HomeMy WebLinkAbout685 PAULARINO AVE - Building PermitsAOG�icant to fiil in all spaces except tnase within heavy bortler lines antl sign all apProDriate aeclarations.
PERMIT PERMIT NO. � TRACT NO. LOT NO. UNIT NO.
qTYOfCOSTA�M/ESA CONSTRU/CTION
PrjectAddress u�J� �a}vy�/;�I��r �/
Applicant's Mailing Address . _/ �y �' �'%��%�lf�� / '
Owner's nlame C/i�'I�/�' �Bh� L�1 �NS Phone7.f�-L � iy
Address
Arch/Eng. License No.
Address � ''�
ConVector's Nem Phone "��
Address (mailingl
.l�r,
City License No. .
UCENSED CONTRACTOR DECLARATION r �'� �
I hereby a(firm that 1 am licensetl untler provi5ions of Chart¢r 9(cortimencing
with section ]000) ot Divislon 3 0( the Business antl Professlons Cotle, antl
my Iicenze is in tull torce antl efiect. � �,
License Class License No.
Da[e Si9nature
WORKERS' COMPENSATION DECLARATION
1 hereby aitirm that I have a certificate ot mnsent to Sel6insure or a certificate
� Wo�ke�s' Compensation Insurance, or a certitietl copy the�eot (Section
i00, Lab. C.)
Policy No. Company
eCertifietl copy is hereby furnishetl. .
Certifietl mpy is tiletl with the city Builtling Division.
Date Applicant .
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION �
(Thissection neetl not be completetl if fhe permit is for one huntlretl ($100) or
Iess).
I certify lhat in the performance of the wo�k tor which thi5 pe�m�t is issuetl, I
shall no employ any persOn in any m on I so as to b¢come Subject to the
Work Com epsa on Laws of Calif� n�' /�
Dat l � �`- � Si9na[ure%�..1��,��/ /����
NOTICE: If, after �making ihis tleclaiat�pfr�k6fi`3Foui�become subiect to tne -
Workers' Compensation provisions of the Labor Cotle, you must forthwith
comply with such O�ovisions or this permit Shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 nereby afilrm that there is a construction lentling agency for the performance
of the work tor which this permit is issuetl (Section 309] Civ. CJ
Lentler's Name
Lentler-'s Htltlress � '
OWNER BVILOER �ECLARATION �
I nereby afflrm that I am exempt irom the Contractor's License Law for the
following reason (Section 7031.5 Business antl Professional Cotle: Any city or
counly whiM requires a permit to construct, alter, improve, aemolish or repair
any 5[ructure, prior to its issuance, also requires the applicani for such permit
t0 lile a si9netl statement that he/she i5 licensetl pu�suant to the provisions of
the Contrac[or'S License Law (CM1ap[er 9(commencing with Section 7000) ot
Dlvlsion 3 of the'Busine55 antl Pro(essions Cotle) or that he/She-isexempt
9eretrom dntl the'ba5i5 for the allegetl exemption. Any viOlation of Section
J31.5 by any applicant to� a permit subjects tne applicant fo. a civil
.�ty o( not more than (ive huntlred tlollars ($500).
I, as owner of tFie� proper[y or.a�EMpTE9EE5 with wages as their sole
compensation, will tlo.tne work, antl tne st�ucture Is not In[entletl or offere�
tor sal¢ (Section ]044, Buslness antl PrOfessional Cotle: The Cont�acto�'s
LicenSe Law tloes not apply to an owner of a property wno builCs or impmves
thereon, ana who tloes such work himseli/herself or throu9h his or her own
employees, provitletl that sucn improvements are not intentletl or offeretl for
Shce. If, howeve�, the builtling or improvement i55oltl within one year ot mm-
'pletion, the.owner will have Ihe buraen oi provin9 he/she tlitl not builtl or im-
prova for the purpose of sale). '
❑ I, as owner of the pro0erty, am exclusively mntractln9 with licensetl con-
IraCtOr5t0 cOnst�uctth¢ proje[t ($ecfion ]064, Bu5ine55 antl Protessions Code:
The Coniractor's License law tloes not apply to an owner of property who
builtls or improves thereon, antl who contracts for such projects with a con-
tractor(s1 iicense pursuant to tM1e Contractor's License Law). I am aware,that
proof of their Worker'S Compen5afion insurance SM1oultl be provitletl to me.
❑ 1 am exempt untler Section .B. & P. G. (or this reason
i� . . . . �.�'n
Da[e �..f.l.' {-/t_� _�-7 /
I h¢reby certify tha�
Ifl(OIRId[IOII IS COREC
dOd 5[ffiC IyWS lCldilf
sentatives oi t is ci
inspection p o 5.
Signature
Drivers' Licen e or
7F 0865-46, rev. 10/84
1 have reatl M1i applicatiOn antl state tM1at the above
,- I agree to wmpty wifh'all city antl county ortlinances
3 to builtlin9 construction, antl hereby authorize repre-
y to enl¢r upon Ne above-mentiOnetl property fo �
.� ` ,�•2�.�
��. �at
9F ��/
- Applicant; Pink - Accountin9: Goldenrotl - Assessor
�er Cap " .- -
Sewer Connection 1
Solar Collectoh .
Solar Pipin
Solar nk
immin9 Pool w/Spa '
Urinal
1�1�2LC! CI052L
Water Heater
Water Service . . _. . .
Auro-Wash
� laue Fee I $ 3 I
iANICAL FEES
Hood or Type I ❑
Canopy Type II ❑
Refrigerotion Syste '
❑0.100,000 6 ❑ 100,000 BTU
System pair/Alteretion -
F� _D'ampers •
Registers � �
- laue Fee $ 3
A.P. #
S Main Buildi
E
T Front
B Rear
A
C Righy��
Plpcf Ref. #
Planning Notes: i
Automatic Washer- .
Construction Pole Sub.
Cooking Unit
Oryers LJGas LJE
Fan
F.A.U.
Fixtures
Device Boxes
OuHets •
Switches
Garbage Dispoul
Generam�
Fee
lectric
�448 E/c_/'7
JC. TL
Zone
Accessory Building: '
Z
O
N
I
N
G
� R
Parking Req./Provided E
Q
M
. T
S
ELECTRICAL
Transformer ❑ 15-50 KW -
❑ 50+KW
' Meter �up ro 100 amps
Meter, ❑over100amps
Sub Panel
Motors �0.1, HP �1 Yh - 8
Inc.Solar �9-75 HP �16-15+
Microwave
' Pole Light
Range
c:.... _
Standing Sections
5-15 KW � Trash Compactor
�K�S. TL'N!P
$15 . luue Fee �
FEES
$ 3
DEVELOPMENTSERVICESREQUIREMENTS: �
Zoning Approved By - Date
Building Approved By Date �
Appliwtion Isued By Dat�
_ SUMMARV OF FEES
� BUILDING PERMIT $ .SMIP $
� PLAN CHECK $ PERMIT �
PIUMeING � $ � ISSUANCE $
� PtAN-CHECK 25% �$. ENERGV P.C. $
ELECTRICAL $ � .01% GRADING i �
PLANCHECK 50% $ MICROFlLM $
MECHANICAL $ . TOTAL FEE '$ � ��
� PLANCHECK� 25% $ . '
CONSTRUCTION AND PLANNING POOL & SPA . �
APPROVALS Permit# Date Inspector pppROVALS 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-Undrgmd. 55. Electrical Bonding . � _
5..Steel Reinforcement , � 56. Rough Plumbing & Pressure Test ' .
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �
7. Footings � ' • �58. Electrical Conduit-Undrg'rnd. ' �
8. Found"ation 59: Gas Pipe, O Undrgrnd., Tesf �
9. Water Pipe-Undrgrnd. �� . � 60. Backwash Lines, P=Trap, O 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 �
73. Roof Drains . ��: 64. Plumbing System - Final �
14. Rough Plumbing . ' � . 65. Electrical-Final ' ' �r�,,: ' �
15. Rough Electrical-Conduit . 66. Solar System-Final . A
�
76. Rough Electric Wiring 67. Fencing & Access Approval ,��.G`� -
i.
17. Rough Wiring Sign ' . � 68. APPROVED FOR PLASTERIN�
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINA�L;�i �
79. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT � '
20. Rough Factory Fireplace APPROVALS , Permit#,__._.. . -
27. DuCts, in Structure 70. Underground Hydro-� �- ` �
,
22: Ducts, Ventilating 71. Product Piping C�G2s .� Oil � �
23. Gas Pipe-Rough & Test 72. Underground Flush_�,.
24. Roof Framiny . � 73. Undergrnd. Sto�aye�T.ank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hyc�ro,� ; • �
26. T-Bar Ceiling (Structural) & Monocoat - 75.- Dry Chemi�al ' '
' 27. Frame and Flashing � � 76. Dry Stand{iipe�' � -
28. Lathing & Sitling 77. FIXED'SYSTEM FINAL .
29. Insulation 78. FIRE PR�E�; FINAL �
30. Drywall Nailing � �` HEALTH DEPT. REQUIREMENT
31. Plastzr Brown Coat � 79. F�IIVFCL INSPECTION � -� �
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � � �
33. Final Electric -Notes: � �
r ; �
34. Fina! Heating & Air CondiYioning ' -
35. Final Gas Pipe-Test �� +� r8
�36. Nood or CanOpy
37. Final Factory Fireplace : '
38. Final Plumbing - • , '
39. Water Service-Final , .. - -.. . .- ��r�.�.�.�. •e ��- . ��; r=w: ' � ' � .
40. Gas Service-Final � '
�
41. Solar pomestic-Final . � �
, 42. Backflow Preventer - . - �-. •
�43. Backflow Irrigation � . . � .� , . . � .
�44. Landscape Irripation System � � '� i
_45. Sound Attenuation � - • � ;.
46. Handicap Regulations - �, '
47. FINALSTRUCTURE & BUILDING ' - �•
48.-Special Requirements Completed ' � ' ,,� .
49. Electric Release to Edison � . �
50. Gas Release to Southern California Gas Co �
.,
51. CERTIF�CA7E OF OCCUPANCY '
l'
No. � Date � . • '