HomeMy WebLinkAbout631 SHALIMAR DR - Building Permits ,IjL
r6th
631 SHALIMAR DR shin: CITY OF COSTA MESP. — BUILDING PERMIT
BHAGAT, VINODBHAI PEP,M NO: E 07224RAMJIBHAI
HHAGAT, NIRUBEN VINODBHAI PERMIT NO: B 072242 PLAN CHECK NO: N 2
GOVT: N SUPP : N
18 BROOKSHIRE AVE DOWNEY,CA 9024 :
AIIlNOADDRESS: CONSTRUCTION TYPE: PERMIT TYPE : STR PURPOSE: OTH
ECT OR EIIGNEER: UC.NO.: JOB DESCRIPTION ; T/OFF & REROOF W/BUR SQ FT; 3, 000
ARCH.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 3, 000 . 00 CALL—VALUE: 3,000 . 00 GROUP OCC ; R-3 /M-1
CONfRACTOITSNAW ROBERTO ELIZONDO CONST. ( 310 ) 602-0880
ccNIRACTORIMULDIG 15723 ILLINOIS AVL COMMENTS : SMOKE DETECTORS ARE REQUIRED IN UNITS A, B,C & D
ADDRESS: PARAMOUNT CA uc.NS_ 607749 +t*)cac***ap +Eac3E**ac.x*N.*..N.acx*4c** ***sacac**4..*x--> ***ic+E*a:.*acacxafu******tE*jcac+Ev-u+:**a-r+caE.xux-ar.«.
90723 shirt: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under prvmbm of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my fauns is in full force end effect.
CNy'UC.NO.: UC.CLASS: C-39 UC.NO.: 60 749 EXP ; MAIN BUILDING ACCESSORY BUILDING
�
Dae Si f / r conbw«: FRNT; FT IN REAR:
IN RGHT: FT IN FRNT; FT IN REAR: FT IN
LEFT: FTFT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the
following reasonlSedon 7031.5 Buenas,and Professions Code:Any oily o county itch requires permit toconmmn.alter,improve, PARKING REQ: PROV: PARCEL; 42426309 ZNE: REF NO;
demolish,«repair any structure,prior to ie issuance,also requires the applicant for such permit to file a signed statement that he or she
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING N TES>
Business and Profession,Code[or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than We hundred dollars(S5031). *********************************************j:*******************41—W************
❑ I.as owner of the properly«my emPkyees with wages as theirsole compensation,wig do the work.and the structure is not wended DEVELOPMENT V E L O P M E N T S E R V I C E S R E U I R E M E N T S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an br of popery Q
who builds or inpnms thereat,and who does such work himself or herself or through his or her own employes,provided that such
improvements are mol intended or offered for sale,ff,however.the bolding or improvement is sold within one year of concision.the ZONING APPROVED BY DATE;
owner buioer will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ 1.asowwerof the property.am exduwvely contracting"nhlicensed contractors to construct dm protect(Seton 744.Busisasand BUILDING APPROVED BY
Professions Code:The Comrades License LLaw does notapply an owner of properly who builds or improves thereon and who DATE:
contracts for such projects with a ceroerxer(s)licensed pastime to the Contractors License Lew). „..--
❑ Iamexempt under Seamn: B.AP.C.,for des retreat APPLICATION ISSUED BY ; DATE: TS
**** ******************************** *********i.**************** * *air
Date: LEGALIZATION : N F E E SUMMARY STRUCTURAL C' GM NT :Y
I do hereby unify that Iwo aware of end understand the requirements of California Health and Safety Code Setons 25505,25533.and
25534,and that 1pany future building om the nlwit/wDrol(drSOne)need to comply wlhsecon appidav'lheipubemenhse BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
for
a permit toovatmtinn or modibutiinhpntls As ue iy anegemenl Ditrin.Residential wth adstatepirmoreareexempt fawn these
provisions. PERMIT 54 . 00 . 50
Date: APdicant: SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: I SSU
ISSUE FEE
❑ I have end nil maintain a certicate of consent to self-insure for workers'compensatiak as provided for by&CPI 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the pedormence o panne
the work fa which this is Issued.
TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00
1 have and wise the e r airs'compensation iesurence.e,required by Section 3700 of the Lebo Cade,for the performance of the
\wok I«whiN Nb soed.My waken'compensation i751 carder end policy number vis:
Carrier STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED; 59 . 50 OVERlSHORT: 00
Polity Number L27'DUb / 3 / 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed Athe period S ler one hundred dollars(3100)or lest.) 54 . 00 . 50
❑ I candy that in the pedortnernce of the work for which this period Is issued,I dao not employ any person in any mow CO CS to
become cabled to the workers'oompensaion laws o California.and agree that I should become sulded to the workers' **************************************************$****************************
componential provisions of Sedan 3700 of the Labor Code,I shall fonhwah can ' those provisions. INDIVIDUAL F E E BREAKDOWN
G
Date: S/n 1 S Applicant J
Warning:Failure to secure workers'compensation coverageIs unlawful,and shall sublect an employer to criminal PanalWn and TYPE QTY DESCRIPTIO N. UNIT COST TOTAL COST
civil fine up to one handled thousand dollars(5100000),In addition to the cost of compensation damages as provided ler In
Section 3rosofthe Labor Code,Interest,and attorney's tees. SFR 3000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 000 . 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work ler which the permit is issued(Section 3097,Cit.C).
LENDER'S NAME: .
LENDER'S ADDRESS:
Icertify that I have rend this application end state that the above information is coned.I agree to comply with all city end countyordinances E4C94v)PPOT
IR CIMO E DETECTO! n
and state laws relating to budding con truction end hereby authorize representatives of this city to enter upon the above-mentioned property
for inspection purpaes.
I ROBERTO ELIZONDO
DA / r'ifEQU�RE •Prig Name {/1�,' VVk [ r�.,.. Di DD1iT5o2-11�ir1563 T1�� `f.5�]
/� 5-78157C
/ /q �' DATE; 05)10195 TIY.E: 09:09
Dae: / I •
Signature of Owner/Agent/AppfcenUCmvmo
(5151 de WP) White-Building A Safely:Green-File:Canary-Applaud:Pink-Revenue:Goldenrod-Assess r
'CONSTRUCTION AND PLANNING ._ POOL & SPA
APPROVALS Permit # Date inspector .ATPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Poier - 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 Reinforcement _ 56. Rough Plumbing & Pressure Test •
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Footings •
58. Electrical Conduit-Undrgrnd.
8. Foundation •- - ` . 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Prpe-Undrgrnd. - 60. Backwash lines, P-Trap, ❑ 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
13. Roof 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
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
20, Rough Factory Fireplace APPROVALS • Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
. moi.
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing.; '- - -. - 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical .
27. Frame and Flashing 76. Dry Standpipe • •
28. Lathing& Siding • 77. FIXED SYSTEM FINAL ••
29. Insulation - 78. FIRE PREY. 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 c-- .� -qs - keel 5�,��"C
el
35. Final Gas Pipe-Test 1
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
•
40. Gas Service-Final _
41. Solar Domestic-Final ry
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47, FINAL STRUCTURE& BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date