12.� Se'we"r Cap - � 63. Heater & VenbFinal '
,+ i i:
13. Rpof Drains 64. Plumbing SYstem - Final ��
i - _
14. Rougfi Plumbing 65. Electrical-Final � �:�
. ..
15. Rougti Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
G77! RougFi.Wiring Sign 68. APPROVED FOR PLASTERING
�16; Rough E(ectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
i
�19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in?Structure ' �70. Underground Hydro
22. Ducts, Ugntilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough &?est 72. Underground Flush
24. Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sh'eathing ' 74. Overhead Hydro
26. T-Bat,Geiling (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
31. Plaster Brown Coat'.� 79. FINAL INSPECTION
32. Eleetiical Power Meter-Final 80. FOOD CERTIFICATE ISSU
33. Final Electric � r� Notes: Fj 3
34. Final Heating & Ai� 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 pomestic-Final
�V
42. Backflow Preventer ` ��
�'f
43. Backflow Irrigation � •. )
44. Landscape Irrigation System �, � �
45. Sound Attenuation E X P I R E D
46. Handicap Regulations ncomp e e ItSpBCiI fl
47. FINALSTRUCTURE&BUILDING Vate - /SI$� '
48. Special Requirements Completed
49. Electric Release to Edison i-. .�
' 50. Gas Release to Southem Califomia Gas Co r' �� �''
.l
��� :51. CERTIFICATE OF OCCUPANCY '�.� ' -
.. No. Date .• :J