HomeMy WebLinkAbout2790 BRISTOL ST - Building Permits1
PHOJECT RDDNESS: ' 7 9 U � R Z S TOi $ 1
OWNEfl'S NFME: h�RY NOUNAN
aoon[ss: SANE
AHCHIENGINEEP:
RODNE55:
XEG.NO.:
UNIT:
UNIT:
PEBMITTEE: �EjURGEY' S �:L�CTHZC ( 714 ) 979-2311
aooeess: 945 COI�OHADO ST
COSTA N,F'SA CA 92626
LICENSEO GONTHBCTOX OECLABATION: I hereCy atlirm tlwt I am licensea unCer pmvisians of Clupier 9(commencing wilh Section
7000� ol �iv�sion 3 al ��e Business antl Prolessions Coae. an0 my license is in full lorce and ellecl.
ciTvuc.:pp38fi6 stnTeuc.:39519Q �SS C—SO
Dale' _J I ' � � q � Sipnama: . _ _
'SOGNREBS' LOMPENSpTION OECIABFTION: I AereOy al i m t�at I have a cenilicate of r ent ta nsure or a certificate al Warkers'
Compensation Insurancye or a cenilieE caDY ��ereol (Secuon 3800. LaG. q.
POLILV NO.: S E�/ 2 7" 9 1 EXP. DATE: S Z� O l I 9 Z
camraxv: STATE EUND
�] Cenilie0 coOY � hereby IumisAeO. � CetlilieE caOY /is Jli�led�with /��e �city Buildinq UNisron.
-0a�e: ��Q �� O AODlican�: ol / t 1�yt� �
E%EMPfION FXOM WOXKEflS' COMPENSNTION OECWWTION: (Tltis secUon neW rot Oe compleitd il Ihe perml is I ne hwqreG �5700) orless�.
I certily Ihal in ihe oarlormance af ine work br wnicn Inis Dermit is issuetl. I shall not emDloy any Derson in any manner so as ta become
suhjeq lo t�e Warkers' ComDensation Laws of Calibmia.
Daie: SignaWre:
- NOTICE: II. al�¢r makinp IhiS �eClaraiion. yau S�aul� Oecome Su�let� IO lhe WOfkefS' Compensation prwisions oi the La�or
- CoCe. y0u mu51 Iarlhvnlh tomply wiilf Suth O�ovisions ar IhiS 0¢rmil 5hall be tleemetl revok¢G.
CONSTBUCTION LENOING AGENCY: I hereCy a��irm Ihal �here is a wnSlmtii0n IenAinA aqenty lOr ihe peAOrmante o� Ihe work faf
whic� I�is permil i5 i<suetl (Setlion 3097. Gv. G�.
�xoex:
aooeess:
OwNEB BUILOEfl OELUflF7lON: I hereDy aflirm inat I am exempt Imm ihe Coniractors' State License Law lor the tollowinB reason
(Seclion 7031.5 Business anG Pmie55ionat Cotle: Fny ci�y 01 county wM1ic� reQuires a permil to conifmii, aller, impmve, Aemolish, or
reoair any StmCWre, prior lo iIs issuance. also reQuir¢5 Ihe applitani lOr Such permil to lile a Signed Stalemen� �ha� �e/s�e is licensed
pursuam ro �he pmvisians oi Ine Con�rac�ors' Staie License �aw (ChaO�e� 9lcommencinp vnlh Section 7000) oi Uivision 3 al l�e Busine5s
antl Pmlesvons Cotle) or Ihat he/she is exempi ihereirom antl Ihe basis �or Ihe al�ege0 exemption. Nny violaiion ol Seciion 7031.5 �y
any apo�icant lor a permil suhiecis Ihe aDPlicant to a civil penaity of not more inan five huntlre0 dollars (4�`�).
I. as owner ol ihe pmpeny or my emplayees with wapes as Iheir sole compensation, will do Ihe work, antl ihe
❑ s�mcture is na� imenaed or oilereU lor sale (Secbon 7044, Business anA Pmlessional Code: ihe Contracmrs' State License Law
does nol apDly Io an owner ol a propetly who hui105 or impmves thereon, and who Ooes such work himselll�ersel� or Ihmugh
�is or �er own employees, pwviaetl tAal suc� imOmvemenis are not int¢nEeJ or o��ereA for sa�e. II, however I�e Ouiltling or
improvemeni is sald wiNin one year ol campleiion. �he owner will have ��e burtlen al pmving he/she tlitl noi builtl or impmve
� for ine purvose ol sale�. �
I. as owner oi ine pmpeny. am e�clusively conVac�ing wilh Iiren5e0 conVactors to cons�mcl Ihe pmlecl (Sec�ion 7044, Business
❑ and Pro�e55ions Cotle: The ConiraCrors' Slale LitenSe Law d0e5 nol aDDiy �0 an owner ol property who butlAs Or impmVes ther¢on
and who conlrads �or such pmle��s wilh a conlractor(s) license pursuan�lo Ihe Conlraclors' Sia�e Litenie Law),I am aware
�ha� pmol of Iheir Wnrker's Compen5aiion insurance 5h0u14 be pmvideA Io me.
� I am eKempi unAer Seciion: B. 8 P. C.
lor 1�is reason:
oate: Ownec
I ao nere�y cenily ihal I am aware ol antl untlerslana the requirtments of Caiilornia Healt� antl Salely COGe S¢clions 255115, 25573, arM
2553< and Ihat I or any IuWre building acupant willlwill nol (circle one) neetl �o comply wi�h sai0 s�ate co0e5 antl lhe reQuirements tor a
permil lar con9mclion or mooilication Imm I�e Air Oualily ManaAement Oistrict. flesiaential conslmction aDPlications are exempt Imm
IAese O�ovisions.
Dale: Npplicant:
I hereby cetlify I�at I �ave read Ihis applicalion antl slate ihal ine above inlormation is correcl. I aA�¢e to comply witM1 all city antl county
or0inances antl state IawS reldling lo OuilGing cons�mtiion antl �ereby autlprue represeni Iives ol IhiS cily �o enter upJn Ih¢ aOUve-mention¢E
pmperiy lar inspeclmn pur�p'o's+es.—�/
�Date: ���(,! SignaWre'. _.__ .
Driver's License or Sacial Secunty
i6a1-4fi Whi�e—BUAeing: Green—Cotle Enlarcamenl: Canary—AOPlicanC Pink—Revenue: GalEanroE—Assessor
_ �
� CITY ;:Cr^ �..7STA NESA — BUILDi:NG P�;RNIT PERM NO; E 05983 i
PERMI3 NU: E 059837 PLAN CHtCK NO: N GOVT; N SUPP; N
CUNSTROCiION 1YPt; PERMZ'1' TYPE; �:1,E P[7RPOSE; OTH
�OB DtSCRIPTZON ; ELEC, SEkVICt rOti X—Y.ASS iHEE LOT SQ FT:
CLAIM VALGE: CALC—VALUE; G�OUP OCC: $-2 /
COMNENTS: X—MASS TREr: LO'i
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Z O N l N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY i3UILDiNG ---------
rRN1': FT 1N REAR; FT IN FRNT: FT IN REAti: FT IN
LEFT; FT IN RGH1: FT IN i.EFT; FT IN kGHT: FT' IN
PARRING REp • PftOV; PARCEL; 00000000 ZNE; REF NO;
PLANNING NCSI'ES>
i
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D E V�. L O P M E N T..- ' S,E R V i C E S R E�,1 U I R E M r: N'i S
ZONING APPROVE15 BY DATE:
HOILDING APPROVED HY ; � DATE; ����
APPLICATSON ISSUED BY• �.. DATE; /�-0 7
'IF1E'If'IF1f'1fiEiL'iE�1F'JF16iE�EiEiE'IE1E1FiF1fEJl'iE •1flh'1tY!'1tR�iFxl'X"u"ltftit.'x'lt :%-fttt'1tYt!! •'lt%1t5FIC'%-It1e1ElEiEifi4iE'IflfH'3i'H' %�tt')ttlX'%'x.. f
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LEGALIZATION;N F H E S U M M A H Y STRJCTURAI, SEGMENT;N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADING
PERMIT 7,50
SOR SMIP/NON—RES
PLAN
ISStiE FEE I5.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE
TUTALS----> 7,50 25,00 O,UO 22,50 22.50 .00
REVENUE DIVISZON TOTALS--> COLLF.CTED; 22,50 OVER/SHORT• 00
9LDG PMT PLUMBING ELEC'tRIC MECHANIC FIRE SMiP/TOT GRADING PLAN—CHECK
22,50
i(� �1f iE i! # if if %�lE if iE 1f # 16if �1FlE if iE �1f� if if iE iE 1E iE !f ## 7f'It'!f if i(� iE If� 1f iF iF # 1F iE ik 14 #!4 iE If f(� ## fE !f iF % 3E #!E %�!F # X� # if� iF if iE �Jf iE iF 3F if fElFiE 3f i(- i(� iE
I N D I V i D U A L F E E B R E A K D O W N
TYPE QiY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 CHRISTMAS TREE LOTS EA. 7,50 %,50
sNn oF rE�s
CONSTRUCTION AND PLANNING . POO �PA
APPROVAIS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electriral Service or Pole � 52. Pool & Equipment Location �
, ,
2. Soil Pipe-Undrgmd. � ��� 53. Steel Reinforcemen[ �
3. Electrical Conduit Utility•Undrgrnd. � � 54. Forms
4. Electrical Conduit�Undr9rnd.� � �� 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-Undrgrnd. �,�
8. Foundation l�r �•{ 59. Gas Pipe, � Undrqrnd., Test ,; :
9. Water Pipe-Undrgrnd. ��i - �''-� 60. Backwash Lines, P�Trap, O Undrgrnd. j''+;
10. Structural Floor System � ��j 61. APPROVAL TO DECK �
11. Property Sewer Line & Hous ��Connection ? 62. Backwash & Receptor•Final �-�
12. Sewer Cap �' r 63. Heater & Vent-Final �
'r� .,,:'
13. Roof Drains („ j 64. Plumbing System - Final
14. Rough Plumbing � # 65. Electrical-Final %'
15. Rough Electrical�Conduit _ �'� 66. So�ar SYstem-Final �;�
i 6. Rough Electric Wiring { 67. Fencing & Access ApP�oval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
18. Rough Electrical�T Bar Ceiling �� 69. POOUSPA SYSTEMS FINAL
79. Rough Heatinq�& Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure � 70. Underground Hydro
22. DuctS,Ventiiating 71. ProductPipin9OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
•
25. Roof Sheathing 74. Overhead Hydro
2.. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding , 77. F�XED $YSTEM FINAL
, 29. Insulation �. ' 7$. FIRE PREV. FINAL
� �
-30. Drywall Nailing � � I HEALTH DEPT. REQUIREMENT
<31. Plaster Brown Coat i i 79. FINAL INSPECTION
32. Electrical Power MeterFinal / � � 80. FOOD CERTIFICATE ISSUED
33. Final Electric r/� "' � Notes: ,
34. Final Heating & F.ir Conditioning �
35. Final Gas Pipe�Test
36. Hood or Canopy �
37. Final Factory Fireplace �
,
38. Final Plumbing i �
39. Water Service-Final � ' ,
I
40. Gas Service-Final � � i
41. Solar pomesticFinal � , j
42. Backflow Preventer ( I �
43. Backflow Irri�ation
44. Landscape Irrigation SYstem
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING I � �
I i
48. FINAL PLANN�NG � I ' (
49. Electric Release to Edison I I
50. Gas Release to Southern California Gas Co � �-
51. CERTiFICATEOFOCCUPANCY
No. Date