HomeMy WebLinkAbout623 SEAVIEW LN - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA nil ESA,nICel.STRUCTION PERMIT+ _ ' PE 51•41T NO. / TIsTACT NO. LOT NO. UNIT NO.
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Project Address .IJ�JO_AJ I fin�X,� V E1 "'1
Applicant's Mai'l�ypgg Address );',5- iU:)- gni J ,,.-- ' o 1(- G TYPE OF CONSTRUCTION U NEV;' U ADD L ?LTERATION fl REPAIR
;s-)0..1 0CL4' - IIKLIL�ti__,phone-I tnie15Yu,o ❑ CONVERSION ❑ DEMOLISH OTHER A.P. (Zone
Owner's Na_m�e1 cf !� DESCRIPTION OF WORK/USE OF BLDG.
Address (LAN-� 2c_11u_ut L(-�` � S Main Guilding: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADINCyg FOUNDATION ❑ STRUCTURAL T Front z
❑ TENANT ❑ ELECTRICAL LUMBING ❑ MECHANICAL g N
Address ��y1 f ( ❑ OTHER B Rear 1
Contractor's Name),n'1'-�ICI,L'l ih»1 C''✓yc�P�hsotnnee., �I tom"• PROJECT DESCRIPTION SQ. FT. _OCCUPANCY K RightAddG
City ess I License in. �I�10L-/U g ifs -{✓��' CONSTRUCTION TYPE VALUATION$ $ Left
City License No. /Zl ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parkin E
�yy�Pp./Provided Q
1 nereby affirm that am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: D tl'N j 1����jj
with section 7000) Di isl.n 3 of th• Business and Professions Code, and 11\ ',, ^—'"�/—` ]�_ /' .if\--c., RECEIVE s)�s M
mY license is in full f, ce, of ect.�. S•...41/ r6 � l - �4 )�� � Y�(/iY 1,/V (l•�.1t (7� _ S.
(� WOR Cl. i c- se o. i
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Date �' Signature Ir� -/ �i` PLUMBING FEES
WORKERS'COMPENSATION DECLARATION Bar Sink Showers
I hereby affir • hat I ha.- a c• ifica a of cons... to self-insure or a certificate ELECTRICAL FEES
� / of Workers' s.' i 2.1•-ale • . certified COPY thereof (Section
fVVV���� '�Y'y k'j } Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
3800, Lab. ;'Out's.
ii'"4414:-'1 ���}[�}
Policy No. • ? iv Company VC3°Tx- Backflow Irrigation Sewer Cap _ Construction Pole Sub. ❑ 50+ KW
]]]yyyeeersrtilled copy is hereby furnished. $ ]] h Y'10dn Ins /
fi2 y irf_B�with the city m' t. �y G Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps
Date a \ Applica w
EXEMPTION FROM WORKERS'C MPEN SATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter (Dover 100 amps r
(This section need not be completed if the permit is for one hundred ($100) or
less). \ Dishwasher Solar Piping �.De.— Dryers ❑Gas ❑Electric Sub Panel
i certify that in the performance of the work for which this permit is issued,-I —
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan
Motors❑0-1 HP ❑1'1/2:-8 •
Workers' Compensation Laws of California-
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE: If,after making this declaration, you should become subject to the Inc.$018f ❑g-15 HP ❑16-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal i
comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light
I hereby affirm that there is a construction lending agency for the performance g
of the work for which this permit is issued (Section 3097; Civ. C.) Interceptors Water Heater e Outlets Ran
Lender's Name 9
Lender's Address Kitchen Sink Water Service Switches
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap LaundryTrays
any structure, prior to its issuance,also requires the applicant for such permit Y Generator ❑0-5 KW ❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/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 five hundred dollars($500). 1 ,
I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3
compensation, will do the work,and the structure is not Intended or offered - $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Reinspection Fee $15 Issue Fee
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ •
DEVELOPMENT SERVICES REQUIREMENTS: •
employoes, provided that such improvements are not intended or offered for Boiler tonin Approved If, however, the building or improvement is sold within one year of com- Canopy Type II D 9 pP roved 8 Y Date )
prove the owner se of have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date _ /�
prove for the purpose theoe). �JI� e—_/�_.4
(/
❑ s owner the theproperty,roject exclusively sinesscontracting with licensed con- Duct-Structural Refrigeration System Application Issued By L(.1/-y—. Dat
tractors t constructctor'sen project (Section Bo51nCs5 and Professionsfproperty
Code: 7�
The Contractor's s License Law does notapplytrto an owner je pr with a who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or Improves thereon, and who contracts for such projects with
tractor(s) license pursuant to the Contractor's License Law). am awarea that
thatExhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ •
proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBG# Fire Dampers PLUMBING $ ,..•'`......./
ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I nereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL GRADING $
Information is corr-ct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws I': .1 ing to building con .uction, and hereby authorize repre-
sentatives of • ity to enter upo .bove-mentioned ro pert fo/
a.
inspection pu r'/ / - . MECHANICAL $ TOTAL FEE $ !�
Signature •/ _ '
Goldenrod - Assessor C i UIJ f1.17'.=.3:510`.1 I tJ 11 "ruu
BATE: CE./10I49 TTMV: 14vrn
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical;Service or Pole 52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd.h" 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pres surest
6. Electrical UFER Grnd. 57. APPROVAL TOCOVEIR-GO♦:+1ITE
7. Footings 58. Electrical Conduit-Undre 1rnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test.
9. Water Pipe-Undrgrnd.; 60. Backwash Lines,P-Trap, 0+4Undrgrnd.
H1110. Structural Floor System 61. APPROVAL TO DECK z."--
11.
. Property Sewer Line & House Connection 62. Backwash & Receptor-Fir nal
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final ,f
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approv al
17. Rough Wiring Sign 68. APPROVED FOR PLAS' .EKING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS F 1,NAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIR;1EMENT
20. Rough Factory Fireplace APPROVALS Permit# _I _
_ I
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas CD Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank C7 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro '
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FIN.AL
29. Insulation 78. I.RE PREY. FINAL `
'F
30. Drywall Nailing HEALTH DIEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED`1 •--
33. Final Electric Notes: \
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test \
36. Hood or Canopy
37. Final Factory Fireplace 1
38. Final Plumbing Y.,$.l_tc? LS 1
39. Water Service-Final
40. Gas Service-Final
41,. Solar Domestic-Final •
X42. Backflow Preventer
t -
43: Backflow Irrigation a r •
•44. Landscape Irrigation System
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